Medicaid Fee Schedule Increases Effective October 1

Effective October 1, the Washington state Health Care Authority (HCA) will increase the Medicaid professional fee schedule amounts for designated behavioral health, primary care, and pediatric critical care services. ... Read More >>

HHS Releases $25.5 Billion Provider Relief Funding, Including $8.5 Billion Rural Funding; Application Portal to Open September 29

The U.S. Department of Health and Human Services (HHS) announced last Friday that they will release $25.5 billion in COVID-19 Provider Relief Funds and rural funds previously authorized by Congress. ... Read More >>

WSHA Provides Comments on CMS Outpatient and ASC Rule

WSHA has prepared draft comments it plans to submit to CMS Friday regarding the Medicare Proposed 2022 Outpatient Prospective Payment System (OPPS) Ambulatory Surgical Center (ASC) rule. ... Read More >>

WSHA Updates Regulatory Rules Tracker

WSHA’s Government Affairs team recently published its update to its State Regulatory Issues webpage. ... Read More >>

WSHA Provides New Law Implementation Guide

To assist members with implementation of the many bills passed during the 2021 legislative session, WSHA has prepared and is maintaining a New Law Implementation Guide with links to published and upcoming bulletins, webcasts, and other materials.... Read More >>

Federal Agencies Delay Certain Provisions of Transparency Law, No Surprises Act

The Health and Human Services (HHS), Labor, and Treasury Departments released guidance on August 20 delaying the provision of the federal transparency law that requires health plans to disclose their negotiated provider payment rates from its original January 1, 2022 date until July 1, 2022. ... Read More >>

State and Stakeholders Continue Work to Align State and Federal Balance Billing Laws

Staff from the state’s Office of the Insurance Commissioner (OIC) have been conducting stakeholder calls and solicited comments to determine what changes to law or rules may be necessary to align the state’s existing Balance Billing Protection Act (BBPA) and the federal No Surprises Act (NSA). ... Read More >>

HRSA Provides Communication on Reporting of PRF Personnel Costs, New PRF Reporting Portal Website Location

The federal Health Resources and Services Administration (HRSA) recently provided communication with examples of eligible personnel costs that can be reported under the Provider Relief Fund (PRF) requirements. ... Read More >>

Health Care Authority Updates Policy and Instructions for Billing COVID-19 Monoclonal Antibody Treatment

The Washington Health Care Authority recently updated its policy and instructions for billing for monoclonal antibody treatment for Medicaid enrollees for COVID-19. ... Read More >>

Livanta to Begin Medicare Claim Reviews

Livanta, a Medicare Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO), has been awarded a national contract by CMS to perform Medicare claim review audits. ... Read More >>

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