Hospitals Required to Contract with a “Cascade Care Select” Public Option Plan

A new law, Senate Bill 5377, enacted during the 2021 Washington State legislative session, requires hospitals that receive a valid offer from a public option plan to contract with at least one public option plan for the 2023 plan year. ... Read More >>

HCA Outpatient Billing Guide Includes Updates for Naloxone Billing, “PO” Modifier Usage

The Washington State Health Care Authority (HCA) updated its Outpatient Hospital Billing Guide yesterday.... Read More >>

OIC Provides Translated Notices of Balance Billing Consumer Rights

The Washington State Office of the Insurance Commissioner (OIC) recently posted translations of its standard Notice of Balance Billing Consumer Rights in ten additional languages.... Read More >>

Senate Approves Bill to Delay Healthcare Payment Cuts

On December 9, the U.S. Senate approved the Protecting Medicare and American Farmers from Sequester Cuts Act (PMAFSCA) which the President is expected to sign into law. ... Read More >>

HHS to distribute $9 billion in Covid Provider Relief Fund Payments

Yesterday, the US Department of Health and Human Services (HHS) announced that later this week it will distribute $9 billion of the $17 billion in Provider Relief Fund (PRF) payments to providers who have experienced revenue losses and expenses related to the COVID-19 pandemic. ... Read More >>

No Surprises Act Effective January 1 – Webinar Slides Available

Many provisions of the No Surprises Act (NSA) are effective January 1, 2022, including prohibitions on balance billing for out of network emergency services and out of network professional services performed at an in-network facility. ... Read More >>

WSHA Updates Regulatory Rules Tracker

WSHA’s Government Affairs team recently published an update to its Top Priority State Rules Tracker, which shows the highest-priority ongoing state rulemaking activities impacting hospitals and health systems as part of its State Regulatory Issues webpage. ... Read More >>

Webinar December 7: Getting Ready for the Federal No Surprises Act (NSA): What You Need to Know Now

On Tuesday, December 7 from 10:00-11:00 am WSHA will provide an overview of the No Surprises Act (NSA) and its requirements. ... Read More >>

US Supreme Court Hears Oral Arguments Challenging Cuts to 340B Hospitals

Yesterday, the US Supreme Court heard oral arguments from the American Hospital Association and other hospital plaintiffs challenging Medicare payment cuts to hospitals participating the 340B drug program. ... Read More >>

OIC Finalizes Audio-Only Telemedicine Rules

The Office of the Insurance Commissioner (OIC) finalized its regulations for Washington state’s new audio-only telemedicine law that was passed as HB 1196 (2021) earlier this year. ... Read More >>

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