WSHA Provides Rate Appeals Guidance and Webinar Slides for November 1 Medicaid Cuts

The Health Care Authority recently sent Prospective Payment System (PPS) hospitals notices of new Medicaid inpatient and outpatient payment rates, effective November 1. These changes are due to state calculations to ensure budget neutrality. ... Read More >>

WSHA to Help Represent Clinic Interests in Payment Redesign

The Washington State Health Care Authority (HCA) is beginning the process of updating the Medicaid payment methodology for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics. HCA is in the final stages of contracting with a technical assistance consultant to work with stakeholders to develop a successor to the current alternative payment methodology (APM).... Read More >>

CMS Implements Bundled Payments for Hip and Knee Replacements; WSHA Provides Resources

On November 16, the Centers for Medicare & Medicaid Services (CMS) finalized its rule concerning payment of hip and knee replacements for hospitals in selected regions. The new program goes into effect April 1, 2016 and will affect hospitals in the Seattle-Tacoma-Bellevue and Portland-Vancouver-Hillsboro metropolitan service areas that provide hip and knee replacement surgery.... Read More >>

HCA Sends Hospitals Corrected Safety Net Assessment Program Agreements

The Health Care Authority (HCA) recently sent hospitals new agreements to provide protections from reductions to regular Medicaid payment for the period when hospitals are participating in the Hospital Safety Net Assessment program. The new safety net law, passed during the most recent legislative session, requires HCA to offer hospitals an agreement giving the hospital a remedy should the state reduce payments under the program.... Read More >>

Open Enrollment for Health Benefits Exchange for 2016 Coverage

It’s that time again! Open enrollment for the Exchange’s individual market runs November 1, 2015 to January 31, 2016. Washington’s hospitals play a key role in helping patients enroll in either the Health Benefit Exchange’s subsidized health plans or Apple Health, depending on the enrollee’s income. Individuals and families can access enrollment for either program through Washington’s Healthplanfinder portal. ... Read More >>

Webinar on New State Law: Payment for and Delivery of Hospital Services for Inmates and Persons Detained by Law Enforcement

Please join the Washington State Hospital Association, the Washington Association of Sheriffs and Police Chiefs, and the Association of Washington Cities for a webinar about important changes in Washington State law as a result of enactment of Senate Bill 5593,which went into effect July 24, 2015. This webinar is for hospital staff and staff of law enforcement entities and governing units affected by the bill. (The webinar will be recorded.)... Read More >>

Correction to Hospital Safety Net Assessment Amount and Due Date

Special Fiscal Watch   Because of an error in the calculation of the assessment amounts, the Health Care Authority is reissuing the assessment invoices for the first quarter of State... Read More >>

At WSHA request, the Health Care Authority revises administrative days Policy

After discussions with WSHA, the Washington State Health Care Authority (HCA) recently announced it will revise its policy on administrative days and return to the longstanding policy it used previously.... Read More >>

Safety Net Assessment Program Underway: WSHA Requested HCA Fix Agreements

At the very end of the 2015 legislative session and after an extraordinary amount of negotiation and fine-line review, both the House and the Senate passed, and the Governor signed,... Read More >>

Health Care Authority Provides Guidance and Tools for October 1 ICD-10 Implementation

Last week the Washington State Health Care Authority (HCA) sent providers an alert clarifying that HCA will not be adopting a policy adopted for Medicare Part B contractors regarding specificity of... Read More >>

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