CMS delays enforcement of combined Good Faith Estimate requirement

Last week, the Centers for Medicare & Medicaid Services (CMS) released new guidance extending an enforcement delay of the uninsured/self-pay good faith estimate convening provider requirements until further rulemaking to... Read More >>

Final CMS 2023 outpatient rule includes 3.8% marketbasket increase, restores payment to 340B hospitals

On November 1, the Centers for Medicare & Medicaid Services (CMS) posted its calendar year (CY) 2023 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule. WSHA is... Read More >>

Post-PHE Medicaid redeterminations coming! Encourage your Apple Health patients to update their contact information.

The Washington State Health Care Authority (HCA) will begin the Medicaid redetermination process for clients upon expiration the of public health emergency – scheduled to expire January 11, 2023. Medicaid... Read More >>

WHS industry partners offer cyber insurance and tactics webinar November 17

Join Washington Hospital Service Industry Partners Sensato and Parker Smith & Feek for a complimentary webinar: What You Need to Know About Cyber Insurance and Tactics to Improve Security and... Read More >>

WSHA updates regulatory rulemaking page

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

Online web form available for federal No Surprises Act dispute resolution submissions

The federal agencies overseeing the federal No Surprise Act (NSA) released an online form for providers, facilities, and insurers to submit claims to the federal independent dispute resolution (IDR) process.... Read More >>

OIC issues proposed rule implementing HB 1688 Balance Billing

The Washington State Office of the Insurance Commissioner (OIC) has issued its CR-102 draft rule to implement E2SHB 1688. We are pleased to see the OIC made significant changes to... Read More >>

Second distressed hospital grant application period ends November 30

The Health Care Authority (HCA) announced it is opening the application period for the remaining $4 million of the $8 million in hospital grants for distressed hospitals authorized by the... Read More >>

COVID-19 insurer coverage requirements expire October 31

Three emergency orders issued by Insurance Commissioner Mike Kreidler related to insurance coverage for COVID-19 services are scheduled to expire on Oct. 31. The expiration of the emergency orders may... Read More >>

HCA delays Medicaid drug payment change

Following WSHA’s and other stakeholders’ advocacy, the Washington State Health Care Authority (HCA) announced it would delay implementation of a plan to remove coverage of certain prescription drugs, including HIV... Read More >>

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