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

November 18, 2015

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. We are investigating the reductions to determine if we believe the calculations have been done correctly. In the meantime, WSHA recommends that PPS hospitals appeal the new rates within the 60-day time limit to do so.  Click here to read more in the recent WSHA bulletin and see WSHA’s sample language for an appeal. WSHA asks that hospitals filing appeals send WSHA copies of their appeal letters. (Andrew Busz)


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