HCA clarifies audio-only codes for behavioral health services

The Washington State Health Care Authority (HCA) published its list of covered audio-only codes for behavioral health services, effective August 1. The list reflects HCA’s review and determination of services... Read More >>

Preliminary JLARC report shows hospital charity care vastly exceeds property tax benefit

WSHA is pleased to report, staff for the Washington State Joint Audit and Review Committee ( JLARC staff released its preliminary report comparing the community benefits provided by nonprofit hospitals... Read More >>

Medicare proposed outpatient rule removes cuts to 340B hospital payment

On July 15, the Centers for Medicare & Medicaid Services (CMS) released its calendar year (CY) 2023 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) proposed rule. In the... Read More >>

HCA adds billing codes for Covid-19 vaccine for young children.

The Washington Health Care Authority (HCA) recently added new procedure codes to the Apple Health (Medicaid) COVID-19 vaccine clinical policy and fee schedule for clients ages 6 months to 4... Read More >>

HCA updates funding application for financially distressed hospitals

The Washington Health Care Authority (HCA) recently updated the application for $8 million in funding for hospitals in financial distress that was appropriated during the last legislative session. The original... Read More >>

HCA posts new rebased Medicaid hospital payment rates

On June 15, Washington State Health Care Authority (HCA) posted the Medicaid inpatient and outpatient hospital payment rates effective for July 1, 2022. The changes to rates, grouper versions, and... Read More >>

WSHA comments on Medicare inpatient proposed rule

On June 17, WSHA submitted comments  to the Centers for Medicare and Medicaid Services (CMS) on the proposed inpatient hospital payment rule for 2023. WSHA provided a draft of its... Read More >>

U.S. Supreme Court rules in favor of 340B hospitals

On June 15, the U.S. Supreme Court ruled that the Centers for Medicare and Medicaid Services did not follow the necessary procedure for cuts to hospital payment for 340B hospitals.... Read More >>

New Medicaid hospital payment rates and grouper weights effective July 1, 2022

New Medicaid inpatient and outpatient hospital payment rates will be in effect July 1, 2022, due to the Washington State Health Care Authority’s (HCA) rebasing of its prospective payment methodologies.... Read More >>

WSHA and WSMA representatives advise State’s Cost Transparency Board

Washington hospitals should be judged based on their own performance, not by the experiences in other states. Also, when comparing hospital performance across states, data should be adjusted for case... Read More >>

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