Commissioner Kreidler Extends Insurer Prohibition on Surprise Billing and Copays for COVID Testing Services through April 28

Today, Insurance Commissioner Mike Kreidler extended through April 28 two emergency orders relating to COVID-19 testing services. The emergency orders requiring health insurers to waive copays and deductibles for COVID-19 testing and protect consumers from receiving surprise bills for lab fees related to medically necessary COVID-19 testing.... Read More >>

WSHA Priorities Funded in Final Budget

On March 9, the House and Senate released their final supplemental budget for the remainder of the 2021-2023 biennium.... Read More >>

HCA Begins RFP Process for 2023 Public Option Plans – Cascade Care Select

The Washington State Health Care Authority (HCA) has announced the request for proposal process for procurement of public option – known as Cascade Care Select – plans for the 2023 plan year. The first RFP was for two years and ends December 31, 2022. This RFP is for coverage effective January 1, 2023.... Read More >>

WSHA and AWPHD Report on 2021 Lobbying Expenses for Medicare Cost Reports

The Medicare Provider Reimbursement Manual requires hospitals to adjust their Medicare cost reports to eliminate the portion of association dues related to lobbying expenses. WSHA and AWPHD recently calculated and is informing WSHA and AWPHD members of the proportion of membership dues used for lobbying purposes for calendar year 2021.... Read More >>

Reminder: Annual Recertification Required for 340B Eligibility

The Office of Pharmacy Affairs (OPA) of the federal Health Resources and Services Administration (HRSA) requires registration and approval for covered entities to participate in the 340B Program.... Read More >>

House, Senate Release Proposed Supplemental Budgets

The House and Senate on Monday, Feb. 21, released their proposed supplemental operating budgets for the remainder of the 2021-2023 biennium.... Read More >>

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 >>

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