Final CMS 2022 Outpatient Rule Reinstates Inpatient Only List, Increases Transparency Penalties

On November 2, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that increases Medicare hospital outpatient prospective payment system rates by a net 2.0% in calendar year 2022 compared to 2021. ... Read More >>

Health Care Authority Seeks Stakeholder Input on Billing Guides and Fee Schedules

The Washington State Health Care Authority (HCA) is seeking stakeholder input on how to make its provider billing guides and fee schedules more user friendly. ... Read More >>

Extension of Federal COVID Emergency Period Helps State, Health Care Providers, and Patients

A recent extension of the federal public health emergency through January 14, 2022, will continue to provide much needed help for the state, hospitals and providers, and patients during the COVID emergency. ... Read More >>

L&I Sets 2022 Noncompetition Agreement Enforceability Thresholds

Chapter 49.62 RCW requires the Department of Labor & Industries (L&I) to establish annual enforceability thresholds for noncompetition agreements between employers and their employees and/or independent contractors. ... Read More >>

Phase 4 and Rural COVID Relief Funding Application Portal Open with October 26 Deadline: Resources Available

The application portal for $17 billion in provider relief funds (PRF) Phase 4 and $8.5 billion in Rural ARPA funding opened September 29 with an application deadline of October 26. ... Read More >>

Federal Agencies Release Second Set of Interim Final Rules for No Surprises Act

On September 30, 2021, the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury (collectively the Departments), along with the Office of Personnel Management (OPM), released its second interim final rule (IFR) entitled “Requirements Related to Surprise Billing; Part II.”... Read More >>

Health Care Authority Posts Enhanced Medicaid Behavioral Health and Primary Care Fee Schedules

Effective for services on or after October 1, the Washington State Health Care Authority (HCA) increased the Medicaid professional fee schedule amounts for designated behavioral health, primary care, and pediatric critical care services.... Read More >>

HCA Increases Managed Care Behavioral Health Payment Rates

The 2021-23 state operating budget also included a two percent increase for all services paid through the behavioral health portion of the managed care capitation rates. ... Read More >>

WSHA Updates Regulatory Rules Tracker

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

In Case You Missed Them! WSHA Provides Bulletins on New Laws

To assist members with implementation of the many bills passed during the 2021 legislative session, WSHA has prepared and is maintaining its New Law Implementation Guide and Implementation Resources Calendar.... Read More >>

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