The Senate released its proposed 2024 budget Sunday evening, Feb. 18, and the House released its proposed 2024 budget Monday, Feb. 19 at noon. Over the next couple of weeks,... Read More >>
The Health Care Authority (HCA) is currently accepting applications for $10 million in distressed hospital grant (DHG) funds as outlined in RCW 74.60.100 for calendar year 2024. Completed applications must... Read More >>
The Washington State Health Care Authority’s February update to the Medicaid Inpatient Hospital Billing Guide includes instructions for billing covered ancillary services that are paid separately and in addition to... Read More >>
In 2023, the Legislature enacted E2SHB 1357 to modernize prior authorization processes. The law shortens prior authorization determination timelines, adds standards for clinical review criteria, and requires carriers to use... Read More >>
The Washington Vaccine Association (WVA) has developed and announced a notification process for hospitals to report WVA supplied vaccines provided during an inpatient stay. The new process was developed by... Read More >>
WSHA was notified by Health Care Authority (HCA) staff that the Centers for Medicare and Medicaid Services (CMS) approved a State Plan Amendment (SPA) for changes to Medicaid payment under... Read More >>
The recently finalized Medicare Outpatient Prospective Payment System (OPPS) and ambulatory surgical center rule includes significant changes to how hospitals must make available machine-readable files of negotiated payments with carriers... Read More >>
The Washington Office of the Insurance Commissioner (OIC) recently finalized new rules and concise explanatory statement regarding registration and reporting by Health Care Benefit Managers (HCBMs), effective December 21, 2023.... Read More >>
The Washington State Health Cary Authority has made available its report to the legislature regarding the state Prescription Drug Affordability Board (PDAB) and is finalizing related rules. Legislation establishing the... Read More >>
The Washington Health Care Authority (HCA) released a Medicaid program integrity training document as annually required under RCW 74.09.195. The focus of the training is to promote and ensure Medicaid... Read More >>
