| carriers_not_paying_new_ppe_cpt_code_99072_file_a_complaint_with_the_oic | Carriers Not Paying New PPE CPT Code 99072? File a Complaint with the OIC | memo | Shared_Content/News/Membership_Memo/2021/June_11/carriers_not_paying_new_ppe_cpt_code_99072_file_a_complaint_with_the_oic | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/June/Doc-Patient-Exam-Room-645x425px.jpg" class="pull-right" alt="Doctor and patient in exam room" />
</div>
<h5>June 10, 2021</h5>
<h2>Carriers Not Paying New PPE CPT Code 99072? File a Complaint with the OIC</h2>
<p>WSMA-championed <a href="https://app.leg.wa.gov/billsummary?BillNumber=5169&amp;Year=2021&amp;Initiative=false">Senate Bill 5169</a>, requiring commercial insurance carriers to reimburse for personal protective equipment costs during the pandemic, is now in effect. Physicians or health care providers treating patients with state-regulated commercial health plans that have incurred costs for PPE may now bill the newly created CPT code 99072 and be reimbursed $6.57 per patient encounter, as recommended by the AMA's RUC committee. </p>
<p>If you are experiencing challenges in receiving insurer reimbursement for this billing code, file a complaint with the state Office of the Insurance Commissioner <a href="https://www.insurance.wa.gov/file-complaint-or-check-your-complaint-status">here</a>. If practices experiencing issues with billing this code do not reach out to the OIC to file a complaint, the WSMA cannot advocate effectively. </p>
<!--div class="col-sm-5 pull-right secondaryImage" style="text-align: center;"><img alt="" src="/images/Newsletters/MembershipMemo/2021/June/Doctor-Patient-Masks-645x425px.jpg" class="pull-right" />
</div-->
<p>It is important to note that the law does not apply to self-funded plans (also known as "ERISA" plans), union-negotiated plans, personal injury protection plans, and patients from the state's Department of Labor &amp; Industries. If you are having difficulty identifying if a plan is self-insured, the OIC recommends reaching out to your insurance carrier representative to ask if the plan is regulated by the OIC. This is a yes or no question; if they are unable or unwilling to share that information, the OIC recommends filing a complaint.</p>
</div> | 6/11/2021 4:58:07 PM | 6/10/2021 1:08:34 PM | 6/10/2021 12:00:00 AM |
| health_care_authority_announces_primary_care_stakeholder_survey | Health Care Authority Announces Primary Care Stakeholder Survey | memo | Shared_Content/News/Membership_Memo/2021/June_11/health_care_authority_announces_primary_care_stakeholder_survey | <div class="col-md-12">
<h5>June 10, 2021</h5>
<h2>Health Care Authority Announces Primary Care Stakeholder Survey </h2>
<p>The Washington State Health Care Authority invites you to respond to its <a href="https://ohsu.ca1.qualtrics.com/jfe/form/SV_6x7J9pyVPjBhjBs">primary care stakeholder survey</a>. The purpose of the survey is to gather physician, provider, and other stakeholder input on proposed provider accountabilities under the Health Care Authority's <a href="https://www.hca.wa.gov/about-hca/value-based-purchasing/multi-payer-primary-care-transformation-model">multi-payer primary care transformation model</a>. Feedback from this survey will be combined with payer input to build out a framework of accountabilities for both providers and payers under this model.</p>
<p>Specifically, the survey asks for input on: </p>
<ul>
<li>Your level of support for the specific <a href="https://www.hca.wa.gov/assets/program/pc-survey-reference-proposed-provider-accountabilities-june-2021.pdf" target="_blank" rel="noreferrer">proposed accountabilities.</a></li>
<li>What providers will need to successfully implement each accountability.</li>
<li>How each accountability should be monitored to measure progress under the model.</li>
</ul>
<p>The WSMA has been closely monitoring the development of this new state model, working with a value-based payment physician work group to <a href="[@]Shared_Content/News/Membership_Memo/20200813/wsma_submits_comment_on_hca_multi_payer_primary_care_model">submit formal comments</a> during previous stakeholder reviews. In our comments, the WSMA emphasized the importance of upfront investments from payers in transformation efforts, accurate and reliable data/measurables, and the Quadruple Aim, among other priorities.</p>
</div> | 6/10/2021 1:18:05 PM | 6/10/2021 1:09:56 PM | 6/10/2021 12:00:00 AM |
| washington_medical_commission_resumes_rulemaking_on_proposed_clinical_support_program | Washington Medical Commission Resumes Rulemaking on Proposed Clinical Support Program | memo | Shared_Content/News/Membership_Memo/2021/June_11/washington_medical_commission_resumes_rulemaking_on_proposed_clinical_support_program | <div class="col-md-12">
<h5>June 10, 2021</h5>
<h2>Washington Medical Commission Resumes Rulemaking on Proposed Clinical Support Program</h2>
<p>The Washington Medical Commission has resumed <a href="https://wmc.wa.gov/rule_making_2018/proposed-clinical-support-program">rulemaking</a> that would establish a clinical support program. The commission's stated aim for the program is to assist practitioners in improving deficiencies related to standards of practice that do not rise to the level of disciplinary action. You can find the commission's current proposed rule language <a href="https://wmc.wa.gov/sites/default/files/public/documents/CSPMDPADraft5.12.2021RTEdits.pdf" target="_blank" rel="noreferrer">here</a>.</p>
<p>The WSMA <a href="https://wsma.org/doc_library/news/WSMA_comment_clinical support_program_01072020.pdf" target="_blank">provided feedback</a> during the commission's initial rulemaking on the issue in 2020. Although the commission adopted most of our suggested changes prior to this latest round of rulemaking, we remain concerned regarding the voluntary nature and non-disciplinary intent of the program. </p>
<p>The commission has allowed for additional time to gather feedback on the proposed program. We urge you to review the draft language and submit your concerns to our policy department at <a href="mailto:policy@wsma.org">policy@wsma.org</a>. Your feedback helps inform our advocacy on this rulemaking.</p>
</div> | 6/10/2021 3:22:19 PM | 6/9/2021 10:47:36 AM | 6/10/2021 12:00:00 AM |
| youre_invited_white_house_national_provider_vaccine_town_hall | You're Invited: White House National Provider Vaccine Town Hall | memo | Shared_Content/News/Membership_Memo/2021/June_11/youre_invited_white_house_national_provider_vaccine_town_hall | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/June/The-White-House-645x425px.jpg" class="pull-right" alt="White House" />
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<h5>June 10, 2021</h5>
<h2>You're Invited: White House National Provider Vaccine Town Hall</h2>
<p>The White House COVID-19 Response Team and the U.S. surgeon general invite you to a virtual conversation on "Primary Care Providers, Health Systems, and the Next Phase of the Vaccination Rollout" Friday, June 11 from noon-1 p.m. PT.</p>
<p>The virtual town hall will feature five conversations with primary care providers, health system leaders, and state health officials on innovative approaches they are taking to patient outreach and implementing vaccination programs at primary care provider offices. The conversations will be chaired by public health leaders from the Biden administration, including:</p>
<ul>
<h6></h6>
<li>Anthony Fauci, MD, National Institute of Allergy and Infectious Diseases director</li>
<li>Rochelle Walensky, MD, Centers for Disease Control and Prevention director</li>
<li>Marcella Nunez-Smith, MD, associate dean for health equity research at Yale School of Medicine</li>
<li>Vivek H. Murthy, MD, United States surgeon general</li>
<li>Bechara Choucair, MD, vaccinations coordinator, White House COVID-19 Response Team</li>
</ul>
<p>To join the town hall, <a href="https://youtu.be/t6gIClSru8E">click here</a> at any time during the discussion. A recording will be available at that link after the event.</p>
</div> | 6/11/2021 10:38:14 AM | 6/10/2021 1:09:06 PM | 6/10/2021 12:00:00 AM |
| continue_honing_your_leadership_skills_with_the_wsma | Continue Honing Your Leadership Skills with the WSMA | memo | Shared_Content/News/Membership_Memo/2021/May_28/continue_honing_your_leadership_skills_with_the_wsma | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/May/medical-staff-working-with-tablet.jpg" class="pull-right" alt="medical staff working with tablet" />
</div>
<h5>May 28, 2021</h5>
<h2>Continue Honing Your Leadership Skills with the WSMA</h2>
<p>With the WSMA Leadership Development Conference now in the rear-view mirror, continue your leadership development with our expanded menu of educational options. On offer are multiple opportunities throughout the remainder of 2021 for physicians and PAs at all stages of their career to develop their leadership skills without taking time away from their busy practice.</p>
<p>On the slate for this year and the first quarter of 2022:</p>
<h3>Quality Improvement: A Tool for Transformation: Sept. 17-Dec. 17</h3>
<p>Our new <a href="[@]WSMA/Education/Quality_Improvement__A_Tool_for_Transformation/WSMA/education/Quality_Improvement_A_Tool_for_Transformation/Quality_Improvement_A_Tool_for_Transformation.aspx?hkey=da78cae0-1c05-4197-86e1-c97278fbf0a6">14-week quality improvement course</a>, designed in partnership with the University of Washington Center for Scholarship in Patient Care Quality and Safety, will equip you to lead and participate in quality improvement projects in your organization.</p>
<h3>Dyad Leadership Course,Oct. 15 - Nov. 12</h3>
<p>This <a href="[@]WSMA/Education/Physician_Leadership/Dyad_Leadership_Course/WSMA/Physician_Leadership/Dyad_Leadership_Course/Dyad_Leadership_Course.aspx?hkey=f6387317-48e4-44f1-b623-4b00fcba57ab">three-day educational workshop</a> is for physicians and their administrative partners who wish to improve team function and achieve greater operational success within their clinical system.</p>
<h3>Leadership Seminars, Oct 2021 - March 2022</h3>
<p>These <a href="[@]WSMA/Education/Physician_Leadership/Leadership_Seminars/WSMA/Physician_Leadership/Leadership_Seminars/Leadership_Seminars.aspx?hkey=be83da24-6e25-4164-99bf-7ddee77555cc">half- or full-day seminars</a> provide in-depth exposure to topics covered in the Physician Leadership Course, with an emphasis on skill development and practical application of leadership principles using role-playing, demonstrations, and case studies. Scheduled seminars include:</p>
<ul>
<li>Communication is a Two-way Street: Tips on Shaping Your Message and Listening Effectively - Oct. 1</li>
<li>The Art of Persuasion and Influence in Medical Leadership - Nov. 5</li>
<li>Harness Your E.Q. to Change Culture and Influence Colleagues - Dec. 10</li>
<li>Your Personal Leadership Style: The Key to Unlocking Versatility - Jan. 7</li>
<li>Beyond the Basics: Building High Performing Teams - Feb. 4</li>
<li>A Leader's Guide to Providing Feedback and Managing Conflict - March 4<br />
<br />
</li>
</ul>
<p>Registration is now available for all of these courses and seminars. To learn more about these opportunities and to register, visit the <a href="[@]">WSMA website</a> and look under Education. These activities have been approved for <em>AMA PRA Category 1 Credit</em>â„¢.</p>
</div> | 6/3/2021 4:21:46 PM | 5/24/2021 10:31:10 AM | 5/28/2021 12:00:00 AM |
| covid_19_vaccine_may_now_be_given_with_other_vaccines | COVID-19 Vaccine May Now Be Given with Other Vaccines | memo | Shared_Content/News/Membership_Memo/2021/May_28/covid_19_vaccine_may_now_be_given_with_other_vaccines | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2020/September/Pediatric-Flu-Patient-645x425px.jpg" class="pull-right" alt="Young woman with bandage on arm from vaccination" />
</div>
<h5>May 28, 2021</h5>
<h2>COVID-19 Vaccine May Now Be Given with Other Vaccines</h2>
<p>Physician practices and other vaccine providers can now administer COVID-19 vaccines and other vaccines to patients without waiting 14 days. Previously, the federal Advisory Committee on Immunization Practices recommended COVID-19 vaccines not be given within 14 days of any other vaccination. In a May 12 meeting, the committee voted to remove this spacing recommendation based on further data. Anyone, both children and adults, can now get other vaccinations on the same day they receive their COVID-19 vaccination or within days of each other.</p>
<p>We encourage physicians and practices to share this message with families and patients to reduce the need for multiple clinic visits. Now is also a good time to send out reminder/recall notifications to children and families who are behind on their required immunizations. We expect physician practices will have more immunization appointments the closer we get to the 2021-22 school year and scheduling these appointments ahead of time with families will reduce stress and improve the health of people in Washington.</p>
<p>The state Department of Health is updating their guidance online to reflect these changes. If you have any questions, email <a href="mailto:covid.vaccine@doh.wa.gov">covid.vaccine@doh.wa.gov</a>.</p>
</div> | 6/11/2021 10:39:01 AM | 5/27/2021 3:51:15 PM | 5/28/2021 12:00:00 AM |
| final_call_for_2021_apple_awards_nominations | Final Call for 2021 Apple Awards Nominations | memo | Shared_Content/News/Membership_Memo/2021/May_28/final_call_for_2021_apple_awards_nominations | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/May/AppleAwards.jpg" class="pull-right" alt="WSMA Apple Awards trophies" />
</div>
<h5>May 28, 2021</h5>
<h2>Final Call for 2021 Apple Awards Nominations</h2>
<p>WSMA members: We need to hear from you on who among your colleagues and associates you think would be worthy recipients for WSMA's third annual Apple Awards. These awards help recognize physicians, physician assistants, and others for leadership, advocacy, service, and patient safety. It's easy to make a nomination. Visit <a href="[@]WSMA/Membership/Awards_Program/WSMA/Membership/Awards_Program/Awards_Program.aspx?hkey=d0199dab-31de-45e7-b0b3-902ba07a209f">the awards webpage</a> on the WSMA website to learn more and complete your nominations before the June 4 deadline. The awards will be presented during the 2021 WSMA Annual Meeting in September. Help us honor the best in medicine and make your nominations today.</p>
</div> | 6/3/2021 4:22:06 PM | 5/27/2021 3:51:47 PM | 5/28/2021 12:00:00 AM |
| gov_inslee_signs_wsma_priority_bills_into_law | Gov. Inslee Signs WSMA Priority Bills Into Law | memo | Shared_Content/News/Membership_Memo/2021/May_28/gov_inslee_signs_wsma_priority_bills_into_law | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/March/State.Capitol.Olympia_2015-645x425px.jpg" class="pull-right" alt="Washington state capitol in Olympia" />
</div>
<h5>May 28, 2021</h5>
<h2>Gov. Inslee Signs WSMA Priority Bills Into Law</h2>
<p>Since the Legislature adjourned on April 25, Gov. Jay Inslee has signed all of WSMA's top-priority bills:</p>
<ul>
<li><a href="https://app.leg.wa.gov/billsummary?BillNumber=5169&amp;Year=2021&amp;Initiative=false">SB 5169</a> regarding PPE reimbursement: signed on April 16 and took effect immediately.</li>
<li><a href="https://app.leg.wa.gov/billsummary?BillNumber=1196&amp;Initiative=false&amp;Year=2021">HB 1196</a> regarding audio-only telemedicine: signed on May 3 and effective on July 25.</li>
<li><a href="https://app.leg.wa.gov/billsummary?BillNumber=5229&amp;Initiative=false&amp;Year=2021">SB 5229</a> regarding health equity CME: signed on May 12 and effective on July 25.</li>
<li><a href="https://app.leg.wa.gov/billsummary?BillNumber=5271&amp;Initiative=false&amp;Year=2021">SB 5271</a> regarding COVID-19 liability protections: signed on May 10 and took effect immediately.</li>
</ul>
<p>These bills may call for changes in the operations of your medical group. Keep your eyes out for WSMA's comprehensive 2021 legislative report, which includes a look at those bills from the legislative session that may impact practice operations. The report will be mailed to members and available on the WSMA website in June. In the meantime, if you or your staff would like more information on what these new laws may mean for your practice, or for legal referrals, email the WSMA policy department at <a href="mailto:policy@wsma.org">policy@wsma.org</a>.</p>
</div> | 6/3/2021 4:22:19 PM | 5/27/2021 4:01:01 PM | 5/28/2021 12:00:00 AM |
| prepare_your_medical_group_for_coming_changes_to_pa_practice | Prepare Your Medical Group for Coming Changes to PA Practice | memo | Shared_Content/News/Membership_Memo/2021/May_28/prepare_your_medical_group_for_coming_changes_to_pa_practice | <div class="col-md-12">
<h5>May 28, 2021</h5>
<h2>Prepare Your Medical Group for Coming Changes to PA Practice </h2>
<p>Washington Academy of Physician Assistants President Gabrielle Zecha, PA-C and WSMA Policy Analyst Billie Dickinson are the featured presenters for our latest Continuing Professional Development session, New Physician Assistant Practice Laws and Regulations: Putting HB 2378 into Practice.</p>
<p>A key priority for the WSMA and WAPA, House Bill 2378 from 2020 made important changes to the state's physician assistant practice act, modernizing the profession and facilitating employment of these valued clinical partners. Major provisions of this important legislation take effect July 1. Speakers will outline how to implement the changes in your practice and discuss how to create practice agreements, which will replace delegation agreements. The session is free for WSMA members and their practice managers. <a href="[@]WSMA/Education/Upcoming_Webinars/WSMA/education/Upcoming_Webinars/Upcoming_Webinars.aspx?hkey=b760d6bd-1833-412d-b681-babf251792a8">Register online</a>. This activity has been approved for <em>AMA PRA Category 1 Credit</em>â„¢.</p>
</div> | 5/27/2021 3:27:00 PM | 5/24/2021 10:32:33 AM | 5/28/2021 12:00:00 AM |
| state_board_of_health_adopts_notifiable_conditions_rule | State Board of Health Adopts Notifiable Conditions Rule | memo | Shared_Content/News/Membership_Memo/2021/May_28/state_board_of_health_adopts_notifiable_conditions_rule | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2020/November/laptop_hands_steth-645x425px.jpg" class="pull-right" alt="Hands typing on laptop keyboard" />
</div>
<h5>May 28, 2021</h5>
<h2>State Board of Health Adopts Notifiable Conditions Rule</h2>
<p>The Washington State Board of Health has adopted updates to its notifiable condition reporting rules, <a href="http://apps.leg.wa.gov/WAC/default.aspx?cite=246-101&amp;full=true">chapter 246-101 WAC</a>.</p>
<p>Download and review the <a href="https://wsma.org/doc_library/news/2111040notifiableconditions103final.pdf">final adopted rule</a>, or CR-103. The board offers a <a href="https://wsma.org/doc_library/news/PostAdoptionNotice-NotifiableConditions.pdf">summary of the differences between the proposed rules and adopted rules and the response to public comments</a>. Among other changes, the updated rules:</p>
<ul>
<li>Update and clarify notification and specimen submission requirements for 74 new and existing notifiable conditions.</li>
<li>Add requirements to report race, ethnicity, and preferred language for all notifiable conditions.</li>
<li>Revise reporting requirements for health care providers, health care facilities, laboratories, local health jurisdictions, veterinarians, and the state Department of Agriculture.</li>
<li>Improve overall clarity and usability of the chapter.</li>
</ul>
<p>As <a href="[@]Shared_Content/News/Membership_Memo/2021/March_26/wsma_secures_delay_in_new_notifiable_conditions_rule?WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927">previously reported</a>, your WSMA successfully advocated for a delay in these changes until after the pandemic, to prevent the imposition of associated costs during a period when many practices are facing decreased patient volumes, uncertain finances, and additional pandemic-related practice burdens. The updated rules go into effect Jan. 31, 2022. The board and the state Department of Health will be developing implementation guidance.</p>
</div> | 6/3/2021 4:22:41 PM | 5/24/2021 10:32:38 AM | 5/28/2021 12:00:00 AM |
| to_mask_or_not_to_mask_department_of_health_updates_guidance | To Mask or Not to Mask: Department of Health Updates Guidance | memo | Shared_Content/News/Membership_Memo/2021/May_28/to_mask_or_not_to_mask_department_of_health_updates_guidance | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2020/December/Doc-Patient-Exam-Room-645x425px.jpg" class="pull-right" alt="Masked doctor and patient in exam room" />
</div>
<h5>May 28, 2021</h5>
<h2>To Mask or Not to Mask: Department of Health Updates Guidance</h2>
<p>The state Department of Health has updated language across a variety of materials to reflect the recent update to Centers for Disease Control and Prevention recommendations for masking and distancing of vaccinated individuals. See the <a href="https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/ClothFacemasks.pdf" target="_blank" rel="noreferrer">DOH guidance on masks and face coverings</a> for complete information on the current mandates and health orders in place.</p>
<p>The CDC still requires masks in health care settings, regardless of vaccination status. The WSMA provides mask signage for outpatient practices, reflecting these new guidelines and emphasize the continuing requirement for health care settings. <a href="javascript://[Uploaded files/News and Publications/Newsletters/2021/outpatient-masking-sign.pdf]">Download the sign for your office or setting</a>.</p>
</div> | 6/3/2021 4:22:53 PM | 5/24/2021 10:32:21 AM | 5/28/2021 12:00:00 AM |
| updated_interim_clinical_considerations_for_use_of_covid_19_vaccines | Updated Interim Clinical Considerations for Use of COVID-19 Vaccines | memo | Shared_Content/News/Membership_Memo/2021/May_28/updated_interim_clinical_considerations_for_use_of_covid_19_vaccines | <div class="col-md-12">
<h5>May 28, 2021</h5>
<h2>Updated Interim Clinical Considerations for Use of COVID-19 Vaccines</h2>
<p>The Centers for Disease Control and Prevention has submitted several updates to their clinical considerations document.</p>
<p>CDC updates include:</p>
<ul>
<li>Information on persons with a history <a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMzMsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMTA1MjEuNDA5MDczMjEiLCJ1cmwiOiJodHRwczovL3d3dy5jZGMuZ292L3ZhY2NpbmVzL2NvdmlkLTE5L2luZm8tYnktcHJvZHVjdC9jbGluaWNhbC1jb25zaWRlcmF0aW9ucy5odG1sI0NvYWRtaW5pc3RyYXRpb24ifQ.OoYc3Dj3Dfg8N4rRl9Fs5UOQ6Q5jl4AAH7wzyzvSF-Y/s/690743948/br/106790693088-l">of multisystem inflammatory syndrome</a> now added to the considerations for vaccination of people with certain underlying medical conditions.</li>
<li>Recommendations for timing of COVID-19 vaccine administration in persons with a history of <a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMzQsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMTA1MjEuNDA5MDczMjEiLCJ1cmwiOiJodHRwczovL3d3dy5jZGMuZ292L3ZhY2NpbmVzL2NvdmlkLTE5L2luZm8tYnktcHJvZHVjdC9jbGluaWNhbC1jb25zaWRlcmF0aW9ucy5odG1sI0NvVi0xOS12YWNjaW5hdGlvbiJ9.RBauVtS00aqV9xfPrRzFDCDfGGdsXORbox2joRXoD_M/s/690743948/br/106790693088-l">heparin-induces thrombocytopenia</a>.</li>
<li>Information on <a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMzUsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMTA1MjEuNDA5MDczMjEiLCJ1cmwiOiJodHRwczovL3d3dy5jZGMuZ292L3ZhY2NpbmVzL2NvdmlkLTE5L2luZm8tYnktcHJvZHVjdC9jbGluaWNhbC1jb25zaWRlcmF0aW9ucy5odG1sI2NoaWxkcmVuIn0.4yrfSVV4JQRbwrYX3XMUMZk01m-vHBUQHisilbkEavs/s/690743948/br/106790693088-l">vaccination of children and adolescents</a>. Updates include fainting risk with adolescents.</li>
</ul>
<p>Find all of the updates at <a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMzYsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMTA1MjEuNDA5MDczMjEiLCJ1cmwiOiJodHRwczovL3d3dy5jZGMuZ292L3ZhY2NpbmVzL2NvdmlkLTE5L2luZm8tYnktcHJvZHVjdC9jbGluaWNhbC1jb25zaWRlcmF0aW9ucy5odG1sIn0.XsuzlIKhSR-B-owM0m0xP6HfcMxYQFwF-63jWrwxIgg/s/690743948/br/106790693088-l">CDC interim clinical considerations for use of COVID-19 vaccines</a>.</p>
</div> | 5/27/2021 3:26:42 PM | 5/24/2021 10:32:27 AM | 5/28/2021 12:00:00 AM |
| wsma_officer_joins_health_care_cost_transparency_board_advisory_committee | WSMA Officer Joins Health Care Cost Transparency Board Advisory Committee | memo | Shared_Content/News/Membership_Memo/2021/May_28/wsma_officer_joins_health_care_cost_transparency_board_advisory_committee | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/May/LS_2018.01.003_645x425.jpg" class="pull-right" alt="Dr. Mika Sinanan in a meeting room" />
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<h5>May 28, 2021</h5>
<h2>WSMA Officer Joins Health Care Cost Transparency Board Advisory Committee </h2>
<p>House Bill 2457 from 2020 established a health care cost transparency board, with the goal of improving the understanding of our state's health care spending and to set a health care cost growth benchmark for providers and payers. During legislative negotiations, your WSMA successfully advocated for physician and provider community representation in these discussions. Physician representation in any conversation around health care costs is crucial, particularly given our concern that efforts to control costs may unfairly single out physicians and overlook other drivers of costs. The board recently appointed an advisory committee made up of health care providers and carrier representatives. Representing the WSMA on the committee will be WSMA President-Elect Mika Sinanan, MD, PhD.</p>
</div> | 6/3/2021 4:23:13 PM | 5/24/2021 10:32:30 AM | 5/28/2021 12:00:00 AM |
| wsma_provides_feedback_to_state_on_pmp_integration_hardship_waiver | WSMA Provides Feedback to State on PMP Integration Hardship Waiver | memo | Shared_Content/News/Membership_Memo/2021/May_28/wsma_provides_feedback_to_state_on_pmp_integration_hardship_waiver | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/May/opioids.jpg" class="pull-right" alt="pill bottle of opioids" />
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<h5>May 28, 2021</h5>
<h2>WSMA Provides Feedback to State on PMP Integration Hardship Waiver </h2>
<p>The Department of Health has begun rulemaking to create a hardship waiver for the state's prescription monitoring program integration mandate required by Senate Bill 5380 from 2019. The WSMA was successful in securing the hardship waiver and continues to influence the direction of the rulemaking, recently submitting comments on the state's draft proposal.</p>
<p>The proposed rule is <a href="https://wsma.informz.net/WSMA/data/images/Attachments/FinalCR102-EHR-PMP_Integration_Waiver-5380_8158_925925.pdf" target="_blank" rel="noreferrer">here</a>. In our comments to the Department of Health, the WSMA brought attention to the lack of exemptions for physician practices that utilize electronic health record technology through a vendor that cannot or refuses to make a connection to the state's health information exchange for the integration. The WSMA called on the department to include an exemption for practices that are unable to integrate because its vendor is not connected to the HIE.</p>
<p>The WSMA also provided comment on other issues with the draft, including that the waiver limits those with economic and technical hardship to three years, while integration with the state's prescription monitoring program is challenging from an IT perspective and progress has been slow in Washington state.</p>
<p>The WSMA will keep you updated as this rulemaking progresses.</p>
</div> | 6/3/2021 4:23:24 PM | 5/24/2021 10:32:14 AM | 5/28/2021 12:00:00 AM |
| aap_issues_recommendations_on_covid_19_vaccines_for_children_and_adolescents | AAP Issues Recommendations on COVID-19 Vaccines for Children and Adolescents | memo | Shared_Content/News/Membership_Memo/2021/May_14/aap_issues_recommendations_on_covid_19_vaccines_for_children_and_adolescents | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/May/unsplash-teen-covid-vaccine-645x425px.jpg" class="pull-right" alt="Teenager getting vaccine" />
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<h5>May 14, 2021</h5>
<h2>AAP Issues Recommendations on COVID-19 Vaccines for Children and Adolescents</h2>
<p>This week, the American Academy of Pediatrics issued recommendations related to COVID-19 vaccines for children and adolescents. The recommendations follow on the heels of Food and Drug Administration approval and Centers for Disease Control and Prevention recommendation of the first COVID-19 vaccine authorized for emergency use in children aged 12 to 15.</p>
<p><a href="https://services.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/">AAP recommends the following</a>:</p>
<ul>
<li>The AAP recommends COVID-19 vaccination for all children and adolescents 12 years of age and older who do not have contraindications using a COVID-19 vaccine authorized for use for their age.</li>
<li>Any COVID-19 vaccine authorized through emergency use authorization by the FDA, recommended by the CDC, and appropriate by age and health status can be used for COVID-19 vaccination in children and adolescents.</li>
<li>Given the importance of routine vaccination and the need for rapid uptake of COVID-19 vaccines, the AAP supports coadministration of routine childhood and adolescent immunizations with COVID-19 vaccines (or vaccination in the days before or after) for children and adolescents who are behind on or due for immunizations (based on the <a href="https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html">CDC/AAP Recommended Child and Adolescent Immunization Schedule</a>) and/or at increased risk from vaccine-preventable diseases.</li>
</ul>
<h3>Washington state approval of Pfizer vaccine for adolescents 12-15</h3>
<p>The FDA issued emergency authorization for the Pfizer COVID-19 vaccine for ages 12-15 on Monday. On Wednesday, Gov. Jay Inslee and the state Department of Health issued a green light for local vaccine providers to begin administering the vaccine following a recommendation by the independent multi-state <a href="https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Scientific-Safety-Review-Workgroup.aspx">COVID-19 Scientific Safety Review Workgroup</a>.</p>
<p>The DOH is encouraging all parents of adolescents clinically eligible for the vaccine to make appointments as soon as possible. The agency's <a href="https://vaccinelocator.doh.wa.gov/">vaccine search tool</a> makes it easy to search by vaccine type.</p>
<h3>Adolescents and consent for immunizations</h3>
<p>Minors (individuals under the age of 16), excepting legally emancipated minors, need parental consent for immunizations in Washington state unless the minor meets the state's mature minor doctrine. Washington's mature minor laws allow providers to make independent decisions regarding immunizations (and certain other health care services). Information on the circumstances under which mature minors may consent to care can be found from the University of Washington <a href="https://depts.washington.edu/hcsats/PDF/guidelines/Minors%20Health%20Care%20Rights%20Washington%20State.pdf" target="_blank" rel="noreferrer">here</a> and from the Washington State Society of Healthcare Attorneys <a href="http://wssha.org/wp-content/uploads/2019/05/HLM_Chapter2B.pdf" target="_blank" rel="noreferrer">here</a> (on page 12). For practitioners in King County, additional guidance from Public Health - Seattle &amp; King County can be found <a href="https://www.kingcounty.gov/depts/health/locations/mature-minor-rule.aspx">here</a>.</p>
</div> | 6/3/2021 4:27:58 PM | 5/10/2021 12:43:03 PM | 5/14/2021 12:00:00 AM |
| after_wsma_urging_doh_further_delays_pmp_integration_mandate | After WSMA Urging, DOH Further Delays PMP Integration Mandate | memo | Shared_Content/News/Membership_Memo/2021/May_14/after_wsma_urging_doh_further_delays_pmp_integration_mandate | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/May/Rx_bottle_doctor_laptop_645x425.jpg" class="pull-right" alt="Physician holding prescription pill bottle" />
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<h5>May 14, 2021</h5>
<h2>After WSMA Urging, DOH Further Delays PMP Integration Mandate </h2>
<p>Washington state Secretary of Health Umair Shah, MD, MPH, has delayed the state's requirement for practices with 10 or more prescribers to integrate their electronic health records with the state prescription monitoring program until January 2022. Dr. Shah announced the delay in response to <a href="https://wsma.org/Shared_Content/News/Membership_Memo/2021/April_23/wsma_letter_to_secretary_shah_regarding_pmp_integration?_zs=A3aFd1&amp;_zl=si3b7">WSMA advocacy</a> and due to the health care system's ongoing efforts to address the COVID-19 pandemic.</p>
<p>Former state Secretary of Health John Wiesman initially delayed the implementation of this requirement from</p>
<p>Jan. 1, 2021 to Sept. 30, 2021 at WSMA's request, and Dr. Shah has further delayed the implementation requirement. The electronic prescribing of controlled substances requirement was established by Senate Bill 5380 from 2019.</p>
</div> | 6/10/2021 11:02:23 AM | 5/10/2021 12:43:14 PM | 5/14/2021 12:00:00 AM |
| cms_recoupment_of_advance_payments_begins | CMS Recoupment of Advance Payments Begins | memo | Shared_Content/News/Membership_Memo/2021/May_14/cms_recoupment_of_advance_payments_begins | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/May/Stethoscope-dollar-sign-645x425px.jpg" class="pull-right" alt="Stethoscope cord in the shape of a dollar sign" />
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<h5>May 14, 2021</h5>
<h2>CMS Recoupment of Advance Payments Begins </h2>
<p>The Centers for Medicare &amp; Medicaid Services recently <a href="https://www.cms.gov/files/document/se21004.pdf" target="_blank" rel="noreferrer">began</a> automatic recoupment of COVID-19 accelerated and advance payments, which were advances of up to three months of Medicare payments to help physician practices keep the lights on early in the COVID-19 pandemic. The WSMA joined with the American Medical Association to strongly advocate for improved repayment terms, which Congress and CMS adopted in 2020.</p>
<p>Under the revised repayment terms, physicians are reminded that:</p>
<ul>
<li>These funds are loans that are required to be repaid.</li>
<li>Repayment begins one year from when the Medicare advance payment is received, rather than 120 days under the original terms.</li>
<li>The per-claim recoupment amount was reduced from 100% to 25% for the first 11 months, and then 50% for an additional six months.</li>
<li>If there is an outstanding balance after the 17-month recoupment time frame, your Medicare Administrative Contractor will issue a demand letter requiring repayment subject to an interest rate of 4%, a decrease from the original interest rate of 10.25%.</li>
<li>Physicians may repay the Medicare advance payment in full at any time by contacting their MAC.</li>
</ul>
<p>The WSMA is interested in feedback about recoupment of the Medicare advance payments. Share your experience with the WSMA policy department at <a href="mailto:policy@wsma.org">policy@wsma.org</a>.</p>
</div> | 6/3/2021 4:28:24 PM | 5/10/2021 12:43:09 PM | 5/14/2021 12:00:00 AM |
| medical_commission_announces_rulemaking_on_collaborative_drug_therapy_agreements | Medical Commission Announces Rulemaking on Collaborative Drug Therapy Agreements | memo | Shared_Content/News/Membership_Memo/2021/May_14/medical_commission_announces_rulemaking_on_collaborative_drug_therapy_agreements | <div class="col-md-12">
<h5>May 14, 2021</h5>
<h2>Medical Commission Announces Rulemaking on Collaborative Drug Therapy Agreements</h2>
<p>The Washington Medical Commission has initiated rulemaking to update the collaborative drug therapy agreements used by allopathic physicians and physician assistants. The intent of the changes under consideration is to promote effective collaboration between physicians and pharmacists and establish consistent standards that promote patient safety.</p>
<p>Proposed changes will consider a physician's responsibilities under a CDTA, limits to the number of pharmacists who may have a CDTA with any one physician or physician assistant, and how the physician or physician assistant and pharmacist can best collaborate under these agreements.</p>
<p>The commission has filed a preproposal statement of inquiry, or CR-101, and is in the process of developing draft rules. Once developed, the commission will issue the draft language and an opportunity for public comment (usually as a "CR-102." <a href="[@]WSMA/Advocacy/Legislative___Regulatory/Understanding_the_Regulatory_Process/WSMA/Advocacy/Legislative_Regulatory/Understanding_the_Regulatory_Process/Understanding_The_Regulatory_Process.aspx?hkey=0695da42-202f-458b-8127-cbfc07207c56">Learn more about Washington's regulatory process</a>).</p>
<h3>We need your feedback today</h3>
<p>The commission has distributed a preview of its draft rules. Please review the <a href="javascript://[Uploaded files/News and Publications/Newsletters/2021/cdta-draft.pdf]">preliminary language</a> and share any feedback with WSMA's policy team at <a href="mailto:policy@wsma.org">policy@wsma.org</a> to help guide our comments to the commission. The WSMA will keep you updated once public commenting is available.</p>
</div> | 5/13/2021 3:02:38 PM | 5/10/2021 12:43:21 PM | 5/14/2021 12:00:00 AM |
| new_webinar_putting_new_pa_laws_into_practice | New Webinar: Putting New PA Laws into Practice | memo | Shared_Content/News/Membership_Memo/2021/May_14/new_webinar_putting_new_pa_laws_into_practice | <div class="col-md-12">
<h5>May 14, 2021</h5>
<h2>New Webinar: Putting New PA Laws into Practice</h2>
<p>A key priority for the WSMA and the Washington Academy of Physician Assistants, House Bill 2378 from 2020 made important changes to the state's physician assistant practice act, modernizing the profession and facilitating employment of these valued clinical partners. Major provisions of this important legislation take effect July 1. Prepare your practice with a new lunchtime webinar from WSMA's Continuing Professional Development series: "New Physician Assistant Practice Laws and Regulations: Putting HB 2378 into Practice." Speakers include Billie Dickinson, WSMA policy analyst and Gabrielle Zecha, PA-C, MHA, president of the Washington Academy of Physician Assistants. The webinar is scheduled for Tuesday, June 8 from noon-1 p.m. and is free for members. <a href="https://wsma.org/WSMA/Education/Upcoming_Webinars/WSMA/education/Upcoming_Webinars/Upcoming_Webinars.aspx?hkey=b760d6bd-1833-412d-b681-babf251792a8">Register online</a>. This activity has been approved for <em>AMA PRA Category 1 Credit (TM)</em>.</p>
</div> | 5/13/2021 4:03:32 PM | 5/13/2021 3:15:45 PM | 5/14/2021 12:00:00 AM |
| reimbursement_available_for_administering_covid_19_vaccines_to_underinsured | Reimbursement Available for Administering COVID-19 Vaccines to Underinsured | memo | Shared_Content/News/Membership_Memo/2021/May_14/reimbursement_available_for_administering_covid_19_vaccines_to_underinsured | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/May/COVID-vaccine-docs-syringe-645x425px.png" class="pull-right" alt="Illustration of doctors carrying large syringe" />
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<h5>May 14, 2021</h5>
<h2>Reimbursement Available for Administering COVID-19 Vaccines to Underinsured</h2>
<p>The U.S. Department of Health and Human Services, through the Health Resources and Services Administration has announced a new program covering costs of administering COVID-19 vaccines to underinsured patients.</p>
<p>Since providers cannot bill patients for COVID-19 vaccination fees, the new <a href="https://www.hrsa.gov/covid19-coverage-assistance">COVID-19 Coverage Assistance Fund</a> addresses an outstanding compensation need for physicians and providers. Eligible providers will be reimbursed at national Medicare rates for vaccine administration fees, and for any patient cost sharing related to vaccination.</p>
<p>For uninsured patients, HRSA offers the <a href="https://www.hrsa.gov/coviduninsuredclaim">COVID-19 Uninsured Program</a>, which reimburses vaccine administration fees for those individuals. As vaccination efforts accelerate, patients will increasingly gain access to COVID-19 vaccines at locations near where they live with physicians and providers they trust, and these programs help ensure vaccine providers are supported in this work.</p>
</div> | 6/11/2021 10:39:41 AM | 5/13/2021 3:16:13 PM | 5/14/2021 12:00:00 AM |