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Pharmacists as Providers of Patient Care
Passage of Landmark Legislation: SB 5557
After decades of fighting for recognition as care providers, we finally have a victory to celebrate! As you may have heard, ESSB 5557 has passed with overwhelming bipartisan support from the legislature and Governor Jay Inslee (D) signed the bill into law on Monday, May 11th, 2015.
Understanding the Bill
January 1, 2016: Health plans that have delegated credentialing agreements with provider organizations are required to include pharmacists in their participating provider networks and pay medical claims for covered services within the pharmacists scope of practice.
ESSB 5557 Legislative Deliverables from Workgroup
Over the summer of 2015, WSPA staff and members worked with other stakeholders on the ESSB 5557 Collaborative Workgroup directed by the Legislature and Office of the Insurance Commissioner to determine guidance directives for implementation of the legislation. On December 1st, 2015 the Workgroup completed their work. Below are the cover letter and three documents that were the conclusion of their work.
WSPA Pharmacists as Providers Implementation Workgroups
In order to assist our members with the knowledge and tools necessary to implement this legislation in their practice, the WSPA has created four Implementation workgroups.
Contracting, Credentialing and Privileging: Determine best practices and tools for credentialing and privileging pharmacists.
Infrastructure: IT and Communications: Determine guidelines to integrate technology in pharmacy practices to ensure interoperability, billing and payment, practice management, and documentation.
If you are interested in participating in the Implementation Workgroups, contact Jenny Arnold firstname.lastname@example.org for more information.
The WSPA Implementation Workgroups are currently building tools resources to assist WSPA members as we navigate this brave new world to be released Fall 2016.
Check out our Resource Centers for tools to help you contract, credential and bill for your services:
If you have any questions, please don’t hesitate to contact us at 425-228-7171 or email@example.com.