AGING AND LONG-TERM SUPPORT ADMINISTRATION
ProviderOne Phase 2 Information
Are you a Medicaid provider who receives a 1099 tax form*? How you get paid for Medicaid services will change.
Today, your payments are processed through the Social Services Payment System (SSPS). In early 2014, you will start billing through an online system called ProviderOne. Training and support will be offered to help you learn how to bill in the new system.
* This information is not intended for Individual Providers represented by SEIU Healthcare775NW.
What you can do now to get ready
Stay informed
Sign up to receive emails about:
- Getting paid through ProviderOne
- Training opportunities
Make sure you have access to the right online tools
To submit your bill get paid through ProviderOne, you will need to use a computer with Internet access and:
- Internet Explorer 7.0, 8.0 or 9.0
- Adobe Acrobat Reader 10.0 or higher
Please note: Macintosh computers are not supported by ProviderOne.
Providers of medical services will still have the option to submit a standard federal paper claim form (CMS1500) instead of billing online through ProviderOne; however, billing online is easier, faster and FREE.
Be sure you are tracking "date of service" now
To be paid by ProviderOne, you will need to report the exact dates services were provided. Make sure you're collecting this information!
Provide medical services? Get a National Provider Identifier (NPI)
If you are a 1099 provider who provides medical services, you will need a National Provider Identifier (NPI) to get paid through ProviderOne. NPIs are provider identifiers issued by the federal government and used to bill almost all payers.
Providers of medical services include:
- Adult Day Health
- Behavioral Management
- DSHS Physical Evaluation
- DSHS Mental Incapacity Evaluation
- Durable Medical Equipment
- Nurse Delegators
- Physical, Occupational, Speech Therapies
- Private Duty Nursing
- Skilled Nursing
- Mental and Physical Incapacity Evaluations
- NPI Factsheet
Questions?
Email: ProviderOnePhase2@hca.wa.gov.
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