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Projected Schedule
From the start of the ProviderOne project, our approach has been to
reassess and recalculate the implementation date at
planned checkpoints
throughout the project using the best information available. Below is the
current target schedule for
implementing Phase 1. Medical and
nursing home claims are targeted to start processing in ProviderOne in
December 2008.

About ProviderOne Implementation
Payment processing will be phased in from current systems into ProviderOne over a few years. The first phase
begins when
pharmacy claims that are currently processed by a
contracted vender – Affiliated Computer Services (ACS) – are processed in
ProviderOne. This includes chain store pharmacies, independent pharmacies,
tribal pharmacies, and those in bordering states
that serve our clients.
Pharmacies will be notified 60 days before the transition.
Then, payment
processing for most medical and nursing homes will be moved to ProviderOne.
This includes claims that are
billed using standard medical forms,
electronically through batch transaction or encounter data, or paid through
prospective
capitation payments. It will affect managed care organizations,
nursing homes, hospice care, hospitals, tribal health centers,
physicians,
regional support networks, and clearinghouses and completes Phase 1.
Then, payment
processing marked for “Phase 2” will move to ProviderOne. Those payments
include the remaining medical and
most of social services. These are claims
billed by validating a state generated invoice by paper or telephone, billed
with the
provider’s own invoice and processed manually, or generated
automatically without an invoice. It will include foster parents,
adult family
homes, Medicaid personal care providers, adoption support providers, and other
services that are paid through the
Social Services Payment System, or manually.
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