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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.