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Provider
Resources
Quick Links: ◊Projected implementation dates ◊Contact the ProviderOne Office
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Provider Information
Our agency’s mission is to provide access to quality care for Washington’s most vulnerable residents while managing public resources in a prudent and sustainable manner. In the coming years, DSHS will be working with you to bring a modern, more efficient payment system into operation for a broad range of health care and social services. We value your support and contribution to this effort!
Updates: August 15, 2008 - Schedule update and resources available!
August 14, 2008 - Pharmacy Point of Sale: A new page on our website has been established for pharmacies preparing for our new point of sale system. Click here to visit the new page. August 4, 2008 - Implementation date for medical and nursing home claims: We are not on target for a Dec. 2008 implementation. Please click here to visit our projected implementation dates page for important updates. July 28, 2008 DSHS issued this message to pharmacies today: Change to ProviderOne Pharmacy Go Live Date DSHS is getting ready to switch over to its new Pharmacy Point of Sale (POS) system. The new system will be put into operation only when it is fully tested, DSHS staff are prepared, and the pharmacy readiness activities have been performed. On June 18, 2008, DSHS sent the following message to pharmacies and prescribers through email, a faxed memo, and postcard:
DSHS did identify problems during the testing process. Corrections are being made and the system is being retested to ensure accurate claims processing. DSHS will reassess the 'go live' date over the next two weeks. DSHS will notify providers of the new 'go live' date by sending a 30-day notice to pharmacies through numbered memo, email, and fax. We appreciate your patience as we work to ensure that the system is fully ready to process your claims before we go live. If you have any questions, please email us at providerone@dshs.wa.gov or call us at 1-800-562-3022 (select option 2, then 4). July 24, 2008 The first set of questions and answers from recent workshops on client eligibility are now posted on our provider Q&A page. Click here to access the Spring 2008 Client Eligibility Volume 1 questions and answers. June 18, 2008
May 29, 2008
National Provider Identifier (NPI) Reporting Did you miss the window of opportunity to report your NPI to DSHS? If providers did not report their NPIs to DSHS before August 21, 2007, or need to correct an NPI already reported, there will be an opportunity before ProviderOne goes live. DSHS will have a "registration" activity for you to see how your provider record will be set up in ProviderOne, verify that your information is correct, and update missing information (including your NPI). Please note that submitting an NPI on a claim does not fulfill the NPI reporting requirement because the legacy payment system will not capture it. Provider RegistrationTo minimize effort for providers and staff, DSHS moved existing provider records from the old Medicaid payment system to ProviderOne. Registration will include reviewing and validating that your provider file has been set up properly and telling DSHS how you plan to submit transactions. When should I sign up for training and complete my registration? This activity is targeted to begin fall 2008. There will be two registration sessions over a period of about five months before ProviderOne goes live. Providers will be assigned to register in Session 1 or Session 2 based on how you submit transactions to DSHS. DSHS is tailoring checklists and resources to guide you through training, security set up, and the registration process. DSHS will post information here as becomes available and send notification through our e-mail distribution list. You can join the list at: http://listserv.wa.gov/archives/providerone_provider_readiness.html Until ProviderOne is implemented, DSHS continues to require your Medicaid Provider Number and NPI on all electronic and paper claims. More on NPI:
Provider Readiness Email Distribution List
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