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◊Projected implementation dates ◊Contact the ProviderOne Office
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Projected Schedule
Click here to view a presentation on the current status of the ProviderOne project as of June 2008. This presentation will be updated quarterly. When will ProviderOne go live?August 20, 2008 Medical and Nursing Home Claims Update: August 4, 2008 - Implementation date for medical and nursing home claims: While we are excited to announce that DSHS has started testing hundreds of scenarios and thousands of claim variations in ProviderOne during User Acceptance Testing (UAT) – we also must inform you that we are not on target for a December implementation of the medical and nursing home claims release. This round of testing started more than 6 weeks later than planned because earlier testing revealed defects (as expected), which have now been corrected and retested. Now that Dec 2008 is no longer the implementation time, when is the target implementation date for ProviderOne? We have not named a new implementation date. From the start of the ProviderOne project, our approach has been to reassess our implementation date at planned checkpoints using the best information available on our progress, lessons learned, issues, risks, and the work remaining. Our next checkpoint will occur when User Acceptance Testing (UAT) is complete. UAT began July 23, 2008 and will last a minimum of three months. For your planning purposes, DSHS believes there is at least 6 months of work ahead of us to get through UAT and provider testing and training. (Provider testing and training will occur in the last three months before go-live). We want to ensure providers, DSHS staff, and ProviderOne is ready to process accurate and timely payments before it's put into operation. Why did Integration Testing take longer than planned? There are many levels of testing that have been staged to make sure that ProviderOne works as it was designed before it is put into operation. Each level of testing has planned tests that must pass before that level is considered complete. During Integration Testing, defects were found (as expected); corrected and retested, and accepted by DSHS before we could start UAT. That process just took longer than planned. Who is testing ProviderOne? All testing prior to UAT was completed by the contracted vendor for ProviderOne – CNSI. User Acceptance Testing is done by DSHS staff. Providers who bill us electronically will test with ProviderOne this fall to make sure they can exchange data with the new system. Additionally, a small set of providers will do a pilot test with ProviderOne before it goes into operation. What is User Acceptance Testing? User Acceptance Testing is DSHS' first opportunity to put hands on ProviderOne and test hundreds of scenarios and thousands of claim variations. It's our opportunity to flush out any remaining defects and ensure ProviderOne can pay providers accurately and timely before we put the system into operation. Are you still planning to have providers register in ProviderOne this Fall? Yes, we are finalizing preparations for provider registration. This activity is targeted to begin fall 2008. DSHS has moved existing provider records from the old Medicaid payment system to ProviderOne. During "registration," providers will review and validate that their file has been set up properly, provide any missing information, and report to DSHS how they will submit transactions. 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 they submit transactions to DSHS. DSHS is tailoring checklists and resources to guide providers through training, security set up, and the registration process. If you want to receive an email update when information about this and other activities is available, please join our e-mail distribution list at: http://listserv.wa.gov/archives/providerone_provider_readiness.html Pharmacy Point of Sale Update: July 28, 2008 - 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. 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. 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. |
