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Medicaid Management Information System (MMIS) Re-Procurement Project DSHS, Washington State Department of Social and Health Services

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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!

 

What's New?

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 19, 2008

DSHS announced today that it plans to implement the new Pharmacy Point-of-Sale (POS) system on August 18, 2008.  The POS is a pre-release of ProviderOne which is targeted to go into operation this December.  Only pharmacies who use the DSHS POS system are affected by this implementation. 

June 18, 2008

  • Dear Providers,
    We have finished the latest series of provider readiness workshops on client eligibility.  Twenty-three sessions were held around the state, with more than 2,200 in attendance! 

    You can read the material presented at the workshops by clicking on one of these formats     (please note this is a large file, 62 pages):

    Two months before ProviderOne goes live, DSHS will host state-wide training demonstrations of ProviderOne. 

    If you have questions or feedback, please:
    - Email us at     providerone@dshs.wa.gov  or
    - Call us at 1-800-562-3022 (select option 2, then option 4).

May 29, 2008

  • A new issue of the ProviderOne Countdown is available. This newsletter is published to help prepare providers for ProviderOne.

Issue 3, May 2008 "Getting Proof of Eligibility"

Click here to go to our newsletter page for all issues of ProviderOne Countdown.

National Provider Identifier Reporting
 

The NPI reporting activity[1] has concluded and the reporting tool is no longer available

 

Did you miss the window of opportunity to report your NPI to DSHS?

If providers did not report their NPI(s) to DSHS before August 21, 2007, or need to correct an NPI already reported, there will be an opportunity in the Summer of 2008 to see how your provider record will be set up in ProviderOne and to update missing information (including your NPI) before the new system is implemented. 

 

 

Text Box: STEP THREE Coming summer 2008! Provider updates record in ProviderOne  

 

 

 

 

In the interim, DSHS continues to require your Medicaid Provider Number and NPI on all electronic and paper claims until ProviderOne is implemented.  Please note that submitting an NPI on a claim does not fulfill the NPI reporting requirement because the old payment system will not capture it.

Do you want to be notified of next steps?

  • The ProviderOne project has established an email distribution list dedicated to provider readiness activities. DSHS will send messages to instruct you on the next steps and to announce upcoming training events.  You may join or leave this list anytime at: 

 http://listserv.wa.gov/archives/providerone_provider_readiness.html

 

Do you have questions about getting ready for ProviderOne?

[1] This activity and tool was used to collect and map NPI information to DSHS provider numbers so DSHS could move a copy of your provider records and your claims history to our new payment processing system – ProviderOne.  Although ProviderOne is not yet in service, this data is needed in the new system to support ongoing testing.

 

 

More on NPI:
 

 

Join the Provider Readiness Email Distribution List!

The ProviderOne project has established an email distribution list dedicated to provider readiness activities. The project will send messages when training materials are posted on our web site or to announce upcoming workshop or training events. 

Please pass this link on to providers or anyone that may be interested in receiving updates on provider readiness activities.

You may join or leave this list anytime at: 

http://listserv.wa.gov/archives/providerone_provider_readiness.html

 

Pharmacy Point of Sale

You can also join a separate email list that will distribute information specific to pharmacies and the new ProviderOne Point of Sale system.   You may join or leave this list anytime at:  http://listserv.wa.gov/cgi-bin/wa?A0=P1PHARMACY

 

 

 

 

 

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This file last updated: Wednesday, July 24, 2008. Contact the ProviderOne Office for more information. For more ways to get in touch with the Department of Social and Health Services go to the DSHS Contact Information Web page. Technical Site Comments: DSHS Webmaster. Site Information.