Get Ready
Providers: Help us, help you, get paid for Medicaid services.
Information for Social Service Providers
Nonmedical social service providers:
- Receive a 1099 tax form from the state of Washington.
- Provide services to clients who are eligible for Medicaid services.
- Have a contract with DSHS.
- Have business performing home care services.
- Receive payment through use of a social services authorization.
Examples of Social Service providers include:
Non-Residential:
- Home Care Agency
- Respite/Recreation Agency
- Transportation Services
- Home Delivered Meals
- Personal Emergency Response System (PERS)
- Adult Day Care Center
- Client Training
- Community Choice Guide
- Environmental Modification
- Assistive Technology
Residential:
- Adult Family Home
- Assisted Living
- Supported Living
- Group Home
- Children's Residential
- Alternative Living
- Companion Home
Information for Medical Social Service Providers
- Social service and medical providers:
- Receive a 1099 tax form from the state of Washington.
- Provide services to clients who are eligible for Medicaid services.
- Have a contract with DSHS and a Core Provider Agreement (CPA) with HCA.
- Have a business performing home care services and are a licensed medical professional.
- Receive payment through use of a social services authorization or medical claims.
- Have a National Provider Identifier (NPI).
- If the above information is true, this page is for you!
What You Can Do to Get Ready
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Register for a National Provider Identifier (NPI)
If you are a Medical Provider, you will need a National Provider Identifier (NPI) to get paid through ProviderOne. NPIs are provider identifiers issued by the federal government and used to bill almost all payers. Apply now.
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Stay informed
- Sign up for ProviderOne News and other bulletins
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Track your dates of service
It's a matter of getting paid. Once you make the transition to ProviderOne you will be required to report your exact dates of service. For example, a home care agency will need to submit the amount of care provided on each date.
Medical providers have credentials and licenses from Washington State Department of Health. Examples include:
- Adult Day Health Centers
- Durable Medical Equipment Vendors
- Licensed Counselors or Social Workers
- Mental or Physical Incapacity Evaluators
- Nurses
- Nutritionists or Dieticians
- Physical, Speech, & Occupational Therapists
- Private Duty Nursing
- Skilled Nursing
Information for Individual Providers
Individual ProviderOne (IPOne) is the online, electronic payment system that allows Individual Providers to submit timesheets, receive pay for hours worked for in-home clients, and allows providers to manage your Medicaid claims.
Are you a new IP or just need a refresher? For training to use IPOne, call the call center to schedule a training session. See the Call Center tab for contact information.
Note: This information is only intended for providers represented by SEIU Healthcare 775NW and non-members who are contracted individual providers.
Please go to http://www.ipone.org/call.htm to learn more.
There are more than 40,000 individual providers represented by SEIU 775. IPs do not enroll in ProviderOne like other social service or medical providers. IPs will continue to be paid through the Social Service Payment System (SSPS) until early 2016.
If you are a contracted IP providing in-home care services, you will be contacted by e-mail or U.S. mail with details on when and how your payment system is changing.
Do you have questions? Email: IPCommunications@hca.wa.gov or go to http://www.ipone.org/ to learn more.