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ProviderOne Upgrade Scheduled the Weekend of November 22 and 23

Software upgrades to the ProviderOne system are scheduled for the weekend of November 22-23, starting the evening of November 21.

The system will be completely unavailable between 5 p.m. Friday, November 21, and 6 a.m. Monday, November 24. The system will be up and running when staff return to work on November 24.

Note this will not affect pharmacies using the Point-of-Sale billing network. Only ProviderOne users will be affected.

Should you experience any issues beginning November 24, please contact us at mmishelp@hca.wa.gov.

First-Timers' Guide to Washington Apple Health (Medicaid)

Health Care Authority has developed a First-Timer's Guide to Washington Apple Health (Medicaid) which providers may find useful in understanding some of the common questions and concerns our clients have. Versions in other languages can be found at our publications website under publication 19-024.

Fee Schedule Notice for 2014

The 2014 updates to our Fee Schedules website have been delayed. Providers inquiring about 2014 rates and prior authorization requirements can access this information on our listerv notices. Subscribers to our listserv will already have been sent these, however, providers can also check for Fee Schedule updates by visiting our 2013 Provider Notices site.

ProviderOne routine maintenance

ProviderOne maintenance occurs every 6 weeks and requires that the system be unavailable (or down) for a period of time. During this downtime, the vendor promotes the correction of system bugs and/or system enhancements. The maintenance occurs from 5 a.m. to 3 p.m. PST and will affect the following transactions:

Eligibility inquiries via the website will NOT be available until after 3 p.m.

Eligibility inquiries through the automated telephone system (IVR) 1-800-562-3022; a Medicaid Eligibility Vendor; or Services Card swipe card reader will be available EXCEPT between 5 a.m. to no later than 10 a.m.

All other direct entry transactions on the website will not be available until after 3 p.m.

HIPAA batch file transactions submission and retrieval using secure FTP will not be affected by these maintenance activities.

Detailed Calendar 

Medicaid's Customer Service Center

Our Medical Assistance Customer Service (1-800-562-3022) telephone hours are 7:30 a.m. to 4:30 p.m. weekdays. Many provider questions can be answered quickly any time of day through interactive telephone features or on this Internet site. To contact the customer service center or the ProviderOne Help Desk by e-mail, fill out our web form. Additional help on provider topics is available in the the Billing and Resource Guide.

Electronic funds transfer

We are currently requesting all providers to enroll in the Departments Electronic Funds Transfer program as soon as possible. The process is simple and your payments would be transferred into your bank account directly. You can download the Electronic Funds Transfer form, fill it out and then fax or mail it to Provider Enrollment at the fax number/address on the form.

Later this year we will be consider requiring all providers to enroll in the Electronic Funds Transfer program. Get a head start and help the state save money on processing and mailing costs...