ProviderOne for social services
Find information for social services providers—unique ProviderOne users with their own authorization and claims submission processes.
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- 1099 social services-only provider
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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.
If the above information is true, this page is for you!
- 1099 social services medical provider
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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!
- Individual providers (W-2 providers)
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Individual providers (also called IPs and known as W-2 providers) are caregivers who provide certain types of services in a client's own home and community. Individual providers:
- Are employed and paid as an individual rather than as an agency or other business entity.
- Receive a W-2 that summarizes earnings for tax purposes.
If this describes you, please visit the Individual ProviderOne (IPOne) website.
Training materials
The following training materials are for ProviderOne users billing for social services and social service medical claims.
Important! The ProviderOne claim submission deadline is every Tuesday at 5 p.m. for payment the following Monday.
Billing essentials and managing provider files and users
- Getting started - Covers basic navigation, pop-ups and browsers, password troubleshooting, and managing alerts.
- Managing provider data
- Adding new users and assigning profiles
- Social service providers frequently asked questions (FAQ)
Viewing authorizations
Submitting and adjusting social service claims
- Submitting social service claims
- Creating social service templates
- Adjust, void, and resubmit social service claims
Submitting and adjusting social service medical claims
- Submitting social service medical claims
- Creating social service medical templates
- Adjust, void, and resubmit social service medical claims
Creating and submitting batch claims
- Creating and submitting social service batch claims
- Creating and submitting social service medical batch claims
- ProviderOne batch upload setup guide
- .DAT file formatting requirements