ProviderOne for social services

Find information for social services providers—unique ProviderOne users who contract with the Department of Health and Human Services (DSHS) and have their own authorization and claims submission processes.

Is this page for me?

1099 social services-only provider

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

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 (IPs)

IPs are caregivers who provide certain types of services in a client's home and community such as in-home personal care and respite services.

How do I become an IP?

To become an IP, apply with Consumer Direct Care Network Washington (CDWA).

How do I verify my wages?

To verify your wages:

Training materials

The following training materials are for ProviderOne users billing for social services and social service medical claims.

Claim submission deadline

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

Viewing authorizations

Submitting and adjusting social service claims

Submitting and adjusting social service medical claims

Creating and submitting batch claims

Viewing claim status and remittance advice

Provider Alerts

The following are DSHS social service provider notifications.

Sign up to receive notifications