Next steps for new Medicaid providers

What happens after I enroll?

Once enrolled, documents are sent to the mailing address provided on your application. Documents include:

• A welcome letter.
• A unique ProviderOne ID assigned to you or your business.
• 'ProviderOne User Access Request'. This letter will have instructions on how to access your ProviderOne account. The letter will include your domain/ProviderOne ID.

For more information on how to set up ProviderOne access visit the Setup ProviderOne access for your organization webpage.

How do I request prior authorization (PA) for services?

Some services require prior authorization (PA) before you can provide the service. Learn how to submit a PA using the step-by-step instructions on our Prior authorization (PA) page.

How do I submit a claim?

Billing providers submit all claims through ProviderOne. Use the following resources to learn how to use ProviderOne to submit a claim:

• ProviderOne Billing and Resource Guide (general user guide for submitting claims in ProviderOne)
• Provider rates and billing guides (service billing instructions and fee schedules)

How do I get paid?

All claims for eligible services are submitted and paid through ProviderOne.

Where can I get help with my login?

If you need help with your login, password or administering your ProviderOne account, contact ProviderOne Security for support.

Is there training?

We provide online learning materials and webinars to help you get up-to-speed using ProviderOne.

• ProviderOne user manuals (step-by-step instructions for using ProviderOne)
• ProviderOne social service tutorials (step-by-step instructions for social service providers)
• Fact sheets (quick reference for common questions using ProviderOne)
• Webinars (past webinar presentations)