00443: Juneteenth Holiday will impact ProviderOne payment date
Discovery log number
00443
Discovery description

In observance of Juneteenth, state offices will be closed Thursday, June 19, 2025.  As a result, provider payments for the week June 16, 2025, will be made on Saturday, June 21, 2025, including the delivery of Remittance Advices (RAs) and HIPAA 835 remittance files.

Thank you.

Date reported
ETA
Provider impact
All Providers
Workaround
N/A
00442: ProviderOne Payment Schedule Changes: 2025 State Biennium End and Independence Day
Discovery log number
00442
Discovery description

Due to the timing of the State Biennium End and the observance of Independence Day, payments to providers for the week of June 30, 2025, will be delayed and made the following week on Tuesday, July 8, 2025. Remittance Advices (RAs) and HIPAA 835 files will also be made available on Tuesday, July 8, 2025.  Normally payments and remittance advice documents would be available for providers on Friday, July 4, 2025, but must be moved due to the Biennium end and the holiday.

Claim submission deadlines have been updated as reflected below to ensure that providers are able to receive payment and Remittance Advice documents on July 8, 2025.

The deadline for submission of claims to ProviderOne in order to receive payment on July 8, 2025, will be extended to 5 p.m. on Wednesday, July 02, 2025.

The deadline for submission of pharmacy claims to the Point of Sale (POS) in order to receive payment on July 8, 2025 will be extended to 5 p.m. on Tuesday, July 1, 2025.

Payment and claims submission deadlines for the week of July 7, 2025 will not be impacted.  Two payments will be made during this week.

Date reported
ETA
Provider impact
All Providers
Workaround
N/A
Description
The agency is amending these rules to remove reference to “other medical necessary services” to align with SHB 2051.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)

Emergency Adoption (CR103E)

  • WSR 25-15-120
  • Effective: 8/1/2025-11/18/2025
  • CR101 WSR 25-13-064 Filed 6/13/2025
Description
To create a new chapter which establishes the Medicaid agency’s: (1) requirements for enabling a tribal clinic to receive the agency’s all-inclusive rate (AIR); (2) reimbursement methodology for receiving the AIR; and (3) process to appeal decisions related to the AIR.

Agency contacts

Rulemaking contact
Program contact
Rulemaking status history

Preproposal (CR101)