Use this chart to compare the types of providers above with the registration type options in ProviderOne. Are you interested in an Apple Health (Medicaid) provider or need to know if you are registered? Before you start the app, select the type of provider that fits your situation (see below). To find out if you are already a supplier to Apple Health (Medicaid), call the supplier`s registration at 1-800-562-3022 Ext 16137. This application procedure is for licensed health professionals who wish to register with the Health Care Authority (HCA) as an enforcement provider who practices within a group or organization. The group or organization must be registered with HCA and have a basic supplier agreement with the Agency. All billing providers must complete and sign a basic supplier agreement with the Agency and other necessary documents. The Health Care Authority (HCA) recently contacted WSHA about the revalidation process required by the Federal Government. Hospitals and providers that do not complete the revalidation should expect that their Basic Medicaid Provider Agreement will be deactivated and payment interruptions will be deactivated. WSHA recently contacted several hospitals that HCA said had not yet responded to revalidation notifications and were threatened with deactivation. Nonbilling applications are intended for providers that provide services to Apple Health (Medicaid) customers as part of a management entity or public health organization (not under the Apple Health Paid Program) – or providers that exclusively connect to the goal of becoming an order, reference and prescription provider. Hospitals and providers must re-validate each number of the National Practitioner Identification (CPI) within five years of the date of their pre-validation. The revalidation includes filling in and downloading an updated basic vendor agreement, a clearance statement, the W9 IRS form and additional documents, depending on the type of installation or provider. The validation page and instructions are in www.hca.wa.gov/billers-providers-partners/apple-health-medicaid-providers/revalidation.

HCA informed WSHA that ProviderOne was not in a position to search for the date of the revalidation of establishments and suppliers. Entities and suppliers can contact ProviderEnrollment@hca.wa.gov or call 1-800-562-3022 Extension 16137 if they feel they can be properly revalidated but have not received a notification or if they have any questions about the process. (Andrew Busz, andrewb@wsha.org). Individual practice of the Fac/Agncy/Orgn/Inst Tribal Health group. The claim/clearinghouse process consists of registering a clearing agent/clearing house (BA/CH) with Washington Apple Health (Medicaid) to ensure that the flow of electronic data resulting from the transmission and consultation of HIPAA transactions can be tracked. Health specialist who practices within a group or institution The following registration manuals contain step-by-step instructions to complete your application in ProviderOne. This application process is for licensed health professionals who apply to the Health Care Authority (HCA) such as: Follow our registration preparation policies. Then use provider`s billing and claim system To complete your registration app. Phones are open Tuesdays and Thursdays from 7:30 a.m.

to .m .m (closed from 12:00 p.m.m to 1 p.m.m.). Phones are closed on Mondays, Wednesdays and Fridays. ..

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Last Modified: April 14, 2021