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Enroll as a provider
Interested in becoming an Apple Health (Medicaid) provider or need to find out if you are enrolled?
COVID-19 and provider enrollment: Due to the COVID-19 pandemic and the 1135 waiver, we have modified our enrollment processes. For more information, view our COVID-19 provider enrollment FAQ.
On this page
Follow our guidelines to prepare for the enrollment process. Then use the ProviderOne billing and claims system to complete your enrollment application.
- Verify you are an eligible provider.
- Determine your provider type for enrollment (below).
- Complete the supplemental paperwork for your provider type.
- Use our enrollment manuals to complete your enrollment in the ProviderOne application.
- Download our instructions for adding Billing Type and Available Agencies in ProviderOne.
- Review our new provider next steps.
Before you begin your application, select the provider type that matches your situation (see below).
This application process is for licensed health care professionals enrolling with the Health Care Authority (HCA) as:
- A solo practice, or
- Licensed health care groups and facilities (including suppliers and contractors of service)
All billing providers must complete and sign a Core Provider Agreement and other required documents with the agency.
This application process is for licensed health care professionals who wish to enroll with the Health Care Authority (HCA) as a performing provider practicing under a group or facility. The group or facility must be enrolled with HCA, and have a Core Provider Agreement with the agency.
The Nonbilling applications are for providers who are providing services to Apple Health (Medicaid) clients under a Managed Care Entity or Behavioral Health Organization (not under the fee-for-service Apple Health program) -or- providers enrolling for the sole purpose of becoming an ordering, referring, prescribing provider.
The billing agent/clearinghouse application process is for a billing agent/clearinghouse (BA/CH) to be enrolled with Washington Apple Health (Medicaid) to ensure the flow of electronic data resulting from the submission and retrieval of HIPAA transactions can be tracked.
Use this chart to match the provider types above with the enrollment type options in ProviderOne.
|If you are a:||Select the following enrollment type option in ProviderOne:|
Health care professional practicing under a group or facility
The following enrollment manuals provide step-by-step instructions for completing your application within ProviderOne.
- Individual billing provider
- Group provider
- Attending/servicing provider
- Billing agent/clearinghouse
To find out if you are already an Apple Health (Medicaid) provider, please call Provider Enrollment at 1-800-562-3022 Ext 16137.
Phone: 1-800-562-3022 Ext 16137