Next steps for new Medicaid providers

Providers new to Apple Health (Medicaid) learn what to expect, how to use ProviderOne and what to do to begin submitting claims.

Stay up-to-date with rate, billing, and ProviderOne system changes.

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 via OneHealthPort. The letter will include your domain/ProviderOne ID.

Once you have received these materials, register your organization with OneHealthPort (OHP) to access ProviderOne. 

Have questions?

Contact OneHealthPort or call OneHealthPort support at 1.800.973.4797 (toll-free) 24 hours a day, seven days a week.

ProviderOne Security profiles

To learn about profiles, view the ProviderOne Security Profiles and Descriptions/OneHealthPort Roles handout.

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:

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.

Contact

Phone: 1-800-562-3022, ext. 16137
Phones are open: Tuesdays and Thursdays from 7:30 a.m. to 4:30 p.m. (Closed from noon to 1 p.m.)
Phones are closed: Mondays, Wednesdays, and Fridays.