Partial federal government shutdown
HCA does not anticipate any immediate impacts to our services or disruption to provider payments at this time. We will continue to monitor the situation and share updates if anything changes.
HCA does not anticipate any immediate impacts to our services or disruption to provider payments at this time. We will continue to monitor the situation and share updates if anything changes.
View provider contact information to get help answering your questions.
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Provider Enrollment Phone: 1-800-562-3022 ext. 16137 |
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Medical Assistance Customer Service Center (MACSC) Phone: 1-800-562-3022 (choose "provider services") TRS: 711 through Washington Relay. Business hours:
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Online: Apple Health clinical policy form |
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In crisis? If you need immediate assistance, call 911. All people in Washington have access to the Washington Recovery Help Line at 1-866-789-1511 (24/7) and county mental health crisis lines. Have a question about a specific program within the Division of Behavioral Health and Recovery? |
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Department of Health (DOH) Health Systems Quality Assurance Division (HSQA) |
As a social services provider, you may need to contact the Health Care Authority (HCA), the Department of Social and Health Services (DSHS), and/or an Area Agency on Aging (AAA) depending on your question. Please note, HCA does not offer in-person assistance for providers.
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ProviderOne for Social Services billing guides and resources If additional claims assistance is needed after reviewing the billing guides and online resources, contact HCA's Medical Assistance Customer Service Center (MACSC) under For Apple Health (Medicaid) providers. |
Batch file upload/adjustments
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HCA’s HIPAA Help Desk Email: HIPAA help In email subject line, enter ‘Social Service Batch File’. In body of email, include your ProviderOne ID, the .dat file name or HIPAA file name, and a description of what you need help with. |
Rates and fee schedules |
For questions regarding rates on your client’s authorization, contact your client’s authorizing case manager Additional information:
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Managed care organization (MCO) billing |
Additional resources: |
Billing for nursing services | |
Tax documents |
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The client’s authorizing case manager Note: The client’s case manager is listed on your ProviderOne Authorization list and on the ProviderOne authorization letter. If you do not receive a response from the case manager within two days, you may contact the case manager’s supervisor. |
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The client’s authorization case manager |
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The client’s public benefits specialist |
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*If updating your physical location in ProviderOne, you must also inform your DSHS/AAA contract specialist |
See Provider Enrollment under For Apple Health (Medicaid) providers. |
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The contract specialist on your DSHS/AAA contract |
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See ProviderOne Security under For complaints, reporting fraud, and access to ProviderOne. |
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My current social services contract
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The contract specialist listed on your current DSHS/AAA contract Additional contract and policy information for current providers:
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Becoming contracted as a social services provider | |
Becoming a paid caregiver with a home care agency or Consumer Direct Care Network Washington (CDWA) |
DSHS website |
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DSHS Email: EVV questions |
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HCA Email: HCA EVV home health |
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An urgent payment issue that impacts client services (i.e., I can’t receive payment due to ProviderOne issues) |
DSHS: HCS or DDCS ProviderOne payment teams Note: You should only contact the DSHS ProviderOne payment teams after you have tried resolving your issue through the appropriate channels (i.e., case manager, contract specialist, or HCA) and client services are impacted. DSHS HCS providers Email: ProviderOne escalation DSHS DDCS Providers Contact the DDCS resource developer or contractor who will escalate to the regional payment specialist as needed. When emailing DSHS, please include your:
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Email: AskMedicaid |
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Email: HotTips |
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Email: ProviderOne Security Locked out of ProviderOne? Users can unlock their own accounts by using the password reset functionality in ProviderOne. If you are still having issues, you must contact your organization/office's system administrator for assistance. If you are a system administrator, email ProviderOne Security to regain system access. |
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Email: Professional rates |
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Regular mail — send to: Certified and FedEx mail: Office of Hospital Finance |