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.
ProviderOne for social services
Find information for social services providers—unique ProviderOne users who contract with the Department of Social and Health Services (DSHS) and have their own authorization and claims submission processes.
On this page
Is this page for me?
- 1099 social services-only provider
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Nonmedical social service providers:
- Receive a 1099 tax form from the state of Washington.
- Provide services to clients who are eligible for Medicaid services.
- Have a contract with DSHS.
- Have business performing home care services.
- Receive payment through use of a social services authorization.
If the above information is true, this page is for you!
- 1099 social services medical provider
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Social service and medical providers:
- Receive a 1099 tax form from the state of Washington.
- Provide services to clients who are eligible for Medicaid services.
- Have a contract with DSHS and a Core Provider Agreement (CPA) with HCA.
- Have a business performing home care services and are a licensed medical professional.
- Receive payment through use of a social services authorization or medical claims.
- Have a National Provider Identifier (NPI).
If the above information is true, this page is for you!
- Individual providers (IPs)
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IPs are caregivers who provide certain types of services in a client's home and community such as in-home personal care and respite services.
How do I become an IP?
To become an IP, apply with Consumer Direct Care Network Washington (CDWA).
How do I verify my wages?
To verify your wages:
- Prior to May 2022, paid by IPOne: Send your requests to DSHS.
- On or after October 2021, paid by CDWA: Visit The Work Number website, or call 1-800-367-5690 (employer code: 29876).
Billing guides
The following billing guides provide step-by-step instructions on how to view social service authorizations, how to submit and adjust claims, and how to view payments. The purpose of the guides is to help social service providers and billing staff understand the processes of ensuring clients are eligible for services and to receive timely and accurate payments for covered services.
- Getting started and billing essentials – Covers ProviderOne basics and how to view authorizations
- Submitting and adjusting social service claims
- Submitting and adjusting social service medical claims
- Viewing claim status and payments
Need assistance with ProviderOne or the claim submission process?
Contact HCA’s Medical Assistance Customer Service Center (MACSC) online or at 1-800-562-3022.
Webinars
- Billing Guides and ProviderOne Basics: view the webinar | presentation slides
Additional resources
- FAQ: ProviderOne Setup and Payment Information for New Providers (new providers only)
- FAQ: ProviderOne for Social Services Providers (general questions for all providers)
- How to turn off pop-up blockers (to access ProviderOne)
- How to view your remittance advice (RA)
- Electronic Visit Verification (EVV) information and resources (DSHS personal care and respite care services)
- For .dat batch file upload:
Updates and newsletters
Subscribe to the ProviderOne for social services mailing list to receive our monthly newsletter and to get the latest ProviderOne updates impacting DSHS social services providers. DSHS social services providers are also encouraged to sign up for other DSHS alerts and HCA alerts that may impact your business.
Recent notices
Contact
For all social services questions
View the HCA or DSHS contact list or submit online form