Contact us

Select from the following to get help answering your questions.

For Apple Health (Medicaid) providers

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Provider enrollment and revalidation	Provider Enrollment 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. Email: Provider Enrollment
Billing and claims Service limitations Service card requests Health plan enrollments Benefit questions Technical issues with ProviderOne (providers only)	Medical Assistance Customer Service Center (MACSC) Client online form Provider online form Social service provider online form For claims close to two-year deadline Important! If you need assistance on a claim close to the two-year timely filing deadline, please type "Urgent, timely issue." in the Other Comments box. Phone: 1-800-562-3022 (choose "provider services") Long waits are sometimes required, but self-service options are available using the web forms above. TRS: 711 through Washington Relay. Business hours: Provider general line and social services billers: Monday through Friday, 7 a.m. to 4:30 p.m. (Pacific) (except state holidays) Claims line: Monday through Friday, 8 a.m. to noon and 1:30 to 3:30 p.m. (Pacific) (except state holidays) Nursing home claims line (ext. 16820): Monday through Friday, 8 a.m. to noon. (Pacific) (except state holidays)
Medical policy	Online: Apple Health clinical policy form Email: Apple Health clinical team

For behavioral health providers

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Apple Health behavioral health Non-Apple Health behavioral health Mental health Substance use Recovery support Peer support Employment support Housing support Prevention	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? Call: 1-360-725-1500
Behavioral health licensing and certification	Department of Health (DOH) Health Systems Quality Assurance Division (HSQA) Phone: 1-360-236-4700 Email: HSQA credentialing

For social services providers

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.

Social service contract questions

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Becoming contracted as a social services provider	DSHS website Info for long-term care professionals and providers (Aging and Long-Term Support Administration-ALTSA) Info for DDA providers (Developmental Disabilities Administration-DDA)
My current social services contract Renewing or terminating Adding social service medical Questions about contract	The contract specialist listed on your current contract.
Becoming a paid caregiver with a home care agency or Consumer Direct Care Network Washington (CDWA)	DSHS website Becoming a paid caregiver

Authorization questions

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My client’s social service authorization: There is no active authorization The authorization is ‘in error’ status The dates, units, or rates on the authorization are wrong	The client’s DSHS or AAA case manager*. Note: The client’s case manager is listed in ProviderOne on the client’s authorization. *If you do not receive a response from the case manager within two days, contact the case manager’s supervisor.

ProviderOne

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Navigating ProviderOne Submitting claims in ProviderOne Adjusting or voiding claims Looking up claims Claims errors Technical issues with ProviderOne Payment issues (lost checks)	See Medical Assistance Customer Service Center (MACSC) under For Apple Health (Medicaid) providers.
Setting up electronic funds transfer (EFT) Updating information in ProviderOne (locations, addresses, contact info) Updating DOH license info in ProviderOne	See Provider Enrollment under For Apple Health (Medicaid) providers.
Accessing ProviderOne Login issues (i.e., password reset, locked out) Setting up additional users, profiles, or system administrators	See ProviderOne Security under For complaints, reporting fraud, and access to ProviderOne.

Electronic visit verification (EVV)

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Roster upload for personal care services Error research for personal care services	DSHS Email: EVV questions Website: DSHS EVV website (personal care services)
Roster upload for home health services Error research for home health care services	HCA Email: HCA EVV home health Website: HCA EVV website (home health care services)

Urgent payment issues

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An urgent payment issue that impacts client services (i.e., I can’t receive payment due to ProviderOne issues)

DSHS: ALTSA or DDA 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 ALTSA providers Email: ProviderOne escalation DSHS DDA Providers Contact the DDA resource developer or contractor who will escalate to the regional payment specialist as needed. When emailing DSHS, please include your: Name (first and last). Name of your organization. ProviderOne ID (also known as your P1 domain). The date you emailed HCA and the corresponding HCA Ticket #. A brief description of your issue, who you've tried to contact, and how the issue impacts client services and/or your ability to receive payment.

For complaints, reporting fraud, and access to ProviderOne

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Comments Complaints Legislative and government inquiries	Email: AskMedicaid Nonsecure communication! This is not a secure communication and should not include any personal health information. Please include a Services Card number for identification purposes and faster service.
Reporting suspected Medicaid fraud	Email: HotTips Phone: 1-833-794-2345 (toll free)
Login information Security	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.

For rates and fee schedules

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Professional rates and fee schedules	Email: Professional rates
Hospital rates, payments, and fee schedules	Office of Hospital Finance Section manager Ambulance and ITA transportation Ambulance Quality Assurance Fund Ground Emergency Medical Transportation Program Ambulatory surgery centers (ASC) rates Certified public expenditure (CPE) Critical access hospitals (CAH) Disproportionate share hospital (DSH) Hospital safety net program (HSNP or SNAF) Inpatient hospital rates Nursing home proshare Out-of-state hospital contracts Out-of-state ambulance transportation Outpatient hospital rates Professional services supplemental payments (ASSP and PSSP) Trauma Care Fund supplemental payments UW inpatient and outpatient directed payments Regular mail — send to: Office of Hospital Finance Health Care Authority PO Box 45510 Olympia, WA 98504-5510 Certified and FedEx mail: The sender cannot send this type of mail to a post office box. Refer to the USPS or FedEx mailing forms for their specific format. Office of Hospital Finance Health Care Authority (optional) Cherry Street Plaza 5th Floor (MS:45510) 626 8th Avenue SE Olympia, WA 98501