Dental Providers
URGENT NEWS - You must register for ProviderOne by December 23, 2009 or you will not be paid for claims and no authorizations will be allowed.
Novemeber 16, 2009 - Readiness Activities and Upcoming Changes for Dental Providers
Current Dental Terminology (including procedure codes, nomenclature, descriptors and other data contained therein) is copyright © 2008 American Dental Association. All rights reserved. Applicable FARS/DFARS Apply.
NEW As of October 1, 2009, submission of the
Agreement of Acceptance form is not required for payment. This form must be
retained in the client's record and available upon request by DSHS.
NEW
Fee Schedule effective July 1, 2009
NEW
Dental
Provider Memo, effective July 1, 2009
CMS Response to Frequently Asked Questions
(billing clients, accepting Medicaid clients)
Making Medicaid Easy (Tutorial)
Medicaid client information: Questions about Medicaid's dental coverage are best directed to your own family dentist. However, when that is not practical, clients with questions, complaints or problems are welcome to call the Medical Assistance Customer Service Center at 1-800-562-3022. Provider questions can be directed to the same number.
New for ProviderOne Stakeholders
It is important that the final announced go live date be as accurate as possible.
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To ensure accuracy in the final go live date, ProviderOne needs to complete the following:
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Complete the current phase of User Acceptance Testing (UAT) and address system modifications identified during UAT. These system modifications are necessary prior to the pre-production or pilot testing phase with providers.
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DSHS anticipates announcing the final go live date later this spring with periodic updates prior to implementation to keep all parties informed of progress.
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In the meantime and for planning purposes, stakeholders should work toward a go live date in late summer or early fall.
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DSHS is also resolving some data conversion issues and addressing provider concerns related to the registration process. As a result, Provider Registration activities are on hold until approximately mid-to-late March.
New ProviderOne Readiness Information
Assuring continued payments for Medicaid services. July 2009 letter to providers known to submit claims via a clearinghouse. Attachment A to the clearinghouse letter.New Dental Newsletter February 5, 2009
On July 1, 2008, HRSA will require the most current ADA claim form (2006) for billing. Claims submitted on non-ADA claim forms will be returned to provider.
Electronic Billing HRSA encourages providers to bill electronically for the most efficient distribution of payment (see billing instructions). http://www.acs-gcro.com Click Medicaid then Washington State.
The purpose of the Dental Program is to reimburse for quality
dental and dental-related services to eligible clients.
Use the links at the top for information specific to our dental
providers. Use the links to the left for general medical assistance
provider billing information.
We want to hear from you! Let us know what you would like to see
on our dental Web site. Email us at contact us with your suggestions
and thoughts.
Our staff provides on-site or in-house provider training on
billing and claims issues. Use this link to
contact us.
For comments or questions, email contact us
Page modified: November 2009
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