Questions about ProviderOne?

Quick Links:

◊Projected implementation dates

◊Request for Proposal (RFP)

◊Overview

DSHS Main Page
Search DSHS
Contact Us
Privacy Disclaimer

» File Readers
If you are having trouble opening certain files you may need to download a free file reader.

Pharmacy Point of Sale (POS)

Pharmacy Activities for Phase 1 Implementation

Pharmacies should prepare for ProviderOne Phase 1 implementation.  This implementation will fully integrate the pharmacy POS  launched in October 2008 with the ProviderOne claim engine.

Readiness activities for pharmacy pos include:

1. Security:  Setting up access for staff tor complete your ProviderOne registration, maintain your provider file, check eligibility, lookup new ProviderOne client IDs, and access Remittance Advice (RA).  RAs will only be available electronically once ProviderOne is operational.  DSHS announced this cost reduction measure in May (see numbered memo 09-19).

2. Registration:  This includes reviewing  your provider file that DSHS copied into ProviderOne.  You should verify information about where your payments will be sent. 

3. New Client ID:  Pharmacy Claims processed beginning December 6, 2009 must include the new ProviderOne client ID instead of the current Personal Identification Code (PIC).  You should be making plans to accommodate this change.

Important note - if you bill DSHS for durable medical equipment or other kinds of services billed outside of the POS, you will need to complete readiness activities based on the billing method used.  Visit the main provider page for a chart of readiness activities by billing method. You will need to use taxonomy codes for billing outside of the POS.

Resources:

• 7-16-2009 Presentation to Washington State Pharmacy Association

• 7-16-2009 3 Steps to Readiness Handout

• 4-30-2009 Memo to Pharmacies About ProviderOne Phase 1 Changes

Please note: The change from the Medical Assistance ID to the new Services Card does not occur with the POS implementation.  Services Cards will be implemented with medical and nursing home claims during Phase 1 implementation.