Provider Directory status update

Washington State Health Care Authority sent this bulletin at 05/28/2021 03:00 PM PDT

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Provider Directory status update

On April 30, the Health Care Authority (HCA) notified you of changes we are making to ProviderOne supporting an improved experience for Apple Health (Medicaid) clients.

Please read the below status update for the Provider Directory project.

Status update

HCA is still developing the provider user manual which covers the changes you will need to make to your ProviderOne provider file. At the same time, system changes are being built and tested in ProviderOne. As soon as the system changes are finished and tested, we will provide the link to the user manual to assist Apple Health providers with these changes.

We anticipate sending the manual to providers in late June or early July 2021, and will send out another update at that time with links to all resource documents.

Background

On March 9, 2020, CMS released an interoperability rule which, in part, requires provider directory information to be made available to Apple Health clients. The interoperability rules are mandated and were put in place to benefit Apple Health clients and create better access to health care.

To help our clients and remain in compliance with the new interoperability requirements, HCA will be creating a new Provider Directory tool.

Questions?

If you have any questions regarding these changes or your ProviderOne provider file, please contact HCA through one of the following channels.

About the Health Care Authority (HCA)

The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents.

HCA purchases health care for more than 2.5 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, the School Employees Benefits Board (SEBB) Program, and the COFA Islander Health Care Program. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure Washington residents have access to better health and better care at a lower cost.

Please do not reply directly to this message. For more information, visit the HCA website, where you'll also find contact information.

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Nondiscrimination

The Washington State Health Care Authority (HCA) complies with all applicable federal and Washington state civil rights laws and is committed to providing equal access to our services. Visit HCA’s website to view complete nondiscrimination statements.