Use this diagram to compare the provider types mentioned above with the record type options in ProviderOne. This application procedure is for licensed healthcare professionals who wish to register with the Health Care Authority (HCA) as an executive provider working in a group or body. The group or entity must be registered with HCA and have a core supplier agreement with the Agency. HCA told WSHA that ProviderOne was unable to get institutions and providers to view their validation date. Institutions and providers can contact HCA Provider Enrollment at or by phone at 1-800-562-3022 Extension 16137 if they feel they can be re-signed but have not received notification or have questions about the process. Andrew Busz, Non-billing apps are intended for providers who provide services to Apple Health (Medicaid) customers as part of a managed healthcare organization or behavioral health organization (not under the Apple Health paid program) or providers who register for the sole purpose of becoming an order provider, expeller and prescriber. Hospitals and providers must, within five years of the previous revalidification, complete a revalidation for each National Practitioner Identification (NPI) number associated with their institution or group. Validation includes completing and uploading an updated basic vendor agreement, exclusion statement, IRS W9 form, and additional documents, depending on the nature of the facility or vendor. You can find the validation page and instructions under Do you want to become an Apple Health (Medicaid) provider or do you need to know if you`re signed in? Before you start the application, select the type of provider that corresponds to your situation (see below).

All billing providers must complete and sign a basic supplier agreement and other necessary documents with the Agency. The Health Care Authority (HCA) recently contacted the WSHA about the validation process requested by the Confederation. Hospitals and providers who do not enter into the revalidation should expect the deactivation of their primary Medicaid provider agreement and a disruption of payments. WSHA recently contacted some hospitals that HCA said had not yet responded to the revalidation notifications and were threatened with deactivation.