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ProviderOne Newsletter:
DSHS Social Services Providers
May 2025
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ProviderOne Billing Guide Webinars
DSHS & HCA have been busy updating and consolidating the ProviderOne for Social Services billing guides. The new guides will be published to the ProviderOne for Social Services webpage next month.
Please join DSHS for one of our upcoming webinars where we will review the updated billing guides and ProviderOne basics:
Content presented at each webinar will be the same. For providers unable to attend, the webinar will be recorded and posted to the ProviderOne for Social Services webpage Summer 2025.
Please note: The webinar will provide a general overview of the new billing guides and ProviderOne, but it won't be a detailed training on how to use ProviderOne or the claims process. DSHS plans to offer additional trainings throughout the year on specific ProviderOne topics.
EVV Compliance (Home Care Agencies)
Attention Home Care Agencies: As you continue to submit your claims in ProviderOne, be sure to include as much Electronic Visit Verification (EVV) data as you can for each claim (i.e., SS Servicing Only ProviderOne ID, Service Start & End Time, & Service Start/End Time Geo-Data).
The goal is for Home Care Agencies to be 100% EVV compliant by the end of 2025. In 2026, ProviderOne will begin to deny claims that do not contain EVV data.
Questions? Please book an appointment with Jennifer Smith, DSHS EVV Program Manager, at your earliest convenience.
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Monthly FAQ: I think I paid an overpayment twice. My RA shows a negative adjustment but I also received a vendor overpayment notice from OFR. Why do I owe money to OFR when my RA shows a negative amount?
When a claim is adjusted, you will see two transactions on your RA:
- The Credit transaction is a copy of the original claim with the original billed, allowed, and paid amounts listed as negatives.
- The Debit transaction displays the new billed, allowed, and paid amounts as a result of the adjustment.
Although a credit & debit transaction are displayed, this does not mean the previously paid amount was taken back by DSHS. If the claim was adjusted as "non-offset", the negative amount on your RA means the overpayment was referred to the Office of Financial Recovery (OFR). You will see "NOC Referred to CARS" in the adjustments section found on Page 2 of your RA when this happens. Once the overpayment is referred to OFR, you have the option to pay the overpayment via check or you can request to have the overpaid amount be deducted from future paid claims as "offset" in ProviderOne.
More information on how to read your RA and adjustments can be found in Understanding each section of the RA.
Upcoming trainings
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Adult Family Home Administrator Training
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ProviderOne Billing Guides & ProviderOne Basics for Social Services Providers
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Resource spotlight
New provider corner
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About the newsletter
The ProviderOne for DSHS Social Services Providers Newsletter is published monthly by the Department of Social & Health Services (DSHS) in collaboration with the Health Care Authority (HCA). The intent of the newsletter is to share ProviderOne information, updates, and resources for DSHS-contracted providers who submit authorized claims through the ProviderOne system.
Visit the ProviderOne for Social Services webpage to view past newsletters and to read more about ProviderOne for Social Services.
Sign up to receive the monthly newsletter and other ProviderOne for Social Services notifications.
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