Reminder: ProviderOne Payment Schedule Changes: 2025 State Biennium End and Independence Day

Washington State Health Care Authority sent this bulletin at 06/20/2025 12:00 PM PDT

June 20, 2025

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Reminder: ProviderOne Payment Schedule Changes: 2025 State Biennium End and Independence Day

Due to the timing of the State Biennium End and the observance of Independence Day, payments to providers for the week of June 30, 2025, will be delayed and made the following week on Tuesday, July 8, 2025. Remittance Advices (RAs) and HIPAA 835 files will also be made available on Tuesday, July 8, 2025. Normally payments and remittance advice documents would be available for providers on Friday, July 4, 2025 but must be moved due to the Biennium end and the holiday.

Claim submission deadlines have been updated as reflected below to ensure that providers are able to receive payment and Remittance Advice documents on July 8, 2025.

The deadline for submission of claims to ProviderOne in order to receive payment on July 8, 2025 will be extended to 5 p.m. on Wednesday, July 02, 2025.

The deadline for submission of pharmacy claims to the Point of Sale (POS) in order to receive payment on July 8, 2025 will be extended to 5 p.m. on Tuesday, July 1, 2025.

Payment and claims submission deadlines for the week of July 7, 2025 will not be impacted. Two payments will be made during this week.

Please report any issues to: mmishelp@hca.wa.gov.

Thank you.

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About the Health Care Authority (HCA)

Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.

There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.

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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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.