Information for Contractors

Frequently Asked Questions and Answers

Q: Citizenship verification: what’s the current policy, what’s acceptable now, where to find information and forms, what to say when calling families?
A: See the link below to review the updated policy regarding Citizenship & Identity in WA State. http://www.dshs.wa.gov/manuals/eaz/sections/CitizenshipIdentityReqMedicaid.shtml

See the link below to review the updated list of acceptable verification for Citizenship & Identity in WA State.
http://www.dshs.wa.gov/manuals/eaz/sections/VerificationCitizenshipValidValuesTier1-4.shtml

Q: Contacts at DSHS: who is in charge of eligibility in my region?
A:

REGION

HRSA LEAD

PHONE

EMAIL

Region 1

MaryBeth Ingram

(360) 725-1327

ingramb@dshs.wa.gov

Region 2

Dody McAlpine

(360) 725-9964

mcalpda@dshs.wa.gov

Region 3

Kevin Cornell

(360) 725-1423

corneke@dshs.wa.gov

Region 4

Kathy Johansen

(360) 725-1321

johankj@dshs.wa.gov

Region 5

Cindy Palko
(360) 725-1324

palkocm@dshs.wa.gov

Region 6

Cathy Fisher

(360) 725-1357

fishecl@dshs.wa.gov

 

Q: Application Agent: Do I need to use barcodes to send in a potentially eligible customer?
A: Yes, to receive credit for the Application Agent children’s medical outreach program the contractor’s unique vendor code barcode label must be affixed in the designated location found only on application form types: 14-380 – Apple Health for Kids or 14-001 – DSHS Application for Benefits. Without proper placement of the vendor code barcode label, DSHS will be unable to trace approved children’s medical applications submitted for this contractor for compensation purposes. 

Q: What is Provider One?
A: Department of Social and Health Services (DSHS) is replacing its' current Medicaid Management Information System (MMIS) with a new payment processing system we have named ProviderOne.  ProviderOne will be DSHS' primary provider payment processing system. ProviderOne will be implemented at a date to be determined in 2009.

See the below link for additional information on ProviderOne or to join the listserv to receive updates: http://hrsa.dshs.wa.gov/providerone/

The ProviderOne project has established an email distribution list dedicated for providers or anyone that may be interested in receiving updates on provider readiness activities. The project will send messages when training materials are posted on our web site or to announce upcoming workshop or training events. 

You may join or leave this list anytime at:  http://listserv.wa.gov/archives/providerone_provider_readiness.html