State cleared for Medicaid match
Federal reviewers have given the seal of approval to Washington's ProviderOne Medicaid payment system.
Federal reviewers have given the seal of approval to Washington’s ProviderOne Medicaid payment system.
The certification by the Centers for Medicare and Medicaid Services allows the state to receive more federal match money to operate the system.
The new certification, said the state’s Medicaid office, came with no requirements for corrections — an unusual if not unique situation, said Heidi Robbins Brown, deputy director of the Health Care Authority, who supervised the project.
The system got off to a bumpy start, with a backlog in claims payments and complaints from providers.
The state’s Medicaid office maintained those problems came because providers didn’t learn how to manage the sensitive system.
The system went live on May 9, 2010, and in its first year of operation processed more than 35 million medical and nursing-home claims, amounting to $5.4 billion of medical and nursing-home claims. The Medicaid office said the new system is faster and more efficient than the 25-year-old system it replaced.
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