Our strategy to transition to ProviderOne
L&I has developed a detailed strategy to transition providers to ProviderOne. While specific dates for providers are not finalized yet, we're sharing the high level plan. From the graphic below, you can get an approximation of when you will move to ProviderOne.
How will service and medical providers move to ProviderOne?
The plan uses a phased approach, trending towards a January 2022 start.
|When||Who's transitioning to ProviderOne|
|January 2022||New applicants (excluding the attending provider list)|
|February 2022||Add existing providers (excluding the attending providers list)|
|June 2022||All New applicants (including the attending provider list)|
|July 2022||Add existing providers (including the attending provider list)|
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- Attending provider list
Attending providers are: Doctors of Medicine, Doctors of Osteopathic Medicine, Advanced Registered Nurse Practitioners, Chiropractors, Dentists, Naturopathic Physicians, Optometrists and Podiatric Physicians. Physician's Assistants are included in this category as a treating provider.
- Ancillary providers
Ancillary providers include but are not limited to: physical therapists, occupational therapists, massage therapists, speech-language therapists, audiologists, vocational providers
- Other providers, facilities, vendors or interested parties
Other providers include but are not limited to: facilities, pharmacies, laboratories, DME suppliers, transportation services, lodging, retraining bookstores, day care, Job/vehicle/home modifications, other stores
Note: If your group has multiple clinics with different organization NPIs, select "Multiple office locations".
If your organization credentials with L&I through the delegation process (WAMSS roster format), your credentialing team will receive targeted information directly from your L&I delegation liaison.
Typically, if your organization has a Delegation Agreement with L&I you will know; however, here's a list of the existing delegated groups:
|5/03/21||A new Provider Account and Credentialing system is coming. In 2022, provider accounts and credentialing with the Department of Labor & Industries (L&I) is transitioning to ProviderOne. This change affects most L&I providers who deliver services and goods to injured workers, including: Health care providers, Pharmacies, Suppliers of goods and equipment, such as taxis, hotels, schools, and stores.
Note: Billing will not change. You will continue to bill L&I the same as you do today.
Healthcare providers need an NPI for L&I's transition to ProviderOne.
L&I is transitioning to ProviderOne, a new enrollment and credentialing system. To prepare for the transition, all healthcare providers who are HIPAA-covered entities (individuals or organizations) must obtain a National Provider Identifier (NPI).
HIPAA-covered entity health care providers include:
|Individual (Entity Type 1)||Organizations (Entity Type 2)|
||• Ambulance Companies
• Group Practices
• Home Health Agencies
• Nursing Homes
• Suppliers of Durable Medical Equipment (DME)
What happens if I don't obtain an NPI number?
Here’s some important items for you to know, if you do not obtain an NPI number.
- We cannot migrate your provider account information to ProviderOne without an NPI number. We ask that you apply for your NPI number and inform us of it.
- If you currently receive EFT (Direct Deposit) payments from us, once migration has occurred, you will receive paper warrants/checks in the mail.
- You will not be able to make any changes/updates to your provider account after migration, if you do not obtain an NPI number prior to this transition (individual providers or organizations).
- We will no longer accept paper applications or change forms.
Apply today for an NPI number!
Visit the National Plan & Provider Enumeration System (NPPES) to apply for a new individual or organization NPI number: nppes.cms.hhs.gov/#/. See step-by-step application instructions in the resources section below.
Once you obtain your NPI number, you will need to register it with L&I. You may email the following to: PACmail@Lni.wa.gov
- Full Name (listed on your license)
- Your L&I provider account number(s)
- Your individual or organizational NPI issues by NPPES.
How will we communicate?
We'll let you know ahead of time what you need to do to prepare for your organization's move to ProviderOne. We'll reach out in a variety of ways, including: website updates, GovDelivery email messages, remittance advice newsletters, and collaboration with professional organizations. We are planning targeted messages for each rollout. You can also check this website regularly. We'll post updates, news and handy resources.
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- Click on the link
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If you do not sign-up, be sure to check this website monthly. We strongly encourage you to sign-up for the most current information.
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