FAQ for Providers & Credentialing Staff
What is changing?
- CAQH has been chosen as the vendor that health plans, providers, and credentialing staff use as the database for WA State credentialing starting in 2024.
Will I still have access to my data in ProviderSource?
- No. Effective January 1, 2024, you will no longer have access to your provider data through Medversant. After December 31, 2023, your access to ProviderSource will be disabled.
How do I log in to CAQH?
- You will register directly with CAQH. Your OneHealthPort Single Sign-On Subscriber ID and password will not work for CAQH access.
- You can go to: https://proview.caqh.org/Login?Type=PR to set up a new account. Under “First Time Here?” at the bottom right corner of the page, click “Register Here” to begin the registration process.
- Note: If you are unsure if you have an account with CAQH, please contact them before registering to avoid creating duplicate accounts.
Do I still need my OneHealthPort Single Sign-On Subscriber ID and password?
- If you only use your OneHealthPort Single Sign-On Subscriber ID to access ProviderSource, you will not need your OneHealthPort account after December 31, 2023. Your Administrator can remove you from your Organization’s OneHealthPort account.
- If you use your OneHealthPort Single Sign-On Subscriber ID to access payer portals for things like eligibility, benefits, claims or prior authorization, you will still need your Single Sign-On Subscriber ID to access participating payer portals.
Where can I find resources for how to use CAQH?
- For training resources, you can visit CAQH University at https://caqhproviewtraining.learnupon.com/. Please note, you will need to register to access training resources.
- Or you can contact the CAQH Solution Center for assistance at:
- Phone: 1.888.599.1771, Monday – Friday: 8:00 a.m. – 8:00 p.m. (EST)
- Live Chat - available to all registered providers and credentialing staff, Monday – Friday: 8:30 a.m. to 6:30 p.m. (EST)
Will all health plans be able to access my application through CAQH on January 1, 2024?
- Some health plans already have access to applications through CAQH, and others are beginning the contracting and implementation process as a result of the working group decision.
- You will find a list of the health plans and how they are accepting applications through the transition period here: Support & Communications | OneHealthPort.
I want to use Medversant’s ProviderSource but my OneHealthPort account is disabled. What do I do?
- If you received a warning that your OneHealthPort Single Sign-On account is about to be deactivated, you can Log in to your OneHealthPort Subscriber account to keep your account active.
- If you received notification that your account is disabled and it has been less than 60 days since you were notified, your Organization Administrator will still be able to see your account information. Please have your Organization Administrator initiate a password reset to reactivate your account.
- If it has been more than 60 days since you were notified that your account is disabled, and your Organization Administrator does not see your account information, please have them contact OneHealthPort for assistance.
I completed my CAQH application, but a health plan is telling me they cannot access my information. Why is that?
- Once you have completed an application, you must identify the health plans who can access your application. If you have not granted access to a health plan, they cannot retrieve your application.
- For more information please contact CAQH.
FAQ for Health Plans
What is changing?
- CAQH has been chosen as the vendor that health plans, providers, and credentialing staff use as the database for WA State credentialing starting in 2024.
- In addition, Health Plans will contract directly with CAQH.
Is my organization required to use Medversant or CAQH?
- The Office of the Insurance Commissioner (OIC) has authorized the use of CAQH or other vendors or other methods through February 29, 2024.
- If you choose to use Medversant, please be advised that you will be responsible for negotiating terms directly with Medversant if you use the system after December 31, 2023.
- Link to OIC notice
Note: CAQH is not being selected as a Credentialing Verification Organization (CVO) vendor, but rather as the database for submitting and retrieving provider credentialing applications as called out in the legislation.
Can I use Medversant to pull provider applications after December 31, 2023? 2024?
- Since OneHealthPort will not have a master contract with Medversant in 2024, health plans will be responsible for negotiating terms directly with Medversant if you use the system after December 31, 2023.
- Please note that providers will not have access to Medversant’s ProviderSource after December 31, 2023.
How do I contract with CAQH?
All health plan organizations looking to develop an agreement with CAQH to access provider applications from the CAQH system can reach out to Warren Chang via email: wchang@caqh.org.
How will providers know how I am accepting applications during the transition?
Support
- If you have any questions about ProviderSource or Client Portal, please contact Medversant at 213.433.7505 for assistance.
- If you are a provider, or credentialing staff and need help with your OneHealthPort Single Sign-On Subscriber account, please contact OneHealthPort at 1.800.973.4797 for assistance.
- For questions or assistance with your CAQH account, please contact the CAQH Solution Center: 1.888.599.1771.
- For all other questions or to provide feedback, please submit our Credentialing Contact Us Form.