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 ProviderSource data via OneHealthPort?
- On December 31, 2023, at 4 p.m., access to ProviderSource via OneHealthPort was 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, 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)
- Did you miss the recent CAQH Portal training for credentialing? Click here to watch the training on demand, review the presentation, or download a helpful Tip Sheet.
Will all health plans be able to access my application through CAQH on January 1, 2024?
- Most 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 accept applications through the transition period here: Support & Communications | OneHealthPort.
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 an alternative vendor 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?
- 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.
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.