Core provider agreement DSHS, or Department of Social and Health Services, is a crucial document for healthcare providers in the state of Washington. This agreement outlines the rules and regulations that must be followed when providing care to patients who receive medical assistance from the state.
Signing a core provider agreement with DSHS is mandatory for any healthcare provider who wants to participate in the Medicaid program in Washington. By signing this agreement, providers agree to abide by specific terms and conditions set forth by DSHS, such as billing and coding requirements, quality of care standards, and patient privacy laws.
One of the crucial aspects of the core provider agreement is its emphasis on proper documentation and coding. It is required that providers document all services provided to patients accurately and submit claims that are coded appropriately to ensure proper reimbursement from DSHS. Additionally, providers must participate in periodic audits to ensure compliance with DSHS regulations.
The core provider agreement also outlines the rules and regulations for providing care to patients with complex medical needs. Providers must ensure that these patients receive comprehensive, coordinated care that meets their individual needs and goals.
Another critical component of the core provider agreement is the requirement for patient-centered care. Healthcare providers must place the needs and preferences of their patients at the forefront, ensuring that they receive high-quality care that is respectful, culturally appropriate, and patient-centered.
In conclusion, signing the core provider agreement with DSHS is crucial for healthcare providers in Washington state who want to participate in the Medicaid program. This agreement lays out specific guidelines for providing care to patients who receive medical assistance from the state, emphasizing the importance of proper documentation, coding, and patient-centered care. By following these guidelines, healthcare providers can ensure that they are delivering high-quality care that meets the unique needs of their patients.