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Effective July 15th, Health Services for Children with Special Needs (HSCSN) will implement Optum Financial/Optum Pay as the check payment vendor for provider electronic funds transfer (EFT). The details to the provider letter can be found in this document.

Provider Resources

Provider Portal Update

Currently, HSCSN is in the process of selecting a new vendor to support the provider portal. In the interim, providers should contact HSCSN’s Customer Care Services regarding:

  • Member Eligibility
  • Claims Research
  • Claims Submission
  • Claims Status
  • Claims Reconciliation

For providers who seek to initiate an inquiry about the status of a pre-authorization request, please contact HSCSN Customer Care Department at 202-467-2737.

Provider Resources 

Get information on HSCSN procedures, provider resources, credentialing, and more.

/sites/default/files/HSCSN-Provider-Manual-Nov2024%20508%20Compliant.pdf

Access online forms you need as an HSCSN provider.

/health-providers/forms
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HIE provides some of the best tools to connect health system partners and gives providers the right information at the right time regardless of location, organization, or EHR.

https://hieportal.force.com/hieadmin/s/login/?ec=302&startURL=%2Fhieadmin%2Fs%2F