Community Health Plan of Washington requires prior authorization for the following:
- All DME over $500 allowed amount per line item or over $1000 total allowed amount.
- Bone growth stimulators
- Chest compression devices
- Enteral Nutrition Therapy: Exception to the Rule required for Apple Health Members age 21 and older.
- Enteral Nutrition Thickeners: Prior Authorization required for Apple Health members under one year old.
- Enteral Pumps
- Hospital beds & accessories
- Wound Vac
Submitting a Prior Authorization Request
Fax: Fill out the form matching your request listed on the main Prior Authorization page and fax to the number listed on the form
Prior Authorization Request Forms (PDF)