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
- Oral 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.
Please contact CHPW with any questions or concerns.