COVID-19 Tests - Washington State Local Health Insurance - CHPW

COVID-19 Tests

COVID-19 Test Coverage for CHPW/CHNW Members

Posted 03/04/22
For updates to COVID-19 test coverage for CHPW Apple Health (Medicaid), CHPW Medicare Advantage, and CHNW Cascade Select members, please see our COVID-19 Information page at the link below. Includes quantities and ordering and reimbursement processes.

COVID-19 Test Coverage for Members

COVID-19 Diagnosis Testing for Apple Health

Posted 10/19/21
As a best practice, Community Health Plan of Washington (CHPW) follows Washington State Health Care Authority (HCA) guidance on COVID-19 diagnosis testing limits and clinical policy for our Apple Health plans.

The update below applies to polymerase chain reaction (PCR; rapid) and antigen tests to diagnose COVID-19.

Effective October 1, 2021, providers are limited to 12 tests per enrollee, per month.

Please see the full Apple Health (Medicaid) COVID-19 testing clinical policy, provided by HCA, for guidance on billing, medical necessity criteria, and more.

COVID-19 Testing Clinical Policy

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