WA Practitioner Application - Washington State Local Health Insurance - CHPW
Community Health Plan of Washington Apple Health Medicaid Plan Community Health Plan of Washington Apple Health Medicaid Plan

WA Practitioner Application

When uploading a Washington Practitioner Application (WPA) to CAQH as part of credentialing/recredentialing, please notify CHPW by emailing [email protected], as CHPW does not receive notification from the system when a WPA is uploaded.

Providers can either:

1. Email a completed WPA with provider authorization for the provider to [email protected], or fax them to 1-206-652-7070.

-OR-

2. Complete the application at https://www.caqh.org/, and notify [email protected] when the application is ready for download. As noted above, we do not receive notification from the system so please make sure to email CHPW separately.

 

*Note: CHPW does not accept applications from OneHealthPort.

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