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 OneHealthPort (OHP) as part of credentialing/recredentialing, please notify CHPW by emailing [email protected], as CHPW does not receive notification from the OHP system when a WPA is uploaded.

Providers can either:

  1. Forward a completed WPA with provider authorization for the provider to [email protected]PW.org;

-or-

  1. Go to http://www.onehealthport.com/provider-source, complete the information there, 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.

If you choose the printed format, completed applications can be scanned/emailed to [email protected] or faxed to Credentialing at (206) 652-7070.

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