Our May 2019 Pharmacy Preferred Newsletter is now available. It includes a list of medications that will become not-preferred in July and information about our Patient Review and Coordination Program.
CHPW will follow a new process to ensure the Medicare Advantage encounter data we submit to CMS include valid National Provider Identifier (NPI) numbers.
Involuntary Treatment Act Services for Dual Eligibles
Federal and state rules dictate how to provide and pay for crisis services and involuntary treatment associated with mental health and substance use disorder for Medicare/Medicaid clients.
If you're still receiving your payments by check, consider enrolling in Electronic Funds Transfer. Your payment will be deposited in your checking account.
CHPW has rolled out a new version of our online provider directory. The redesigned site offers more features and a more organized and easy-to-use experience.
Read our latest Provider Newsletter! The Summer edition includes information on behavioral health trainings, CHPW's new acupuncture benefit, how to sign up for electronic funds transfer, and more.
Learn about how to obtain prior authorization, bill, and interpret the new CPT codes for psychological and neuropsychological assessments that went into effect in 2019.
HealthMAPS is CHPW's new provider portal and will replace the Health Information Portal (HIP). Read about some of the new features and learn how to create a HealthMAPS account.
For specific DME, CHPW must verify the actual manufacturer’s suggested retail price (MSRP) in order to provide pricing. Miscellaneous wheelchair parts (HCPC K0108) is one.
CHPW has entered into an agreement with Benefits Coordination & Recovery Center (BCRC) to electronically Crossover Part A and Part B claims from Medicare to CHPW beginning in June, 2018.
The WA Recovery Help Line, a service of Crisis Clinic, is a 24-hour crisis intervention and referral line for those struggling with issues related to mental health, substance abuse, and problem gambling.
Capitated claims will report the allowed amount in the X12 on the provider’s write-off amount and on the contractually allowed amount for the claim line.
We'd like to remind you that Medicare claims submitted without the correct modifiers will be rejected and will have to be resubmitted. CHPW will have a new claim edit in place as of 9/18/2017.
The Health Care Authority (HCA) Interpreter Services Program is changing rates paid and reimbursed for language services provided to Apple Health clients. These changes take effect July 1, 2017.
The Medically Intensive Children’s Program (MICP) provides skilled nursing services to children ages 17 and younger. These children have complex medical needs that require a registered nurse to provide support.
Make sure you understand how to complete the Dosage-Based Assessment process and include it with your claims. DBA helps ensure children under the age of 19 can receive vaccinations regardless of insurance status.
The Health Care Authority has released a statement clarifying the Electronic Health System requirements, Clinical Data Repository requirements, and fees.
