Our May 2018 Pharmacy Preferred Newsletter is now available. See changes to our formulary as part of Washington MCO's transition to a Single Preferred Drug List.
Read our latest Provider Newsletter! The Spring edition contains information about new collaborative care codes, behavioral health integration codes, provider data and directory quality assurance, and more.
We are holding a test phase for upcoming transition of HIPAA 270/271 and HIPAA 276/277 transactions to NTT Data from January 15 to February 15. Please enroll now if interested.
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.
We discovered there were still claim records with the incorrect COB status code. The 835's from 8/22 and 8/29 have been regenerated and were posted 9/1/2017. Our sincerest apologies for any confusion this week.
New HCA Opioid Policy
A new clinical policy pertaining to opioid prescriptions takes effect for Apple Health on Nov. 1, 2017
CHPW became aware of an error with our 835s for check date 8/27/2017. Please disregard the 835s that were sent initially. You should have received new 835s by 8/30
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.
We are holding informational workshops for hospital and clinic staff throughout the month of May. Use our invitations to register now! You can register online, or return your registration via email or fax.
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 clinical data repository will launch on February 1, 2017. Read more to see if you are required to submit information to the Washington State Health Care Authority and OneHealthPort.
Prior authorization information for 2017 is now available. This includes the prior authorization list, summary of changes, and code look up for Apple Health and FIMC.
University of Washington pushes collaboration for mental health care
The UW Department of Psychiatry is focusing on increasing effective treatment in primary care through collaboration and increased access to psychiatric expertise.
As a provider, you play a critical role in connecting your patients with programs that help them manage medical issues. Read an overview of the care management programs we offer.
Starting January 1, 2017, the Health Care Authority will change the process for managing Apple Health benefits for clients with other primary health insurance.
The Health Care Authority has released a statement clarifying the Electronic Health System requirements, Clinical Data Repository requirements, and fees.
Beginning April 1, 2016, Southwest Washington (Clark and Skamania counties) was the first to adopt fully integrated managed care for Medicaid, combining coverage for physical and behavioral health services.
Effective immediately, specific Bunion procedures will no longer be included as covered benefits. Read more to find out which CPT codes will now be listed as non-covered.
