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 roll out a new version of our online provider directory in July 2019. The redesigned site will offer more features and a more organized and easy-to-use experience.
Read our latest Provider Newsletter! The Spring edition includes an introduction to our new Provider Portal, and Integrated Managed Care update, consultation resources for pain and opioid management, upcoming trainings, and more.
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.
Launching this fall, our new Health Member and Provider Services portal (HealthMAPS) will be an upgrade and replacement for the current Health Information Portal, or HIP.
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.
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.
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.
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.
