Beginning April 1, 2016, the Health Care Authority will be implementing retroactive enrollment.
Please keep in mind that Provider One will always have the most accurate information about Eligibility and MCO assignment (up to two business days ahead of the MCOs). We will receive and process 834 files on a daily basis and auto-assign members that have not selected a PCP.
HIP eligibility queries will be updated daily to reflect the most recent file received by Community Health Plan of Washington. If a member presents at a clinic prior to eligibility showing in HIP, a PCP/Clinic Change form can be submitted to Community Health Plan of Washington. Changes will be made retroactively to the beginning of the month.
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