Care Management - Washington State Local Health Insurance - CHPW
Community Health Plan of Washington Apple Health Medicaid Plan Community Health Plan of Washington Apple Health Medicaid Plan

Care Management

Addressing your needs, together

When life is busy and uncertain, it can be hard to ensure all your health needs are being met. Community Health Plan of Washington (CHPW) created the Care Management program to support you.

Your CHPW case manager is your advocate, cheerleader, and health care system interpreter. They’ll work with you to figure out your health needs and how you can address them. This can mean:

Care Management is covered for every CHPW member

There are no copays or costs to you. Many of our case managers are licensed social workers, nurses, or specialists.

How can a case manager help me?

How can a case manager help me?

Because CHPW care management is based on your individual health needs, no two members have the exact same experience.

But here are some things our case managers can help you with:

  • Finding a health care provider
  • Making sure you can schedule an appointment when you need one
  • Helping you get care for mental health concerns, such as depression
  • Helping you fill out forms for state and federal programs you may qualify for, like disability and WIC
  • Organizing transportation to appointments
  • Teaching you skills to help you manage your health conditions

If you have a specific need but aren’t sure if a case manager is the right person to help you, please call customer service at 1-800-440-1561 (TTY: Dial 711) from 8 a.m. to 5 p.m., Monday through Friday. We’ll be happy to help.

How do I get a case manager?

How do I get a case manager?

As a CHPW member, you can refer yourself for care management. Or you can refer a child, relative, or friend who is a CHPW member.

If you have questions or want to refer yourself to Care Management, please contact our Care Management team at 1-866-418-7004.

CHPW works with our provider network and community-based organizations in Washington to serve the best health of our members.

So if someone in your network of care sees that you’re having trouble, they can refer you for care management as well.

Here are some people who might refer you to CHPW care management:

  • Primary care practitioner or staff
  • Specialist practitioner
  • Hospital
  • Discharge planner
  • Caregiver
  • CHPW Customer Service, Population Health, and Pharmacy departments
  • Medical or Behavioral Health (Utilization) Management program

Care Management Programs

CHPW offers a variety of care management programs. Care management includes care coordination and complex care management services.

Care coordination assists members in navigating the health care system and addresses short-term needs. Complex care management supports members with complex conditions and multiple resource needs.

CHPW provides specialized care management programs to support the needs of our members.

Specialized Care Management

To request assistance locating an in-network Applied Behavior Analysis (ABA) Provider please call 1-844-225-8624.

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