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Center of Excellence (COE) Certification Training

Detailed Itemizations for Claims Over $100,000

All providers need to submit detailed itemizations for all claims with billed charges exceeding $100,000

Vaccines for Children (VFC) Billing

The guidelines when billing for the Vaccines for Children (VFC) Program

Youth and Young Adult Substance Use Treatment Webpage

A web page for youth and young adult substance use treatment information is now live

Electronic Funds Transfers (EFT)

CHPW is pleased to offer two options to sign up for or update EFT

New Medicare Benefit for 2026

New benefit for eligible Medicare Advantage Dual Complete (HMO D-SNP) members in 2026

HealthMAPS Portal Enhancements

CHPW is enhancing its provider portal in October 2025 to include access to remittances and claims letters.

Provider Newsletter

Read the latest updates and resources for providers and staff from Community Health Plan of Washington.

2025 Formulary, Criteria and Policy Changes

Changes to the Apple Health Preferred Drug List (AHPDL) for CHPW Medicaid members effective 10/01/25, unless otherwise noted in this page.

Clinical Practice Guidelines Update

CHPW guidelines for chronic diseases (including medical and behavioral health conditions) and for preventive services.

Sterilization & Hysterectomy Forms

Consent Forms are Required for Sterilization and Hysterectomy

How to Bill for Avastin (HCPCS J7999 and J9035) – Update

Phishing Fax Requests

CMS Alert: Medicare Fraud Scheme Involving Phishing Fax Requests

Behavioral Health Online Training Through Relias Academy

CHPW is offering extended behavioral health provider online training courses through Relias Academy

DOH licensure number on claims

Reminder regarding Department of Health (DOH) licensure number on claims

Behavioral Health Reminders

Providers must report all service codes that represent all OTP services required under state and federal law.

Recipient Aid Category (RAC) Codes for Apple Health Members

Member’s RAC code from our enrollment data added to our HealthMAPS provider portal.

Change in Massage Code Coverage

Changes are coming to the billing codes used for massage therapy visits covered by the Apple Health Alternative Treatments benefit

Updated Alternative Treatments Billing Guideline for CS Plans

Updated Alternative Treatments Billing Guideline for Individual & Family Cascade Select Plans

Coding Tips and Billing Reminders

CHPW Fall 2024 coding tips and billing reminders for providers.

NURSE ADVICE LINE
(CHPW Members)
1-866-418-2920
(TTY:711)

CASE MANAGEMENT
TECHNICAL ASSISTANCE
(CHPW Members & Providers)
1-866-418-7004
(TTY:711)

HOURS
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☏ HAVE QUESTIONS ?

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Center of Excellence (COE) Certification Training

Detailed Itemizations for Claims Over $100,000

Vaccines for Children (VFC) Billing

Youth and Young Adult Substance Use Treatment Webpage

Electronic Funds Transfers (EFT)

New Medicare Benefit for 2026

HealthMAPS Portal Enhancements

Provider Newsletter

2025 Formulary, Criteria and Policy Changes

Clinical Practice Guidelines Update

Sterilization & Hysterectomy Forms

How to Bill for Avastin (HCPCS J7999 and J9035) – Update

Phishing Fax Requests

Behavioral Health Online Training Through Relias Academy

DOH licensure number on claims

Behavioral Health Reminders

Recipient Aid Category (RAC) Codes for Apple Health Members

Change in Massage Code Coverage

Updated Alternative Treatments Billing Guideline for CS Plans

Coding Tips and Billing Reminders

QUICK LINKS

Language Assistance

☏ HAVE QUESTIONS ?

Get real answers
from real people

Center of Excellence (COE) Certification Training

Detailed Itemizations for Claims Over $100,000

Vaccines for Children (VFC) Billing

Youth and Young Adult Substance Use Treatment Webpage

Electronic Funds Transfers (EFT)

New Medicare Benefit for 2026

HealthMAPS Portal Enhancements

Provider Newsletter

2025 Formulary, Criteria and Policy Changes

Clinical Practice Guidelines Update

Sterilization & Hysterectomy Forms

How to Bill for Avastin (HCPCS J7999 and J9035) – Update

Phishing Fax Requests

Behavioral Health Online Training Through Relias Academy

DOH licensure number on claims

Behavioral Health Reminders

Recipient Aid Category (RAC) Codes for Apple Health Members

Change in Massage Code Coverage

Updated Alternative Treatments Billing Guideline for CS Plans

Coding Tips and Billing Reminders

QUICK LINKS

Language Assistance

☏ HAVE QUESTIONS ?

Get real answers from real people

Get real answers
from real people