Bulletin Board - Washington State Local Health Insurance - CHPW
Medicare Advantage Plan - Bulletin Board
CAHPS Survey for New Members
CAHPS Survey for New Members

New members are receiving Consumer Assessment of Healthcare Providers and Systems survey soon.

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2023 Formulary Changes
2023 Formulary Changes

Changes to the Apple Health PDL & Drug Coverage Criteria for CHPW Medicaid

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New HCA Policy for Soma (carisoprodol)
New HCA Policy for Soma (carisoprodol)

A new policy will be effective on 2/1/23 and apply to all Apple Health members

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Core Provider Agreement and NPI Status
Core Provider Agreement and NPI Status

Follow these guidelines for your encounters and claims to be accepted for processing by CHPW

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Medical Records for Post Payment Review
Medical Records for Post Payment Review

Providers need to provide complete and accurate records timely for post payment review

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X-Waiver to Prescribe Buprenorphine
X-Waiver to Prescribe Buprenorphine

Removal of DATA Waiver Requirement to Prescribe Buprenorphine for the Treatment of Opioid Use Disorder

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WA Practitioner Application
WA Practitioner Application

Notify CHPW when uploading a Washington Practitioner Application to OneHealthPort

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Sterilization & Hysterectomy Forms
Sterilization & Hysterectomy Forms

Consent Forms are Required for Sterilization and Hysterectomy

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Cascade Select – Individual & Family Plans
Cascade Select – Individual & Family Plans

CHNW Cascade Select is now CHPW Individual and Family Plans

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OHI and TPL
OHI and TPL

Other Health Insurance (OHI) and Third-Party Liability (TPL)

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Access Provider Directory
Access Provider Directory

You can search our health care providers in your community on our Find a Doctor Page

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Adult Vision Benefit Now Through VSP
Adult Vision Benefit Now Through VSP

Vision benefit for all adult Medicaid members age 21 and over is through VSP effective January 1, 2023

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Supporting the Well-Being of Families
Supporting the Well-Being of Families

Early periodic screening, diagnosis, and treatment (EPSDT) for children and families

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Coding Requirement for Prenatal Care
Coding Requirement for Prenatal Care

Comply with this requirement when initiating prenatal care and/or the first prenatal visit

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Synagis for Apple Health Members
Synagis for Apple Health Members

Synagis (palivizumab) will be covered from October 15, 2022, to April 30, 2023

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Prior Authorization 2023 Changes
Prior Authorization 2023 Changes

2023 PA List and Utilization Guidelines (effective: Jan 1, 2023)

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Clinical Trail PA Requirements and Request Form
Clinical Trail PA Requirements and Request Form

CHPW has posted a Clinical Trial Prior Authorization Request Form on our website

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Provider Newsletter
Provider Newsletter

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

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Billing and Rendering Taxonomy Requirements
Billing and Rendering Taxonomy Requirements

CHPW’s clearinghouse has been rejecting any claims submitted without valid billing and/or rendering taxonomy codes.

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HCA BH Provider Cost/Wage Survey
HCA BH Provider Cost/Wage Survey

HCA Behavioral Health Provider Cost/Wage Survey Releasing at the Beginning of September.

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