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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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New Alternative Treatments Benefit
New Alternative Treatments Benefit

CHPW Apple Health members can now get Acupuncture, Chiropractic, and Massage.

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Provider Relief Funds
Provider Relief Funds

HCA was provided $100 million in provider relief funds.

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Formulary Changes
Formulary Changes

Changes to the Apple Health PDL for CHPW Medicaid Members effective 7/1/22

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ACP for domestic violence victims
ACP for domestic violence victims

Learn about Address Confidentiality Program (ACP) for domestic violence victims

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EA Codes for Contraceptives
EA Codes for Contraceptives

All MCOs and fee-for-service plans have added expedited authorization (EA) criteria for contraceptives.

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Preferred Drug List Updated
Preferred Drug List Updated

Latest updates for Apple Health Preferred Drug List (PDL)

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Dementia Care Planning
Dementia Care Planning

New service for Dementia Care Planning effective Jan 1st, 2022

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

An update from HCA will impact claims payment if you have not already taken action.

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Time to Complete the CAHPS Survey
Time to Complete the CAHPS Survey

Members will be contacted to complete the CAHPS survey between the months of March and May.

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ECHO IDD Psychiatric Care for Youth & Young Adults
ECHO IDD Psychiatric Care for Youth & Young Adults

Learning opportunity for Primary Care Providers, Psychiatrists, Psych ARNPs, PA Cs, NDs

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COVID-19 Tests
COVID-19 Tests

COVID-19 Testing Updates

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Mental Health Assessment for Young Children
Mental Health Assessment for Young Children

Changes to Apple Health policies regarding mental health assessments for children from birth through age five

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Procedure Code Lookup Tool
Procedure Code Lookup Tool

You can search for services by procedure code and line of business to determine if a prior authorization (PA) is required, and much more.

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