CAHPS Survey for New Members
New members are receiving Consumer Assessment of Healthcare Providers and Systems survey soon.
READ MORE
2023 Formulary Changes
Changes to the Apple Health PDL & Drug Coverage Criteria for CHPW Medicaid
READ MORE
New HCA Policy for Soma (carisoprodol)
A new policy will be effective on 2/1/23 and apply to all Apple Health members
READ MORE
Core Provider Agreement and NPI Status
Follow these guidelines for your encounters and claims to be accepted for processing by CHPW
READ MORE
Medical Records for Post Payment Review
Providers need to provide complete and accurate records timely for post payment review
READ MORE
X-Waiver to Prescribe Buprenorphine
Removal of DATA Waiver Requirement to Prescribe Buprenorphine for the Treatment of Opioid Use Disorder
READ MORE
WA Practitioner Application
Notify CHPW when uploading a Washington Practitioner Application to OneHealthPort
READ MORE
Sterilization & Hysterectomy Forms
Consent Forms are Required for Sterilization and Hysterectomy
READ MORE
Cascade Select – Individual & Family Plans
CHNW Cascade Select is now CHPW Individual and Family Plans
READ MORE
OHI and TPL
Other Health Insurance (OHI) and Third-Party Liability (TPL)
READ MORE
Access Provider Directory
You can search our health care providers in your community on our Find a Doctor Page
READ MORE
Adult Vision Benefit Now Through VSP
Vision benefit for all adult Medicaid members age 21 and over is through VSP effective January 1, 2023
READ MORE
Supporting the Well-Being of Families
Early periodic screening, diagnosis, and treatment (EPSDT) for children and families
READ MORE
Coding Requirement for Prenatal Care
Comply with this requirement when initiating prenatal care and/or the first prenatal visit
READ MORE
Synagis for Apple Health Members
Synagis (palivizumab) will be covered from October 15, 2022, to April 30, 2023
READ MORE
Prior Authorization 2023 Changes
2023 PA List and Utilization Guidelines (effective: Jan 1, 2023)
READ MORE
Clinical Trail PA Requirements and Request Form
CHPW has posted a Clinical Trial Prior Authorization Request Form on our website
READ MORE
Provider Newsletter
Read the latest updates and resources for providers and staff from Community Health Plan of Washington.
READ MORE
Billing and Rendering Taxonomy Requirements
CHPW’s clearinghouse has been rejecting any claims submitted without valid billing and/or rendering taxonomy codes.
READ MORE
HCA BH Provider Cost/Wage Survey
HCA Behavioral Health Provider Cost/Wage Survey Releasing at the Beginning of September.
READ MORE
- CUSTOMER SERVICE
- 1-800-440-1561
- (TTY Relay: Dial 711)
- [email protected]
- NURSE ADVICE LINE
- (CHPW Members)
- 1-866-418-2920
- (TTY Relay: Dial 711)
- CASE MANAGEMENT
TECHNICAL ASSISTANCE - (CHPW Members)
- 1-866-418-7004
- (TTY Relay: Dial 711)
- HOURS
- 8:00 a.m. to 5:00 p.m.
- Monday through Friday
- ADDRESS
- 1111 Third Ave
- Suite 400
- Seattle, WA 98101
QUICK LINKS
- MEMBERS
- Benefits+
- Print Member Card
- myCHPW Portal
- Plan & Coverage
- Find a Doctor
- Behavioral Health Resources
- PLANS
- Apple Health (Medicaid)
- Medicare Advantage
- Dual Eligible (SNP)
- Individual & Family
- Plan Benefits
- Enrollment
- PROVIDERS
- Prior Auth
- Provider Portals
- Forms & Tools
- Bulletin Board
- Member Eligibility
- Behavioral Health
- HealthMAPS Portal
Community Health Plan of Washington (CHPW) was founded in 1992 by Washington’s community health centers. CHPW is committed to Washington's health. To enroll in a Community Health Plan of Washington Medicaid or Medicare Advantage plan, you must be eligible and live in our Medicare (Adams, Benton, Chelan, Clallam, Clark, Cowlitz, Douglas, Franklin, Grant, Gray's Harbor, Jefferson, King, Kitsap, Lewis, Mason, Okanogan, Pacific, Pierce, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, and Yakima counties in Washington State) or Medicaid (all counties in Washington State) service area. This is not a complete description of benefit. Please contact us for more information.
Language Assistance
You will need Adobe reader to open PDFs on the site. Download the free version on Adobe Reader.
