Member Health Services - Washington State Local Health Insurance - CHPW
Community Health Plan of Washington Apple Health Medicaid Plan Community Health Plan of Washington Apple Health Medicaid Plan

Member Health Services

Community Health Plan of Washington (CHPW) offers a variety of health services to address your patients’ whole health. We have free programs available to members with complex health conditions, and connect members with community resources to address everyday factors that affect their health.

Our Health Services team consists of both clinical and nonclinical staff. We will coordinate with you and your patients to create a good care plan.

Need language assistance? If your patient needs translation or language services to access CHPW’s member health programs, we provide those. Learn more about CHPW’s language services.

Health Management

Health Management

Good health starts with a good plan of care. CHPW’s care coordination team includes care managers who will help members develop a health management plan with their specific health needs and goals in mind. These programs support the relationship between you and your patients and track how well the care plan is working by using clinical and evidence-based guidelines.Learn more about our health management approach

Case Management

Care Management

Care management is available to all CHPW members. It can be very helpful for members with complex or chronic medical conditions, often those who are receiving care for more than one medical condition. A case manager will be assigned to help the member maintain and improve their health. You can refer patients as a clinic or provider, or they may refer themselves.

Learn more about care management services

Diabetes Care Program

The Diabetes Care Program is for adults with Prediabetes, Type 1 Diabetes, or Type 2 Diabetes. Case Managers will coordinate diabetes care and help members learn to independently manage  diabetes.
Learn more about the Diabetes Care Program

Community Programs

Community Support Services

Health is more than just being able to see a doctor. It’s about having access to anything you need to live your everyday life. Our goal is to make sure our members’ basic needs are met. We support them by finding services and other programs in their communities. If your patients need help looking for employment, transportation, food, or long-term housing, our team can support you.

Read more about resources provided by Community Support Services

Health Risk Assessment

Health Assessment

A Health Assessment is a brief survey. It looks at members’ current health and lifestyle and identifies specific health needs. Our Health Management staff uses the results to create care plans and match members with health and wellness services.

Learn more about the Health Assessment

Healthy Living

Heart-Healthy Living

Your heart is the strongest muscle in your body. But it’s only as strong as the care you give it. Learn about the factors that can lead to heart disease and how to build healthy habits. Learn more about heart-healthy living

Transition of Care

Care Coordination

CHPW promotes smooth and seamless continuity and transition of medically necessary care and integration of services. Learn how CHPW approaches continuity and transition of care

Medicare Advantage Health Services

CHPW provides Medicare-specific health services for our Medicare Advantage members. To learn about what’s offered, visit our Medicare site.

Behavioral Health Services Only (BHSO) Coverage

Our BHSO plan covers behavioral, mental, and emotional health services. Members of CHPW’s BHSO plan may get health care through Medicare, tribal health services, or another plan. Learn what is covered for your BHSO patients.


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