On this page, you’ll find mandatory and optional training resources for members of Community Health Plan of Washington’s (CHPW) provider network.
Mandatory training programs
CHPW offers trainings and attestations that are mandatory for care providers and staff.
Model of Care TrainingThe Centers for Medicare and Medicaid Services (CMS) requires all care providers who treat patients enrolled in a Special Needs Plan (SNP) to complete annual Model of Care (MOC) training.
Must be completed by: Providers and staff who render routine care to members who are enrolled in the Special Needs Plan (i.e. MD, DO, ARNP, RN, LPN, etc.).
- Start the SNP Model of Care Training (Attestation required at end of training)
Must be completed by: Providers and staff (i.e. MD, DO, ARNP, RN, LPN, Administrators, Office Managers, Medical Assistants, Receptionists, Medical Record Coordinators, Referral Coordinators, etc.).
You must also complete the CMS General Compliance and/or Fraud, Waste and Abuse Training and submit an annual Attestation to CHPW to attest that training has been completed.
Go to CMS General Compliance and/or Fraud, Waste, and Abuse Training
CMS requires the following to be completed every year:
- Complete General Compliance and/or Fraud, Waste and Abuse (FWA) Training.
- Maintain individual training documentation for all staff members (i.e. sign-in sheets, electronic certification, etc.).
- Submit an Attestation form to CHPW, attesting that training requirements have been met.
As stated by CMS, there is one exception to the Fraud, Waste and Abuse training and education requirement. CMS implemented a “deeming” exception for an entity or an individual who is enrolled in Medicare Part A or B. This means that your training requirement for FWA is satisfied if you are enrolled in Medicare Part A or B; therefore, your annual attestation would only apply to General Compliance.
CMS General Compliance and/or, Fraud, Waste and Abuse Training must be completed by: Providers and all staff (I.e., MD, DO, ARNP, RN, LPN, Administrators, Office Managers, Medical Assistant, Receptionists, Medical Record Coordinators, Referral Coordinators, etc.).
Fill out your attestation online or submit a PDF:
- Online General Compliance and/or Fraud, Waste and Abuse Training Completion Attestation form
- Attestation of Completion General Compliance and/or Fraud, Waste and Abuse Training
Providers will be required to complete General Compliance and/or Fraud Waste, and Abuse training using CMS materials. The link below includes CMS’s training for General Compliance and/or Fraud, Waste and Abuse. Upon completing the training, submit your attestation to CHPW as directed above.
Providers and staff whose health or administrative job functions relate to Washington Apple Health or Medicare members are required to read about Community Health Plan of Washington’s Compliance Program. More information regarding compliance training can be found in the Provider Manual.
Optional provider training programs
Culturally and Linguistically Appropriate Services (CLAS) TrainingRecommended for all healthcare workers (i.e. MD, DO, ARNP, RN, LPN, Administrators, Office Managers, Medical Assistants, Receptionists, Medical Record Coordinators, Referral Coordinators, etc.).
Recommended for providers and staff (i.e. MD, DO, ARNP, RN, LPN, Administrators, Office Managers, Medical Assistants, Receptionists, Medical Record Coordinators, Referral Coordinators, etc.).
Get to know CHPW’s different Care Management programs. These programs can help patients who have complex or multiple conditions better manage their health.
- Care Management Overview
- Go to the Health Management program page.
Provider Clinical Integration
Washington State integrates physical health, mental health, and substance use disorder services through the Apple Health (Medicaid) program. CHPW has developed Clinical Practice Transformation Resources and curated Clinical Practice Trainings to support provider organizations and clinicians in their efforts to provide whole person care to our members.
Providers interested in incorporating behavioral health and physical health integration approaches within their contracts with CHPW should reach out to provider relations.
Billing guidelines
Circumcision — Apple Health Integrated Managed Care (Medicaid)Community Health Plan of Washington (CHPW) is excited to announce a new value-added benefit for CHPW Apple Health Integrated Managed Care (Medicaid) members: For services starting February 1, 2021, CHPW will pay up to $200.00 for non-medically necessary circumcision.
Billing Guideline for Circumcision—Apple Health Integrated Managed Care (Medicaid)
CHPW is excited to announce a new value-added benefit for CHPW Medicaid (Washington Apple Health and Integrated Managed Care) adult members (age 18 years and older)!
Effective June 1, 2019 for King County and August 1, 2019 for all other counties, CHPW will cover 6 acupuncture sessions per member per year for our eligible Washington Apple Health and Integrated Managed Care plan members. Behavioral Health Services Only (BHSO) plan members are not eligible for this acupuncture benefit.
Beginning August 1, 2019 through December 31, 2019 eligible members (age 18 years and older) can receive up to 6 acupuncture visits. Next year, members can receive up to 6 visits from January 1, 2020 through December 31, 2020. Unused acupuncture visits do not rollover to the next calendar year.
Billing Guideline for Acupuncture Services —Apple Health Integrated Managed Care (Medicaid)
Provider portal training
HealthMAPS PortalIf you prefer on-site training, please email our Provider Relations Team to request an in-person training session.
Contact CHPW
Email our Provider Relations Team with questions regarding our training programs. One of our Provider Relations Representatives will contact you.
