Resources to Support our Providers and Their Care Process.
Stay up to date on the latest changes to our medical formularies, utilization policies, billing codes and other regulations like required trainings. Find the resources you need to best care for our members - your patients.
PRIOR AUTHORIZATION
Review our current utilization management policies and clinical care criteria. Login to the care management portal (JIVA) to submit requests.
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BULLETIN BOARD
Get the latest Medicare updates with provider newsletters, clinical guidelines, billing codes and help line information.
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PROVIDER MANUAL
The Provider Manual gives an overview of important procedures, training tools and references to help you serve our members.
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PROVIDER RESOURCES
The resource library includes member benefit grids, clinical guidelines, billing codes and other provider policies.
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BEHAVIORAL HEALTH
Learn more about behavioral health resources available to members and see a summary of services covered under our plans.
LEARN MORE
HEALTH SERVICES
Do you know how to refer members to case management programs? We support member’s health with additional in-house services.
MORE DETAILS
CARE MANAGEMENT
We evaluate the effectiveness of care by identifying the risks, needs, and goals of our members and developing an action plan.
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JOIN OUR NETWORK
Are you passionate about delivering the highest-quality care to patients in under-served communities? Join our family of providers.
REQUEST ONLINE
I found CHPW through the help of one my doctors. After switching to it, my life became amazingly more streamlined. They approved every test I needed, they had little to no delay on their response times, and their customer services was top-notch.
Joe D.Medicare Member
PROVIDER FREQUENTLY ASKED QUESTIONS
Need help getting started as a CHPW provider? We are here to support providers with a seamless care process for patients. Find more information about accessing the provider portal, billing and referral policies and other care practices.
GET ANSWERS
- NURSE ADVICE LINE
- 1-866-418-2920
- (TTY:711)
- CUSTOMER SERVICE
- 1-800-942-0247
- (TTY:711)
- ADDRESS
- 1111 Third Ave
- Suite 400
- Seattle, WA 98101
- HOURS
- 8:00 a.m. to 8:00 p.m.
- Seven Days a Week
QUICK LINKS
- OTHER
- Medicaid Plans
- Careers
- Language Assistance
- Interoperability Developer Portal
- Interoperability Payer-to-Payer
- Public Health News
- Contact Us
Community Health Plan of Washington is an HMO plan with a Medicare contract and a contract with the Washington State Medicaid program. Enrollment in Community Health Plan of Washington depends on contract renewal. Community Health Plan of Washington (CHPW) complies with applicable federal, state, and local civil rights laws. Community Health Plan of Washington does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, sex, sexual orientation, gender (including gender identity or expression), veteran or military status, or the presence of any sensory, mental or physical disability or the use of a service animal. If you need an accommodation, or require documents in another format or language, please call 1-800-942-0247 (TTY: 711) 8 a.m. to 8 p.m., 7 days a week. ATENCIÓN: Si habla español y necesita una adaptación, o necesita documentos en otro formato o idioma, llame al 1-800-942-0247 (TTY:711). ВНИМАНИЕ: Если вы владеете русским языком и нуждаетесь в жилье, или вам нужны документы в другом формате или на другом языке, пожалуйста, позвоните по телефону 1-800-942-0247 (TTY:711)
Based on a Model of Care review, Community Health Plan of Washington has been approved by the National Committee for Quality Assurance (NCQA) to operate a Special Needs Plan (D-SNP) through 2025.
Limitations, copayments, and restrictions may apply.
You must continue to pay your Medicare Part B premium.
Language Assistance
Language assistance services, including interpreters and translation of printed materials, are available free of charge.
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