Community Health Plan of Washington (CHPW) is accountable for ensuring safe and appropriate care for CHPW health plan members. Based on semiannual reviews of utilization data, changes to the Prior Authorization list are made. It is important that the provider and CHPW work in partnership to ensure appropriate care for those we serve.
Below is a summary of the changes to the Prior Authorization List and Utilization Guidelines from 2022 to 2023. Please refer to the Prior Authorization List and Utilization Guidelines on the website (medicare.chpw.org/provider-center/prior- authorization/) for all the services that require prior authorization.
➔ Download 2023 Prior Authorization Changes
Please send your questions to [email protected]
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