How do I obtain prior authorization? - Community Health Plan of Washington - Medicare Advantage

How do I obtain prior authorization?

Providers should submit prior authorization through our care management portal, JIVA. 

You can also fax prior authorization requests to 206-652-7065. Please check the fax number located at the top of each form as it may differ depending on the request. Find the prior authorization forms here.

For pharmacy, providers should submit requests via ExpressScripts for prior authorization, step therapy, non-formulary, or quantity limit override. Call them at 1-800-605-8168 to speak with a PA specialist.

All other PA requests will be handled by CHPW staff. Please contact your provider relations representative for more information.

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Doctors in an emergency room with patient,What kind of care do you need? Not every medical issue needs emergency care. If you have a medical issue that doesn’t seem to be life-threatening, but you’re not sure what to do, you can call our Nurse Advice Line for help. They can help you decide if you should see a primary or urgent care doctor. The Nurse Advice Line is free and available 24/7 for members at 1-866-418-2920 (TTY Relay: 7-1-1).

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