What documentation do I need to submit with my PA request? - Community Health Plan of Washington - Medicare Advantage

What documentation do I need to submit with my PA request?

Documentation to support medical necessity must be submitted with Prior Authorization requests. This information supports the need for the treatment and submitting detailed information on initial submission helps to ensure the request can be processed in a timely manner.

Examples of appropriate documents include:

  • Current history and/or physician examination notes that address the problem and need for services requested
  • Relevant lab and/or radiology results
  • Relevant specialty consultation notes
  • Other pertinent information to aid in decision making process

CHPW Utilization Management staff may request specific additional clinical information via fax or telephonically to complete the authorization process.


A Nap a Day Could Keep The Doctor Away

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If you have trouble sleeping, take steps to improve your quality of sleep.


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