If CHPW denies your request to administer certain services, treatments, equipment, or prescriptions drug, the member can appeal the decision and should follow the protocol on the appeal and grievances pages.
If a drug is denied by Express Scripts, providers may appeal the decision by sending a letter and clinical
documentation, including the date and reason for the denial given by ESI, to:
Community Health Plan of Washington
Attn: CHPW Medicare Advantage Appeals
1111 Third Avenue, Suite 400
Seattle, WA 98101
Fax: (206) 613-8983
Expedited appeals are reserved for emergency situations only; call 1 (800) 942-0247 (Toll Free).