Our Medicare formularies are updated monthly and last approved date is 10/01/2023
READ MOREResource for community partners who are working to advance health and housing partnerships
READ MOREOur latest Provider Newsletter highlights provider and staff training and the new provider directory.
READ MOREMedicare is the primary payer for dual-eligible beneficiaries who receive Opioid Treatment Programs services
READ MORESince January 1, 2020, CMS has used PDGM to reimburse home health agencies that provide home health services.
READ MORERead about CMS’s Patient-Driven Payment Model (PDPM), for reimbursing Skilled Nursing Facilities (SNF) stays.
READ MOREProviders need to provide complete and accurate records timely for post payment review
READ MOREHow to use evaluation and management (E/M) codes for “new patients” vs. “established patients”.
READ MORENew members are receiving Consumer Assessment of Healthcare Providers and Systems survey soon.
READ MORE2023 PA List and Utilization Guidelines (effective: Jan 1, 2023)
READ MOREOur new prior authorization code lookup tool is coming soon, learn more.
READ MOREOur November 2021 Pharmacy Preferred Newsletter is now available.
READ MORECHPW’s clearinghouse has been rejecting any claims submitted without valid billing and/or rendering taxonomy codes and those claims are not submitted to CHPW.
READ MOREShingrix Vaccine is recommended in adults age 50 and older.
READ MORELearn about the new provider search tool coming in July.
READ MOREThe enrollment process is all electronic and does not require a fee to register or enroll.
READ MORENew enriched benefits and reduced cost-sharing for chronic conditions
READ MORECommunity HealthFirst Medicare Advantage is now Community Health Plan of Washington Medicare Advantage
READ MOREThis CMS guide shows recommendations for improving access and quality of care for patients with disabilities.
READ MORENew Add Change forms are available online. Use this form to notify us of changes in your information.
READ MORE