PDGM New Payment Methodology
Beginning January 1, 2020, CMS will use PDGM to reimburse home health agencies that provide home health services.
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Change to ERA Enrollment Process
The new enrollment process for 835/ERA transactions is all electronic and does not require a fee to register or enroll.
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Medicare Programs Innovations
New enriched benefits and reduced cost-sharing for chronic conditions
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New Procedure Code Lookup Tool
Our new prior authorization code lookup tool is coming soon, learn more.
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CMS Change to SNF Payment Model
Read about CMS’s new Patient-Driven Payment Model (PDPM), for reimbursing Skilled Nursing Facilities (SNF) stays.
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Provider Newsletter
Our latest Provider Newsletter highlights provider and staff training and the new provider directory.
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Our New Medicare Name
Community HealthFirst Medicare Advantage is now Community Health Plan of Washington Medicare Advantage
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HealthMAPS Portal Updates
Read the latest updates about our Provider Portal, HealthMAPS.
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Improving Physical Accessibility
This CMS guide shows recommendations for improving access and quality of care for patients with disabilities.
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New Add Change Term Forms Available
New Add Change forms are available online. Use this form to notify us of changes in your information.
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Providing Services for People with Disabilities
This guide goes over patient rights and services that clinics must provide for patients with disability.
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2019 Pharmacy Preferred Newsletter
Read about updates on NPPES taxonomy, info on Arcadia for medication measures, upcoming education.
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Provider Portal User Guide
Learn how to use the new Provider HealthMAPS with this user guide.
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Valid NPI for Medicare Advantage Claims
CHPW willl follow a new process to submit Medicare claims to CMS.
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ITA Services for Dual Eligibles
Learn about federal and state rules for crisis services and involuntary treatment.
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Psychological Testing Criteria and Codes
Learn how to bill and interpret the new CPT codes for psychological and neuropsychological testing.
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New Online Provider Search Tool
Learn about the new provider search tool coming in July.
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New myCHPW Member Portal
Encourage patients to use our new myCHPW member portal.
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Provider Roster FAQ
Please review your directory information and report any necessary changes to us.
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Provider Directory QA
Updated information on how Community Health Plan of Washington is working to ensure the accuracy of our provider directory.
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- TALK TO AN EXPERT
- Click here to schedule a plan review.
- NURSE ADVICE LINE
- 1-866-418-2920
- (TTY Relay: Dial 711)
- ADDRESS
- 1111 Third Ave
- Suite 400
- Seattle, WA 98101
- HOURS
- 8:00 a.m. to 8:00 p.m.
- Seven Days a Week
QUICK LINKS
- PROVIDERS
- Prior Auth
- Provider Manual
- Forms & Tools
Community Health Plan of Washington is an HMO plan with a Medicare contract. Enrollment in Community Health Plan of Washington Medicare Advantage Plan depends on contract renewal. To enroll in a Community Health Plan of Washington Medicare Advantage plan, you must be eligible to receive Medicare Part A and Part B and live in our service area (Adams, Benton, Chelan, Clark, Cowlitz, Douglas, Franklin, Grant, King, Kitsap, Lewis, Pierce, Okanogan, Skagit, Snohomish, Spokane, Thurston, Walla Walla,Whatcom, and Yakima counties in Washington state). This is not a complete description of benefits, please contact us for more information.
Benefit Disclaimer: Limitations, copayments, and restrictions may apply.
Premiums Disclaimer: You must continue to pay your Medicare Part B premium.
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