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COVID-19 Provider Bulletin
Details on temporary COVID-19 accommodations to Utilization Management processes that will expire on July 1, 2021.
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Provider Newsletter
Our latest Provider Newsletter highlights provider and staff training and the new provider directory.
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Billing and Rendering Taxonomy Requirements
Effective January 1, 2021, CHPW’s clearinghouse will reject any claims submitted without valid billing and/or rendering taxonomy codes.
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SHINGRIX Vaccine
Shingrix Vaccine is recommended in adults age 50 and older.
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Pharmacy Preferred Newsletter January 2021
Our January 2021 Pharmacy Preferred Newsletter is now available.
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Same Day Drug Tests
CHPW identified claims for definitive urine drug testing performed on the same day as presumptive urine drug testing.
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Online Provider Search Tool
Learn about the new provider search tool coming in July.
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HealthMAPS Portal Updates
Read the latest updates about our Provider Portal, HealthMAPS.
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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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ERA Enrollment Process
The enrollment process 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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Our New Medicare Name
Community HealthFirst Medicare Advantage is now Community Health Plan of Washington Medicare Advantage
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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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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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- TALK TO AN EXPERT
- Click here to schedule a plan review.
- NURSE ADVICE LINE
- 1-866-418-2920
- (TTY Relay: Dial 711)
- CUSTOMER SERVICE
- 1-800-942-0247
- (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.
Limitations, copayments, and restrictions may apply.
You must continue to pay your Medicare Part B premium.
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