As a CHPW provider, we support you in caring for our members – your patients. Find answers to questions you may have about our provider portals, accessing training and orientation materials and more.
Providers Frequently Asked Questions
If you are new to using the Jiva portal, read our frequently asked question guide.
For portal specific support, please contact [email protected].
You can review the formulary lists to identify what drugs are covered by CHPW and which require pre-authorization. Drugs not listed on our formulary require prior authorization. You can submit prior authorization requests through our care management portal (JIVA.) For self-administered drugs requiring prior authorization, please contact Express Scripts at 1-844-605-8168 or use https://www.CoverMyMeds.com to start the prior authorization process.
Providers can get in touch with their Provider Relations Representative or contact customer service for assistance at 1-800-942-0247.
No. Patients cannot be billed for missed appointments. Make sure they are aware of your clinic’s cancellation or late appointment courtesy policies.
You may refer your patient to a non-networked provider without submitting a prior authorization request.
If you still have questions, call Customer Service for help. There are available from 8:00 a.m. to 8:00 p.m., seven days a week at 1-800-942-0247.
Providers are required to complete a Fraud, Waste, and Abuse training within 90 days of contracting with CHPW and annually thereafter. All clinic staff – including CEOs, senior leaders, managers, clerical/admin staff, physicians, and other clinical staff – are required to receive this training. Training courses are available on the 
