Compliance Program - Community Health Plan of Washington - Medicare Advantage

Compliance Program

Compliance Program Policies and Procedures

Our Compliance Department is committed to ensuring member information is secure and that both employees and providers comply with all federal and state regulations plan practices. If you are new provider with us, we recommend that you review all of these policies as part of your on-boarding process.

Standards of Conduct

Community Health Plan of Washington’s Standards of Conduct
Community Health Plan of Washington’s Standards of Conduct (Spanish)

Compliance Today Newsletter

Read updates from the Compliance department and stay up to date on the latest policy changes and initiatives.

Volume Q3 2020
Volume Q2 2020
Volume Q1 2020
Volume Q4 2019
Volume Q3 2019
Volume Q2 2019
Volume Q1 2019
Volume Q4 2018
Volume Q3 2018
Volume Q2 2018
Volume Q1 2018
Volume Q4 2017
Volume Q3 2017
Volume Q2 2017
Volume Q1 2017


Required Training

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 CMS Medicare Learning Network website.

More information can be found in our Provider Manual.


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