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For Providers

Bulletin Board

  • Provider Newsletter
    Our January newsletter is now available.
  • Pricing Methodology Resource
    If you would like to learn more about EAPG and APR-DRG pricing, please click through to our new resource or email cs.claimsdistribution@chpw.org.
  • Understanding Dosage-Based Assessment
    Make sure you understand how to complete the Dosage-Based Assessment process and include it with your claims. DBA helps ensure children under the age of 19 can receive vaccinations regardless of insurance status.
  • Billing Single Dose Vials
    This is a reminder to providers about the Washington State Health Care Authority's billing guidelines for single does vials.
  • We’re Going Green
    Reducing paper and related costs helps us create a culture of financial and environmental responsibility. We offer and support a variety of electronic transactions.
  • Upgrade to Claims Editing System
    We have upgraded our claims system to ensure the most current coding, accuracy of processed claims, and more.
  • 45 Days until CDR Launch
    The clinical data repository will launch on February 1, 2017. Read more to see if you are required to submit information to the Washington State Health Care Authority and OneHealthPort.
  • 2017 Prior Authorization Lists
    Prior authorization information for 2017 is now available. This includes the prior authorization list, summary of changes, and code look up for Apple Health and FIMC.
  • University of Washington pushes collaboration for mental health care
    The UW Department of Psychiatry is focusing on increasing effective treatment in primary care through collaboration and increased access to psychiatric expertise.
  • Care Management Referral Programs
    As a provider, you play a critical role in connecting your patients with programs that help them manage medical issues. Read an overview of the care management programs we offer.
  • HCA changes to Apple Health
    Starting January 1, 2017, the Health Care Authority will change the process for managing Apple Health benefits for clients with other primary health insurance.
  • Requirement Clarification
    The Health Care Authority has released a statement clarifying the Electronic Health System requirements, Clinical Data Repository requirements, and fees.
  • Benefit Reminder
    Providers, remember that we offer coverage for emergency contraceptives, long-acting contraception, and smoking cessation.
  • Flu Season Updates
    There are updates and changes to vaccine coverage for the upcoming flu season.
  • Core Provider Agreement
    The Washington State Health Care Authority has recently updated their implementation date.
  • Partnership Access Line (PAL)
    The telephone-based child mental health consultation system is available to connect your patient with mental health resources regardless of insurance.
  • Update to Timely Filing Terms
    We've updated our Provider Manual to clarify the Timely Filing Requirements for Medicare Advantage claims and Washington Apple Health claims.
  • Behavioral Health Fact Sheet
    Beginning April 1, 2016, the early adopter region of Southwest Washington (Clark and Skamania counties) was the first to adopt fully integrated managed care, combining coverage for physical and behavioral health services (mental health and substance use disorder) for Apple Health (Medicaid) clients.
  • Change Regarding Sterilization Consent Form
    As a follow up to a recent Provider Alert from the Washington State Health Care Authority (agency): As of July 15, 2016, the agency will no longer accept the discontinued HCA 13-364 form for processing sterilization claims.
  • Sports Physical Billing
    CHPW has added a new value-added benefit that covers annual sports physical exams for Apple Health kids age 6 -18 at no cost to the member. When possible, we encourage you to schedule a well-care visit with the sports physical exam.
  • Podiatry Benefit Change
    Effective immediately, specific Bunion procedures will no longer be included as covered benefits. Read more to find out which CPT codes will now be listed as non-covered.
  • Health Information Portal Updates
    We are pleased to announce recent enhancements to our Health Information Portal.
  • Retroactive Enrollment
    Beginning April 1, 2016, the Health Care Authority will be implementing retroactive enrollment.