Community Health Plan of Washington requires prior authorization for the following:
All admissions, planned and urgent, require notification of admission within 24 hours or next business day
- Applied Behavior Analysis (Washington Apple Health/FIMC)
- Elective Inpatient Psychiatric Services
- Electroconvulsive Therapy (Washington Apple Health/FIMC)
- Repetitive Transcranial Magnetic Stimulation (rTMS) (Washington Apple Health/FIMC
- Neuropsychological Testing
Submitting a Prior Authorization Request
Fax: Fill out the form matching your request listed on the main Prior Authorization page and fax to the number listed on the form.
Please contact CHPW with any questions or concerns.