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Medicare Advantage Plan - Bulletin Board

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Rural Mental Health Funding Opportunity
Rural Mental Health Funding Opportunity

The AIMS Center is recruiting practices for the second cohort of the Rural Mental Health Integration Initiative.

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Pharmacy Preferred Newsletter
Pharmacy Preferred Newsletter

Our April 2020 Pharmacy Preferred Newsletter is now available. It contains information on important COVID-19 updates, additions to the Single Preferred Drug List, and more. Read More

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Bulletins on COVID-19
Bulletins on COVID-19

Information for Providers on the Novel Coronavirus Keep up to date on CHPW’s latest pertinent information for providers on COVID-19. Read More

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HCA Webinar on Telehealth
HCA Webinar on Telehealth

How Providers Can Use Telehealth Watch a replay of a Health Care Authority webinar on how providers can effectively offer telehealth services in light of the COVID-19 pandemic. Watch Webinar

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2020 Provider Manual
2020 Provider Manual

The 2020 Provider Manual is your go-to resource for CHPW procedures, forms, compliance, programs, and more. Read More

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Transition in Indian Health Service Encounters
Transition in Indian Health Service Encounters

New Billing Procedures for IHS Encounters Effective April 1, 2020, the Managed Care Organizations (MCOs), including CHPW, are now paying for Indian Health Service (IHS) encounters. Read More

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Provider Newsletter
Provider Newsletter

Read our latest Provider Newsletter! The Spring 2020 edition includes information on COVID-19 policies, billing and resources; changes in payment for Opioid Treatment Programs; CHPW Medicare Advantage dental codes, and more. Latest Provider Newsletter

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Change in Billing for Apple Health Dental Services
Change in Billing for Apple Health Dental Services

Apple Health Dental Services Effective January 1, 2020 Prior to January 1, 2020, all dental services for Apple Health enrollees were billed to the HCA as fee-for-service. Effective January 1, 2020, some services will be billed to the enrollee’s managed care organization. Read More

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SUD Code Updates
SUD Code Updates

Apple Health providers should note these changes to substance use disorder (SUD) codes effective January 1, 2020. Read More

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Updated Hysterectomy Consent Form
Updated Hysterectomy Consent Form

The hysterectomy consent form has been updated and improved for better clarity. You can access the new Hysterectomy Consent Form from the Forms and Tools page of our website, under the Care Management/Claims/Quality heading. Important: Please note, beginning January 1, 2020, only the new form will be accepted. If you have questions about the Hysterectomy […]

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Electronic Remittance Advice Enrollment Process
Electronic Remittance Advice Enrollment Process

CHPW uses Availity for our Electronic Remittance Advice (ERA; claim payment details), or 835, transactions. The enrollment process is all electronic and does not require a fee to register or enroll. You or your clearinghouse will need to enroll in ERA directly with Availity. Please contact Availity at Availity.com or call 1-800-AVAILITY (282-4548). Note that […]

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New Procedure Code Lookup Tool
New Procedure Code Lookup Tool

CHPW is launching a new Procedure Code Lookup Tool on November 1, 2019. You can search for services by procedure code and line of business to determine if a prior authorization (PA) is required, and much more. Read More

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HCA Interpreter Services
HCA Interpreter Services

The Health Care Authority is reaching out to provide information about how to use its interpreter services vendor, Universal Language Service. Read More

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Free Perinatal Psychiatry Consultation Line
Free Perinatal Psychiatry Consultation Line

Partnership Access Line for Moms Health care providers caring for patients with behavioral needs during pregnancy and postpartum can call PAL for Moms for consultation. Read More

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HealthMAPS Provider Portal Update
HealthMAPS Provider Portal Update

Our old Health Information Portal (HIP) is no longer available. We’ve also added a new feature to our HealthMAPS provider portal. Read More

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New Add Change Term Online Forms Available
New Add Change Term Online Forms Available

New Add Change Term Forms for Individual Providers, Clinics, and Groups CHPW’s new Clinic and Group Add Change Term online form is now available on our website. The forms are used to notify us of changes in your information. Read More

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Primary Care Behavioral Health Billing Updates
Primary Care Behavioral Health Billing Updates

The Health Care Authority has released updates on billing codes related to behavioral health services. Read More

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Modernizing Health Care to Improve Physical Accessibility
Modernizing Health Care to Improve Physical Accessibility

This CMS document provides recommendations on how health care providers and facilities can improve accessibility in order to boost the quality of care for patients with disabilities. Read More

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People With Disabilities: Getting the Care You Need
People With Disabilities: Getting the Care You Need

Did you know that health care providers are required to offer everyone access to medical services without discrimination on the basis of disability? Read More

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Valid NPI for Medicare Advantage Claims
Valid NPI for Medicare Advantage Claims

CHPW will follow a new process to ensure the Medicare Advantage encounter data we submit to CMS include valid National Provider Identifier (NPI) numbers. Read More

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