Stay informed on important policies
Individual & Family Plans are powered by Community Health Plan of Washington (CHPW). On this page, you’ll find the written policies pertaining to many important CHPW services. For more information on these policies, you can also browse our Provider Manual.
Please contact us with any questions. Our goal is to be transparent and thorough, so that you and our members are set up for success.
- Advance Directives and Physician Orders for Life Sustaining Treatment (POLST)
Policy (CM118) - Authorization and Certification (UM203)
- Discussing a Denial (Adverse Benefit Determination) with a Reviewer Policy and Procedure (MM124)
- Emergency Fill Policy (PM516)
- Extenuating Circumstances for Prior Authorization Policy (UM446)
- Hospital Admission Patient Management (UM211)
- Injectable Medications Policy (PM566)
- Pharmaceutical Patient Safety Policy (PM509)
- Pharmacy Access During a Federal Disaster or Other Public Health Emergency Declaration Policy (PM514)
- Quantity Limits Policy (PM506)
- Step Therapy Policy (PM507)
- Individual & Family Plans Prescription Drug Services Policy (PM571)
