As a CHPW provider, we support you in caring for our members – your patients. Find answers to questions you may have about our provider portals, accessing training and orientation materials and more.
Providers Frequently Asked Questions
Register for HealthMAPS here. You need your Billing Tax ID number(s) to register. It may take up to 10 calendar days for your registration to process. You will receive an email when your registration is complete.
You can review the formulary lists to identify what drugs are covered by CHPW and which require pre-authorization. Drugs not listed on our formulary require prior authorization. You can submit prior authorization requests through our care management portal (JIVA.) For self-administered drugs requiring prior authorization, please contact Express Scripts at 1-844-605-8168 or use https://www.CoverMyMeds.com to start the prior authorization process.
Providers can get in touch with their Provider Relations Representative or contact customer service for assistance at 1-800-942-0247.
No. Patients cannot be billed for missed appointments. Make sure they are aware of your clinic’s cancellation or late appointment courtesy policies.
Out-of-network specialists require prior authorization and must meet certain criteria, for example, if there is not a similar in-network provider who can perform the same service. Submit a prior authorization request to get started.
If you still have questions, call Customer Service for help. There are available from 8:00 a.m. to 8:00 p.m., seven days a week at 1-800-942-0247.