Community Health Plan Washington policy updates
Track new and updated Community Health Plan Washington policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Payment Policy: Skilled Nursing Facility Leveling | Community Health Plan Washington | Reimbursement | — | Modified | Aug 1, 2026 |
| Payment Policy: Sepsis Diagnosis | Community Health Plan Washington | Reimbursement | — | Modified | Jul 1, 2026 |
| Hematopoietic Agents – Sickle Cell Disease Cell and Gene Therapies | Community Health Plan Washington | Clinical | — | Modified | Jan 1, 2026 |
| Concert Genetic Testing: Eye Disorders V1.2025 | Community Health Plan Washington | Clinical | Ophthalmology/Optometry | Modified | Nov 1, 2025 |
| Genetic Testing: Aortopathies and Connective Tissue Disorders — Coverage Criteria | Community Health Plan Washington | Clinical | Genetic & Molecular Testing | Modified | May 1, 2025 |
| Genetic testing for hereditary hearing loss (GJB2/GJB6 sequencing, deletion/duplication, and multigene panels) | Community Health Plan Washington | Clinical | Genetic & Molecular Testing | Modified | Nov 24, 2024 |
| Genetic and molecular testing for solid organ transplantation — Coverage criteria | Community Health Plan Washington | Clinical | Transplant | Modified | Oct 31, 2024 |
| Concert Genetic Testing: Toxicology and Pharmacogenetics (Version B) | Community Health Plan Washington | Reimbursement | — | Modified | Aug 24, 2024 |
| Concert Genetic Testing Oncology: Molecular Analysis of Solid Tumors and Hematologic Malignancies | Community Health Plan Washington | Clinical | Genetic & Molecular Testing | Modified | Apr 2, 2024 |
| Opioid Agonist Prescribing and Prior Authorization | Community Health Plan Washington | Clinical | Pain Management | Modified | Nov 1, 2019 |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.