News

GAU - Answers to your questions
Jan 14, 2010

Community Health Plan

Customer Service 1-800-440-1561

CHP Provider Search Engine

(http://www.chpw.org/en/provdir/search.php

Enrollment handbook & benefits

http://www.chpw.org/en/member/docs/index.php

DSHS Contact

Becky McAninch-Dake

(360) 725-1642

Becky.McAninch-Dake@dshs.wa.gov

DSHS/GAU Website

http://maa.dshs.wa.gov/gaumc

Welcome to Washington State's

GAU Managed Care Program

 

 

 

GAU Managed Care (beginning 11/1/09)

Community Health Plan of Washington (CHP) will

be the only managed care organization serving

General Assistance — Unemployable (GAU) enrollees. 

The expansion of GAU managed care will include

all 39 counties in Washington.  GAU recipients who

are 19 or over are covered under this program. 

 

Facts about GAU Managed Care

What is GAU?

GAU is a state-funded program that provides both a cash and medical benefit for persons who are physically and/or mentally incapacitated and who are unemployable for more than 90 days.  The Health and Recovery Services Administration (HRSA) is responsible for the delivery of the medical benefits and the Economic Services Administration (ESA) is responsible for the delivery of the cash grant. 

 

What is GAU Managed Care?

GAU managed care is an expansion of the King and Pierce County GAU pilot program to a statewide mandatory managed care program.  The program will enroll approximately 14,000 GAU clients, age 19 and above into CHP on November 1, 2009.  For questions or help about GAU managed care, you may call CHP's customer service line at 1-800-440-1561.

 

How will GAU clients be enrolled into CHP?

Once a client has been determined to be eligible for GAU, they will be placed onto the Fee-for-Service (FFS) delivery system.  It will take approximately three to six weeks for our automated enrollment process to find and enroll newly eligible GAU clients into managed care.  If a GAU client wants to be enrolled in managed care sooner, they may call HRSA's toll-free line (1-800-562-3022) and ask to be enrolled. 

 

Is enrollment in CHP mandatory or voluntary?

GAU enrollment is mandatory.  There will be clients who are exempt from mandatory enrollment such as Native Americans/Alaskan Natives, and those who are residing in nursing facility for long-term care (as determined by the Aging and Disability Services Administration (ADSA).  Native Americans/Alaskan Natives may choose to enroll if they want to. 

 

What enrollment and informational material will GAU clients receive?

CHP will send a Welcome letter, a summary of benefits and their CHP medical ID card to the client once they are enrolled in managed care.  CHP has their GAU enrollment handbook on their website, http://www.chpw.org/en/member/docs/index.php .  Members may also check with their local Community Services Organization (CSO), Primary Care Providers (PCPs) or Community Health Clinics for copies of CHP's GAU handbook.  Or they may call CHP's customer service line and request a GAU handbook 1-800-440-1561

 

 

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