Section 388-865-0234. Behavioral health organizations—When the division of behavioral health and recovery administers regional behavioral health services.  


Latest version.
  • (1) If a currently operating behavioral health organization (BHO) chooses to stop functioning as a BHO, fails to meet state minimum standards specified in rule, or does not meet the requirements under RCW 71.24.045, the following is implemented:
    (a) Under RCW 71.24.035(16), the secretary:
    (i) Is designated as the BHO until a new BHO is designated; and
    (ii) Assumes the duties assigned to the region without a participating BHO.
    (b) The division of behavioral health and recovery (DBHR):
    (i) Administers behavioral health services within the region without a participating BHO; and
    (ii) Continues to apply the BHO requirements in WAC 388-865-0232 through 388-865-0272 and the BHO managed care plan requirements in WAC 388-865-0370 through 388-865-0385.
    (2) An individual who resides within the service area of a region without a participating BHO:
    (a) May receive services, within available resources as defined in RCW 71.24.025(2), from any provider of behavioral health services that is contracted with and licensed by DBHR; and
    (b) Who is a Title XIX medicaid recipient is entitled to receive medically necessary behavioral health services without charge to the individual.
    (3) This section does not apply to a region in which the health care authority (HCA) operates the Washington apple health fully integrated managed care (FIMC) program which provides fully-integrated physical and behavioral health services to medicaid beneficiaries through managed care. See chapter 182-538A WAC for information on Washington apple health FIMC.
    [Statutory Authority: RCW 70.02.290, 70.02.340, 70.96A.040(4), 71.05.560, 71.24.035 (5)(c), 71.34.380, and 2014 c 225. WSR 16-13-087, § 388-865-0234, filed 6/15/16, effective 7/16/16.]
RCW 70.02.290, 70.02.340, 70.96A.040(4), 71.05.560, 71.24.035 (5)(c), 71.34.380, and 2014 c 225. WSR 16-13-087, § 388-865-0234, filed 6/15/16, effective 7/16/16.

Rules

388-865-0232,388-865-0272,388-865-0370,388-865-0385,182-538A,