Policy and operational recommendations

Background

In the late summer of 2022, the OIC and HCA called for participation in a multi-stakeholder workgroup (PDF 147.02KB) with the objective to recommend policy and operational changes to enable Commercial Insurance Coverage for Behavioral Health Crisis Service as emergency services per E2SHB1688.

In addition to the OIC and HCA, the following organizations  are represented and participating in the workgroup:

  • Behavioral Health – Administrative Services Organizations (BH-ASOs)
  • Behavioral Health Providers; Mobile Crisis Response providers and behavioral health crisis facilities
  • Commercial carriers

On November 8, 2022, the workgroup reached consensus on a set of recommendations to achieve the following goal:

To the extent possible, maintain the Behavioral Health Crisis System as it currently exists so that 1) the inclusion of Commercial Coverage is seamless from the perspective of the patient and ideally of the provider and 2) and new/additional administrative burden and/or cost to the provider is minimized.

Between November 8th and the present, the Policy and Operational Recommendations continue to be refined for each of the services below

Links to Related Documents (for History and Audit Trail of Changes)

About 1688 behavioral health crisis services

With the passage of the Engrossed 2nd Substitute House Bill – E2SHB 1688 by the Washington state legislature in 2022, commercial carriers, along with managed Medicaid organizations (MCOs), will now provide insurance coverage for behavioral health crisis services as emergency services:

  • Mobile Crisis Response Services
  • Crisis Facility Services; Hospital Emergency Room, Evaluation & Treatment (E&T), Crisis Stabilization, Crisis Triage and Withdrawal Management

The OIC and HCA pulled together a multi-stakeholder workgroup (PDF 147.02KB) to recommend how to build upon the current Behavioral Health Crisis System to implement the new law.

Carriers, BH-ASOs, agencies and facilities

To find active Mobile Crisis Response Agencies/Providers, the BH-ASO in the associated Region should be the primary source of information.

As a secondary source for Mobile Crisis Response Agencies / Providers, access Department of Health (DOH) list of Behavioral Health Agencies, either via their Directory or their “Green Book” interactive tool.  (Agencies/ providers in DOH’s list may not be Active.)

To confirm that the license of an agency / provider is still active, access DOH’s Credential Search.
 
Click Below for:

DOH Directory

DOH Interactive Selection Tool

DOH Credential Search
To find active Behavioral Health Crisis Service Facilities / Providers, access Department of Health (DOH) list of Behavioral Health Facilities, either via their Directory or their “Green Book” interactive tool.  (Facilities/ providers in DOH’s list may not be Active.)

To confirm that the license of a facility / provider, access DOH’s Credential Search.
Click Below for:

DOH Directory

DOH Interactive Selection Tool

DOH Credential Search
BH-ASOs (Behavioral Health – Administrative Services Organizations) mapped by the 10 geographical regions. Download

BH-ASO contact information (XLSX 14.13KB)

 

Carriers: Contact information for contracting point persons (XLSX 20.46KB)

 

Carriers: Clearinghouses (XLSX 24.20KB)

 

2025 Medicare Advantage and Special Needs Plans (SNPs)

Washington state consumers can find more information about Medicare Advantage plans and SNPs, including prices, by looking for plans in their county.

All Counties

2025 Medicare Landscape All Counties (Excel, 96.51 KB) (XLSX 96.51KB)

Adams

2025 Medicare Advantage plans and Special Needs Plans, Adams County (PDF, 202.32 KB) (PDF 202.32KB)

Asotin

2025 Medicare Advantage plans and Special Needs Plans, Asotin County (PDF, 201.03 KB) (PDF 201.03KB)

Benton

2025 Medicare Advantage plans and Special Needs Plans, Benton County (PDF, 215.49 KB) (PDF 215.49KB)

Chelan

2025 Medicare Advantage plans and Special Needs Plans, Chelan County (PDF, 207.55 KB) (PDF 207.55KB)

Clallam

2025 Medicare Advantage plans and Special Needs Plans, Clallam County (PDF, 209.10 KB) (PDF 209.10KB)

Clark

2025 Medicare Advantage plans and Special Needs Plans, Clark County (PDF, 241.66 KB) (PDF 241.66KB)

Columbia

2025 Medicare Advantage plans and Special Needs Plans, Columbia County (PDF, 204.76 KB) (PDF 204.76KB)

Cowlitz

2025 Medicare Advantage plans and Special Needs Plans, Cowlitz County (PDF, 261.85 KB) (PDF 261.85KB)

Douglas

2025 Medicare Advantage plans and Special Needs Plans, Douglas County (PDF, 205.59 KB) (PDF 205.59KB)

Ferry

2025 Medicare Advantage plans and Special Needs Plans, Ferry County (PDF, 200.86 KB) (PDF 200.86KB)

Franklin

2025 Medicare Advantage plans and Special Needs Plans, Franklin County (PDF, 207.35 KB) (PDF 207.35KB)

Garfield

2025 Medicare Advantage plans and Special Needs Plans, Garfield County (PDF, 200.12 KB) (PDF 200.12KB)

Grant

2025 Medicare Advantage plans and Special Needs Plans, Grant County (PDF, 202.78 KB) (PDF 202.78KB)

Grays Harbor

2025 Medicare Advantage plans and Special Needs Plans, Grays Harbor County (PDF, 264.05 KB) (PDF 264.05KB)

Island

2025 Medicare Advantage plans and Special Needs Plans, Island County (PDF, 246.42 KB) (PDF 246.42KB)

Jefferson

2025 Medicare Advantage plans and Special Needs Plans, Jefferson County (PDF, 208.10 KB) (PDF 208.10KB)

King

2025 Medicare Advantage plans and Special Needs Plans, King County (PDF, 231.50 KB) (PDF 231.50KB)

Kitsap

2025 Medicare Advantage plans and Special Needs Plans, Kitsap County (PDF, 228.48 KB) (PDF 228.48KB)

Kittitas

2025 Medicare Advantage plans and Special Needs Plans, Kittitas County (PDF, 234.79 KB) (PDF 234.79KB)

Klickitat

2025 Medicare Advantage plans and Special Needs Plans, Klickitat County (PDF, 190.52 KB) (PDF 190.52KB)

Lewis

2025 Medicare Advantage plans and Special Needs Plans, Lewis County (PDF, 251.55 KB) (PDF 251.55KB)

Lincoln

2025 Medicare Advantage plans and Special Needs Plans, Lincoln County (PDF, 204.78 KB) (PDF 204.78KB)

Mason

2025 Medicare Advantage plans and Special Needs Plans, Mason County (PDF, 248.93 KB) (PDF 248.93KB)

Okanogan

2025 Medicare Advantage plans and Special Needs Plans, Okanogan County (PDF, 202.34 KB) (PDF 202.34KB)

Pacific

2025 Medicare Advantage plans and Special Needs Plans, Pacific County (PDF, 198.88 KB) (PDF 198.88KB)

Pend Oreille

2025 Medicare Advantage plans and Special Needs Plans, Pend Oreille County (PDF, 204.87 KB) (PDF 204.87KB)

Pierce

2025 Medicare Advantage plans and Special Needs Plans, Pierce County (PDF, 263.85 KB) (PDF 263.85KB)

San Juan

2025 Medicare Advantage plans and Special Needs Plans, San Juan County (PDF, 203.86 KB) (PDF 203.86KB)

Skagit

2025 Medicare Advantage plans and Special Needs Plans, Skagit County (PDF, 267.57 KB) (PDF 267.57KB)

Skamania

2025 Medicare Advantage plans and Special Needs Plans, Skamania County (PDF, 243.89 KB) (PDF 243.89KB)

Snohomish

2025 Medicare Advantage plans and Special Needs Plans, Snohomish County (PDF, 233.87 KB) (PDF 233.87KB)

Spokane

2025 Medicare Advantage plans and Special Needs Plans, Spokane County (PDF, 229.88 KB) (PDF 229.88KB)

Stevens

2025 Medicare Advantage plans and Special Needs Plans, Stevens County (PDF, 202.30 KB) (PDF 202.30KB)

Thurston

2025 Medicare Advantage plans and Special Needs Plans, Thurston County (PDF, 228.72 KB) (PDF 228.72KB)

Wahkiakum

2025 Medicare Advantage plans and Special Needs Plans, Wahkiakum County (PDF, 239.62 KB) (PDF 239.62KB)

Walla Walla

2025 Medicare Advantage plans and Special Needs Plans, Walla Walla County (PDF, 211.13 KB) (PDF 211.13KB)

Whatcom

2025 Medicare Advantage plans and Special Needs Plans, Whatcom County (PDF, 247.45 KB) (PDF 247.45KB)

Whitman

2025 Medicare Advantage plans and Special Needs Plans, Whitman County (PDF, 197.49 KB) (PDF 197.49KB)

Yakima

2025 Medicare Advantage plans and Special Needs Plans, Yakima County (PDF, 242.22 KB) (PDF 242.22KB)