(1) The behavioral health administrative services organization contracted with the authority pursuant to RCW 71.24.381 shall:

Terms Used In Washington Code 71.24.045

  • Authority: means the Washington state health care authority. See Washington Code 71.24.025
  • Available resources: means funds appropriated for the purpose of providing community behavioral health programs, federal funds, except those provided according to Title XIX of the Social Security Act, and state funds appropriated under this chapter or chapter 71. See Washington Code 71.24.025
  • Behavioral health administrative services organization: means an entity contracted with the authority to administer behavioral health services and programs under RCW 71. See Washington Code 71.24.025
  • Behavioral health services: means mental health services, substance use disorder treatment services, and co-occurring disorder treatment services as described in this chapter and chapter 71. See Washington Code 71.24.025
  • Community support services: means services authorized, planned, and coordinated through resource management services including, at a minimum, assessment, diagnosis, emergency crisis intervention available twenty-four hours, seven days a week, prescreening determinations for persons who are mentally ill being considered for placement in nursing homes as required by federal law, screening for patients being considered for admission to residential services, diagnosis and treatment for children who are acutely mentally ill or severely emotionally or behaviorally disturbed discovered under screening through the federal Title XIX early and periodic screening, diagnosis, and treatment program, investigation, legal, and other nonresidential services under chapter 71. See Washington Code 71.24.025
  • Contract: A legal written agreement that becomes binding when signed.
  • Managed care organization: means an organization, having a certificate of authority or certificate of registration from the office of the insurance commissioner, that contracts with the authority under a comprehensive risk contract to provide prepaid health care services to enrollees under the authority's managed care programs under chapter 74. See Washington Code 71.24.025
  • person: may be construed to include the United States, this state, or any state or territory, or any public or private corporation or limited liability company, as well as an individual. See Washington Code 1.16.080
  • Residential services: means a complete range of residences and supports authorized by resource management services and which may involve a facility, a distinct part thereof, or services which support community living, for persons who are acutely mentally ill, adults who are chronically mentally ill, children who are severely emotionally disturbed, or adults who are seriously disturbed and determined by the behavioral health administrative services organization or managed care organization to be at risk of becoming acutely or chronically mentally ill. See Washington Code 71.24.025
(a) Administer crisis services for the assigned regional service area. Such services must include:
(i) A behavioral health crisis hotline for its assigned regional service area;
(ii) Crisis response services twenty-four hours a day, seven days a week, three hundred sixty-five days a year;
(iii) Services related to involuntary commitments under chapters 71.05 and 71.34 RCW;
(iv) Tracking of less restrictive alternative orders issued within the region by superior courts, and providing notification to a managed care organization in the region when one of its enrollees receives a less restrictive alternative order so that the managed care organization may ensure that the person is connected to services and that the requirements of RCW 71.05.585 are complied with. If the person receives a less restrictive alternative order and is returning to another region, the behavioral health administrative services organization shall notify the behavioral health administrative services organization in the home region of the less restrictive alternative order so that the home behavioral health administrative services organization may notify the person’s managed care organization or provide services if the person is not enrolled in medicaid and does not have other insurance which can pay for those services;
(v) Additional noncrisis behavioral health services, within available resources, to individuals who meet certain criteria set by the authority in its contracts with the behavioral health administrative services organization. These services may include services provided through federal grant funds, provisos, and general fund state appropriations;
(vi) Care coordination, diversion services, and discharge planning for nonmedicaid individuals transitioning from state hospitals or inpatient settings to reduce rehospitalization and utilization of crisis services, as required by the authority in contract; and
(vii) Regional coordination, cross-system and cross-jurisdiction coordination with tribal governments, and capacity building efforts, such as supporting the behavioral health advisory board and efforts to support access to services or to improve the behavioral health system;
(b) Administer and provide for the availability of an adequate network of evaluation and treatment services to ensure access to treatment, investigation, transportation, court-related, and other services provided as required under chapter 71.05 RCW;
(c) Coordinate services for individuals under RCW 71.05.365;
(d) Administer and provide for the availability of resource management services, residential services, and community support services as required under its contract with the authority;
(e) Contract with a sufficient number, as determined by the authority, of licensed or certified providers for crisis services and other behavioral health services required by the authority;
(f) Maintain adequate reserves or secure a bond as required by its contract with the authority;
(g) Establish and maintain quality assurance processes;
(h) Meet established limitations on administrative costs for agencies that contract with the behavioral health administrative services organization; and
(i) Maintain patient tracking information as required by the authority.
(2) The behavioral health administrative services organization must collaborate with the authority and its contracted managed care organizations to develop and implement strategies to coordinate care with tribes and community behavioral health providers for individuals with a history of frequent crisis system utilization.
(3) The behavioral health administrative services organization shall:
(a) Assure that the special needs of minorities, older adults, individuals with disabilities, children, and low-income persons are met;
(b) Collaborate with local government entities to ensure that policies do not result in an adverse shift of persons with mental illness into state and local correctional facilities; and
(c) Work with the authority to expedite the enrollment or reenrollment of eligible persons leaving state or local correctional facilities and institutions for mental diseases.
(4) The behavioral health administrative services organization shall employ an assisted outpatient treatment program coordinator to oversee system coordination and legal compliance for assisted outpatient treatment under RCW 71.05.148 and 71.34.815.

NOTES:

Effective date—2022 c 210 § 27: “Section 27 of this act takes effect October 1, 2022.” [ 2022 c 210 § 35.]
Expiration date—2022 c 210 § 26: “Section 26 of this act expires October 1, 2022.” [ 2022 c 210 § 34.]
Application—2021 c 263: See note following RCW 10.77.150.
Effective date—2021 c 202 §§ 15-17: “Sections 15 through 17 of this act take effect October 1, 2022.” [ 2021 c 202 § 19.]
Effective date—2019 c 325: See note following RCW 71.24.011.
Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.
Findings—Intent—2018 c 175: See note following RCW 74.09.495.
Effective dates—2016 sp.s. c 29: See note following RCW 71.05.760.
Short title—Right of action—2016 sp.s. c 29: See notes following RCW 71.05.010.
Effective date—2014 c 225: See note following RCW 71.24.016.
Finding—Purpose—Intent—Severability—Part headings not law—Effective dates—2006 c 333: See notes following RCW 71.24.016.
Correction of references—Savings—Severability—2005 c 503: See notes following RCW 71.24.015.
Effective date—1992 c 230 § 5: “Section 5 of this act shall take effect July 1, 1995.” [ 1992 c 230 § 8.]
Intent—1992 c 230: See note following RCW 72.23.025.
Purpose—Captions not law—1991 c 363: See notes following RCW 2.32.180.
Conflict with federal requirements—1991 c 306: See note following RCW 71.24.015.
Effective date—1986 c 274 §§ 1, 2, 3, 5, and 9: See note following RCW 71.24.015.
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