Section 388-865-0234 - Behavioral health organizations-When the division of behavioral health and recovery administers regional behavioral health services(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.Wash. Admin. Code § 388-865-0234
Adopted by WSR 16-13-087, Filed 6/15/2016, effective 7/16/2016