Description
To clarify language without changing the rules effect. Updating method of notice from first class mail to email. This revision allows for quicker
notification to providers and is less costly.

Agency contacts

Rulemaking contact

Wendy Barcus

Program contact

Tracy Huynh

Rulemaking status history

Expedited Adoption (CR105)

Trudi Glant

Description
The agency is amending WAC 182-501-0100 to reflect the 2011 change in authority for overseeing the Medicaid program from the Washington State Department of Social and Health Services (DSHS) to the Health Care Authority (HCA). Currently, the rule references only the DSHS lien statutes. This amendment will add reference to the HCA lien statutes. Both HCA and DSHS use liens for subrogation purposes.

Agency contacts

Rulemaking contact

Brian Jensen

Program contact

Trudi Glant

Rulemaking status history

Preproposal (CR101)

Description
The agency is amending its rules to comply with federal regulations. Effective June 3, 2024, the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services, removed a federal rule, 42 CFR § 435.608, thus eliminating the requirement to apply for other benefits as a condition of Medicaid eligibility. States were given 12 months after the effective date to comply.

Agency contacts

Rulemaking contact

Brian Jensen

Program contact

Paige Lewis

Rulemaking status history

Preproposal (CR101)

Description
The agency is amending WAC 182-531-1850 to allow for exceptions to the general rule that the agency does not make separate reimbursement for Centers for Medicare and Medicaid Services bundled services.

Agency contacts

Rulemaking contact

Brian Jensen

Program contact

Wendy Steffens

Rulemaking status history

Preproposal (CR101)

Become a Community Behavioral Health Support (CBHS) provider

Starting July 1, 2024, Apple Health (Medicaid) clients in some Washington regions have access to behavioral health support services that include supportive supervision and skills development. Learn about the services and see who is eligible.

On this page

What is Community Behavioral Health Support (CBHS)?

CBHS is a new program that began July 1, 2024. This program helps people who have a significant mental health diagnosis and need additional support to live in a community setting like an adult family home or an assisted living facility.

The CBHS program provides a service called supportive supervision. Supportive supervision is:

  • A voluntary service.
  • One-on-one in-person monitoring, redirection, diversion, and cueing of the client to prevent at-risk behavior that may result in harm to the client or to others.
  • Providing individuals with assistance to build skills and resiliency to support stabilized living and integration.
  • Coordinated as appropriate with other services such as behavior support and/or crisis plans to help ensure community stability.

These interventions are not related to the provision of personal care. For more information on eligibility, see WAC 182-561.

Supportive supervision can be provided by the following residential provider types:

  • Adult family homes (AFH)
  • Enhanced service facilities (ESF)
  • Assisted living facilities (ALF)
    • Enhanced adult residential care facilities (EARC)
    • Adult residential care facilities (ARC)

Transition from Behavioral Health Personal Care

Supportive supervision will replace Behavioral Health Personal Care (BHPC) managed care organization (MCO) wrap-around funding. Throughout the next year, Home and Community Services will stop authorizing BHPC in a residential facility at the time the resident's CARE assessment is due for renewal. Providers must prepare for this transition to continue getting paid for providing support to current or new residents.

Become a CBHS supportive supervision provider?

To offer supportive supervision, providers must:

  1. Complete an application in ProviderOne. This will allow HCA and MCOs to contract with you to provide this service.
    1. View step-by-step instructions to complete ProviderOne application.
    2. Watch a recorded training about completing your application in ProviderOne.
  2. Contract with MCOs to serve managed care enrollees.

Training resources

Meetings

Rapid response calls

Rapid response calls are for providers who have CBHS clients and have questions for HCA or MCOs about billing, contracting, or authorizations.

Date and time Meeting details
  • Date: Mondays
  • Time: 8 - 8:30 a.m.

Office hours

Office hours are for providers who have questions for HCA about CBHS or who need help completing the ProviderOne application.

Date and time Meeting details
  • Date: Tuesdays
  • Time: 2:30-3:30 p.m.

Additional resources

Stay updated

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