Why is frenotomy and frenectomy being reviewed?

Frenectomy and frenotomy for breastfeeding support were selected for a health technology assessment (HTA) because of high concerns for efficacy, and medium concerns for safety and cost.

Primary criteria ranking

• Safety = Medium
• Efficacy = High
• Cost = Medium

Documentation

What is a CCBHC?

A CCBHC is a provider who has met the SAMHSA requirements for eligible providers and the criteria to provide all required services. They must provide service to any individual who presents in their clinic, regardless of ability to pay or insurance.

Areas of service

Clinics must provide nine total areas of service:

• Screening, assessment, diagnosis
• Patient-centered treatment planning
• Outpatient mental health/substance use disorder treatment
• Crisis services (24-hour mobile crisis, crisis stabilization)*
• Peer support
• Psychiatric rehab
• Targeted case management
• Primary health screening and monitoring
• Armed forces and veteran’s services

A minimum of 51 percent of the services must be provided by the CCBHC, with the remainder provided by either the CCBHC or a Designated Collaborating Organization (DCO).

Our state has the goal to increase the number of CCBHCs so that every Washingtonian can easily access the services. Visit the CCBHC locator to find a clinic near you.

*After-hours crisis services may be provided by a state-sanctioned system.

Meetings

Nominating Committee meetings are held on in-person at HCA and on Zoom. Find information on Nominating Committee meetings on the Cost Board’s Meetings and materials page.

Public comment

All Nominating Committee meetings are public meetings, and members of the public are welcome and encouraged to share their input. All feedback is shared with board members.

Share your input

There are two ways to share input:

• During a committee meeting, there is a designated time for public comment. To provide public comment during the designated public comment period, please use the raise hand function in Zoom or raise your hand if you are attending in person.
• By contacting us at any time. If you want your written comments to be included in an upcoming meeting, email your comments to us 10 days before that meeting occurs.

Committee members

The Nominating Committee is made up of three members of the Cost Board.

Ingrid Ulrey

Chief executive officer, Washington Health Benefit Exchange

Ingrid Ulrey is the chief executive officer for Washington Health Benefit Exchange (Exchange). She is a health care executive with an extensive history and passion for expanding access to care, driving health system transformation, and advancing equity. In her role as Exchange CEO, she oversees the entirety of the Exchange’s activities and works closely with the Governor-appointed Exchange Board, leadership, and staff to define and execute their mission.

Prior to her appointment as Exchange CEO, Ulrey served in the Biden Administration as regional director for the U.S. Department of Health and Human Services (HHS) — serving Alaska, Idaho, Oregon, Washington, and the 272 federally recognized tribes. Before HHS, Ulrey was policy director for public health — Seattle & King County, where she was a lead strategist of the region’s COVID-19 response.

Ulrey’s leadership in the health sector is informed by work at the national level, including five years with the Service Employees International Union based in Washington, DC; at the state level, including eight years state legislative sessions in Olympia as advocacy director for AARP; and with a global perspective on health from more than five years in the Middle East and Southeast Asia, most recently with PATH, based in Yangon, Myanmar. She has a master’s in public policy, public policy analysis from Georgetown University and a bachelor’s in cultural anthropology from University of California, Santa Cruz.

Kim Wallace

Medical administrator, Office of the Medical Director, Washington State Department of Labor & Industries

Over the past 25 years, Kim has held numerous public and private sector leadership positions in health care policy and finance, health IT, health benefits management, and public health. She has an MBA from Wharton and a B.S. in Clinical Dietetics from the University of Washington.

Carol Wilmes

Director, Member Pooling Programs, Association of Washington Cities (AWC)

Carol Wilmes oversees AWC's Employee Benefit Trust, Risk Management Service Agency, Workers' Comp Retrospective Rating Program, and Drug & Alcohol Consortium. For most of her 38 years with the AWC, Carol administered the Employee Benefit Trust, insuring 36,000 members from over 280 municipalities and special purpose districts. She serves as a resource for labor-management task forces addressing the complexities of health care coverage, and frequently speaks at the state and national level on governmental entity health pools and public sector risk management trends.

She was appointed to the Washington State Health Benefit Exchange Advisory Committee in 2015; serves as chair to the Board of Directors to the National League of Cities Risk Insurance Sharing Consortium; and serves on the Washington Health Alliance Board of Directors and Executive Committee.