Behavioral Health

Integrated Managed Care (IMC)/Behavioral Health Services Only (BHSO)

Molina Healthcare covers behavioral health (BH) services for IMC and BHSO members statewide. This includes outpatient and inpatient mental health and substance use disorder (SUD) services.

While Molina members may self-refer and access services at any time, Molina recommends members be connected to a primary care provider (PCP) who can assess members for mental health or substance use concerns and refer as needed. PCPs should support and encourage members toward recovery and educate them on the benefits of treating these conditions as well as the risks of not treating them.

Under IMC/BHSO Molina covers the following types of services:

Mental health treatment services may include:
  • Initial evaluation and specialty follow-up evaluations as needed
  • Individual, group and/or family treatment services
  • Other outpatient services such as:
    • Medication management/monitoring
    • Peer support
    • Psychological assessment
    • Wraparound with Intensive Services (WISe)*
    • Program of Assertive Community Treatment (PACT)
  • Day Support (typically provided in community mental health agencies, clubhouses or community centers. Intensive rehabilitative program which provides a range of integrated and varied life skills training).
  • Crisis stabilization in outpatient or inpatient settings
  • Mental health intensive residential treatment
  • Acute psychiatric inpatient admissions to community hospitals, free standing behavioral health facilities or Evaluation and Treatment (E&T) facilities
Substance use disorder treatment services may include:
  • Initial evaluation and specialty follow-up evaluation as needed
  • Individual, group and/or family treatment services
  • Other outpatient services such as: peer support, case management
  • Intensive outpatient programs (IOP)
  • Opiate use disorder treatment program services that includes medications and/or therapy services
  • Withdrawal management (detoxification)
  • Substance use disorder intensive residential treatment, long term residential treatment and recovery house residential treatment

*Visit the Washington State Health Care Authority (HCA) for more information on WISe services.

View the Apple Health IMC and BHSO Benefit Index for more information on Molina’s IMC/BHSO covered BH services.

View the BH Provider Prior Authorization Reference Guide to see which BH services require a prior authorization.

Use the Behavioral Health Admission Notification/Authorization Request Form to request a BH prior authorization.

Also see member-facing information on behavioral health and crisis services.


To find in-network behavioral health agencies and community health centers by region, click on the links below:


If you need additional benefit information, assistance in arranging consults, or referrals for MH, SUD treatment or care for those with disabilities call (800) 869-7175 or log in at provider.molinahealthcare.com/Provider/Login.

  • Contact and Health Line Information

    Molina Healthcare: (800) 869-7175

    Mental Health and Crisis Lines & Support

    Regional IMC Crisis Lines
    Region BH-ASO Counties Crisis Number
    Great Rivers Great Rivers Behavioral Health Administrative Services Org (GRBHASO) Cowlitz, Grays Harbor, Lewis, Pacific, Wahkiakum (800) 803-8833
    Greater Columbia Greater Columbia Behavioral Health, LLC Asotin, Benton, Columbia, Franklin, Garfield, Kittitas, Walla Walla, Whitman, Yakima (888) 544-9986
    King King County BH-ASO King (866) 427-4747/
    (206) 461-3222
    North Central Beacon Health Chelan, Douglas, Grant, Okanogan (800) 852-2923
    North Sound Volunteers of America Island, San Juan, Skagit, Snohomish, Whatcom (800) 584-3578
    Pierce Beacon Health Pierce (800) 576-7764
    Salish Salish BH-ASO Clallam, Jefferson, Kitsap (888) 910-0416
    Southwest Beacon Health Clark, Klickitat, Skamania (800) 626-8137
    Spokane Spokane County Regional Behavioral Health (Administrative Service Organization) Adams, Ferry, Lincoln, Pend Oreille, Spokane, Stevens (877) 266-1818
    Thurston-Mason Thurston-Mason BH-ASO Mason, Thurston (800) 270-0041/
    (360) 754-1338
    Medicaid Children:
    (360) 480-5721

    National Suicide Prevention Lifeline (24/7): 1-800-273-TALK

    Washington Recovery Help Line (24/7): (866) 789-1511 or click here
    Assistance with mental health, substance use and gambling issues.

    WA Perinatal Support Line:(888) 404-7763
    Mental health support, info and referrals

    WA Teen Link - Phone & Chat: (866) TeenLink, 866TeenLink.org
    Trained teens respond 7 days/week, 6:00 p.m. to 9:30 p.m.

    WA Warm Line: (877) 500-WARM
    Talk to someone with experience who understands Wed.-Sun., 5:00 p.m to 9:00 p.m.


    Behavioral Health Support Groups

    Gamblers Anonymous: (855) 222-5542

    AL-Anon & ALA-Teen: (800) 726-8094

  • BH Integration Tools and Supports
    Evaluation of Fully Integrated Managed Care in Southwest WA

    Preliminary First-Year Findings

    SAMSHA Models of Integrated Care


    Bree Collaborative

    Behavioral Health Integration Report and Recommendations

    This Report and Recommendations is focused on integrating behavioral health care services into primary care for those with behavioral health concerns and diagnoses for whom accessing services through primary care would be appropriate. This workgroup focused on using available evidence and existing models to develop eight common elements that outline a minimum standard of integrated care.


    SBIRT

    An evidence-based practice to increase awareness about substance abuse through alcohol and drug screening. The links below provide information on the practice and how to implement.

     

    UW AIMS Center (Advancing Integrated Mental Health Solutions) - Collaborative Care

    Collaborative Care originated in a research culture and has now been tested in more than 80 randomized controlled trials in the US and abroad. Several recent meta-analyses make it clear that Collaborative Care consistently improves on care as usual. It leads to better patient outcomes, better patient and provider satisfaction, improved functioning, and reductions in health care costs, achieving the Triple Aim of health care reform. Collaborative Care necessitates a practice change on multiple levels and is nothing short of a new way to practice medicine, but it works. The bottom line is that patients get better.

     

    To provide information on continuing education offerings:

  • BH Resource Library
    Trauma Informed Care

    Trauma Informed Care is a treatment framework and organizational structure which emphasizes the physical, psychological and emotional safety of individuals and providers. For more information on Trauma Informed Care and a calendar of offered trainings visit the HCA.


    DSHS Department of Behavioral Health and Recovery

    HCA BH Integration Video

    NADD An Association for persons with developmental disabilities and mental health needs

    Department of Disabilities Factsheets

    Autism Guidebook for Washington State

    Learnabouttreatment.org: goal to provide education and information on opioid use disorder so more people can find the treatment that will work best for them.


    Learn more about:
  • Best Practices and Evidence-Based Care
    Evidence-Based Practices (EBP) Information

    EBPs are practices that have been proven effective through scientific or academic research. When implementing an EBP the provider should consider the research along with patient values and the experience of the provider. Please refer to the information below for more information on reporting and implementing EBPs in behavioral health.


    The Evidence Based Practice Institute (EBPI), UW Medical Center

    EBPs are practices that have been proven effective through scientific or academic research. When implementing an EBP the provider should consider the research along with patient values and the experience of the provider. Please refer to the information below for more information on reporting and implementing EBPs in behavioral health.


    First Episode Psychosis

    First Episode Psychosis, otherwise known as New Journeys, is an early intervention program designed to support youth and young adults experiencing their first episode of psychosis.


    Northwest Mental Health Technology Transfer Center Network (NW MHTTC)

    NW MHTTC provides training and technical assistance in evidence-based practices to behavioral health and primary care providers to improve health outcomes for individuals at risk of developing serious mental illness.


    WA State Institute for Public Policy (WSIPP)

    WSIPP’s mission is to carry out practical, non-partisan research and provide information on reviewed evidence-based practices.

  • Molina BH Provider Resources
    Medication Review Program for Second Opinion Network (SON)

    Seattle Children's Hospital provides pediatric mental health second-opinion medication reviews. Second-opinion reviews are required when a psychiatric medication is prescribed outside of guidelines set by the Pediatric Mental Health Workgroup. Seattle Children’s schedules second-opinion reviews between their psychiatrists and the pediatric prescribers within Molina’s network after the SON receives the necessary information about the child and the requested medication dosage. In addition, they are responsible for sending the written second opinion review back to HCA.

    As part of the authorization process, prescribers are required to engage in a phone consultation from the SON. The SON team will call the prescriber to schedule an appointment if a SON review is required. To receive payment for the phone consultation, use procedure code 99441 on the claim. Please contact Molina at (800) 869-7165 if you are a prescriber and have any questions.


    Partnership Access Line (PAL)

    The Partnership Access Line (PAL) is a free state-funded program which provides mental health consultation for physical health providers for questions such as diagnostic clarification, medication adjustment or treatment planning.

    Call (866) 599-7257 Monday-Friday, 8:00 a.m. to 5:00 p.m. PST for assistance or visit www.seattlechildrens.org/PAL.

    PAL Training Calendar


    PAL for Moms

    PAL for Moms is a free state-funded program providing perinatal mental health consultation, recommendations and referrals for providers caring for pregnant or postpartum patients. Providers can consult on any behavioral health-related questions for patients who are pregnant, in the first year postpartum, or who have pregnancy-related complications.

    Learn more at the UW Psychiatry & Behavioral Sciences Maternal-Child Mental Health Program website.


    UW Medicine Pain Consult

    1-844-520-PAIN (7246). Clinical advice for health care providers caring for patients with complex pain medication regimens, particularly high dose opioids. By UW Medicine pain management pharmacists and physicians. Monday through Friday 8:30 a.m. to 4:30 p.m., excluding holidays. Provide resources for local pain clinics for patient referrals.


    UW Psychiatry Consultation Line

    Supports prescribing health care providers in WA State (PC clinics, community hospitals, ED’s, evaluation and treatment centers, and county and municipal correctional facilities). Offers the opportunity for providers to consult with a UW Psychiatrist about adult patients (18+) with mental health issues.


    UW Tele-Pain Services

    An audio and videoconference-based knowledge network of interprofessional specialists with expertise in the management of challenging chronic pain problems. The goal is to increase the knowledge and skills of community practice providers who treat patients with chronic pain. Available Wednesdays from 12:00 p.m. to 1:30 p.m.


    WA Department of Health (DOH) Opioid Prescribing Information

    The WA DOH provides a toolkit on opioid prescribing requirements to increase public health and safety by reducing opioid abuse and misuse, while assisting practitioners in continuing to treat their patients safely and appropriately for pain.

  • Community Forums

    Healthier Washington Health Systems Transformation and Innovation Shared Calendar

    National Alliance on Mental Illness (NAMI)

    Advocacy

    Behavioral Health Ombuds
    Region Counties Ombuds
    Great Rivers Cowlitz, Grays Harbor, Lewis, Pacific, Wahkiakum In Cowlitz, Pacific and Wahkiakum Counties:
    (866) 731-7403
    (360) 414-0237
    In Lewis and Grays Harbor Counties:
    (833) 721-6011
    (360) 266-7578
    Greater Columbia Asotin, Benton, Columbia, Franklin, Garfield, Kittitas, Walla Walla, Whitman, Yakima (833) 783-9444
    (509) 783-9444
    King King (800) 790-8049 #3
    (206) 477-0630
    North Central Chelan, Douglas, Grant, Okanogan (844) 636-2038
    North Sound Island, San Juan, Skagit, Snohomish, Whatcom (888) 336-6164
    (360) 416-7004
    Pierce Pierce (800) 531-0508
    Salish Clallam, Jefferson, Kitsap (888) 377-8174
    (360) 692-1582
    Spokane Adams, Ferry, Lincoln, Pend Oreille, Spokane, Stevens (866) 814-3409
    (509) 477-4666
    Southwest Clark, Klickitat, Skamania (800) 696-1401
    Thurston-Mason Mason, Thurston (800) 658-4105
    (360) 763-5793

    Other

    Take Back Your Meds

  • Behavioral Health Supplemental Data Guide

    The HCA is developing a standardized non-encounter data guide which will establish the non-encounter data set that will be required to be reported starting January 2020. The guide includes standard data definitions and transaction formats and most of the non-encounter data providers were already reporting to the state. See the Draft Behavioral Health Supplemental Transactions Data Guide