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

    • *Click here for more information on WISe services.

    Click here for more information on Molina’s IMC/BHSO covered BH services.

    Click here for more information on Molina’s IMC/BHSO covered BH services.

    Click here to see what BH services require a prior authorization.

    Here is the 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:
    Regional Behavioral Health Provider Lists

    or go to Molina’s Provider Online Directory.

    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

       

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

      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

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

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

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

      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 - is 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.

      HCA SBIRT Guidelines

      and

      Washington State Screening, Brief Intervention and Referral to Treatment

      Screening assessments used in primary care


      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.

      UW AIMS Center - Patient Tracking Spreadsheet
      WA State AIMS Caseload Tracker
      UW AIMS Center- Resource Library:

       


      To provide information on continuing education offerings:WA State Medical Association Trainingsand WA State Hospital Association website
    • 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 Click here


      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:

      Recovery

       

    • 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. If a SON review is required, the SON team will call the prescriber to schedule an appointment. To receive payment for the phone consultation, use procedure code 99441 on the claim. If you are a prescriber and have any questions, please contact Molina at (800) 869-7165.


      Partnership Access Line (PAL)

      The Partnership Access Line is a consultation program provided through Seattle Children’s Hospital for primary care physicians (PCPs). The consultation is free, funded by the Washington State Legislature and the Washington Health Care Authority. Any primary care doctor, nurse practitioner, or physician assistant throughout Washington state can call this line for assistance with any type of child mental health advice for any child the practitioner sees. 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 2019-2020 Program Highlights

    •  

    •  Evidence Based Practices (EBP) Information

    • WA State Institute for Public Policy (WSIPP) HCA’s guide on Evidence Based PracticesPractical Guide for Orienting New Providers to Evidence Based Practice and CBT+Harborview CBT+ Training Collaborative schedule

      Northwest Mental Health Technology Transfer Center Network 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.Click here


      First Episode Psychosis

      For more information about early intervention and psychosis Click here


      For current sites in WA State offering First Episode Psychosis services Click here


      SAMHSA Substance Abuse and Mental Health Evidence Based Practices Resource Center provides communities, clinicians, policy-makers and others information and tools on evidence-based practices Click here


      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 AM – 4:30 PM, excluding holidays. Provide resources for local pain clinics for patient referrals.

      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 12:00-1:30 pm

    •  UW Psychiatry Consultation Line

    • Supports prescribing health care providers in WA State (PCP clinics, community hospitals, Emergency Departments, evaluation and treatment centers, and county and municipal correctional facilities). 

    •  

    • Pain Clinic Closures

    • 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

      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 guide below.
      Draft Behavioral Health Supplemental Transactions Data Guide