Mental Health

  • Apple Health (AH)

    Molina Healthcare covers lower intensity outpatient mental health (MH) services for mild-to-moderate mental health conditions including psychotherapy, psychological testing and medication management for AH members. If a Molina AH member needs higher intensity mental health services including inpatient mental health services, partial hospital programs and/or intensive outpatient programs, or substance use disorder (SUD) services, Molina will coordinate services with the local Behavioral Health Organization (BHO). Members can receive services through Molina while awaiting assessments and services through the BHO to ensure access to care.


    There is no “wrong door” for members to access MH services and they can self-refer at any time. However, 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.


    Click here for more information on Molina’s AH covered behavioral health (BH) services. Click here to see what BH services require a prior authorization.


    Also see member-facing information on mental health services.

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

    Molina Healthcare covers behavioral health (BH) services for IMC and BHSO members in the Southwest Washington and North Central regions. This includes outpatient and inpatient mental health and substance use disorder (SUD) services.

    There is no “wrong door” for members to access services and they can self-refer at any time. However, 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

    Outpatient
    Psychotherapy
    Psychological testing
    Medication management
    Intensive outpatient programs

    Inpatient
    Inpatient mental health facilities
    Partial hospital programs

    SUD Services

    Detoxification
    Residential Treatment
    Intensive outpatient programs

    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.

    See a list of state agency providers for your region here (Coming Soon)

    To find in-network behavioral health agencies and community health centers by region go to Molina’s Provider Online Directory or click on the links below:
    North Central Washington
    Southwest Washington

    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
    Greater Columbia Greater Columbia Behavioral Health, LLC Asotin, Benton, Columbia, Franklin, Garfield, Kittitas, Walla Walla, Whitman, Yakima (888) 544-9986
    King 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
    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

     

    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

    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.

  • BH Resource Library
  • 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 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 Heal Program website.


    PAL Training Calendar
    PAL Outreach Flyer
    PAL 2019-2020 Program Highlights

     

  • Evidence Based Practices (EBP) Information
    WA State Institute for Public Policy (WSIPP)
    SAMHSA’s National Registry of Evidence Based Programs and Practices (NREPP)
    UW AIMS Center (Advancing Integrated Mental Health Solutions) - Collaborative Care
    • Collaborative Care Implementation Guide
    • 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


    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 (PC clinics, community hospitals, ED’s, evaluation and treatment centers, and county and municipal correctional facilities). 

    Pain Clinic Closures

  • Community Forums
  • 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 (866) 666-5070
    Thurston-Mason Mason, Thurston (800) 658-4105
    (360) 763-5793
  • Other