Behavioral Health Integration
King County has launched a comprehensive planning effort to integrate mental health and substance use disorder services into one seamless, managed care treatment system. This integration of behavioral health services must be completed by April 1, 2016.
Planning Updates (3/7/16)
NEW: Executive Constantine names board members to guide behavioral health integration (3/7/16). County Executive announces the 15 individuals nominated to serve on the new Behavioral Health Advisory Board beginning April 2016. Read more here.
NEW: Client Information: What you need to know before April 1. The state Department of Social and Health Services (DSHS) sent a letter to all Medicaid clients notifying them of the changes to behavioral heatlh access beginning April 1, 2016. It was confusing for some. Here is information to help you, your family member or you client better understand what is changing, and not changing, on April 1.
- State DSHS letter to Medicaid clients
- Behavioral Health Organization contact list
- Transition key points
- Frequently Asked Questions (FAQs) on the new Behavioral Health Organizations and what it means for clients
NEW: Behavioral Health Organization Provider Transition Forum #2 (2/29/16). If you missed the training, or want to review what you learned, the training materials are now available on the BHO Training page online.
NEW: Behavioral Health Organziation Stakeholder Forum (2/22/16). If you missed the training, or want to review what you learned, the training materials are now available on the BHO Training page online.
Reminder: Community Partner Forum Mar. 18. Last Chance. Do you serve individuals who may need to access publicly funded mental health or substance use disorder treatment? Learn what "behavioral health integration" means and how it will change access and delivery of treatment services after April 1, 2016. Download the flyer or follow this link to register: March 18, 2016 12:30-2 p.m.
NEW: Webinar: Provider Training - Using the new Substance Use Disorder Residential Treatment Bed Tracking Tool. If you missed the training, it is now available online. Click here.
(Updates from 2/16/16)
Community Partner Forums - Feb. 22 and Mar. 18. Do you serve individuals who may need to access publicly funded mental health or substance use disorder treatment? Learn what "behavioral health integration" means and how it will change access and delivery of treatment services after April 1, 2016. Download the flyer or click to register for either date: February 22,2016 Noon - 1:30 p.m. OR March 18, 2016 12:30-2 p.m. Both events will take place in the King County Chinook Building, 401 Fifth Avenue, 1st floor, Rooms 121/123. You must register to attend.
(Updates from 2/1/16)
Registration Open Now: Community Partner Forums - Feb. 22 and Mar. 18. Discussion forums are planned for community partners who work with individuals who may need to access publicly funded mental health or substance use disorder treatment. Learn what integration means and how it will change access and delivery of behavioral health services. Presentations and opportunity for Q&A. Download the flyer
BHRD holds provider forum focused on transition planning. Mental health and substance use disorder service providers filled the room to capacity on Jan. 20, 2016 to learn more about transition planning for their clients beginning April 1. The goal is provider readiness for the transition from two separate systems to one combined system of care and a seamless transition for clients with no disruptions in service. All clients receiving ongoing substance use treatment services after March 31, 2016 must be successfully transitioned to the new BHO. Go here for training tools.
BHO Network. King County Behavioral Health agencies are listed here.
(Updates from 1/22/16)
King County Behavioral Health and Recovery Division (BHRD). The old name - Mental Health, Chemical Abuse and Dependency Services Division - is gone forever. To reflect the new roles and responsibilities in becoming a Behavioral Health Organization (BHO) and King County's commitment to recovery, the division embarked on a new name, which was recently approved by the Metropolitan King County Council.
State favorably reviews King County's BHO Plan. King County BHRD received a very favorable review of its detailed plan to become the BHO that was submitted to the state Department of Social and Health Services (DSHS). Over the coming weeks, BHRD will work with its partners and the state to fine tune the individual elements of the integration plan toward the April 1 launch date. Want to read the King County BHO Plan? Here it is: Part 1 Part 2 Readiness Criteria
Successful recruitment yields 40 applicants for new Behavioral Health Advisory Board; review process now underway. Both the current Mental Health Advisory Board and the current Alcoholism and Substance Abuse Administrative Board will sunset in March. Per state legislation, a new Behavioral Health Advisory Board will be seated to provide oversight to King County's BHO. The initial review process is looking to ensure a diverse mix for the board that is representative of the region in age, gender, race/culture, and geography and includes a range of expertise and lived experience (persons who have experienced mental illness or addictions). The board will be comprised of no more than 15 members. Prospective nominees will be forwarded to King County Executive Dow Constantine for his consideration. The Executive will transmit his slate of nominees to the King County Council by March 1, 2016 for the confirmation process. The board will convene on April 7, 2015.
The Washington State Legislature passed Senate Bill 6312 in 2014 directing the state Department of Social and Health Services to change how it purchases mental health and chemical dependency services. The state purchases mental health services through Regional Support Networks (RSNs), and chemical dependency services through a combination of state and local contracts.
Phase One: Beginning April 1, 2016 these services will be purchased by regionally operated Behavioral Health Organizations (BHOs) through a managed care structure. This is the first phase of integration. This funding map illustrates how funding for services will change with the creation of a BHO.
Phase Two: The legislation also calls for integration of physical and behavioral health as the second phase of system change and this must be completed by Jan. 1, 2020.
Summary of ESSB 6312: Physical and Behavioral Health Integration
Do you have questions, concerns, suggestions?
The Behavioral Health Integration Team is committed to ensuring that staff, clients, providers, board members, and other key stakeholders are kept informed as planning in King County moves forward. If you have ideas for how communication can be improved or considerations for integration design, please share your suggestions.
Project Lead: Susan McLaughlin, PhD, Health and Human Services Integration Manager
Information from the State of Washington:
Developing Behavioral Health Organizations (state DSHS)
Behavioral Health Organization Fact Sheet (state DSHS)
WA Health Care Authority Integrated Behavioral and Physical Health Purchasing (state Health Care Authority)
Why Regionalize Medicaid Purchasing for Physical and Behavioral Health Care? (state Health Care Authority)