Insurance
Insurance
Behavioral Health Services eligibility is often determined by your insurance coverage.
Many insurance companies have the benefit of behavioral health case management. Behavioral health case management can assist with locating services for your child or youth.
If you have a commercial plan such as Regence, Blue Cross Blue Shield, First Choice or Kaiser here is a link to behavioral health locator and case management services for many commercial plans.
If you do not know your Medicaid plan or need help finding a provider that accepts Medicaid insurance call the Washington Health Care Authority (HCA) at 1-800-562-3022 or Healthplanfinder Customer Support Center at 1-855-923-4633. Web link for information on care plans and coverage: https://www.hca.wa.gov/health-care-services-supports/apple-health-medicaid-coverage
Washington has transitioned to integrated managed care which allows services to be coordinated through a single health plan including mental health and substance use disorder treatment. If you or your youth are Medicaid eligible you should contact your Managed Care Organization (MCO) for care coordination and case management needs. Here is contact information for the MCO’s:
(Wellpoint) Amerigroup Member Services:
800-600-4441 www.myamerigroup.com/wa
Coordinated Care Member Services:
877-644-4613 coordinatedcaremember@centene.com
Molina Member Services:
800-869-7165 MHW.MS@MolinaHealthcare.com
United Healthcare Member Services:
1-877-542-8997 https://www.uhccommunityplan.com
Office of Behavioral Health Advocacy
Questions/ need help with grievance processes, appeals, administrative hearing processes?
Office of Behavioral Health Advocacy (formerly known as the Behavioral Health Ombuds) has peers with lived experience whose services are free and confidential. Serves as a neutral and confidential intermediary and provides an informal process to support residents in resolving complaints related to behavioral health programs, services, and it’s certified providers. This interactive map will connect you to your area’s regional contact.
Office of Behavioral Health provides information and referrals to all community members and assist with complaints, grievances, appeals, Mental Health Advanced Directives, and the Fair Hearings process.
OBHA also can help navigate any self-funded employer health plans, self-funded government plans, and religious organization health plan information.
Where to turn for Insured employer health plans,
Office of Behavioral Health provides information and referrals to all community members and assist with complaints, grievances, appeals, Mental Health Advanced Directives, and the Fair Hearings process. Learn more here
Self-funded employer health plans, Self-funded government plans, and religious organization health plans.