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182-538D-0200  <<  182-538D-0234 >>   182-538D-0246

PDFWAC 182-538D-0234

Behavioral health administrative service organizationsWhen the medicaid agency administers regional behavioral health services.

(1) If a currently operating behavioral health administrative service organization (BH-ASO) chooses to stop functioning as a BH-ASO, fails to perform contract requirements and fails to correct the issue to the medicaid agency's satisfaction when corrective action is issued, or does not meet the requirements under RCW 71.24.045, the following is implemented:
(a) Under RCW 71.24.035(16), the director of the medicaid agency:
(i) Is designated as the BH-ASO until a new BH-ASO is designated; and
(ii) Assumes the duties assigned to the region without a participating BH-ASO.
(b) The medicaid agency:
(i) Administers behavioral health services within the region without a participating BH-ASO; and
(ii) Continues to apply the BH-ASO requirements in chapter 182-538C WAC.
(2) A person who resides within the service area of a region without a participating BH-ASO may receive services, within available resources as defined in RCW 71.24.025(2), from any provider of behavioral health services that is contracted with the medicaid agency and licensed by the department of health.
[Statutory Authority: RCW 41.05.021, 41.05.160, 2019 c 325, 2014 c 225, and 2018 c 201. WSR 19-24-063, § 182-538D-0234, filed 11/27/19, effective 1/1/20.]
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