Integrating physical and behavioral health care purchasing
The state will fully integrate the financing and delivery of physical health services, mental health services and chemical dependency services in the Medicaid program through managed health care by 2020. As the state moves toward a regional Medicaid purchasing approach it creates a pathway for regions to "opt-in" and fully integrate physical and behavioral health care purchasing.
Historically, the state has purchased mental health and substance use treatment services through two separate systems: regional support networks and counties. Both services are purchased by regionally operated Behavioral Health Organizations (see BHO map) through a managed care structure except in Clark and Skamania counties, which have moved to the fully integrated model described above.
Fact sheets and FAQs
The following fact sheets provide additional information on behavioral and physical health care integration in Washington State, and regionalized Medicaid purchasing.