Children's Mental Health Lawsuit and Agreement

In November 2009, a Medicaid lawsuit was filed (The T.R. et al. v. Kevin Quigley and Dorothy Teeter lawsuit, formerly T.R v. Dreyfus) against the Department of Social and Health Services (DSHS) and the Health Care Authority (HCA) about intensive mental health services for children and youth.

The lawsuit is based on federal EPSDT (early and periodic screening, diagnosis and treatment) laws that require states to provide mental health services and treatment to children who need them, even if the services have not been provided in the past.

After several years of negotiations, both sides agreed on a plan that they believe will put them in compliance with the laws, and most importantly, work for youth and families in Washington State.

The federal court approved this settlement agreement on December 19, 2013. The goal of the settlement agreement is to develop a system that provides intensive mental health services in home and community settings that work - for Medicaid eligible youth up to 21 years of age.

Settlement Agreement

The settlement agreement outlines specific goals and criteria to be met by program implementation. 

Brief overview of improvements to children's intensive mental health services

Cross system memorandum of understanding

Below you can review the original settlement agreement from T.R. vs. Dreyfus and the notice of settlement agreement and fairness hearing.

Approved settlement agreement (2013)

Notice of settlement agreement and fairness hearing

The notice of the settlement agreement and fairness hearing has also been translated into multiple languages.

For more information, you can also review the interim settlement agreement from 2012 or view a presentation overview of the interim agreement points.