Due to COVID-19, HCA’s lobby is closed. Learn more about your customer service options.

" "

Mental health reports

Health Care Authority produces a number of reports providing the public with information about mental health services ranging from program performance to external quality reporting. The Health Care Authority uses these reports in our efforts to improve service delivery and quality of care.

In 2013, the Washington State Legislature passed Second Substitute Senate Bill 5732 and Engrossed House Bill 1519. Both of these bills directed the Health Care Authority, along with the Department of Social and Health Services, to develop a set of performance measures to track. These measures are included in Medicaid contracts with Regional Support Networks (now behavioral health organizations), managed care organizations, County Chemical Dependency Coordinators, and Area Agencies on Aging.

The measures that developed from this legislation address the following outcomes:

  • Improvement in client health status
  • Increases in client in participation in employment, education, and meaningful activities
  • Reduced client involvement in criminal justice systems and increased access to treatment for forensic patients
  • Reduced avoidable use of hospital, emergency rooms, and crisis services
  • Increased housing stability in the community
  • Improved client satisfaction with quality of life
  • Decreased population level disparities in access to treatment and treatment outcomes

The state convened a steering committee and multiple workgroups which produced a menu of 51 performance measures. Performance measures have been included in state contracts and a public reporting website is available for viewing at the Cross-System Outcome Measures for Adults Enrolled in Medicaid.

Below you will find the measure set and legislative reports on the effort.

Ongoing status reports to the Legislature regarding implementation of the cross-system performance measure will occur yearly via a report required under SB 5147:

SB 5732 also sought to increase the use of evidence based, research based and promising practices as well to make recommendations related to workforce issues.

For more information, please contact: Kara Panek, Kara.Panek@hca.wa.gov or 360-725-1400.

The Involuntary Treatment Act (ITA) provides for the process of investigation and evaluation of individuals who may need either mental health or substance use disorder involuntary treatment if it is determined the individual presents likelihood of serious harm or is gravely disabled. A single bed certification permits a person to be detained under the mental health Involuntary Treatment Act (ITA) and temporarily receive services from a licensed facility that is not currently certified to treat involuntary clients under WAC 388-865-0500. When someone is detained, they must be placed in a certified evaluation and treatment bed or a bed certified under the single bed certification process. Single bed certifications require that the facility be willing and able to provide timely and appropriate mental health treatment.

In this section you will find updates and reports on single bed certifications across Washington State.

Single bed certification updates

Single bed certification updates from Designated Crisis Responders (formerly Designated Mental Health Professionals)

The reports below detail incidents when an individual meets detention criteria, but an evaluation and treatment (E &T) bed or less restrictive alternative (LRA) is not available.

On April 1, 2018, two changes in the adult and youth Involuntary Treatment Act (ITA) for Substance Use Disorders (SUD) went into effect.

  1. Designated mental health professionals became designated crisis responders (DCRs).
  2. Community members who are a danger to themselves or others, other’s property, or gravely disabled due to a drug or alcohol problem may be involuntarily detained to a secure withdrawal management and stabilization (SWMS) facility.

In this section you will find updates and reports on SWMS facilities across the state.

SWMS facility reports

Federal requirements mandate that every state Medicaid agency that contracts with managed care organizations provide for an external quality review of health care services provided to enrollees, to assess the accessibility, timeliness, and quality of care they provide. The technical reports below describe the results of these reviews each year. Information in the reports below were collected from managed care organization and behavioral health organizations through review activities based on Centers for Medicare & Medicaid Services (CMS) protocols.