Apple Health public health emergency (PHE)

Important: Stay covered! Are you enrolled in Apple Health (Medicaid) coverage? It may be time to complete your renewal. Make sure your address and phone number are up to date so you can stay enrolled. Report a change.

Mental health reports

The Health Care Authority (HCA) produces reports for the public on mental health services ranging from program performance to external quality reporting. We use these reports in our efforts to improve service delivery and quality of care.

Cross-system performance measurement

HCA and the Department of Social and Health Services (DSHS), per Senate Bill 5732, developed a set of 51 performance measures to track behavioral health services for Apple Health (Medicaid).

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.


Measures developed from this legislation address the following outcomes:

  • Improvement in client health status
  • Increases in client 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

View Cross-System Outcome Measures for Adults Enrolled in Medicaid on the DSHS website.

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.

Involuntary treatment

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.

Single bed certifications

A single bed certification permits a person to be detained under the Involuntary Treatment Act (ITA) and temporarily receive services from a licensed facility that is not currently certified to treat involuntary clients (under WAC 182-300-0100.)

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.

Single bed certification updates

Secure withdrawal management and stabilization (SWMS)

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.

SWMS facility reports

Behavioral Health Enrollee Survey



Transition age youth (TAY)