Community Behavioral Health Support (CBHS) services

Starting July 1, 2023, Apple Health (Medicaid) clients in some Washington regions will have access to behavioral health support services that include supportive supervision and skills development. Learn about the services and see who is eligible.


Starting July 1, 2023

Community Behavioral Health Support (CBHS) services is a new program beginning July 1, 2023 that will be implemented across the state over the next several years. This means not every region will have these services available right away.

Services covered under CBHS will help people who have a significant behavioral health diagnosis and need additional support to live in a community setting like an adult family home, an assisted living facility, or their home.

CBHS services are individually tailored to meet the needs of each person and are intended to provide stability, support independence, and help them stay in the community.

Who may be eligible?

A person may be eligible for CBHS services if they:

  • Are 18 years of age or older and are Apple Health (Medicaid) eligible.
  • Are eligible for or receiving Home and Community Services (HCS).
  • Have a qualifying diagnosis.
  • Are transitioning from an inpatient psychiatric setting or experience challenges living in community settings. These challenges may include:
    • Frequent hospitalizations.
    • Difficulty maintaining stays in residential settings.
    • High caregiver turnover within the past 2 years due to behaviors from a behavioral health condition.

What services are offered?

Supportive supervision is provided in the residential setting the person is residing in, such as an adult family home or assisted living facility. The service includes:

  • Additional staff to assist the person with structure, safety, social engagement, and community activities.
  • Staff to help them achieve goals and make their voice and preferences known.

Skills development is provided by a behavioral health agency and may include helping the person:

  • Learn or restore skills to gain independence. 
  • Build or maintain natural supports and independent living skills.
  • Learn to engage with local resources, such as arranging or using transportation.

Clients may benefit from skills development if they:  

  • Need additional support above and beyond supportive supervision in order to transition back to the community.
  • Are not stable in their current setting and are at risk of losing their community it without additional support to learn and restore skills.
  • Need skill development to help gain independence, including independent living.
  • Have not found traditional outpatient behavioral health services that meet their needs or are not willing to engage with traditional services.

Where can clients find more information?

Clients can learn more about these services by contacting:


CBHS services team