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Behavioral health and recovery

Apple Health clients have access to behavioral health (mental health and substance use disorder treatment) services, including crisis services, short-term mental health treatment, and inpatient psychiatric services.

Learn more about this program and how to become a behavioral health provider.

2020 behavioral health provider survey: The survey link is in the letter that was sent to providers via first class mail on April 17. We appreciate you taking the time to complete the survey during this difficult time.

Behavioral health covered services

How do providers identify the correct payer?

All behavioral health services are covered by:

Apple Health Integrated Managed Care plans, or
Apple Health managed care plans under the Behavioral Health Services Only benefit package, or
Apple Health coverage without a managed care plan (also known as fee-for-service).

Behavioral Health - Primary Care Integration

SSB 5779 passed in the 2017 legislative session.

The purpose of SSB 5779 is to promote efforts towards bidirectional behavioral health and primary care integration. One component of this bill requires the Health Care Authority to review payment codes related to primary care and behavioral health, create, and publish a matrix.

The project has been divided into three phases of code matrix creation. The intention of the matrix is to provide information to providers for successful reimbursement. Each matrix will be posted on the website as they are completed. A proposed implementation plan will be developed by the end of 2017. Please note that there are no changes in coding procedures at this time.