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Wraparound with Intensive Services (WISe)

Wraparound with Intensive Services, or WISe, is an approach to helping Medicaid-eligible children, youth, and their families with intensive mental health care. Services are available in home and community settings and offer a system of care based on the individualized need of the child or youth. WISe is a voluntary service that takes a team approach to support you and your family in meeting your goals.

An overview of the WISe program model

How is WISe different?

WISe is based on a team approach to care that is guided and driven by you and your family.

You and your family:

  • Set goals that meet your needs, and
  • Develop an individualized care plan based on your strengths.

In addition:

  • WISe services and supports are available in locations and times that work best for you.
  • Crisis services are available any time of day (24/7) with individuals who know your situation.

Who is on a team?

Team members include natural supports (such as family, friends, and religious leaders) and the professionals who work with you and your family (such as counselors, schools, Child Protective Services (CPS), and probation officers).

Peer support

Peer support pairs those in treatment with individuals who have had similar experiences.

Grievance, appeals, and fair hearing information sheet

Learn about the fair hearing process.

Who qualifies for WISe?

WISe is available to Medicaid-eligible children and youth 20 years of age or younger with complex emotional, behavioral, and social issues who meet medical necessity criteria for WISe services.

How do I get started?

To ask for a screening, contact a WISe provider agency in your county.

  • If you are a youth over the age of 13: you can ask for a WISe screen to find out if they are eligible.
  • If you are under 13: you need permission from your parent or guardian.
  • If you are a parent: you can refer your child for a WISe screen at any time, but after age 13, a child must consent to services.

More information can be found on our Family Initiated Treatment (FIT) webpages.

What happens next?

  • Complete the Child Adolescent Needs and Strengths (CANS) screening tool (26 questions) either over the phone or in-person. Learn more about the tool.
  • If the screening tool shows you are:
    • Eligible — do need this level of care: a WISe provider agency will assign a team and all care will be coordinated through the agency/team.
    • Not eligible — do not appear to need this level of care: you will be referred to other mental services, appropriate to your needs.

Where do I go for additional information?

WISe services are accessed through community behavioral health provider agencies. To learn more, contact:

WISe handouts and training

The following materials are also available to help you understand WISe and how it works.

A WISe referral can be made directly to the WISe referral agency or through a managed care organization.

To make a referral, contact a WISe referral agency near you or your managed care organization (MCO).

The Health Care Authority (HCA) provides detailed reports on the implementation of the WISe program model as well as quarterly quality management reports by location. Visit the Wraparound with Intensive Services (WISe) reports page to view and download the reports.

How can I get involved?

Your voice can help improve services for children and youth. Join your regional Family, Youth, and System Partner Round Table (FYSPRT) — a community forum addressing the behavioral health needs of children, youth, and families in Washington.

FYSPRTs are an important part of a governance structure that includes the Children and Youth Behavioral Health Work Group (CYBHWG) and is working to make improvements to the children’s behavioral health system, including WISe.

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