Description
The agency is amending its rules to comply with federal regulations. Effective June 3, 2024, the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services, removed a federal rule, 42 CFR § 435.608, thus eliminating the requirement to apply for other benefits as a condition of Medicaid eligibility. States were given 12 months after the effective date to comply.

Agency contacts

Rulemaking contact

Brian Jensen

Program contact

Paige Lewis

Rulemaking status history

Preproposal (CR101)

Emergency Adoption (CR103E)

Proposal (CR102)

Description
The agency is amending WAC 182-531-1850 to allow for exceptions to the general rule that the agency does not make separate reimbursement for Centers for Medicare and Medicaid Services bundled services.

Agency contacts

Rulemaking contact

Brian Jensen

Program contact

Wendy Steffens

Rulemaking status history

Preproposal (CR101)

Proposal (CR102)

Become a Community Behavioral Health Support (CBHS) provider

Starting July 1, 2024, Apple Health (Medicaid) clients in some Washington regions have access to behavioral health support services that include supportive supervision and skills development. Learn about the services and see who is eligible.

On this page

What is Community Behavioral Health Support (CBHS)?

CBHS is a new program that began July 1, 2024. This program helps people who have a significant mental health diagnosis and need additional support to live in a community setting like an adult family home or an assisted living facility.

The CBHS program provides a service called supportive supervision. Supportive supervision is:

  • A voluntary service.
  • One-on-one in-person monitoring, redirection, diversion, and cueing of the client to prevent at-risk behavior that may result in harm to the client or to others.
  • Providing individuals with assistance to build skills and resiliency to support stabilized living and integration.
  • Coordinated as appropriate with other services such as behavior support and/or crisis plans to help ensure community stability.

These interventions are not related to the provision of personal care. For more information on eligibility, see WAC 182-561.

Supportive supervision can be provided by the following residential provider types:

  • Adult family homes (AFH)
  • Enhanced service facilities (ESF)
  • Assisted living facilities (ALF)
    • Enhanced adult residential care facilities (EARC)
    • Adult residential care facilities (ARC)

Transition from Behavioral Health Personal Care

Supportive supervision will replace Behavioral Health Personal Care (BHPC) managed care organization (MCO) wrap-around funding. Throughout the next year, Home and Community Services will stop authorizing BHPC in a residential facility at the time the resident's CARE assessment is due for renewal. Providers must prepare for this transition to continue getting paid for providing support to current or new residents.

Become a CBHS supportive supervision provider?

To offer supportive supervision, providers must:

  1. Complete an application in ProviderOne. This will allow HCA and MCOs to contract with you to provide this service.
    1. View step-by-step instructions to complete ProviderOne application.
    2. Watch a recorded training about completing your application in ProviderOne.
  2. Contract with MCOs to serve managed care enrollees.

Training resources

Meetings

CBHS rapid response calls and open office hours occur weekly, except for state holidays.

Rapid response calls

Rapid response calls are for providers who have CBHS clients and have questions for HCA or MCOs about billing, contracting, or authorizations. 

Date and time Meeting details
  • Date: Mondays
  • Time: 8 - 8:30 a.m.

Office hours

Office hours are for providers who have questions for HCA about CBHS or who need help completing the ProviderOne application.

Date and time Meeting details
  • Date: Tuesdays
  • Time: 2:30-3:30 p.m.

Additional resources

Stay updated

Sign up for CBHS updates from HCA.

00438: Providers receive errors when submitting claims
Discovery log number
00438
Discovery description

When navigating in the ProviderOne Provider portal some providers are receiving error messages when attempting to select certain hyperlinks, or when attempting to submit a claim.

The error message received can be one of many:

  • A blank screen with a close button in the upper left corner
  • A warning message at the top of page: 'The service code or modifier submitted is invalid'

All error messages may not be identified yet. These error messages may not be a ProviderOne issue. Many times, this indicates the Provider needs to allow the ProviderOne URL to their allowed sites under pop-ups and redirects in their browser settings. 

Instructions to provide for the provider

Open your browser, Google Chrome, MS Edge, etc.

If using edge:

  1. Go to settings.
  2. On the left side of the screen, select ‘Cookies and site permissions’.
  3. Under All Permissions, select ‘Pop-ups and redirects’.
  4. Go to Allow.
  5. If no, then select ‘ADD’.
  6. Type in https://www.waproviderone.org.
    • (IMPORTANT: Make sure that the URL does not contain any typos, extra spaces, or extra characters.)
  7. Close the browser and restart.

If using chrome:

  1. Go to settings.
  2. On the left side of the screen, select ‘Privacy and security’.
  3. Under Privacy and Security select ‘Site settings’.
  4. Select ‘Pop-ups and redirects’.
  5. Go to Allow.
  6. If no, then select ‘ADD’.
  7. Type in https://www.waproviderone.org.
    • (IMPORTANT: Make sure that the URL does not contain any typos, extra spaces, or extra characters.)
  8. Close the browser and restart.

If this does not fix the issue, the provider or staff can submit a ticket to MMIS. This will create a ticket for the ProviderOne Operations team to resolve.

The popup blocker will prevent the providers from submitting their claims to the ProviderOne system.

Date reported
ETA
Provider impact
All Providers
Workaround
No workaround.

Brian Miller

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