Evaluate variation in provider payments by comparing actual payment rates to comparison benchmark rates. Referencing a team-based model within crisis stabilization (including peers). CDC Interim Infection Prevention and Control Recommendations 4 0 obj
Are you a minority or woman business owner? HCA, in partnership with Milliman, released a provider cost and wage survey to gather specific information and feedback from a wide range of providers. News releases about disciplinary actions taken against Washington State healthcare providers, agencies or facilities are on the agency's Newsroom webpage. HCA and DSHS are not liable for any errors or omissions. christine.cricchio@dshs.wa.gov, DSHS Region 3 North (Pierce, Thurston, Mason, Kitsap, Clallam, and Jefferson counties), DSHS Region 3 South (Grays Harbor, Pacific, Lewis, Wahkiakum, Cowlitz, Skamania, and Clark counties), Suemary Trobaugh,Roads to Community Living Quality Improvement Specialist WebTo request a new contract for outpatient mental health and wellness services (including outpatient medication management, counseling, outpatient substance use disorder services, psychological testing, and neuropsychological testing), please submit a Provider Information Formonline and a Magellan Health representative will contact you to begin the Life, home, auto, AD&D, LTD, & FSA benefits, Overview of prior authorization (PA), claims & billing, Step-by-step guide for prior authorization (PA), Program benefit packages & scope of services, Community behavioral support (CBHS) services, First Steps (maternity support & infant care), Ground emergency medical transportation (GEMT), Home health care services: electronic visit verification, Substance use disorder (SUD) consent management guidance, Enroll as a health care professional practicing under a group or facility, Enroll as a billing agent or clearinghouse, Find next steps for new Medicaid providers, Washington Prescription Drug Program (WPDP), Governor's Indian Health Advisory Council, Analytics, research & measurement (ARM) data dashboard suite, Foundational Community Supports provider map, Medicaid maternal & child health measures, Washington State All Payer Claims Database (WA-APCD), Personal injury, casualty recoveries & special needs trusts, Information about novel coronavirus (COVID-19), Public notice of changes to the Medicaid State Plan, Behavioral health comparison rates project, Community behavioral health legislative funding increases, Behavioral health provider listening session, of Attachment 3.1-A and 3.1-B, Section 13d: Rehabilitation Services, of the Medicaid State Plan, Behavioral Health Data System (BHDS) data guide, List of inpatient providers enrolled in ProviderOne, Preadmission Screening and Resident Review, GAIN-SS target data elements admission and assessment form, Provider billing guides and fee schedules, Read an FAQ about these funding and rate increases, Behavioral health agency (BHA) licensing and certification (DOH), Healthier Washington Collaboration Portal (WA Portal), Directory of certified behavioral health providers, Service Encounter Reporting Instructions (SERI). suemary.trobaugh@dshs.wa.gov, Washington State Department of Social and Health Services, Aging and Long-Term Support Administration (ALTSA), Developmental Disabilities Administration (DDA), Facilities, Finance and Analytics Administration (FFA), Find Local Services, Information and Resources, Roads to Community Living: Supportive Housing Services, DSHS Regional Map with ALTSA Housing Team Contacts, List of Community Hospitals and Certified Evaluation and Treatment Facilities in WA State, Behavioral Health Agencies Directory WA State, Monthly Activity Records (MARs) Adobe Reader Template, Monthly Activity Records (MARs) Excel Template, Find Local Services, Information, and Resources. DVR contracts with a variety of vendors for many types of services. DSHS Developmental Disabilities Administration is seeking a qualified contractor to complete a study of Medicaid rates for contracted community residential STATE WebDCYF is a cabinet-level agency focused on the well-being of children. Individual Providers | DSHS - Washington Privacy Policy| Alternate Format Requests | Notice of Nondiscrimination, File Complaint About Provider or Facility, Healthcare Enforcement and Licensing Modernization Solution, Healthcare Professional Credentialing Requirements, Veterans, Service Members and their Families, Emergency Information for Specific Groups, For Public Health & Health Care Providers, Public Health System Resources and Services, Psychiatric hospital inspections and investigations, Behavioral Health Agencies Directory (PDF), Nursing Care Quality Assurance Commission, Chiropractic Quality Assurance Commission, Health Systems Quality Assurance Call Center, Verify your license (Provider Credential Search), Centers for Disease Control and Prevention (CDC), Local Health Jurisdictions and Tribal Directories, Northwest Center for Public Health Practice, For RN, LPN, ARNP, or nursing technician credential assistance, contact the, For allopathic physician (MD) or physician assistant credential assistance, contact the, For chiropractor or chiropractic x-ray technician credential assistance, contact the, For credential assistance with all other professions, contact the. The Health Care Authority intends tosubmit State Plan Amendment 21-0003 to update the languageof Attachment 3.1-A and 3.1-B, Section 13d: Rehabilitation Services, of the Medicaid State Plan. All attempts are made to ensure the accuracy of the information. The Global Assessment of Individual Needs-Short Screener (GAIN-SS) is a evidence-based, five-minute screening tool for general populations to identify clients who have one or more behavioral health disorders. This web page is intended as a resource for residential providers who contract with DDA. Become a Licensed Early Learning, Child Care, or School-Age Provider Process of applying for and maintaining a child care license. How do I notify SEBB that my loved one has passed away? If you are interested inproviding Information Technology goods or services,orselling goods or services such as equipment, inspections, utilities, vehicles, software, or janitorial services, to DSHS, please contact theWashington State Department of Enterprise Services(DES). Therefore, any nonenrolled provider, including any provider who is terminated from the Medicaid Program, for any reason, is not permitted to provide services to Medicaid recipients. This survey is an opportunity for BH treatment agencies to let us know about their agency, the improvement efforts they are currently undertaking, and the diversity of their behavioral health clinical staff. _f+ RPQil24~4VG2
?EL[']S9:257SL|9+N@>8g. assigning a regional program manager to help facilitate referrals to your agency, facilitating regional community partner meetings to build collaboration in your area, and. This site provides true and correct copies of legal disciplinary actions taken after July 1998. %
Details and guidance on such coverage can be found here:Insurance Requirements for DSHS Contracts. To develop and publish behavioral health provider payment comparison rates that are consistent with efficiency, economy, quality of care, and access to care. WebThe state of Washingtons Department of Social and Health Services (DSHS) is putting up $116 million to settle a class action alleging that it did not pay certain individual providers WebTo develop and publish behavioral health provider payment comparison rates that are consistent with efficiency, economy, quality of care, and access to care. It also includes data from two legacy systems: The data guide contains reporting requirements for managed care organizations (MCOs) and behavioral health-administrative services organizations (BH-ASOs) to meet state and federal reporting requirements related to funding. (360) 764-9909 If you are interested inproviding services directly to DSHS clients,including such services as medical and dental services, training programs, residential care, or respite care, please contact theDSHS Community Services Office(CSO) in the area nearest you. *These lists were updated February 10, 2023. The survey is voluntary, and the information collected will be kept confidential. WebProvider Credential Search | Washington State Department of Health Home Licenses, Permits, & Certificates Provider Credential Search Provider Credential Search Access to The Affordable Care Act requires that all ordering physicians or other professionals who prescribe, order, or refer services to Medicaid or provide services under the State Plan or under a waiver of the plan to be enrolled as participating providers (see 42 CFR 455.410(b)). Life, home, auto, AD&D, LTD, & FSA benefits, Overview of prior authorization (PA), claims & billing, Step-by-step guide for prior authorization (PA), Program benefit packages & scope of services, Community behavioral support (CBHS) services, First Steps (maternity support & infant care), Ground emergency medical transportation (GEMT), Home health care services: electronic visit verification, Substance use disorder (SUD) consent management guidance, Enroll as a health care professional practicing under a group or facility, Enroll as a billing agent or clearinghouse, Find next steps for new Medicaid providers, Washington Prescription Drug Program (WPDP), Governor's Indian Health Advisory Council, Analytics, research & measurement (ARM) data dashboard suite, Foundational Community Supports provider map, Medicaid maternal & child health measures, Washington State All Payer Claims Database (WA-APCD), Personal injury, casualty recoveries & special needs trusts, Information about novel coronavirus (COVID-19). 2 0 obj
Improve transparency in analysis and communication between HCA and other stakeholders, such as the state Legislature, providers, insurers, and advisory work groups. Nurse Delegation Program | DSHS Subpoena. Enrollees will be asked to complete the survey online or by telephone (US mail surveys are available if requested.). ob{>>*Ggy;J! be willing to work with a Supportive Housing Provider, be eligible (financially & functionally) for ALTSA services, and, be discharging or being diverted from Eastern/Western State Hospitals, WSH Address: 9601 Steilacoom Blvd SW, Lakewood, WA 98498, ESH Address: 850 Maple St, Medical Lake, WA 99022. WebOur Department of Social and Health Services (DSHS) mission to Transform Lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. The information collected through the survey, along with other data sources, will be used to refine the comparison rates developed in phase 1 of this project. Access to high volumes of Provider Credential Search data is available at our open data portal. STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND All information is available on the Office of the Deaf and Hard of Hearing'sContractors Providing Sign Language Interpreter Services website. The BHDS incorporates integrated behavioral health and substance abuse data, storage, and supporting reporting functions. The following lists contain: Individuals or entities whose participation in the Medicaid program has been terminated for cause under the provision of WAC 182-502 Email:Kristina.Hawley@hca.wa.gov, Website feedback: Tell us how were doing, Copyright 2023 Washington Health Care Authority, I help others apply for & access Apple Health, Apple Health for Workers with Disabilities (HWD), Medically Intensive Children's Program (MICP), Behavioral health services for prenatal, children & young adults, Wraparound with Intensive Services (WISe), Behavioral health services for American Indians & Alaska Natives (AI/AN), Substance use disorder prevention & mental health promotion, Introduction overview for general eligibility, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services & supports (LTSS) manual, Medical plans & benefits (including vision), Life, home, auto, AD&D, LTD, FSA, & DCAP benefits. Individuals or entities whose participation in the Medicaid program has been terminated for cause under the provision of WAC 182-502-0030 (HCA) or388-113-0020; 388-113-0030; 388-71-0540 (DSHS). This web page is intended as a resource for residential providers who contract with DDA. Residential Provider Resources | DSHS - Washington Complete all required training through a DSHS community instructor. The reader is encouraged to carefully evaluate any information found on this site. >8*dp^u(3',a BUL8DdSRo9+ _Ub-: The language changes to the State Plan will include: If approved by the legislature, a new provision will be added that would allow Medicaid funds to be used on problem gambling treatment services, which are currently paid for with state funds. Aligningallowable provider type(s) with Department of Health (DOH) scope of practice. There have been several legislatively mandated rate increases that affect behavioral health providers in 2023. WebDSHS contracts with many individuals and companies to provide services to DSHS clients, and to purchase or contract for services necessary to improve DSHS business practices. The CIL Services contract provides an array of independent living services for DVR customers who may be experiencing IL related issues that create barriers to achieving competitive employment. DSHS currently has over 70,000 active contracts, most of which provide services directly How Do I Get Nurse Not every action taken by the Department of Social and Health Services (DSHS) or the Health Care Authority (HCA) involves a finding of wrongdoing (see WAC 182-502-0030(b)). Make informed decisions when proposing changes to covered benefits. Washington State Department of Social and Health It gives users a variety of searching, filtering, and data exporting options. Read More HCS Management Bulletins Please be aware that ALTSA is actively looking to contract agencies to provide supportive housing services to clients discharging or diverting from Eastern and Western State Hospitals. endobj
Contracting with DSHS | DSHS - Washington CILS are consumer controlled, community-based, cross-disability, nonresidential private nonprofit agencies that are designed and operated within a local community by individuals with disabilities. STATE OF WASHINGTON These rates will provide transparent benchmark estimates of provider payment rates for Medicaid-funded behavioral health services. Added co-occurring disorder professionals as an allowable provider type. Olga.Lutsyk@dshs.wa.gov. Documents and other materials of interest to residential providers will be posted here. In this case the training would be free to the member. 07-73149, which was WebOur vision is to ensure that Washington states children and youth grow up safe and healthythriving physically, emotionally and academically, nurtured by family and Exempt Provider, category 3:Has an active Nursing Assistant, Certified credential, No, as long as NAC credential is Active and in good standing, On or before your birthday in your first year of work, Exempt Provider, category 4: A certified teacher with a special education endorsement from the Office of Superintendent of Public Instruction, No, as long as special education endorsement is maintained in good standing, Before your birthday in your first year of work, NON-DDA Parent Provider: Individual caring for his/her biological, step or adoptive child (over the age of 18), CompleteBasic Training (30 hours)within 120 days of starting to provide care, Not required, unless you voluntarily obtain your HCA credential, DDA Parent Provider: Individual caring for his/her biological, step or adoptive child (over the age of 18), CompleteBasic Training (7 hours)within 120 days of starting to provide care, * Limited Service Provider: Provides 20 hours (or less) of care a month for one person, Complete Basic Training (30 hours)within 120 days of starting to provide care, *Adult Child Provider: Individual caring for his/her biological, step or adoptive parent, On or before your birthday in the next calendar year after completing Basic Training, ** Respite Care Only Provider: Providing care for individual(s) on DDA respite care only, working 300 hours or less, Complete Basic Training (9 hours)within 120 days of starting to provide care. endobj
* If you change the type or number of clients you provide services for, or increase the number of hours you work, it may change your Individual Provider category.