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Washington Apple Health (Medicaid) Behavioral Health Services Only (BHSO)
Medicaid
Our plan offers a range of behavioral health benefits. These include mental health and substance use disorder treatment services. View the benefits below to see all that it offers. It's for people who meet income and eligibility requirements for Apple Health (Medicaid) and receive physical health services some other way.
To find out if you qualify, visit wahealthplanfinder.org or call 1-855-WAFINDER (1-855-923-4633) TTY/TTD 1-855-627-9604.
We can also assist with interpreter services, including American Sign Language. To ask for help, please call 1-877-542-8997, TTY 711, Monday through Friday, 8:00 a.m. to 5:00 p.m.
Clallam, Cowlitz, Grays Harbor, Island, Jefferson, King, Kitsap, Lewis, Mason, Pacific, Pierce, San Juan, Skagit, Snohomish, Thurston, Wahkiakum, and Whatcom.
Benefits & Features
Choice of Behavioral Health Provider
Your Behavioral Health Provider
You can get a wide range of treatments and services for mental health and substance use disorder. You do not need a referral from your Primary Care Provider (PCP) to see a network behavioral health provider or to access substance use disorder treatment services.
Use the Doctor Lookup tool to find behavioral health providers near you.
Your Primary Care Provider (PCP)
This is the person you should see for most of your care. These services are not covered by this plan. You receive access to these services some other way. Talk to your PCP about any behavioral health concerns you may have. Your PCP can help you decide the right options for you.
Interpreters
Your behavioral health provider and you need to understand each other. Not speaking English well makes this difficult. We can arrange for an interpreter to be at your appointments.
We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language or they can connect you with our interpreter service which covers more than 170 languages.
Language Help
You can receive information in your preferred language. Just ask. We also have people at our customer service centers who speak more than one language. Chances are, we have someone who speaks your language or they can connect you with our interpreter service which covers more than 170 languages.
Member Services
Sometimes you might need a little help understanding your health care options. With us, you have someone you can call. We'll answer your questions simply and completely.
We can also help you find:
- Mental health providers.
- Substance use disorder treatment services.
Mental Health Services for Children and Youth
Problems such as depression and anxiety can also be challenging for children and teens.
There are no costs for covered services. We have therapists and doctors for youth and teens that can address their specific behavioral health or substance use disorder. Help get them extra support to live a heathier life.
Look for behavioral health providers or call 1-877-542-8997, TTY 711
Additional Resources
Teens can connect with teens during specific hours: 866-833-6546, teenlink@crisisclinic.org, www.866teenlink.org
No Cost for Covered Services
Get the quality health care you deserve at no cost for covered services. You get:
- Care from highly skilled and compassionate behavioral health providers.
- Treatments at respected facilities.
NurseLine℠
When you have questions about your health care, you can call a nurse 24 hours a day, 7 days a week: 1-877-543-3409 (TTY 711).
Our nurses will:
- Listen to symptoms.
- Help with self-care.
- Advise you about getting the type of care you need.
- Help you know when to go to the emergency room or urgent care clinic.
Quitting Tobacco
You know the bad health effects of smoking. You know you need to quit. We support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture. Call 1-866-QUIT-4-LIFE (1-866-784-8454) Or visit www.quitnow.net
Transportation
Get a ride – at no cost to you - to and from health care locations. That includes trips to:
- Doctor or behavioral health provider visits.
Apple Health pays for transportation services to and from needed non-emergency health care appointments. If you have a current ProviderOne services card, you may be eligible for transportation. Call the transportation provider (broker) in your area to learn about services and limitations. Your regional broker will arrange the most appropriate, least costly transportation for you. See the list of brokers
Member Resources
Member Resources
Washington Apple Health (Medicaid) Behavioral Health Services Only (BHSO)
Important Information and Disclosures
Information about Renewing Your Coverage
Washington Apple Health (Medicaid)
Have you received information asking you to take action so that you can keep getting benefits?
We’re here to help you.
Call us toll-free at
1-866-686-9323, TTY 711.
Don’t let your health care coverage end. It’s too important.
You can also renew by contacting the Washington Health Benefits Exchange.
Online: wahealthplanfinder.org
Or call: 1-855-923-4633, TTY/TDD 1-855-627-9604.
Member Handbook
Member Handbook
Member Newsletters
2021
Winter
2020
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Summer
Spring
Winter
2019
Fall
Summer
Spring
Winter
Advance Directives
An advance directive puts your choices for health care into writing.
How to Contact Us
If you have questions about your health plan, please call us. Our toll-free Member Services number is 1-877-542-8997 (TTY: 711).
There will be people who can speak to you 24 hours a day, 7 days a week in English, Spanish and Vietnamese when you call.
Clinical Practice Guidelines
UnitedHealthcare Community Plan has practice guidelines that help providers make healthcare decisions. These guidelines come from nationally recognized sources. UnitedHealthcare Community Plan has practice guidelines for conditions including:
- Asthma
- Attention deficit hyperactivity disorder (ADHD)
- Bipolar disorder
- Chronic obstructive pulmonary disease (COPD)
- Depression
- Diabetes
- Heart disease
- Heart failure
- High blood pressure
- Obesity
- Prenatal care
- Pediatric preventive healthcare
- Substance abuse disorders
- Transplants
Click here to view the entire list of guidelines or call our Member Services at 1-877-542-8997 (TTY: 711) to request a printed copy.
Provider Advisory Committee Approval - July 24, 2019
Notice of Privacy Practices
We have a Notice of Privacy Practices that tells you how health information about you may be used and shared. We are required by law to let you know that the Notice is available, and how you can get a copy of it. View a copy of our Notice of Privacy Practices.
Your Rights and Responsibilities
You have certain rights and responsibilities when you enroll. It is important that you fully understand both your rights and your responsibilities. For detailed information about your rights and responsibilities download here.
Filing a Grievance
If you are not happy with the service UnitedHealthcare Community Plan has provided, you can file a grievance. Download our Grievance and Appeals Process Form. It's available in English and Espanol.
Prior Authorizations
We require prior authorization on all out-of-network referrals. The request is generally processed like any other authorization request. The nurse reviews the request for medical necessity and/or service. If the case does not meet criteria, the nurse routes the case to the Medical Director for review and determination. Out-of-network referrals are generally approved for, but not limited, to the following circumstances:
- Continuity of care issues
- Necessary services are not available within network.
Out-of-network referrals are monitored on an individual basis. Trends related to individual physicians or geographical locations are reported to Network Management for review.
To find out if a prior authorization request has been approved, check with your provider or call member services, at 1-877-542-8997 (TTY: 711). If the prior authorization request is denied, you will be notified in writing, including your right to appeal this decision.
Translation Resources
UnitedHealthcare Community Plan provides member materials to you in a language or format that makes it easier for you to understand. Our provider network includes many doctors who are multilingual. Our provider directory shows which languages doctors speak. Additionally, many of our Member Services representatives speak multiple languages, so when you call they will be able to help you or connect you with our interpreter service which covers more than 170 languages.
If you have trouble hearing over the phone you can use a text telephone. This free service allows persons with hearing or speech disabilities to place and receive telephone calls. Call 711, give them the Member Services number 1-877-542-8997, and they will connect you to us. You can also get information in large print, Braille or audio tapes. We can also assist with interpreter services, including American Sign Language. To ask for help, please call 1-877-542-8997, TTY 711, Monday through Friday, 8:00 a.m. to 5:00 p.m.
Our toll-free Member Services number is 1-877-542-8997 (TTY: 711).
Forms and Notifications
Authorized Representative
Download the Appointment of Authorized Representative Form. This form lets a UnitedHealthcare Community Plan member choose someone to help or act on their behalf.
Collaborative Care Model
Many patients suffer from behavioral health problems such as depression, anxiety, and substance use disorder. This model enhances services provided by primary care providers by collaborating with behavioral health providers. And helps patients live a healthier life.
Services include:
- Care management support for patients receiving behavioral health treatment
- Regular psychiatric inter-specialty consultation
- Shared targeted treatment plans that incorporate patient goals.
You can find a list of participating providers in English, Spanish or call 1-877-542-8997, TTY 711. For more information visit https://aims.uw.edu
List of Collaborative Care Participating Providers
Learn More
Apple Health (Medicaid) Behavioral Health Services Only (BHSO)
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