Eligibility for Behavioral Health services is often determined by insurance coverage. Many insurance companies have the benefit of behavioral health case management. Behavioral Health case management can assist with locating services for your child or youth.
If you or your youth are Medicaid eligible you should contact your Managed Care Organization (MCO) for care coordination and case management needs. Please call the number on the back of your card for assistance first. If you need additional assistance or don’t have a card, here is the contact information for MCO’s:
Apple Health – Medicaid Insurance Providers:
- Amerigroup https://www.myamerigroup.com/wa/benefits/apple-health-medicaid.html
800-600-4441 - Community Health Plan of Washington (CHPW) https://www.chpw.org/
800-440-1561 - Coordinated Care https://www.coordinatedcarehealth.com/members/medicaid.html
877-644-4613 - Molina Healthcare
https://www.molinahealthcare.com/members/wa/en-us/mem/medicaid/imc/physical-behavioral-health.aspx
800-869-7165
Premium Payment Program
https://www.ssa.gov/ssi/?gclid=Cj0KCQiA3eGfBhCeARIsACpJNU9z3LZM49aia0JPPL0LKkK0GoLrh25qt_jHI4S8nvuo8Y8CN1RnxtsaAiI0EALw_wcB
Provides: May provide reimbursement for private health insurance coverage for those receiving Apple Health (Medicaid)
When to contact Managed Care Organizations:
- When a patient would benefit from case management
- A family is interested in CLIP (Children’s Long Term Inpatient Program)
- A youth is being recommended for inpatient from the Emergency Department
- Consult on complex presentation
- Additional resource needs
Commercial Insurance:
- Aetna Health
- Anthem Inc.
- Regence
- Blue Cross Blue Shield (BCBS)
- Premera Blue Cross
- Regence BlueShield
- TriCare
- Military OneSource
- First Choice Health Network
- Kaiser Permanente
- United Healthcare
- Cigna
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