reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-855 - Liability for costs of care and hospitalization of the mentally ill › Section 388-855-0085 - Other pertinent factors

Current through Register Vol. 24-14, July 15, 2024
The determination officer may consider the following other
				  pertinent factors in determining the ability of the estate of the patient and
				  responsible relatives to pay.
(1) The
				determination officer may consider those factors related to the well-being,
				education and training, child support obligations set by court order or by
				administrative finding under
				chapter
				74.20A RCW, and/or
				rehabilitation of the patient and the patient's immediate family, to whom the
				patient owes a duty of support. The patient and/or responsible relatives shall
				show the existence and the necessity for the pertinent factors as defined. Upon
				such a showing, the determination officer may consider such resources necessary
				to reasonably provide for such pertinent factors as assets not available to the
				estate of the patient and responsible relatives.
(2) Consistent with
				RCW
				 43.20B.335, the determination officer shall
				consider a judgment owed by the patient to any victim of an act that would have
				resulted in criminal conviction of the patient but for a finding of the
				patient's criminal insanity. A victim shall include an estate's personal
				representative who has obtained judgment for wrongful death against the
				criminally insane patient.
Statutory Authority:
					 RCW
					 43.20B.335,
					 43.20B.325,
					 72.01.090. 01-01-007, amended and
					 recodified as § 388-855-0085, filed 12/6/00, effective 1/6/01. Statutory
					 Authority:
					 RCW
					 43.20B.335. 96-18-090, § 275-16-085,
					 filed 9/4/96, effective 10/5/96. 81.02.412 [71.02.412]. Statutory Authority:
					 RCW 81-08-020 (Order 1627), § 275-16-085, filed
					 3/25/81.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-855 - Liability for costs of care and hospitalization of the mentally ill › Section 388-855-0095 - Failure to cooperate with department

Current through Register Vol. 24-14, July 15, 2024
Any patient, former patient, guardian, or other responsible
				  party or parties who, after diligent effort by the department, has been shown
				  to have failed to cooperate with the financial investigation by the department;
				  or fails to comply with, or ignores, departmental correspondence; or supplies
				  false or misleading information; or willfully conceals assets or potential
				  assets; will be subject to a determination by the department that the estate of
				  the patient and responsible relatives has the ability to pay full
				  hospitalization charges: Provided, That no person adjudged incompetent by a
				  court of this state at the time of said investigation shall be penalized by his
				  or her actions: Provided further, That such a finding of liability to pay full
				  hospitalization charges shall in no way diminish the responsible party's right
				  to appeal such a finding of responsibility.
Statutory Authority:
					 RCW
					 43.20B.335,
					 43.20B.325,
					 72.01.090. 01-01-007, recodified
					 as § 388-855-0095, filed 12/6/00, effective 1/6/01. Statutory Authority:
					 RCW 81.02.412 [71.02.412]. 81-08-020 (Order 1627), § 275-16-095, filed
					 3/25/81.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-855 - Liability for costs of care and hospitalization of the mentally ill › Section 388-855-0105 - Petition for review

Current through Register Vol. 24-14, July 15, 2024
(1) After a
				finding of responsibility becomes final in accordance with
				RCW
				 43.20B.340, the responsible party may
				petition for a review of such findings to the secretary. The petitioner must
				show a substantial change in the financial ability of the estate to pay the
				charges in a petition for review. The burden of proof of a change in financial
				ability rests with the petitioner.
(2) A petition for review shall be in writing
				and to the following address:
Secretary, DSHS
Attn: Determination Officer
P.O. Box 9768 MS HJ-21
Olympia, WA 98504
(3) The determination officer, upon receipt
				of the petition for review, may conduct or cause to have conducted such
				investigation as may be necessary to verify the alleged changes in financial
				status or to determine any other facts which would bear upon the financial
				ability of the estate to pay.
(4)
				Based upon the review of the facts, the determination officer may modify or
				vacate the NFR under the provisions of
				RCW
				 43.20B.350.
(5) The NFR will not be modified or vacated,
				if such modification or vacation inflicts or causes the loss of medicaid
				eligibility; jeopardizes the eligibility for other third-party benefits; or has
				the potential end result of diminishing or jeopardizing the recovery of
				hospitalization cost by the department without a clear showing of real benefit,
				financial or otherwise, to the patient and/or responsible relatives.
(6) Nothing herein is intended to preclude
				the reinvestigation and/or review of the finding of responsibility by the
				department of its own volition.
Statutory Authority:
					 RCW
					 43.20B.335,
					 43.20B.325,
					 72.01.090. 01-01-007, recodified
					 as § 388-855-0105, filed 12/6/00, effective 1/6/01. Statutory Authority:
					 RCW
					 43.20B.335. 90-23-071 (Order 3096), §
					 275-16-105, filed 11/20/90, effective 12/21/90. Statutory Authority: RCW
					 81.02.412 [71.02.412]. 81-08-020 (Order 1627), § 275-16-105, filed
					 3/25/81.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION ONE - COMMUNITY MENTAL HEALTH AND INVOLUNTARY TREATMENT PROGRAMS (Repealed) › Section 388-865-0100 - Purpose (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0100, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION ONE - COMMUNITY MENTAL HEALTH AND INVOLUNTARY TREATMENT PROGRAMS (Repealed) › Section 388-865-0105 - What the mental health division does and how it is organized (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035,
						71.34.380, and
						74.08.090. 09-02-030, §
						388-865-0105, filed 12/30/08, effective 1/30/09. Statutory Authority:
						RCW
						 71.24.035,
						71.05.560, and
						chapters
						71.24 and
						71.05 RCW. 06-17-114, §
						388-865-0105, filed 8/18/06, effective 9/18/06. Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0105, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION ONE - COMMUNITY MENTAL HEALTH AND INVOLUNTARY TREATMENT PROGRAMS (Repealed) › Section 388-865-0106 - When local services are administered by the mental health division (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035,
						71.34.380, and
						74.08.090. 09-02-030, §
						388-865-0106, filed 12/30/08, effective
						1/30/09.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION ONE - COMMUNITY MENTAL HEALTH AND INVOLUNTARY TREATMENT PROGRAMS (Repealed) › Section 388-865-0107 - Peer counselor certification (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.24.035(5)(c),
						71.24.037. 05-17-156, §
						388-865-0107, filed 8/22/05, effective
						9/22/05.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION ONE - COMMUNITY MENTAL HEALTH AND INVOLUNTARY TREATMENT PROGRAMS (Repealed) › Section 388-865-0110 - Access to records of registration (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0110, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION ONE - COMMUNITY MENTAL HEALTH AND INVOLUNTARY TREATMENT PROGRAMS (Repealed) › Section 388-865-0115 - Access to clinical records (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0115, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION ONE - COMMUNITY MENTAL HEALTH AND INVOLUNTARY TREATMENT PROGRAMS (Repealed) › Section 388-865-0120 - Waiver of a minimum standard of this chapter (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0120, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION ONE - COMMUNITY MENTAL HEALTH AND INVOLUNTARY TREATMENT PROGRAMS (Repealed) › Section 388-865-0150 - Definitions (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.24.035,
						71.05.560, and
						chapters
						71.24 and
						71.05 RCW. 06-17-114, §
						388-865-0150, filed 8/18/06, effective 9/18/06. Statutory Authority:
						RCW
						 71.24.035(5)(c),
						71.24.037. 05-17-156, §
						388-865-0150, filed 8/22/05, effective 9/22/05. Statutory Authority:
						RCW
						 71.05.560,
						71.24.035, 71.34.800, and 2003 1st
						sp.s. c 25. 03-24-030, § 388-865-0150, filed 11/24/03, effective 12/25/03.
						Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0150, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0200 - Regional support networks (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0200, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0205 - Initial certification of a regional support network (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.24.035,
						71.05.560, and
						chapters
						71.24 and
						71.05 RCW. 06-17-114, §
						388-865-0205, filed 8/18/06, effective 9/18/06. Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0205, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0210 - Renewal of regional support network certification (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0210, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0215 - Consumer eligibility and payment for services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0215, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0220 - Standards for administration (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0220, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0221 - Public awareness of mental health services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0221, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0222 - Advisory board (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0222, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0225 - Resource management (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0225, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0229 - Inpatient services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0229, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0230 - Community support services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.24.035(5)(c),
						71.24.037. 05-17-156, §
						388-865-0230, filed 8/22/05, effective 9/22/05. Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0230, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0235 - Residential and housing services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0235, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0240 - Consumer employment services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0240, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0245 - Administration of the Involuntary Treatment Act (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.05.700,
						71.05.705,
						71.05.710,
						71.05.715,
						71.05.720, and
						71.24.035. 09-19-012, §
						388-865-0245, filed 9/3/09, effective 10/4/09. Statutory Authority:
						RCW
						 71.24.035,
						71.05.560, and
						chapters
						71.24 and
						71.05 RCW. 06-17-114, §
						388-865-0245, filed 8/18/06, effective 9/18/06. Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0245, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0250 - Ombuds services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0250, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0255 - Consumer grievance process (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0255, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0260 - Mental health professionals and specialists (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0260, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0265 - Mental health professional-Exception (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0265, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0270 - Financial management (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0270, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0275 - Management information system (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.05.700,
						71.05.705,
						71.05.710,
						71.05.715,
						71.05.720, and
						71.24.035. 09-19-012, §
						388-865-0275, filed 9/3/09, effective 10/4/09. Statutory Authority:
						RCW
						 71.24.035,
						71.05.560, and
						chapters
						71.24 and
						71.05 RCW. 06-17-114, §
						388-865-0275, filed 8/18/06, effective 9/18/06. Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0275, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0280 - Quality management process (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0280, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0282 - Quality review teams (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0282, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0284 - Standards for contractors and subcontractors (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0284, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0286 - Coordination with a mental health prepaid health plan (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0286, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION TWO - REGIONAL SUPPORT NETWORKS (Repealed) › Section 388-865-0288 - Regional support networks as a service provider (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0288, filed 5/31/01, effective
						7/1/01.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › BEHAVIORAL HEALTH ORGANIZATIONS › Section 388-865-0232 - Behavioral health organizations-General

Current through Register Vol. 24-14, July 15, 2024
(1) Effective April 1, 2016, regional support
				  networks (RSN) become behavioral health organizations (BHO). A BHO contracts
				  with the department's division of behavioral health and recovery (DBHR) to
				  administer behavioral health services within its service area.
(2) A BHO operates only in areas of the state
				  that have not implemented the Washington apple health fully integrated managed
				  care (FIMC) program. See chapter 182-538A WAC for rules that govern the FIMC
				  program operated by the health care authority (HCA).
(3) BHOs, behavioral health agencies, and the
				  BHO managed care plan must:
(a) Comply with
				  chapters
				  70.96A,
				  71.05,
				  71.24,
				  71.34, and 71.36 RCW, which contain
				  laws regarding substance use disorders, mental illness, and community mental
				  health services.
(b) Meet the
				  requirements in chapters 388-877, 877A, and 877B WAC regarding the licensure of
				  behavioral health agencies and the certification of behavioral health services.
				  An exemption of any section or subsection may be requested, subject to the
				  criteria in WAC 388-865-0236. DBHR does not exempt any requirement that is part
				  of statute.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › BEHAVIORAL HEALTH ORGANIZATIONS › Section 388-865-0234 - Behavioral health organizations-When the division of behavioral health and recovery administers regional behavioral health services

Current through Register Vol. 24-14, July 15, 2024
(1) If a currently
				  operating behavioral health organization (BHO) chooses to stop functioning as a
				  BHO, fails to meet state minimum standards specified in rule, or does not meet
				  the requirements under
				  RCW
				   71.24.045, the following is implemented:
(a) Under
				  RCW
				   71.24.035(16), the
				  secretary:
(i) Is designated as the BHO until
				  a new BHO is designated; and
(ii)
				  Assumes the duties assigned to the region without a participating
				  BHO.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › BEHAVIORAL HEALTH ORGANIZATIONS › Section 388-865-0236 - Behavioral health organizations-How to request an exemption of a minimum standard

Current through Register Vol. 24-14, July 15, 2024
(1) A behavioral
				  health organization (BHO), a licensed behavioral health agency, and the
				  behavioral health organization (BHO) managed care plan subject to the BHO and
				  BHO managed care plan rules may request an exemption of a minimum standard in
				  WAC 388-865-0232 through 388-865-0272 and WAC 388-865-0370 through 388-865-0385
				  by submitting a request in writing to the director of the division of
				  behavioral health and recovery (DBHR).
(2) The exemption request must include:
(a)The name and address of the entity that is
				  making the request;
(b) The
				  specific section or subsection of the rule for which an exemption is being
				  requested;
(c) The reason why the
				  exemption is necessary, or the method the entity will use to meet the desired
				  outcome of the section or subsection in a more effective and efficient
				  manner;
(d) A description of the
				  plan and timetable to achieve compliance with the minimum standard or to
				  implement, test, and report results of an improved way to meet the intent of
				  the section or subsection;
(e)
				  Documentation that the quality review team or behavioral health ombuds office
				  was consulted and any resulting recommendations are included in the request;
				  and
(f) A description of how an
				  individual(s) affected by the exemption will be notified.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › BEHAVIORAL HEALTH ORGANIZATIONS › Section 388-865-0242 - Behavioral health organizations-Payment for behavioral health services

Current through Register Vol. 24-14, July 15, 2024
Within available resources as defined in
					 RCW
					  71.24.025(2), a behavioral
					 health organization (BHO) must ensure an individual's eligibility for and
					 payment for behavioral health services meet the following:
(1) An individual who is eligible for
				  medicaid is entitled to receive covered medically necessary behavioral health
				  services without charge to the individual, consistent with the state's medicaid
				  state plan or federal waiver authorities. A medicaid recipient is also entitled
				  to receive behavioral health services from a behavioral health organization
				  (BHO) managed care plan without charge.
(2) An individual who is not eligible for
				  medicaid is entitled to receive behavioral health services consistent with
				  priorities established by the department. The individual, the parent(s) of an
				  individual who has not reached their eighteenth birthday, the individual's
				  legal guardian, or the estate of the individual:
(a) Is responsible for payment for services
				  provided; and
(b) May apply to the
				  following entities for payment assistance:
(i)
				  The health care authority (HCA) for medical assistance;
(ii) The behavioral health service provider
				  for payment responsibility based on a sliding fee scale; or
(iii) The BHO for authorization of payment
				  for involuntary evaluation and treatment services.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › BEHAVIORAL HEALTH ORGANIZATIONS › Section 388-865-0246 - Behavioral health organizations-Public awareness of behavioral health services

Current through Register Vol. 24-14, July 15, 2024
A behavioral health organization (BHO) or its designee
					 must provide public information on the availability of mental health and
					 substance use disorder services. The BHO must:
(1) Maintain information on available
				  services, including crisis services and the recovery help line in telephone
				  directories, public websites, and other public places in easily accessible
				  formats;
(2) Publish and
				  disseminate brochures and other materials or methods for describing services
				  and hours of operation that are appropriate for all individuals, including
				  those who may be visually impaired, limited English proficient, or unable to
				  read; and
(3) Post and make
				  information available to individuals regarding the behavioral health ombuds
				  office consistent with WAC 388-865-0262, and local advocacy organizations that
				  may assist individuals in understanding their rights.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › BEHAVIORAL HEALTH ORGANIZATIONS › Section 388-865-0248 - Behavioral health organizations Governing body responsible for oversight

Current through Register Vol. 24-14, July 15, 2024
The behavioral health organization (BHO) must establish a
					 governing body responsible for oversight of the BHO. The governing body
					 must:
(1) Be free from conflict of
				  interest and all appearance of conflict of interest between personal,
				  professional and fiduciary interests of a governing body member and the best
				  interests of the BHO and the individuals it serves.
(2) Have rules about:
(a) When a conflict of interest becomes
				  evident;
(b) Not voting or joining
				  a discussion when a conflict of interest is present; and
(c) When the governing body can assign the
				  matter to others, such as staff members or advisory bodies.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › BEHAVIORAL HEALTH ORGANIZATIONS › Section 388-865-0252 - Behavioral health organizations-Advisory board membership

Current through Register Vol. 24-14, July 15, 2024
(1) A behavioral health
				  organization (BHO) must appoint advisory board members and maintain an advisory
				  board in order to:
(a) Promote active
				  engagement with individuals with behavioral health disorders, their families,
				  and behavioral health agencies; and
(b) Solicit and use the advisory board
				  members input to improve service delivery and outcome.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › BEHAVIORAL HEALTH ORGANIZATIONS › Section 388-865-0254 - Behavioral health organizations-Voluntary inpatient services and involuntary evaluation and treatment services

Current through Register Vol. 24-14, July 15, 2024
A behavioral health organization (BHO) must develop and
					 implement age and culturally competent behavioral health services that are
					 consistent with
					 chapters
					 70.96A,
					 71.24,
					 71.05, and
					 71.34 RCW.
(1) For voluntary inpatient services, the BHO
				  must develop and implement formal agreements with inpatient services funded by
				  the BHO regarding:
(a) Referrals;
(b) Admissions; and
(c) Discharges.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › BEHAVIORAL HEALTH ORGANIZATIONS › Section 388-865-0256 - Behavioral health organizations-Community support, residential, housing, and employment services

Current through Register Vol. 24-14, July 15, 2024
(1)
Community support services
as defined in WAC 388-865-0238. A
				  behavioral health organization (BHO) must:
(a) Develop and coordinate age and culturally
				  appropriate community support services that are consistent with
				  chapters
				  71.05,
				  71.24, and
				  71.34 RCW to ensure that the mental
				  health and substance use disorder services listed in chapters 388-877A and
				  388-877B WAC can be accessed by all eligible individuals in the BHO's service
				  area and are provided to eligible individuals directly, or by
				  contract.
(b) Ensure prescreening
				  determinations are conducted for providing community support services for
				  individuals with mental illness who are being considered for placement in
				  nursing facilities as required by
				  RCW
				   71.24.025(8).
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › BEHAVIORAL HEALTH ORGANIZATIONS › Section 388-865-0258 - Behavioral health organizations-Administration of the Mental Health and Substance Use Disorders Involuntary Treatment Acts

Current through Register Vol. 24-14, July 15, 2024
A behavioral health organization (BHO) must establish
					 policies and procedures for administration of the Mental Health Involuntary
					 Treatment Act and Substance Use Disorders Involuntary Treatment Act, including
					 investigation, detention, transportation, court-related, and other services
					 required by
					 chapters
					 70.96A,
					 71.05 and
					 71.34 RCW. This includes:
(1) Ensuring that designated mental health
				  professionals (DMHP) and designated chemical dependency specialists perform the
				  duties of involuntary investigation and detention in accordance with the
				  requirements of
				  chapters
				  70.96A,
				  71.05 and
				  71.34 RCW.
(2) Documenting individual compliance with
				  the conditions of mental health less restrictive alternative court orders by:
(a) Ensuring periodic evaluation of each
				  committed individual for release from or continuation of an involuntary
				  treatment order. Evaluations must be recorded in the clinical record, and must
				  occur at least monthly for ninety day commitments and one hundred eighty day
				  commitments.
(b) Notifying the DMHP
				  if noncompliance with the less restrictive alternative order impairs the
				  individual sufficiently to warrant detention or evaluation for detention and
				  petitioning for revocation of the less restrictive alternative court
				  order.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › BEHAVIORAL HEALTH ORGANIZATIONS › Section 388-865-0262 - Behavioral health organizations-Behavioral health ombuds office

Current through Register Vol. 24-14, July 15, 2024
A behavioral health organization (BHO) must provide
					 unencumbered access to and maintain the independence of the behavioral health
					 ombuds service as set forth in the contract between the BHO and the division of
					 behavioral health and recovery (DBHR). The BHO and DBHR must ensure the
					 inclusion of representatives of individual and family advocate organizations
					 when revising the terms of the contract regarding the requirements of this
					 section. Behavioral health ombuds members must be current consumers of the
					 mental health or substance use disorder system, or past consumers or family
					 members of past consumers. The BHO must maintain a behavioral health ombuds
					 office that:
(1) Is responsive to the
				  age and demographic character of the region and assists and advocates for
				  individuals with resolving issues, grievances, and appeals at the lowest
				  possible level;
(2) Is independent
				  of agency service providers;
(3)
				  Supports individuals, family members, and other interested parties regarding
				  issues, grievances, and appeals;
(4) Is accessible to individuals, including
				  having a toll-free, independent phone line for access;
(5) Is able to access service sites and
				  records relating to individuals with appropriate releases so that it can reach
				  out to individuals and help to resolve issues, grievances, and
				  appeals;
(6) Receives training and
				  adheres to confidentiality consistent with this chapter and
				  chapters
				  70.96A,
				  71.05,
				  71.24, and
				  70.02 RCW;
(7) Continues to be available to advocate and
				  support individuals through the grievance, appeal and administrative hearing
				  processes;
(8) Involves other
				  persons, at the individual's request;
(9) Supports individuals in the pursuit of a
				  formal resolution;
(10) If
				  necessary, continues to assist the individual through the administrative
				  hearing process;
(11) Coordinates
				  and collaborates with allied services to improve the effectiveness of advocacy
				  and to reduce duplication when serving the same individual;
(12) Provides information on grievances to
				  the DBHR and BHO quality strategy; and
(13) Provides reports and formalized
				  recommendations at least biennially to DBHR and BHO advisory and governing
				  boards, local consumer and family advocacy groups, the BHO quality review team,
				  and the BHO provider network.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › BEHAVIORAL HEALTH ORGANIZATIONS › Section 388-865-0264 - Behavioral health organizations Quality strategy

Current through Register Vol. 24-14, July 15, 2024
A behavioral health organization (BHO) must implement a
					 quality strategy for continuous quality improvement in the delivery of
					 culturally competent mental health services. The BHO must submit a quality
					 assurance and improvement plan to the division of behavioral health and
					 recovery (DBHR). All changes to the quality assurance and improvement plan must
					 be submitted to DBHR for approval prior to implementation. The plan must
					 include all of the following:
(1)
				  Roles, structures, functions and interrelationships of all the elements of the
				  quality strategy, including but not limited to the BHO governing board,
				  clinical and management staff, advisory board, behavioral health ombuds
				  service, and quality review teams.
(2) Procedures to ensure that quality
				  assurance and improvement activities are effectively and efficiently carried
				  out with clear management and clinical accountability, including methods to:
(a) Collect, analyze and display information
				  regarding:
(i) The capacity to manage
				  resources and services, including financial and cost information and compliance
				  with statutes, regulations and contracts;
(ii) System performance indicators;
(iii) Quality and intensity of
				  services;
(iv) Incorporation of
				  feedback from individuals, allied service systems, community providers, the
				  behavioral health ombuds office and quality review team;
(v) Clinical care and service utilization
				  including consumer outcome measures; and
(vi) Recommendations and strategies for
				  system and clinical care improvements, including information from exit
				  interviews of individuals and practitioners;
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › BEHAVIORAL HEALTH ORGANIZATIONS › Section 388-865-0266 - Behavioral health organizations-Quality review teams

Current through Register Vol. 24-14, July 15, 2024
A behavioral health organization (BHO) must establish and
					 maintain unencumbered access to and maintain the independence of a quality
					 review team as described in this section and in the contract between the BHO
					 and the division of behavioral health and recovery (DBHR). The quality review
					 team must include individuals who currently receive or have in the past
					 received behavioral health services, and may also include the family members of
					 such individuals. The BHO must assure that quality review teams:
(1) Fairly and independently review the
				  performance of the BHO and service providers in order to evaluate systemic
				  issues as measured by objective indicators of individual outcomes in
				  rehabilitation and recovery, including all of the following:
(a) Quality of care;
(b) The degree to which services are focused
				  on the individual and are age and culturally appropriate;
(c) The availability of alternatives to
				  hospitalization, cross-system coordination and range of treatment options;
				  and
(d) The effectiveness of the
				  BHO's coordination with allied systems including, but not limited to, schools,
				  state and local hospitals, jails and shelters.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › BEHAVIORAL HEALTH ORGANIZATIONS › Section 388-865-0268 - Behavioral health organizations-Standards for contractors and subcontractors

Current through Register Vol. 24-14, July 15, 2024
A behavioral health organization (BHO) must not contract
					 or subcontract for clinical services to be provided using public funds unless
					 the contractor or subcontractor is licensed by the division of behavioral
					 health and recovery (DBHR) for those services, or is individually licensed by
					 the department of health as defined in
					 chapter
					 18.57,
					 18.71,
					 18.83, or 18.79 RCW. The BHO
					 must:
(1) Require and maintain
				  documentation that contractors and subcontractors are licensed, certified, or
				  registered in accordance with state and federal laws;
(2) Follow applicable requirements of the BHO
				  contract with DBHR;
(3) Demonstrate
				  that it monitors contractors and subcontractors and notifies DBHR of
				  observations and information indicating that providers may not be in compliance
				  with licensing or certification requirements; and
(4) Terminate its contract or subcontract
				  with a provider if DBHR notifies the BHO of a provider's failure to attain or
				  maintain licensure.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › BEHAVIORAL HEALTH ORGANIZATIONS › Section 388-865-0272 - Behavioral health organizations Operating as a behavioral health agency

Current through Register Vol. 24-14, July 15, 2024
A behavioral health organization (BHO) may operate as a
					 behavioral health agency when the BHO:
(1) Meets the criteria in
				  RCW
				   71.24.045(2) and
				  chapters
				  70.96A and
				  71.24 RCW; and
(2) Maintains a current license as a
				  behavioral health agency from the division of behavioral health and
				  recovery.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › Section SECTION THREE - MENTAL HEALTH PREPAID HEALTH PLANS (Repealed) › Section 388-865-0300 - Mental health prepaid health plans (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						 71.05.560,
						71.24.035(5)(c),
						71.34.800, 9.41.047,
						43.20B.020, and
						43.20B.335. 01-12-047, §
						388-865-0300, filed 5/31/01, effective
						7/1/01.