Washington Administrative Code › Title 182 - Health Care Authority › BEHAVIORAL HEALTH › Chapter 182-300 - SINGLE BED CERTIFICATION › Section 182-300-0100 - Single bed certification

Current through Register Vol. 24-14, July 15, 2024
At the discretion of the health care authority (HCA) or HCA's
				  designee, an exception may be granted to a facility that is not certified under
				  chapter 246-341 WAC, for a person on an initial detention, a five-day detention
				  pending a revocation proceeding, or a fourteen-day commitment in order to allow
				  timely and appropriate treatment. An exception may also be granted for
				  renewable periods of thirty days to allow a community facility to provide
				  treatment to a person on a ninety- or one hundred eighty-day inpatient
				  involuntary commitment order or to a person who has been revoked from a less
				  restrictive alternative order or conditional release. For involuntarily
				  detained or committed children, an exception may be granted to allow timely and
				  appropriate treatment in a facility not certified under chapter 246-341 WAC,
				  until the child's discharge from that setting to the community, or until they
				  transfer to a bed in a children's long-term inpatient program (CLIP).
(1) In the case of an adult, the behavioral
				health administrative services organization (BH-ASO) or a designee must submit
				a written request for a single bed certification to HCA or HCA's designee. In
				the case of a child, the facility must submit the written request to HCA or
				HCA's designee and provide a copy to the BH-ASO. HCA or HCA's designee must
				receive and approve the request in order for a facility to accept a person for
				timely and appropriate treatment under this section. If HCA or HCA's designee
				has assumed the duties assigned to a nonparticipating BH-ASO, HCA or HCA's
				designee may designate an entity to request a single bed certification as
				described in this section.
(2) HCA
				or HCA's designee may issue a single bed certification in writing to the
				facility for timely and appropriate mental health treatment when the following
				requirements are met in each instance where such certification is sought for a
				person:
(a) The facility that is the site of
				the proposed single bed certification confirms that it is willing and able to
				provide directly, or by direct arrangement with other public or private
				agencies, timely and appropriate mental health treatment to the person for whom
				the single bed certification is sought; and
(b) The request for single bed certification
				describes why the person meets at least one of the following criteria:
(i) The person is expected to be ready for
				discharge from inpatient services at the facility referred to in (a) of this
				subsection within the next thirty days and remaining at that facility would
				facilitate continuity of care, consistent with the person's individual
				treatment needs;
(ii) The person
				can receive appropriate mental health treatment in a residential treatment
				facility, as defined in WAC
				246-337-005;
				or
(iii) The person can receive
				appropriate mental health treatment in a hospital with a psychiatric unit, a
				psychiatric hospital, or a hospital that is willing and able to provide timely
				and appropriate mental health treatment, including a temporary health care
				facility that has a mental health component credentialed or approved by the
				department of health.