Mental Health Treatment Services
The Community Services, Housing Department (CSD), Spokane County Regional Behavioral Health (Administrative Services Organization) Division (SCRBH) strives to provide a behavioral health system of care which offers timely access to medically necessary recovery-focused behavioral health services, supports, and care coordination.
Authorized services must meet the Washington State Health Care Authority’s (HCA) definition of medical necessity, which means a requested service which is reasonably calculated to prevent, diagnose, correct, cure, alleviate, or prevent worsening of conditions in an individual that endangers life, or cause suffering of pain, or result in an illness or infirmity, or threaten to cause or aggravate a handicap, or cause physical deformity, or malfunction. There is no other equally effective, more conservative, or substantially less costly course of treatment available or suitable for the Individual requesting the service. For the purpose of this section, "course of treatment" may include mere observation or, where appropriate, no medical treatment at all per Washington Administrative Code (WAC).
The CSD SCRBH is responsible for contracting and funding the following services for individuals in Adams, Ferry, Lincoln, Pend Oreille, Spokane, and Stevens counties:
- Mental health crisis services and involuntary treatment evaluations for individuals within the Spokane Regional Service Area (RSA);
- Involuntary detentions to psychiatric facilities for non-Medicaid individuals within the Spokane RSA;
- Treatment and monitoring of non-Medicaid individuals within the Spokane RSA who have active Less Restrictive Alternative (LRA) court orders or Conditional Release orders; and
- Non-crisis behavioral health services for non-Medicaid individuals in the Spokane RSA who are at or below the 220% Federal Poverty Level utilizing General Fund State (GFS) or Federal Block Grants (FBG).
Within Available Resources, the CSHCD SCRBH ensures the provision of non-crisis behavioral health services, via state general funds, to individuals who meet financial eligibility standards and meet one of the following criteria:
- Are uninsured;
- Have insurance, but are unable to pay the co-pay or deductible for services;
- Are using excessive crisis services due to inability to access non-crisis behavioral health services; and
- Have more than five (5) visits over six (6) months to the emergency department, a withdrawal management/detox facility, or sobering center due to a substance use disorder (SUD).
The CSD SCRBH does not have a centralized triage and referral process. Individuals may obtain behavioral health services in numerous ways based on the county in which they are accessing services and/or the behavioral health provider the individual has selected.
Individuals may directly call or self-present for services at a CSD SCRBH contracted behavioral health provider agency. Physicians, schools, family, natural supports, and/or other referral sources may refer individuals to behavioral health services. The CSD SCRBH provider directory and contact information may be found here. Individuals have the right to choose a qualified behavioral health service provider, including Indian Health Care Providers, when available and medically necessary.
The CSD SCRBH applies medical necessity criteria for the provision or denial of the following services:
- Intake Evaluation
- Brief Intervention
- Brief Outpatient Treatment
- Outpatient Treatment
- Case Management
- Day Support
- Engagement and Referral
- Evidenced-Based/Wraparound Services
- Evaluation and Treatment (E&T) Services provided at Community Hospitals or E&T Facilities
- Family Treatment
- Group Therapy
- High-Intensity Treatment
- Individual Therapy
- Inpatient Psychiatric Services
- Medical Management
- Medication Monitoring
- Mental Health Residential
- Peer Support
- Psychological Assessment
- Rehabilitation Case Management
- Special Population Evaluation
- Therapeutic Psychoeducation
- Effective January 1, 2019
- Effective July 1, 2019
- Effective January 1, 2020
- Effective April 1, 2020
- Effective January 1, 2021
- Effective July 1, 2021
- Effective January 1, 2023