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Spokane County Regional Interlocal Leadership Structure (SCRILS)

The Spokane County Board of County Commissioners (BoCC) chairs the Spokane County Regional Interlocal Leadership Structure (SCRILS) which brings together County Authorities in the six-county region. SCRILS also includes the State Health Care Authority (HCA), Apple Health Managed Care Organizations (MCOs), and input from other community stakeholders together with the CSHCD SCRBH to jointly administer the vision for integrated health care in the region; assuring clients are at the center of care delivery and supporting integration of physical and behavioral health care at the provider level.

SCRILS Charters:


  1. Spokane County WA Homepage

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  3. Spokane, WA 99260

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