Children's Long-Term Inpatient Program (CLIP)
There are four (4) CLIP inpatient psychiatric facilities statewide consisting of a total of one hundred seventeen (117) funded beds. The programs are located in structured settings that are designed to assess, treat, and stabilize Children and Youth diagnosed with a severe psychiatric disorder. Individualized treatment is provided through the use of evidence-based practices designed to increase the Child/Youth's skills and adaptive functioning with a focus on reintegration back into a community setting. The CLIP program provides treatment for Youth ages five to seventeen (5-17), and referrals to the CLIP program are made on an involuntary or voluntary basis. For more information on referrals, please see the section titled ‘How do I Access CLIP.’
CLIP is publicly funded by federal and state Medicaid dollars. The majority of all Children and Youth served in a CLIP program are eligible for Medicaid funding during their treatment stay. If the Child has private insurance that covers psychiatric inpatient care, those benefits are applied to the cost of stay.
Involuntary CLIP Referral:
For Youth to be referred Involuntarily to a CLIP program, they must be at least thirteen (13) years of age and have received a one hundred eighty (180) -day involuntary order for detention under RCW 71.34. Once receiving this court order for inpatient treatment, Youth become eligible for an involuntary referral and are placed on the CLIP statewide waitlist. The date that the Youth is placed on the waitlist corresponds to the date they received their one hundred eighty (180) -day order of detention.
Voluntary CLIP Referral:
All voluntary referrals to CLIP, in accordance with Washington State Health Care Authority (HCA) guidelines and CLIP Administration policy, must have their case brought before a local committee to staff whether a referral to a CLIP program is appropriate. This process for the Spokane County Regional Service Area (RSA) is the Spokane County Regional Children’s Intensive Resources Task Force. For more information about the Task Force, or how to make a referral to staff a voluntary CLIP referral, please see the section titled "Spokane County Regional Children’s Intensive Resources Task Force."
To find out more about the CLIP program, including the admission criteria, admission process, and CLIP facilities, you can click on the HCA’s CLIP homepage Here.
How do I Access Voluntary CLIP Placement?
I. Step One – Notify Your Medicaid or Non-Medicaid CLIP Liaison
To initiate a voluntary CLIP Referral and Voluntary Resources Task Force, you will need to reach out to the appropriate CLIP liaison.
For Medicaid Youth assigned to a Managed Care Organization (MCO), please contact the assigned MCO below:
Coordinated Care of Washington
Abby Cantarell (Children’s Behavioral Health Administrator)
Judith Hooyen (CLIP Children’s System Administrator)
Phone: 360- 558-2155
Community Health Plan of Washington
Amanda Presho (Spokane Regional Case Manager)
Molina Healthcare Inc.
David Rigby (Children’s Behavioral Health Administrator)
Non-Medicaid (commercial insurance or uninsured) and Medicaid Fee-for-Service (FFS):
For non-Medicaid and Medicaid FFS Youth (without a MCO), please contact the Spokane County Regional Behavioral Health (Administrative Services Organization) (SCRBH (ASO)) Liaison:
SCRBH (ASO) CLIP Liaison
Integrated Care Coordinator
II. Step Two – Complete Regional Resource Task Force
Once the initial request for a Task Force has been received by the corresponding CLIP Liaison, the Intensive Behavioral Health Screening form and Release of Information (ROI) will need to be completed; please find these documents in the section titled "Task Force Documents." These documents shall be completed by the legal guardian, mental health provider, or other community stakeholder and sent back to the Youth’s corresponding CLIP Liaison. Once received and determined appropriate by the CLIP Liaison, a Task Force meeting will be scheduled to staff the case and discuss behavioral health recommendations, including whether a voluntary CLIP referral is recommended. A completed and signed ROI is required prior to proceeding with the voluntary CLIP process. For Youth thirteen (13) and older, this must include a signed ROI and consent prior to scheduling or submitting any Protected Health Information (PHI) documentation for a Task Force.
Spokane County Regional Children’s Intensive Resources Task Force
In accordance with HCA guidelines, the Task Force, which is comprised of standing members from a cross-system group of providers within the Spokane RSA, serves Youth and families within the Spokane RSA through two (2) primary functions: 1) By providing consultation and recommendations for behavioral health and other related services; and 2) Serving as the formal referral process for those seeking voluntary admission to CLIP.
Task Force Meeting
Task Force meetings are generally scheduled every Tuesday from 11:00am - 12:30pm and are held virtually using a ZOOM based platform. The CLIP liaison will assist in gathering the required documentation needed for the Task Force and help to answer any questions about the meeting, including the scheduling of the Task Force on a Tuesday convenient for the Youth and family.
Task Force Referral Documents
III. Step Three – Complete CLIP Application
If a voluntary referral to CLIP is recommended by the Task Force committee, then the Youth’s corresponding CLIP Liaison will assist the family/legal guardian or Youth’s treatment team in the completion of the CLIP Application. Once completed, the CLIP Application and accompanying documentation will be submitted to the CLIP Administration for final review and determination. If approved by the CLIP Administration, the Youth will go on the CLIP statewide waiting list and await placement.
IV. Step Four – Coordinate with your Liaison
After submitting your voluntary CLIP Application, it may take some time for the CLIP Administration to review and approve the final CLIP placement. Updates on the status of admission will be provided by the CLIP Administration and assigned CLIP Liaison. During this time, if you have any questions or experience any significant changes regarding your desire to continue with the voluntary CLIP process, you may follow up with your CLIP Liaison. It is important to remember that the CLIP Administration reviews applications and placements from all over Washington State, and availability of a CLIP bed is dependent upon many factors, including but not limited to, the number of Individuals on the CLIP waitlist and Individuals discharging from a CLIP facility.
For questions or concerns regarding the Task Force process, please contact:
SCRBH (ASO) Integrated Care Coordinator and CLIP Liaison