![]() View the health plans available in your area: Not all plans are available in all areas. You can choose any one of the five available plans that serve your area when you enroll in Apple Health. Apple Health managed care plans available Age 18 to 26 years old who aged out of foster care on or after their 18th birthday (alumni)Īpple Health Core Connections: Care coordination for all Washington State foster care enrollees is provided through a single, statewide managed care plan called Apple Health Core Connections administered by Coordinated Care of Washington (CCW).Īpple Health Core Connections can be reached at 1-84.Under the age of 21 who are receiving adoption support.Under the age of 21 who are in foster care (out of home placement).The Apple Health Foster Care (AHFC) program provides statewide physical and behavioral health coverage (mental health and substance use disorder treatment services). Within available funding, a BH-ASO also has the discretion to provide outpatient behavioral health services or voluntary psychiatric inpatient hospitalizations for individuals who are not eligible for or enrolled in Apple Health. ![]() Application of behavioral health involuntary commitment statutes, available 24/7 to conduct Involuntary Treatment Act (ITA) assessments and file detention petitions.Short-term substance use disorder crisis services for individuals who are intoxicated or incapacitated in public.24/7 regional crisis hotline for mental health and substance use disorder crises.These organizations administer services such as: In addition to integrated managed care plans, clients in integrated regions have access to a regional Behavioral Health - Administrative Services Organization (BH-ASO). Behavioral Health - Administrative Services Organization (BH-ASO) For clients who do not select a plan, HCA will automatically enroll them into a BHSO plan. Upon becoming eligible for Apple Health coverage without a managed care plan (also known as fee-for-service), clients may select a Behavioral Health Services Only plan. The Behavioral Health Services Only plans are offered by the same health plans administering Integrated Managed Care. Dual-eligible - Medicare/Apple Health (Medicaid).These plans are for clients who are eligible for Apple Health, but not eligible for managed care enrollment, such as: Behavioral Health Services Only (BHSO)Īpple Health offers Behavioral Health Services Only (BHSO) plans in all regions with integrated managed care. Changes usually take effect the following month that the change was made, depending on when you request the change. ![]() Clients can change their managed care plan at any time. Their managed care enrollment is backdated to the beginning of the current month. Newly eligible and renewing Apple Health clients choose or are auto-assigned into a managed care organization (MCO) the day they become eligible. Clients enrolled in managed care must see providers who are in their plan's provider network, unless prior authorized or to treat urgent or emergent care. Most Apple Health clients have managed care, which means Apple Health pays a health plan a monthly premium for your coverage, which include preventive, primary, specialty, and other health services. Your plan coordinates physical health, mental health, and substance use disorder treatment services to provide whole-person care under one health plan. Managed care explained What is managed care?Īpple Health offers managed care plans in all regions statewide. ![]()
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