Washington Apple Health (Medicaid)
If you need behavioral health care, your PCP and UnitedHealthcare Community Plan can help coordinate your care. We:
- Cover assessment for mental health services and treatment such as counseling, testing, and medications for addressing mental health symptoms.
- Cover lower and mid-level intensity treatment.
- Provide screening for substance use disorder and may make a referral to either a plan covered service or a community provider for further assessment.
Your PCP might think your behavioral needs are better served through services covered by a Behavioral Health Organization at a Community Mental Health or Substance Use Disorder Services agency. If so, your PCP will send you there for an evaluation. If the evaluation results determine you need this level of service, you may continue to get your behavioral health care from the Agency.
For more information on services available, please refer to your Member Handbook. It can be found here or call 1-877-542-8997, TTY 711 for assistance.
Washington Apple Health (Medicaid) Integrated Managed Care and Behavioral Health Services Only
We will coordinate your behavior health services. You have access to mental health and substance use disorder treatment services. Together these services are called behavioral health services. To access these services, contact us directly at 1-877-542-8997, Monday –Friday 8:00 a.m. – 5:00 p.m., or use our provider search.
You don’t need a referral to see behavioral health specialists in your plan or to access drug and alcohol treatment services.
Required care is 100% covered. If you need behavioral health care, your PCP and UnitedHealthcare Community Plan can help coordinate your care.
Behavioral Health Services Only members receive your physical health services some other way, such as through Medicare, private insurance or through an Indian Health Center. Your plan covers mental health services and services for substance use disorder (alcohol and drug treatment) only.
Mental health services may include:
- Intake Evaluation
- Individual treatment services
- Medication management
- Medication monitoring
- Group treatment services
- Peer support
- Brief intervention and treatment
- Family treatment
- High intensity treatment
- Therapeutic Psychoeducation
- Day support
- Stabilization services
- Rehabilitation case management
- Mental health services provided in a residential setting
- Special population evaluation
- Psychological assessment
- Crisis Services
- Freestanding Evaluation and Treatment
Drug and alcohol treatment services may include:
- Assessment
- Brief intervention and referral to treatment
- Withdrawal management (detoxification)
- Outpatient treatment
- Intensive outpatient treatment
- Inpatient residential treatment
- Opiate substitution treatment services
- Case management
Crisis Services:
If you think you have an emergency, no matter where you are, call 911 or go to the nearest hospital location where emergency providers can help you. As soon as possible, call your doctor or behavioral health provider to arrange for follow-up care after the emergency is over.
If you are experiencing a mental health crisis, your ID card has a phone number to access crisis services in your area. The phone numbers are also listed here in English and Spanish .
A mental health crisis is a moment when someone’s behavior can put themselves or others in danger, especially if they do not get help.
Crisis services cover:
- 24/7 crisis hotline
- Stabilization services
- Involuntary Treatment Act (ITA)
Washington Recovery Help Line is a 24-hour crisis intervention and referral line for those struggling with issues related to mental health, substance abuse, and problem gambling. Call 1-866-789-1511 (TTY 206-461-3219); email recovery@crisisclinic.org, or visit www.warecoveryhelpline.org. Teens can connect with teens during specific hours: call 1-866-833-6546, email teenlink@crisisclinic.org, or visit https://866teenlink.org.
For the National Suicide Prevention Lifeline: Call 1-800-273-8255 (TTY users 1-800-799-4889).
If you need help finding mental health services or if you feel that your rights have been violated, please call your regional behavioral health ombuds. An ombuds is someone who is hired to assist you with any difficulties with your services or with getting services. Services are free and all information if kept confidential.
You may be eligible for additional grant funded services, including the following.
- Residential Room & Board
- Personal Care
- Supported Employment
- Engagement Referral
- Alcohol Drug School
- Opiate Dependency/HIV Services
- Community Outreach
- Sobering Services
- Acute Withdrawal Management
- Therapeutic Interventions for Children
- Housing Support Services
- Family Hardship Services
- Recovery Support Services
- Jail Services
- Expanded Community Services
- Program for Assertive Community Treatment (PACT)
- Interim Services
- Childcare services
For more information on services available, please refer to your Member Handbook. It can be found here for Washington Apple Health Integrated Managed Care or here for Behavioral Health Services Only members. Call 1-877-542-8997, TTY 711, for assistance.
Additional Resources
The National Alliance on Mental Illness offers a number of resources and support groups in Washington. Namiwa.org