RCW 71.24.045
Behavioral health administrative services organization powers and duties. (Effective until October 1, 2022.)
(1) The behavioral health administrative services organization contracted with the authority pursuant to RCW 71.24.381 shall:
(a) Administer crisis services for the assigned regional service area. Such services must include:
(i) A behavioral health crisis hotline for its assigned regional service area;
(ii) Crisis response services twenty-four hours a day, seven days a week, three hundred sixty-five days a year;
(iii) Services related to involuntary commitments under chapters 71.05 and 71.34 RCW;
(iv) Tracking of less restrictive alternative orders issued within the region by superior courts, and providing notification to a managed care organization in the region when one of its enrollees receives a less restrictive alternative order so that the managed care organization may ensure that the person is connected to services and that the requirements of RCW 71.05.585 are complied with. If the person receives a less restrictive alternative order and is returning to another region, the behavioral health administrative services organization shall notify the behavioral health administrative services organization in the home region of the less restrictive alternative order so that the home behavioral health administrative services organization may notify the person's managed care organization or provide services if the person is not enrolled in medicaid and does not have other insurance which can pay for those services;
(v) Additional noncrisis behavioral health services, within available resources, to individuals who meet certain criteria set by the authority in its contracts with the behavioral health administrative services organization. These services may include services provided through federal grant funds, provisos, and general fund state appropriations;
(vi) Care coordination, diversion services, and discharge planning for nonmedicaid individuals transitioning from state hospitals or inpatient settings to reduce rehospitalization and utilization of crisis services, as required by the authority in contract; and
(vii) Regional coordination, cross-system and cross-jurisdiction coordination with tribal governments, and capacity building efforts, such as supporting the behavioral health advisory board, the behavioral health ombuds, and efforts to support access to services or to improve the behavioral health system;
(b) Administer and provide for the availability of an adequate network of evaluation and treatment services to ensure access to treatment, investigation, transportation, court-related, and other services provided as required under chapter 71.05 RCW;
(c) Coordinate services for individuals under RCW 71.05.365;
(d) Administer and provide for the availability of resource management services, residential services, and community support services as required under its contract with the authority;
(e) Contract with a sufficient number, as determined by the authority, of licensed or certified providers for crisis services and other behavioral health services required by the authority;
(f) Maintain adequate reserves or secure a bond as required by its contract with the authority;
(g) Establish and maintain quality assurance processes;
(h) Meet established limitations on administrative costs for agencies that contract with the behavioral health administrative services organization; and
(i) Maintain patient tracking information as required by the authority.
(2) The behavioral health administrative services organization must collaborate with the authority and its contracted managed care organizations to develop and implement strategies to coordinate care with tribes and community behavioral health providers for individuals with a history of frequent crisis system utilization.
(3) The behavioral health administrative services organization shall:
(a) Assure that the special needs of minorities, older adults, individuals with disabilities, children, and low-income persons are met;
(b) Collaborate with local government entities to ensure that policies do not result in an adverse shift of persons with mental illness into state and local correctional facilities; and
(c) Work with the authority to expedite the enrollment or reenrollment of eligible persons leaving state or local correctional facilities and institutions for mental diseases.
(4) The behavioral health administrative services organization shall employ an assisted outpatient treatment program coordinator to oversee system coordination and legal compliance for assisted outpatient treatment under RCW 71.05.148 and 71.34.815.
[ 2022 c 210 § 26; 2021 c 263 § 17; 2019 c 325 § 1008. Prior: 2018 c 201 § 4006; 2018 c 175 § 7; 2016 sp.s. c 29 § 421; 2014 c 225 § 13; 2014 c 225 § 12; 2006 c 333 § 105; 2005 c 503 § 8; 2001 c 323 § 12; 1992 c 230 § 5; prior: 1991 c 363 § 147; 1991 c 306 § 5; 1991 c 29 § 2; 1989 c 205 § 4; 1986 c 274 § 5; 1982 c 204 § 5.]
NOTES:
Expiration date—2022 c 210 § 26: "Section 26 of this act expires October 1, 2022." [ 2022 c 210 § 34.]
Application—2021 c 263: See note following RCW 10.77.150.
Effective date—2019 c 325: See note following RCW 71.24.011.
Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.
Findings—Intent—2018 c 175: See note following RCW 74.09.495.
Effective dates—2016 sp.s. c 29: See note following RCW 71.05.760.
Short title—Right of action—2016 sp.s. c 29: See notes following RCW 71.05.010.
Effective date—2014 c 225: See note following RCW 71.24.016.
Finding—Purpose—Intent—Severability—Part headings not law—Effective dates—2006 c 333: See notes following RCW 71.24.016.
Correction of references—Savings—Severability—2005 c 503: See notes following RCW 71.24.015.
Effective date—1992 c 230 § 5: "Section 5 of this act shall take effect July 1, 1995." [ 1992 c 230 § 8.]
Intent—1992 c 230: See note following RCW 72.23.025.
Purpose—Captions not law—1991 c 363: See notes following RCW 2.32.180.
Conflict with federal requirements—1991 c 306: See note following RCW 71.24.015.
Effective date—1986 c 274 §§ 1, 2, 3, 5, and 9: See note following RCW 71.24.015.
(1) The behavioral health administrative services organization contracted with the authority pursuant to RCW 71.24.381 shall:
(a) Administer crisis services for the assigned regional service area. Such services must include:
(i) A behavioral health crisis hotline for its assigned regional service area;
(ii) Crisis response services twenty-four hours a day, seven days a week, three hundred sixty-five days a year;
(iii) Services related to involuntary commitments under chapters 71.05 and 71.34 RCW;
(iv) Tracking of less restrictive alternative orders issued within the region by superior courts, and providing notification to a managed care organization in the region when one of its enrollees receives a less restrictive alternative order so that the managed care organization may ensure that the person is connected to services and that the requirements of RCW 71.05.585 are complied with. If the person receives a less restrictive alternative order and is returning to another region, the behavioral health administrative services organization shall notify the behavioral health administrative services organization in the home region of the less restrictive alternative order so that the home behavioral health administrative services organization may notify the person's managed care organization or provide services if the person is not enrolled in medicaid and does not have other insurance which can pay for those services;
(v) Additional noncrisis behavioral health services, within available resources, to individuals who meet certain criteria set by the authority in its contracts with the behavioral health administrative services organization. These services may include services provided through federal grant funds, provisos, and general fund state appropriations;
(vi) Care coordination, diversion services, and discharge planning for nonmedicaid individuals transitioning from state hospitals or inpatient settings to reduce rehospitalization and utilization of crisis services, as required by the authority in contract; and
(vii) Regional coordination, cross-system and cross-jurisdiction coordination with tribal governments, and capacity building efforts, such as supporting the behavioral health advisory board and efforts to support access to services or to improve the behavioral health system;
(b) Administer and provide for the availability of an adequate network of evaluation and treatment services to ensure access to treatment, investigation, transportation, court-related, and other services provided as required under chapter 71.05 RCW;
(c) Coordinate services for individuals under RCW 71.05.365;
(d) Administer and provide for the availability of resource management services, residential services, and community support services as required under its contract with the authority;
(e) Contract with a sufficient number, as determined by the authority, of licensed or certified providers for crisis services and other behavioral health services required by the authority;
(f) Maintain adequate reserves or secure a bond as required by its contract with the authority;
(g) Establish and maintain quality assurance processes;
(h) Meet established limitations on administrative costs for agencies that contract with the behavioral health administrative services organization; and
(i) Maintain patient tracking information as required by the authority.
(2) The behavioral health administrative services organization must collaborate with the authority and its contracted managed care organizations to develop and implement strategies to coordinate care with tribes and community behavioral health providers for individuals with a history of frequent crisis system utilization.
(3) The behavioral health administrative services organization shall:
(a) Assure that the special needs of minorities, older adults, individuals with disabilities, children, and low-income persons are met;
(b) Collaborate with local government entities to ensure that policies do not result in an adverse shift of persons with mental illness into state and local correctional facilities; and
(c) Work with the authority to expedite the enrollment or reenrollment of eligible persons leaving state or local correctional facilities and institutions for mental diseases.
(4) The behavioral health administrative services organization shall employ an assisted outpatient treatment program coordinator to oversee system coordination and legal compliance for assisted outpatient treatment under RCW 71.05.148 and 71.34.815.
[ 2022 c 210 § 27. Prior: 2021 c 263 § 17; 2021 c 202 § 15; 2019 c 325 § 1008; prior: 2018 c 201 § 4006; 2018 c 175 § 7; 2016 sp.s. c 29 § 421; 2014 c 225 § 13; 2014 c 225 § 12; 2006 c 333 § 105; 2005 c 503 § 8; 2001 c 323 § 12; 1992 c 230 § 5; prior: 1991 c 363 § 147; 1991 c 306 § 5; 1991 c 29 § 2; 1989 c 205 § 4; 1986 c 274 § 5; 1982 c 204 § 5.]
NOTES:
Effective date—2022 c 210 § 27: "Section 27 of this act takes effect October 1, 2022." [ 2022 c 210 § 35.]
Application—2021 c 263: See note following RCW 10.77.150.
Effective date—2021 c 202 §§ 15-17: "Sections 15 through 17 of this act take effect October 1, 2022." [ 2021 c 202 § 19.]
Effective date—2019 c 325: See note following RCW 71.24.011.
Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.
Findings—Intent—2018 c 175: See note following RCW 74.09.495.
Effective dates—2016 sp.s. c 29: See note following RCW 71.05.760.
Short title—Right of action—2016 sp.s. c 29: See notes following RCW 71.05.010.
Effective date—2014 c 225: See note following RCW 71.24.016.
Finding—Purpose—Intent—Severability—Part headings not law—Effective dates—2006 c 333: See notes following RCW 71.24.016.
Correction of references—Savings—Severability—2005 c 503: See notes following RCW 71.24.015.
Effective date—1992 c 230 § 5: "Section 5 of this act shall take effect July 1, 1995." [ 1992 c 230 § 8.]
Intent—1992 c 230: See note following RCW 72.23.025.
Purpose—Captions not law—1991 c 363: See notes following RCW 2.32.180.
Conflict with federal requirements—1991 c 306: See note following RCW 71.24.015.
Effective date—1986 c 274 §§ 1, 2, 3, 5, and 9: See note following RCW 71.24.015.
Structure Revised Code of Washington
Chapter 71.24 - Community Behavioral Health Services Act.
71.24.015 - Legislative intent—Community behavioral health system.
71.24.030 - Grants, purchasing of services, for community behavioral health programs.
71.24.035 - Director's powers and duties as state behavioral health authority.
71.24.045 - Behavioral health administrative services organization powers and duties.
71.24.062 - Psychiatry consultation line—Implementation.
71.24.063 - Partnership access lines—Psychiatric consultation lines—Data collection.
71.24.064 - Partnership access lines—Psychiatric consultation lines—Funding—Performance measures.
71.24.067 - Partnership access lines—Psychiatric consultation lines—Review.
71.24.068 - Telebehavioral health access account.
71.24.115 - Recovery navigator programs—Reports.
71.24.125 - Grant program—Treatment services—Regional access standards.
71.24.135 - Expanded recovery support services program—Regional expanded recovery plans.
71.24.160 - Proof as to uses made of state funds—Use of maintenance of effort funds.
71.24.200 - Expenditures of county funds subject to county fiscal laws.
71.24.215 - Sliding-scale fee schedules for clients receiving behavioral health services.
71.24.220 - State grants may be withheld for noncompliance with chapter or related rules.
71.24.250 - Behavioral health administrative services organizations—Receipt of gifts and grants.
71.24.260 - Waiver of postgraduate educational requirements—Mental health professionals.
71.24.350 - Behavioral health ombuds office.
71.24.370 - Behavioral health services contracts—Limitation on state liability.
71.24.380 - Purchase of behavioral health services—Managed care contracting—Requirements.
71.24.383 - Managed care organization contracting—Requirements.
71.24.400 - Streamlining delivery system—Finding.
71.24.405 - Streamlining delivery system.
71.24.415 - Streamlining delivery system—Authority duties to achieve outcomes.
71.24.430 - Coordination of services for behavioral health clients—Collaborative service delivery.
71.24.435 - Behavioral health system—Improvement strategy.
71.24.450 - Offenders with mental illnesses—Findings and intent.
71.24.455 - Offenders with mental illnesses—Contracts for specialized access and services.
71.24.460 - Offenders with mental illnesses—Report to legislature.
71.24.510 - Integrated comprehensive screening and assessment process—Implementation.
71.24.520 - Substance use disorder program authority.
71.24.525 - Agreements authorized under the interlocal cooperation act.
71.24.530 - Local funding and donative funding requirements—Facilities, plans, programs.
71.24.535 - Duties of authority.
71.24.545 - Comprehensive program for treatment—Regional facilities.
71.24.555 - Liquor taxes and profits—City and county eligibility conditioned.
71.24.560 - Opioid treatment programs—Pregnant individuals—Information and education.
71.24.565 - Acceptance for approved treatment—Rules.
71.24.570 - Emergency service patrol—Establishment—Rules.
71.24.575 - Criminal laws limitations.
71.24.580 - Criminal justice treatment account.
71.24.585 - Opioid and substance use disorder treatment—State response.
71.24.589 - Substance use disorders—Law enforcement assisted diversion—Pilot project.
71.24.594 - Opioid overdose reversal medications—Education—Distribution—Labeling—Liability.
71.24.597 - Opioid overdose reversal medication—Coordinated purchasing and distribution.
71.24.598 - Drug overdose response team.
71.24.599 - Opioid use disorder—City and county jails—Funding.
71.24.605 - Fetal alcohol screening and assessment services.
71.24.610 - Interagency agreement on fetal alcohol exposure programs.
71.24.615 - Chemical dependency treatment expenditures—Prioritization.
71.24.625 - Uniform application of chapter—Training for designated crisis responders.
71.24.640 - Standards for certification or licensure of evaluation and treatment facilities.
71.24.645 - Standards for certification or licensure of crisis stabilization units.
71.24.647 - Standards for certification or licensure of triage facilities.
71.24.649 - Standards for certification or licensure of mental health peer-run respite centers.
71.24.650 - Standards for certification or licensure of a clubhouse.
71.24.660 - Recovery residences—Referrals by licensed or certified service providers.
71.24.710 - Reentry services—Work group.
71.24.715 - Reentry services—Waiver application.
71.24.720 - Less restrictive alternative treatment—Transition teams.
71.24.850 - Regional service areas—Report—Managed care integration.
71.24.855 - Finding—Intent—State hospitals.
71.24.861 - Behavioral health system coordination committee.
71.24.870 - Behavioral health services—Adoption of rules—Audit.
71.24.885 - Medicaid rate increases—Review authority—Reporting.
71.24.893 - National 988 system—Crisis response improvement strategy steering committee.
71.24.894 - National 988 system—Department reporting—Audit.
71.24.896 - National 988 system—Duties owed to public—Independent contractors.
71.24.898 - National 988 system—Technical and operational plan.