Revised Code of Washington
Chapter 71.24 - Community Behavioral Health Services Act.
71.24.455 - Offenders with mental illnesses—Contracts for specialized access and services.

RCW 71.24.455
Offenders with mental illnesses—Contracts for specialized access and services.

(1) The director shall select and contract with a behavioral health administrative services organization, managed care organization, behavioral health agency, or private provider to provide specialized access and services to offenders with mental illness upon release from total confinement within the department of corrections who have been identified by the department of corrections and selected by the behavioral health administrative services organization, managed care organization, behavioral health agency, or private provider as high-priority clients for services and who meet service program entrance criteria. The program shall enroll no more than twenty-five offenders at any one time, or a number of offenders that can be accommodated within the appropriated funding level, and shall seek to fill any vacancies that occur.
(2) Criteria shall include a determination by department of corrections staff that:
(a) The offender suffers from a major mental illness and needs continued mental health treatment;
(b) The offender's previous crime or crimes have been determined by either the court or department of corrections staff to have been substantially influenced by the offender's mental illness;
(c) It is believed the offender will be less likely to commit further criminal acts if provided ongoing mental health care;
(d) The offender is unable or unlikely to obtain housing and/or treatment from other sources for any reason; and
(e) The offender has at least one year remaining before his or her sentence expires but is within six months of release to community housing and is currently housed within a work release facility or any department of corrections' division of prisons facility.
(3) The behavioral health administrative services organization, managed care organization, behavioral health agency, or private provider shall provide specialized access and services to the selected offenders. The services shall be aimed at lowering the risk of recidivism. An oversight committee composed of a representative of the authority, a representative of the selected managed care organization, behavioral health administrative services organization, or private provider, and a representative of the department of corrections shall develop policies to guide the pilot program, provide dispute resolution including making determinations as to when entrance criteria or required services may be waived in individual cases, advise the department of corrections and the managed care organization, behavioral health administrative services organization, or private provider on the selection of eligible offenders, and set minimum requirements for service contracts. The selected managed care organization, behavioral health administrative services organization, or private provider shall implement the policies and service contracts. The following services shall be provided:
(a) Intensive case management to include a full range of intensive community support and treatment in client-to-staff ratios of not more than ten offenders per case manager including: (i) A minimum of weekly group and weekly individual counseling; (ii) home visits by the program manager at least two times per month; and (iii) counseling focusing on maintaining and promoting ongoing stability, relapse prevention, and recovery.
(b) The case manager shall attempt to locate and procure housing appropriate to the living and clinical needs of the offender and as needed to maintain the psychiatric stability of the offender. The entire range of emergency, transitional, and permanent housing and involuntary hospitalization must be considered as available housing options. A housing subsidy may be provided to offenders to defray housing costs up to a maximum of six thousand six hundred dollars per offender per year and be administered by the case manager. Additional funding sources may be used to offset these costs when available.
(c) The case manager shall collaborate with the assigned prison, work release, or community corrections staff during release planning, prior to discharge, and in ongoing supervision of the offender while under the authority of the department of corrections.
(d) Medications including the full range of psychotropic medications including atypical antipsychotic medications may be required as a condition of the program. Medication prescription, medication monitoring, and counseling to support offender understanding, acceptance, and compliance with prescribed medication regimens must be included.
(e) A systematic effort to engage offenders to continuously involve themselves in current and long-term treatment and appropriate habilitative activities shall be made.
(f) Classes appropriate to the clinical and living needs of the offender and appropriate to his or her level of understanding.
(g) The case manager shall assist the offender in the application and qualification for entitlement funding, including medicaid, state assistance, and other available government and private assistance at any point that the offender is qualified and resources are available.
(h) The offender shall be provided access to daily activities such as drop-in centers, prevocational and vocational training and jobs, and volunteer activities.
(4) Once an offender has been selected into the pilot program, the offender shall remain in the program until the end of his or her sentence or unless the offender is released from the pilot program earlier by the department of corrections.
(5) Specialized training in the management and supervision of high-crime risk offenders with mental illness shall be provided to all participating mental health providers by the authority and the department of corrections prior to their participation in the program and as requested thereafter.

[ 2019 c 325 § 1028; 2018 c 201 § 4029; 2014 c 225 § 43; 1997 c 342 § 2.]
NOTES:

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.


Effective date—2014 c 225: See note following RCW 71.24.016.


Severability—1997 c 342: See note following RCW 71.24.450.

Structure Revised Code of Washington

Revised Code of Washington

Title 71 - Behavioral Health

Chapter 71.24 - Community Behavioral Health Services Act.

71.24.011 - Short title.

71.24.015 - Legislative intent—Community behavioral health system.

71.24.016 - Intent—Management of services—Work group on long-term involuntary inpatient care integration.

71.24.025 - Definitions.

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.

71.24.037 - Licensed or certified behavioral health agencies and providers—Minimum standards—Investigations and enforcement actions—Inspections.

71.24.045 - Behavioral health administrative services organization powers and duties.

71.24.061 - Children's mental health provider networks—Children's mental health evidence-based practice institute—Partnership access line pilot programs—Report to legislature.

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.

71.24.066 - Partnership access line pilot programs—Determination to be made permanent—Long-term funding.

71.24.067 - Partnership access lines—Psychiatric consultation lines—Review.

71.24.068 - Telebehavioral health access account.

71.24.100 - County-run behavioral health administrative services organizations—Joint operating agreements—Requirements.

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.

71.24.145 - Homeless outreach stabilization transition program—Psychiatric outreach—Contingency management resources—Substance misuse prevention effort—Grants.

71.24.155 - Grants to behavioral health administrative services, managed care organizations, and Indian health care providers—Accounting.

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.

71.24.240 - Eligibility for funding—Community behavioral health program plans to be approved by director prior to submittal to federal agency.

71.24.250 - Behavioral health administrative services organizations—Receipt of gifts and grants.

71.24.260 - Waiver of postgraduate educational requirements—Mental health professionals.

71.24.300 - Behavioral health administrative services organizations—Advisory boards—Inclusion of tribes—Roles and responsibilities.

71.24.335 - Reimbursement for behavioral health services provided through telemedicine or store and forward technology—Coverage requirements—Audio-only telemedicine.

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.

71.24.381 - Contracting for crisis services and medically necessary physical and behavioral health services.

71.24.383 - Managed care organization contracting—Requirements.

71.24.385 - Behavioral health administrative services and managed care organizations—Mental health and substance use disorder treatment programs—Development and design 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.

71.24.420 - Expenditure of funds for operation of service delivery system—Appropriation levels—Outcome and performance measures—Report.

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.

71.24.470 - Reentry community services program—Contract for case management—Use of appropriated funds.

71.24.480 - Reentry community services program—Limitation on liability due to treatment—Reporting requirements.

71.24.490 - Evaluation and treatment services—Capacity needs—Behavioral health administrative services and managed care organizations.

71.24.500 - Written guidance and trainings—Managed care—Incarcerated and involuntarily hospitalized persons.

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.

71.24.540 - Drug courts.

71.24.545 - Comprehensive program for treatment—Regional facilities.

71.24.546 - Substance use recovery services plan—Substance use recovery services advisory committee—Rules—Report.

71.24.550 - City, town, or county without facility—Contribution of liquor taxes prerequisite to use of another's facility.

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.

71.24.587 - Opioid use disorder treatment—Possession or use of lawfully prescribed medication—Declaration by state.

71.24.589 - Substance use disorders—Law enforcement assisted diversion—Pilot project.

71.24.590 - Opioid treatment—Program licensing or certification by department, department duties—Use of medications by program—Definition.

71.24.593 - Opioid use disorder treatment—Care of individuals and their newborns—Authority recommendations required.

71.24.594 - Opioid overdose reversal medications—Education—Distribution—Labeling—Liability.

71.24.595 - Statewide treatment and operating standards for opioid treatment programs—Evaluation and report.

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.

71.24.600 - Inability to contribute to cost of services no bar to admission—Authority may limit admissions for nonmedicaid clients.

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.

71.24.618 - Withdrawal management services—Substance use disorder treatment services—Prior authorization—Utilization review—Medical necessity review.

71.24.625 - Uniform application of chapter—Training for designated crisis responders.

71.24.630 - Integrated, comprehensive screening and assessment process for substance use and mental disorders.

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.

71.24.648 - Standards for certification or licensure of intensive behavioral health treatment 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.

71.24.665 - Psychiatric treatment, evaluation, and bed utilization for American Indians and Alaska Natives—Report by authority.

71.24.700 - Long-term inpatient care and mental health placements—Contracting with community hospitals and evaluation and treatment facilities.

71.24.710 - Reentry services—Work group.

71.24.715 - Reentry services—Waiver application.

71.24.720 - Less restrictive alternative treatment—Transition teams.

71.24.845 - Transfer of clients between behavioral health administrative services organizations—Uniform transfer agreement.

71.24.850 - Regional service areas—Report—Managed care integration.

71.24.852 - Intensive behavioral health treatment facilities—Resident rights and access to ombuds services—Recommendations to governor and legislature.

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.

71.24.872 - Regulatory parity between primary care and behavioral health care settings—Initial documentation requirements for patients—Administrative burdensomeness.

71.24.880 - Interlocal leadership structure—Transition to fully integrated managed care within a regional service area.

71.24.885 - Medicaid rate increases—Review authority—Reporting.

71.24.887 - Training support grants for community mental health providers—Behavioral health workforce pilot program.

71.24.890 - National 988 system—Crisis call center hubs—Technology and platform development—Agency collaboration.

71.24.892 - National 988 system—Crisis response improvement strategy committee—Membership—Steering committee—Reports.

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.

71.24.905 - Co-response services.

71.24.910 - Balance billing violations—Discipline.