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Stakeholder Notices - Rules - Rule-Making Activities

Stakeholder Notices

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Nov. 5, 2014:  Regional Services Areas Designated for Medicaid Purchasing

Oct. 28, 2014:  DSHS secures additional psychiatric treatment beds    List of additional beds

Sept. 24, 2014: Coverage for Tobacco Cessation Services

Sept. 23 2014:  Single Bed Certification Update and Bed Request Chart

Sept. 18, 2014:  DSHS 2015-2017 Budget Process and Proposals

June 2, 2014:  Medicaid CD Services Waiver Notice         Draft Waiver Form for Review 

May 30, 2014:  Medicaid Mental Health Waiver Notice     Draft Waiver Form for Review

April 7, 2014:  The first meeting of the Adult Behavioral Health System Task Force (2SSB 6312) will be April 22, 9-3:30, at the Criminal Justice Training Commission in Burien.  For details and to sign up for notices of future meetings, visit  http://www.leg.wa.gov/jointcommittees/ABHS/Pages/default.aspx.   

April 17, 2013:  2015-15 Behavioral Health Block Grant Final Plan 

                        Block Grant Public Comments and Questions 

Feb 22, 2013:  2014-15 Behavioral Health Block Grant Preliminary Plan - Webinar Presentation

Jan 23, 2013 - Block Grant Needs Assessment Presentations: 

Submit comments here. 

Application Documents and Forms

Communications regarding the Unified Block Grant application process
Letter to Stakeholders
Letter to Tribal Leaders
Letter to Consumers/Parent Leaders re: 8.9.11 Video Conference_Presentation Slides
DBHR Unified Block Grant Application Sections

Reviewer form for comments to DBHR about the draft UBG

Additional sections of the UBG narrative.

Reviewer comment form for the additional sections below

Section E. Data and Information Technology  

Section F. Quality Improvement Reporting

Section G. Consultation with Tribes

Section J. Suicide Prevention

Section K. Technical Assistance Needs

Section L. Involvement of Individuals and Families

Section N. Support of State Partners

Section O. Behavioral Health Advisory Council

Section P. Public Comment on the State Plan   

SAMHSA Block Grant Application Instructions
FY 2012-2013 Block Grant Application
FY2012 Mental Health Block Grant Reporting
FY2012 Substance Abuse Prevention & Treatment Block Grant Reporting
For the most current version of all SAMHSA Block Grant documents visit their web site: click here
National Documents used for background in preparing the UBG application.
Washington State Documents used for background in preparing the UBG application.
  • MHTG Final Report: Our Journey of Mental Health Transformation in Washington State: An Assessment of the Washington State Mental Health Transformation Project
  • MHTG Redesign Report: Statewide Transformation Initiative MH Benefit Package Design
    • MHTG Tribal Chapter
Last year’s Block Grant Applications


Behavioral Health Services and Other Rules

Recent Rule-Making Activities

CR-103E/WAC 388-865-0526 - Emergency Rule (Effective September 18, 2014).


Updates to Chapter 388-800 WAC:  The Legislature did not appropriate any funds for the Alcohol and Drug Addiction Treatment and Support Act (ADATSA) in the new biennium budget. ADATSA-related medical care services recipients will be Medicaid eligible under the Affordable Care Act (ACA) starting January 1, 2014.


8/17/13:  CR-101 Pre-Proposal Statement of Inquiry


9/26/13:  CR-102 Proposed Rule Making        


11/5/13:  CR-103P and permanent rule effective December 31, 2013             


The department is repealing WAC 388-865-0217 because the legislature did not appropriate funds for the Psychiatric indigent inpatient (PII) program beyond December 31, 2013. Individuals eligible for the PII program may be considered newly eligible under the federal Patient Protection and Affordable Care Act (ACA) rules beginning January 1, 2014.


7/22/13:  CR-101 Pre-Proposal Statement of Inquiry


9/17/13:  CR-102 Proposed Rule Making


11/5/13:  CR 103 PII Program Repealed December 31, 2013

These permanent rules provide minimum standards for agencies to obtain and maintain licensure from DSHS so that licensed agencies may contract with HCA to deliver ABA services to eligible individuals.

CR-103P and permanent rule effective June 29, 2013

In 2011, DBHR initiated a comprehensive rule-making process with providers and other partners to develop draft rules for behavioral health treatment services.

The new rules, which are effective July 1, 2013, are intended to streamline administrative, personnel and clinical policies and procedures that address specific treatment populations and levels of care, and to improve client care.

Under the 2011-13 Omnibus Operating Budget, the department must establish certification fees at an amount adequate to reimburse costs for its certification and regulation activities for approved chemical treatment programs.

Under the 2011-13 Omnibus Operating Budget, the department must establish licensing and certification fees at an amount adequate to reimburse costs for its certification and regulation activities for approved mental health treatment programs.

WAC 388-865-0474 and 0516

Implements Chapter 302, Laws of 2011 (SSB 5187) that requires, in part, an inpatient psychiatric facility that provides services to minors to inform, both verbally and in writing, a parent or guardian of a minor who is seeking treatment for that minor, of all statutorily available treatment options, including the option for parent-initiated treatment.