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19 Effective Date: July 1, 2009

Approval Date: CHIP clients. DBHR provides services based on clinical need, not insurance coverage. DBHR-contracted and subcontracted outpatient treatment providers who have signed a Core Provider Agreement conduct assessments to determine the extent of the problem and the course of treatment.

Substance abuse treatment services are not included in the HO capitation rates and are paid outside the contracts. HO contracts require that licensed health carriers assure that care is coordinated with non-participating community health and social program providers, including substance abuse providers. In order for the alcohol and drug treatment to be paid through the medical assistance program, patients enrolled in HO must receive substance abuse treatment from state certified treatment agencies who have signed a Core Provider Agreement. One of the DBHR- contracted and subcontracted outpatient treatment providers who have signed a Core Provider Agreement conducts an assessment to determine the extent of the problem and the course of treatment.

Poison treatment advice and prevention through the Washington Poison Center (WAPC) is supported using CHIP funds available under the 10 percent federal administrative expenditures cap. The WAPC provides emergency telephone treatment advice, referral assistance, and information to manage exposure to poisonous and hazardous substances. The WAPC answers poisoning emergency calls from the general public 24 hours a day, 365 days each year at no charge. At all times, a Specialist in Poison Information (SPI) is available to manage cases and Certified Specialists in Poison Information (CSPI) are available to manage cases and direct Poison Information Providers. The service is provided via a toll-free phone number to all communities throughout Washington, including under-served, low- income, and indigent populations. Interpreters are available in over 150 languages and via telecommunications devices for the deaf and hearing impaired (TTY).

WAPC public education programs direct attention and resources to at-risk populations living in poverty, including minority and immigrant communities.