Fully-Integrated Medicaid Contracting 2018-10-17T09:47:53+00:00

Fully-Integrated Managed Care

The state is changing how it pays for delivery of physical health services, mental health services and substance use disorder (SUD) services in the Medicaid (Apple Health) program.

Fully Integrated Managed Care — the future of Washington’s Apple Health

August 7th, 2018|Comments Off on Fully Integrated Managed Care — the future of Washington’s Apple Health

Legislation passed in 2014 mandating that every county in Washington State transition to Fully Integrated Managed Care (FIMC) under the current Medicaid system by 2020. In simple terms, it means Apple Health (Medicaid) is shifting [...]

What is integrated physical and behavioral health?

Through this whole-person approach to care, physical and behavioral health needs will be addressed in one system through an integrated network of providers, offering better coordinated care for patients and more seamless access to the services they need. This is an initiative under Healthier Washington to bring together the payment and delivery of physical and behavioral health services for people enrolled in Medicaid, through managed care.

Why is the current system changing?

Before care was integrated, Medicaid clients with co-occurring disorders had to navigate three separate systems in order to access the physical and behavioral health services they needed to stay healthy. The physical health, mental health, and substance use disorder delivery systems often didn’t communicate about clients’ care, which led to duplication of services, poorly coordinated care, lower health outcomes, and a frustrating experience for our states’ Medicaid clients and the providers who serve them.

Okanogan County will be transitioning to fully-integrated Medicaid contracting on Jan. 1, 2019.  More information for Okanogan County can be found on our Okanogan County FIMC webpage.

Chelan, Douglas, and Grant Counties transitioned to fully-integrated Medicaid contracting on Jan. 1, 2018.  More information on the integration from Chelan, Douglas, Grant County transition on our North Central FIMC Advisory Committee webpage.

Additional integration resources are available by visiting the Health Care Authority’s website.