Washington Behavioral Health Agency Policy Manual

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The Washington Behavioral Health Agency Policy Manual provides a comprehensive operational framework for agencies delivering mental health, substance use disorder, and co-occurring behavioral health services across Washington State. This manual aligns with the regulations established by the Washington State Department of Health (DOH) and the Washington State Health Care Authority (HCA), particularly under the Division of Behavioral Health and Recovery (DBHR). It ensures compliance with state and federal laws, including Medicaid managed care requirements, the Mental Health Parity and Addiction Equity Act (MHPAEA), and SAMHSA standards. The manual includes policies and procedures governing agency licensing and certification, client eligibility and intake, comprehensive behavioral health assessments, individualized treatment planning, outpatient therapy, psychiatric services, medication management, crisis response, peer and recovery support, staff qualifications and continuing education, client rights and confidentiality protections, trauma-informed care practices, documentation and billing, incident reporting, emergency preparedness, and quality assurance. It emphasizes integrated, person-centered, and culturally responsive care that supports long-term recovery and community inclusion. This manual serves as a foundational resource for behavioral health providers in Washington, ensuring the delivery of high-quality, evidence-based, and compliant services that improve mental wellness, reduce stigma, and support individuals in leading fulfilling, self-directed lives.