kUnes\vePAs†IBIk´®mra"b`rg

Washington Medicaid Mental Health
kUnes\vePAs†IBIk´®mra"b'rg
Washington State Department of Social and Health Services
Division of Behavioral Health and Recovery
PO Box 45330 • Olympia WA 98504-5330
ebIenHminEmnCaPasaEdlelak/ñk/ac/an◊neT, sUmTUrs‡BÊTak'Tg 1-800-446-0259 edIm∫IesñIsuMCMnYy.
CAMBODIAN
如果您看不懂這種語言，請電1-800-446-0259請求幫助。
CHINESE
If this is not a language you can read, please call 1-800-446-0259 for help.
ENGLISH
이 안내서의 언어를 읽을 수 없는 분은 1-800-445-0259로 전화해 도움을
청하십시오.
KOREAN
TYabBEmÆnfaSatIÆtÆanSamadwÆanYdY,kArunaotHa 1-800-446-0259 efJÆw˚vamsÆvYeHlJw.
LAOTIAN
Если данный документ напечатан на языке, на котором вы не
можете читать, обратитесь, пожалуйста за помощью по тел.
1-800-446-0259
RUSSIAN
Haddii kani uuna ahayn luqad aad akhriyi karto, fadlan u wac
1-800-446-0259 si aad u hesho caawimaad
SOMALI
Si esto no está en un idioma que pueda leer, por favor llame al 1-800-446-0259 para
recibir ayuda.
SPANISH
Nếu đây không phải là ngôn ngữ của quý vị, xin hãy gọi số
1-800-446-0259 để được giúp đỡ
VIETNAMESE
1-800-446-0259
(sMrab'esva TDD rW TTY Etb"ueNˆaH 1-800-833-6384)
http://www.dshs.wa.gov/dbhr/mhmedicaidbenefit.shtml
ii
D S H S / D i v i s i o n o f B e h a v i o r a l H e a l t h a n d R e c o v e r y * P O B o x 4 5 3 3 0 O l y m p i a WA 9 8 5 0 4 - 5 3 3 0
sUm/eJÇIjkarmkdl'esva suxPaBsti/armµN—rbs'rdƒva"sIunetan eTAdl'buK˚l
Edl◊ncuHeQµaHkñ¨gkarZanara"b'rgsuxPaBshB‡nÛemDIexd(Medicaid)
*ebIsinCa/ñkBMu◊nTTYl◊nesvaZanara"b'rgsuxPaBshB‡nÛemDIexdenaHeT
ehIy/ñk
®tUvkar esvaviCÇsa®s∂suxPaBsti/armµN—, /ñknwg®tUveZ√IkarbMeBjBak¥sMuenAkariyal‡y
esvashKmn— tMbn'(CSO) rbs'/ñk. /ñk/aceZ√IdUcenHedayeTAkan'eKhTMB‡r
https://www.washingtonconnection.org/home/, rW TUrs‡BÊeTAelx
1-877-501-2233. /ñk®BmTaMg/aceTA kariyal‡y CSO tMbn'rbs'/ñk nig dak'Bak¥
edaypÊal'. sMrab'EpnTIsMKal'p¬ËveTA CSO, sUmeTAeKhTMB‡r http:// www.dshs.
wa.gov/onlinecso/findservice.shtml nig e®bIobkrN— Es√grkenAelIeKhTMB‡r
sMrab'Bak¥(tool) edImÒIEs√grk CSO NaEdlenACit/ñk.
• reb\bTTYlesvasuxPaBp¬Ëvsti nig/√IEdlelak/ñk®tUveZ√IenAeBlman/asnñ;
• esvasuxPaBp¬Ëvstimanbe®mIkare®kamkmµviZIsuxPaBp¬ËvstiemDIexd (Medicaid
Mental Health Program) Edl®Kb'®Kgedaynaykdƒan®Kb'®KgsuxPaBp¬Ëvs
ti nigs†arnItism∫Ta (Division of Behavioral Health and Recovery,
DBHR);
'
• siTÛirbs'elak/ñk enAeBlNaelak/ñkTTYlCMnYy;
• reb\bEdlelak/ñk nigsmaCik´n®KYsarrbs'elak/ñk/accUlrYmp†l'mtieyabl
edIm∫ICYyeyIg eZ√Iy"agNaØ¥esvakmµTaMgenHrwtEtman®bsiTÛPaBl÷®besIreLIg;
• Bt·mans†IBIesvaEzTaMsuxPaBevCÇsa®s†;
• /√IEdlelak/ñk®tUveZ√I enAeBlNaelak/ñkmineBjcit†nwgesvakmµNamYy; nig
• B‡tmanepßgeT\tEdl/ñkcaM◊c'®tUvEtyl'dwg.
edIm∫IEs√gyl'B¤tmanBis†arbEnΩms†IBI®bB‡nÛsuxPaBp¬ËvstisaZarN: Edl®Kb'®Kgeday
DBHR, elak/ñkKYr/anemIlc∫ab' nigbTbJÔt†inana. elak/ñkKYr/anemIlkñ¨g®kmkMEN
´nrdƒva"suInetan (Revised Code of Washington, RCW) CMBUk 71.05, 71.24,
71.34 nig®kmrdƒ◊l´nrdƒva"suInetan (Washington Administrative Code,
WAC) 388-865-(0100-0600). elak/ñk/acrkemIlc∫ab'TaMgenHenAelIbN†aj
/uInZWNit enA http://apps.leg.wa.gov/rcw/.
sMrab'B‡tmanbEnΩms∂IBI®bB‡nÛsuxPaBsti/armµN—rbs' DBHR nig esva/ñkcuHeQµaH
eTAkan' emDIexd, sUmcUleTAkan'eKhTMB‡r http://www.dshs.wa.gov/dbhr/mh_
information.shtml.
D S H S / D i v i s i o n o f B e h a v i o r a l H e a l t h a n d R e c o v e r y * P O B o x 4 5 3 3 0 O l y m p i a WA 9 8 5 0 4 - 5 3 3 0
iii
taragmatika
elxTUrs‡BÊsMxan'@............................................................................................. 2
B¤t·mans†IBIesvakmµ.............................................................................................. 3
esvasuxPaBsti/armµN.µ .................................................................................... 4
siTÛi EPSDT s®mab'kumar................................................................................... 7
siTÛikñ¨gnamCabuKlmYyrUb kMBugTTYlesvasuxPaBsti/armµN—BIemDIexd............................ 8
bN†wgoTÛrN—, bN†wgsaTuk≈, nigsvnakar(yut†iZm·)rdƒ◊l........................................... 10
bN†wgoTÛrN—, bN†wgsaTuk≈, nigsvnakar(yut†iZm·)rdƒ◊l............................................... 10
niymn‡y........................................................................................................ 14
D S H S / D i v i s i o n o f B e h a v i o r a l H e a l t h a n d R e c o v e r y * P O B o x 4 5 3 3 0 O l y m p i a WA 9 8 5 0 4 - 5 3 3 0
1
elxTUrs‡BÊsMxan'@ nig ®bPBZnZan
elxTUrs‡BÊbJ˙aKYre/aycab'/armµN— (crisis)
• ebIsinCa/ñkmanbJ˙akarKMramkMEhgEdlmane®KaHzñak'dl'CIvit: sUmTUrs‡BÊeTA 911
•ExßTUrs‡BÊ 24 em"agkñ¨g karCYykarBareZ√I/t∂Xat nig bJ˙aKYre/aycab'/armµN—:
1-800-273-TALK (8255) TTY 1-800-799-4TTY (4889) rWtameKhTMB‡r
http://www.suicidepreventionlifeline.org:elxTUrs‡BÊenHmanbuK˚likeZ√Ikar
24ema"ger\gral'´z© nig manCMnYyBiesskñ¨gkarCYy TahancMNas' nig /acbJÇËn/ñkeTAkan'Exß
TUrs‡BÊbJ˙aKYe/aycab'/armµN—tMbn'rbs'/ñk.
•edImÒIEs√grkelxTUrs‡BÊ crisis enAkñ¨gtMbn'rbs'/ñk: http://www.dshs.wa.gov/dbhr/
mhcrisis.shtml
mhcrisis.shtmlExßTUrs‡BÊTajykCMnYyrbs'rdƒva"sIunetan
sMrab'CMnYy 24 em"agx¬wmsarrMelaPbMBan,bJ˙aElÒgsIusg,nig suxPaBsti/armµN—.
karp˚t'p˚g'edayminKit´z¬ nig eC]Cak'nwgPÇab'/ñkeTA kan'/ñkp˚t'p˚g'B¥a◊ltMbn'rbs'/ñk:
1-866-789-1511 TTY 1-206-461-3219 rW www.waRecoveryHelpLine.org
/aC∆aZrKaMBarsuxPaB (HCA)
sMrab'B‡tmanbEnΩm/MBIkarKaMBarviCÇsa®s∂ KMerager\bcMkaremIlEz Kun®beyaCn—suxPaBsti/armµN—
epßgeT\tnig B‡tmaneZ√IdMeNIr: 1-800-562-3022, TDD/TTY sMrab'esva/ñkZ©n'®tec\kb"ueNˆaH
1-800-848-5429, rW 711 (sMrab'buK˚lmanobkrN—CMnYy kñ¨gkars∂ab' nig niyay). /ñ
k/acep∆IrsMbu®te/Lic®tUnictamryH: http://www.hca.wa.gov/medicaid/Pages/
contact.aspx
B¤t·mans†IBIkareZ√IdMeNIrdwkCJÇËnrbs'kmµviZIemDIexd (Medicaid) –
1-800-562-3022 … [email protected]
Mental Health Information
Division of Behavioral Health and Recovery 1-800-446-0259 …
http://www.dshs.wa.gov/dbhr/mh_information.shtml
Alcohol or Substance Abuse
Division of Behavioral Health and Recovery 1-877-301-4557 …
http://www.dshs.wa.gov/DBHR/
Aging and Long-Term Support Administration (ALTSA)
1-800-422-3263 … http://www.adsa.dshs.wa.gov
kariyal‡ysiTÛisuIvil –
http://www.hhs.gov/ocr
kariyal‡ysvnakarrdƒ◊l – Office of Administrative Hearings
PO Box 42489, Olympia, WA 98504, 1-800-583-8271
kariyal‡yesvashKmn(CSOs)
sMrab'karcUleTAkñ¨gkarkMNt'siTÛTTYl◊lemDIexd nig kmµviZICMnYysaZarNHepßgeT\t:
1-877-501-2233 rW https://www.washingtonconnection.org/home/
2
D S H S / D i v i s i o n o f B e h a v i o r a l H e a l t h a n d R e c o v e r y * P O B o x 4 5 3 3 0 O l y m p i a WA 9 8 5 0 4 - 5 3 3 0
B¤t·mans†IBIesvakmµ
etInrNamanlk≈Nsm∫t†iTTYlesvasuxPaBp¬ËvstisaZarN:?
bN†aCnEdlTTYlemDIexd (Medicaid) /acTTYlesvasuxPaBp¬ËvstieTAtamt®mUvkarcaM◊c'xag
EpñkevCÇsa®s†eday≤tKit´z¬.
bN†ajobtm∏®bcaMbMbn' (Regional Support Networks, RSN) ◊ncuHkicçsn¥akargarCa
mYyTIPñak'garsuxPaBp¬Ëvstishkmn— (Community Mental Health Agencies, CMHA)
edIm∫Ip†l'esvasuxPaBp¬Ëvsti. elak/ñk®tUvEtmanlk≈N⁄sm∫t†i®sbtaml‡k≈x‡Nδnesck†I®tUvkar
evCÇsa®s†CacaM◊c' ehIy®tUvEtmanCm©WEdl◊nra"b'rgedaykmµviZIrbs'eyIg. CYnkal elak/ñkæeK
ehAkmµviZIenHza siTÛikñ¨gkare®bI®◊s'bTdƒanEzTaMsuxPaB (Access to Care Standards).
etImanesvaEzTaMsuxPaBp¬ËvstiNax¬HeT\t®tUv◊nra"b'rgedaykmµviZIemDIexd?
ebIsinCa/ñkmin◊nCYbtamtMrUvkar siTÛ/nuJÔati∂kñ¨gkaremIlEzs∂g'da sMrab'esvarbs' RSN,
b"uEn∂karKaMBarsuxPaBsti/armµN—Edl/ñk/ac mansiTÛTTYl◊neday /aC∆arZrKaMBarsuxPaB
(HCA). /ñk/accUleTAkan'eKhTMB‡r http://www.hca.wa.gov/medicaid/Pages/
index.aspx, rW TUrs‡BÊeTAelx 1-800-562-3022 edImÒIEs√grkB‡tman bEnΩm.
etInrNaCa/ñkp†l'esvaEdl◊nra"b'rge®kamkUnes\vePAenH?
®bB‡nÛsuxPaBp¬ËvstisaZarN:rbs'rdƒva"suInetan, Edl®Kb'®Kgedaynaykdƒan®Kb'®KgsuxPaBp¬Ëv
sti nigs†arnItism∫Ta (Division of Behavioral Health and Recovery, DBHR), man
RSN cMnYn 13 bN†aj. DBHR ◊ncuHkug®taCamYy RSNs edImÒIp∂l'esvasuxPaBsti
/armµN—. RSN nImYy@mansmaPaBcUlrYmedayexanZIcab'BImYyexanZIeLIgeTA. bN†aCn®Kb'rUb
EdlTTYlCMnYy emDIexd (Medicaid) ®tUv◊ncuHeQµaHkñ¨g RSN ®bcaMtMbn'rbs'x¬Án Cas√‡y®bvt†.
elIkElgEtesvaseÂg˚aHvibt†i(Crisis Services) mYyecj, esvasuxPaBp¬ËvstiPaKe®cIn®tUvEt
mansiTÛi/nuJÔatBI˚SN®bcaMbMbn'rbs'elak/ñk.elak/ñk/aceTACYbEtTIPñak'garNa Edlmankicç
sn¥akargarCamYy˚SNedIm∫ITTYlesvamankicçra"b'rgb"ueNˆaH.bJÇIeQµaHrbs'TIPñak'garTaMg
/s'◊ncuHCUncab'BITMB‡rTI 20teTA.edImÒIEs√grk˚SNenAkñ¨gtMbn'rbs'/ñk, /ñk/aceTAkan'eKh
TMB‡rhttp://www.dshs.wa.gov/dbhr/rsn.shtmlrW TUrs‡BÊeTAkan'1-800-446-0259.
etIánwg®tUvbg'®◊k'elIesvaNamYyrWeT?
elak/ñk/acnwg®tUvecj´z¬esvakmµnanaedayx¬ÁnGg ®bsinebIelak/ñkeTATTYlesvaEzTaMsuxPaB
BI/ñkp†l'esvaEzTaMsuxPaBp¬ËvstiNamYy EdlKµaneQµaHkñ¨gbJÇITIPñak'garenH. ebIsinCa/ñkesñIrsMu
esvaEdlminsΩitenAkñ¨gkarZanara"b'rgeT rW minmanPaBcaM◊c'kñ¨gviCÇsa®s∂eT, /ñk®bEhlCa®tUvbg'
edayx¬ÁnGg. ebIsinCa/ñkmincÒas'BIkarp˚t'p˚g' rW esvarbs'/ñkeT sUmBinit¥CamYy RSN rbs'/ñk.
etI®bsinCaáTTYl◊nvik‡ybg'®◊k'?
/ñkminKYrTTYl◊nvik‡yb‡®tbg'®◊k'sMrab'EdlTTYl◊nkarZanara"b'rgeday emDIexd luH®taEt
/ñkTTYl◊nesvaEdlmin◊n/nuJÔati∂bJÇak' rW /ñkeTAkan'/ñkp˚t'p˚g'NaEdlminsiΩtenAkñ¨gesck∂I
/nuJÔati∂. ebIsinCa/ñkTTYl◊nvik‡yb‡®tbg'®◊k' sUmTMnak'TMngCamYykariyal‡yecjvik‡yb®tbg'®
◊k'´nPñak'garEdl◊nep∆Irvik‡yb®tenaHeTAe/ay/ñk. ®◊b'BYkeKza/ñk
®tUv◊nZanara"b'rgedayemDIexd nig sYre/ayBYkeKBn¥l'BIvik‡yb®tbg'®◊k'enaH.
ebIsinCakarbriyayenHmin◊nedaH®saybJ˙aeT /ñk/acTMnak'TMngCamYy/ñkp˚t'p˚g'suxPaBsti/
armµN—rbs'/ñk, RSN rW Ombuds rbs'/ñk CYy/ñk.
D S H S / D i v i s i o n o f B e h a v i o r a l H e a l t h a n d R e c o v e r y * P O B o x 4 5 3 3 0 O l y m p i a WA 9 8 5 0 4 - 5 3 3 0
3
etI /m◊d' Omsbud KWCa/√I?
/m◊d' KWCabuKl
˚ mñak'Edl®tUv◊nCYleday RSN kñg¨ karCYy/ñke/ayyl'dgw BIesvasuxPaBsti
/armµNr— bs'/kñ nig reb\bkñg¨ karbMeBj TMrg' Gksar rW reb\bdak'Bak¥bN∂gw rW esck∂TI ku ®BYy rW
svnaryutZ∂i mmYy. TMnak'TnM geTAkan'Bt‡ manxage®kamedImÒICbY CamYy /m◊d' kñg¨ tMbn'esvarbs'
/ñkEdl◊ndak'kg¨ñ bJÇkI g¨ñ eKhTMBr‡ http://www.dshs.wa.gov/dbhr/ombuds.shtml rW
TUrs‡BeÊ TAelx1-800-446-0259. enHKWCaesvaminKit´z¬srM ab'/kñ .
etIá/acTTYlesvasuxPaBp¬Ëvstiedayreb\bNa?
ebIelak/ñkKitza elak/ñk®tUvkaresvasuxPaBp¬Ëvsti, enaHelak/ñk/acTUrs‡BÊTak'Tg …/eJÇIjeTA
CYb RSN rbs'elak/ñk …TIPñak'garEdlmankicçra"b'rgNamYykñ¨gshKmn—Edlelak/ñkrs'enA
edIm∫Idak'eBlNat'CYb s®mab'eZ√Ikarvayt´m¬emIl/MBIEbbbTTTYlcUl. karvayt´m¬emIl/MBIEbbbT
TTYlcUlenH®tUveKe®bI®◊s' edIm∫Ise®mcemIl/MBIesck†IcaM◊c'xagEpñkevCÇsa®s† (medical
necessity) nig/MBI®bePTesvasuxPaBp¬Ëvsti Edlelak/ñk/acnwg®tUvkar.
RSN nwgp†l'CUnelak/ñknUvB¤t·man
Edlgay®sYlyl'/MBIsuxPaBp¬Ëvsti nigkardak'Bak¥suMesva
kmµnana. ebIcaM◊c', eKnwgp†l'B¤t·manTaMg/s'enH CUnelak/ñkCaPasarbs'elak/ñkpÊal'Etm†g.
etI®bsinCaá®tUvkarCMnYyeZ√IdMeNIrsMrab'karemIlEzEpñkviCÇsa®s∂?
kñ¨ger]gk∂IenaH emDIexdnwgbg'®◊k'sMrab'kareZ√IdMeNIredImÒIeTAkan'karNat'CYbEdlTak'TgCamYynwgsu
xPaB. ebIsinCa/ñk®tUvkarCMnYykñ¨g karEs√grkkareZ√IdMeNIr TUrs‡BÊeTAelx 1-800-562-3022 rW
elx RSNrbs'/ñkedImÒICYy.
etInwgman/√IekIteLIgenAeBleZ√Ikarvayt´m¬emIlEbbbTTTYlcUl?
/ñkmanviCÇaCIv⁄EpñksuxPaBp¬ËvstinwgCYbCamYyelak/ñkedIm∫IkMNt'emIlzaetIelak/ñkmanCm©Wp¬Ëv
sti®sbtam lk≈xNÎra"b'rg…eT.B‡tmanGksarNat'CYbenHnwg®tUve®bI®◊s'edImÒIkMNt'karB¥a
◊lNamYyEdl/ñk®tUvkar nigebIsinCasΩanPaBrbs'/ñkCYbkMritTTYl◊nesvasuxPaBsti/armµN—
tamryHRSN.karvayt´m¬enH/ac®tUvcMNayeBleZ√ICae®cIndg.
/ñkmanviCÇaCIv⁄EpñksuxPaBp¬ËvstinwgniyayCamYyelak/ñk/MBIcMNucx¬aMg nigesck†I®tUvkarrbs'elak
/ñk. BYkeKnwgsYrsMNYrepßg@Bak'B‡nÛeKaledArbs'elak/ñk. BYkeK®bEhlCa/acnwgniyayCamYy
elak/ñk/MBI®bvt†i nigvb∫Zm·rbs'elak/ñk. BYkeKnwgsYrsMNYrBak'B‡nÛbJ˙akare®bI®◊s'e®K]gej\n,
bJ˙aevCÇsa®s†epßg@, nigsMNYrd´T@mYycMnYneT\t Bak'B‡nÛnwgCIvitrbs'elak/ñk.
ebIbnÊab'BICMnYbenaH, BYkeKyl'®sbtamelak/ñkza esvakmµenaH/acCYyØ¥Cm©Wrbs'elak/ñk◊n®Kan'
ebI, manesΩrPaB …Tb's˚at'minØ¥Z¬ak'cuHdundab, enaHBYkeKnwgp†l'/nusasn—®◊b'eTA RSN za elak
/ñk®tUvkaresvakmµenaH. ebI RSN yl'®sbtam/nusasn—enaH, enaHelak/ñknwgmanlk≈Nsb∫t†i
TTYl◊nesvakmµenaH.
etITTYlesvaseÂgaHsuxPaB/asnñedayreb\bNa?
4
D S H S / D i v i s i o n o f B e h a v i o r a l H e a l t h a n d R e c o v e r y * P O B o x 4 5 3 3 0 O l y m p i a WA 9 8 5 0 4 - 5 3 3 0
esvaseÂgaHvibt†i nigEzTaMsuxPaBp¬Ëvstie®kayeBlmanesΩrPaBeLIg (post-stabilization) man
be®mIkarCUnelak/ñk enAral'evlaNaEdlelak/ñkman/asnñ®bQmnwgbJ˙asuxPaBp¬ËvstiP¬ammYy
rMeBc …Z©n'Z©r EdlTamTarØ¥mankarB¥a◊lCabnÊan'. ebIelak/ñkKitza elak/ñkman/asnñ®bQm
nwgbJ˙asuxPaB, enaHelak/ñk, eTaHCakMBugsΩitenATINak°eday, ®tUvEtTUrs‡BÊehA 911 …eZ√IdMeNIr
eTAkan'mnÊIreBT¥seÂgaH/asnñ EdlenAEk∫r@elak/ñkCabnÊan'. enAkñ¨gkal⁄eTs⁄EbbenH elak
/ñkmincaM◊c'mankarvayt´m¬/MBIEbbbTTTYlcUl (intake evaluation) enAmuneBlelak/ñk/ac
TTYlesvaseÂgaHeT ehIyelak/ñkk°nwgmin®tUvbg'´z¬esvaseÂgaHTaMgenaHedayx¬ÁnGgEdr.
cuHebI®tUvcUlB¥a◊lsuxPaBp¬Ëvstikñ¨gmnÊIreBT¥?
ebIelak/ñkKitza elak/ñkcaM◊c'®tUvkarcUlB¥a◊lsuxPaBp¬Ëvstikñ¨gmnÊIreBT¥, cUrTak'TgeTA/ñkp†l'
esvaEzTaMsuxPaBp¬Ëvstirbs'elak/ñk …esvaseÂgaHvibt†iCabnÊan'. karB¥a◊lsuxPaBp¬Ëvstikñ¨g
mnÊIreBT¥®tUv◊nra"b'rgs®mab'®Kb'/tiziCn Edl◊ncuHeQµaHkñ¨gkmµviZIemDIexd (Medicaid). kar
B¥a◊lkñ¨gmnÊIreBT¥®tUvEtmankaryl'®BmBI RSN Camun …ebIBuMenaHeT elak/ñk/acnwg®tUvecj®◊k'
bg'´z¬esvakmµnanaedayx¬ÁnGg.
etI/ñkKYrEtmantMrUvkarB¥a◊lBImnÊIreBT¥sMrab'CMgWsti/armµN—rbs'/ñk rW esvakarBaresΩrPaB
nwg®tUv◊n p∂l'enAeBlEdl/ñk®tUv◊nedaHElg edImÒIkarBar/ñkkñ¨gkarTTYl◊nbJ˙asuxPaBEdlKYr
e/aycab'/armµN— nigCYye/ay /ñkCasHesÒIy.
etImanesvakmµ/√Ix¬H®tUv◊nb®mugsMrab'rUbákñ¨gnamCa/ñkcuHeQµaHkñ¨gkmµviZIemDIexd?
elak/ñk, /ñkp†l'esvaEzTaMsuxPaBp¬Ëvstirbs'elak/ñk, nigmnusßd´T@eT\t Edlelak/ñkcg'esñI
suMØ¥cUlrYm nwgrYmKñabeg˚ItEpnkarmYysMrab'Etelak/ñkmñak'b"ueNˆaH. “EpnkaresvaGkt†Cn”
(“individual service plan”) enHnwg®tUv◊nsΩabnaeLIgedayQrelImUldƒan´nkm¬aMgpÊal'x¬Án,
km¬aMg®KYsar, nigkm¬aMgshKmn—rbs'elak/ñk ehIyva®tUvEtq¬¨HbJçaMg/MBIkareKarBcMeBaHv‡y, vb∫Zm·,
nigCMen]nanarbs'elak/ñk.
enHKWCabJÇIeQµaHs†IBI®bePTesvakmµnana Edlelak/ñkmansiTÛiTTYl ®bsinebIesvakmµTaMg
enHmancuHenAkñ¨gEpnkarrbs'elak/ñk –
• Brief Intervention Treatment – (karB¥a◊l/n†raKmn—ry⁄eBlx¬I)
•
•
•
•
•
•
– kar®bwkßa
eyabl'ry⁄eBlx¬ImYy Edlep†atelIdMeNaH®saycMeBaHbJ˙aCak'lak'NamYy.
Day Support – (karobtΩm∏eBl´z©) – kmµviZIep†atCalm÷itedIm∫IEs√gyl' …CYyp†l'CMnaj
karepßg@xagEpñkCIvPaBrs'enAedayGkraCCUnelak/ñk.
Family Treatment – (karB¥a◊l®KYsar) – kar®bwkßaeyabl'ep†atelImCŒdƒan®KYsar
edIm∫ICYyØ¥mnusß®Kb'Kña ecHrYmrs'edaysuxdum nigecHedaH®saybJ˙arYmKña.
Evaluation and Treatment/Community Hospitalization – (karvayt´m¬
emIl nigkarB¥a◊l¿kasñak'enAkñ¨gmnÊIreBT¥shKmn—) – karEzrkßa/ñkCm©W, kñ¨gmnÊIreBT¥ …kñ¨g
mnÊIrEzTaMsuxPaBNamYy. /ñkmincaM◊c'mankarvayt´m¬emIlEbbbTTTYlcUlCamun enAmun
eBlTTYlesvakmµenHeT.
Group Treatment Services – (esvaB¥a◊lCa®kum) – kar®bwkßaeyabl'Edlp†l'
Okas Ø¥eKsikßaEs√gyl'/MBIbN†amnusßd´T@ Edlmanesck†I®tUvkar®bhak'®bEhlKña.
High Intensity Treatment – (karB¥a◊lep†atlm÷itk®mitxıs') – esvakmµnana
Edl®tUv◊np†l'eday®kumNamYy edIm∫ICYyelak/ñkØ¥CYbtameKaledAkñ¨gEpnkaresva
Gkt†Cn(individual service plan) rbs'elak/ñk.
Individual Treatment Services – (esvaB¥a◊lGkt†Cn) – kar®bwkßaeyabl'
D S H S / D i v i s i o n o f B e h a v i o r a l H e a l t h a n d R e c o v e r y * P O B o x 4 5 3 3 0 O l y m p i a WA 9 8 5 0 4 - 5 3 3 0
5
•
•
•
•
•
•
•
•
•
•
6
nig¿…skmµPaBepßg@eT\t Edl®tUv◊ncat'taMgeLIg edIm∫ICYyelak/ñkØ¥CYbtameKaledAkñ¨g
Epnkaresvakmµrbs'/ñk.
Intake Evaluation – (karvayt´m¬emIlEbbbTTTYlcUl) – kar®bCuMKñaedIm∫ICYyelak/ñk
kñ¨gkarsmal'emIlPinPaK´nesck†I®tUvkar nigeKaledAnanarbs'elak/ñk. karenHCYyelak
/ñk nig/ñkp†l'esvaEzTaMsuxPaBp¬Ëvstirbs'elak/ñkkñ¨gkarse®mcerIsrkesvakmµepßg@
eT\t. esvakmµdMbUgEdlelak/ñkTTYl elIkElgEtelak/ñk◊nTTYlesvaseÂgaHvibt†i.
Medication Management – (kar®Kb'®Kgkare®bI®◊s'zñaMB¥a◊l) – esvaEdlman
evCÇbJÇa nigB¤t·mans†IBIplb"HBal'´nzñaMB¥a◊l Edlelak/ñk/acnwgCYb®bTH kñ¨gxN⁄Edl
elak/ñke®bI®◊s'zñaMB¥a◊lepßg@.
Medication Monitoring – (karBinit¥X¬aMemIlkare®bI®◊s'zñaMB¥a◊l) – esvakmµEdl
CYyelak/ñkØ¥cgcaM/MBIkarTTYlTanzñaMØ¥◊n®twm®tUv.
Mental Health Services Provided in Residential Settings – (esva
suxPaBp¬ËvstiEdleKp†l'CUnenAtamlMenAdƒanGkCn) – esvakmµEdleKp†l'CUnenAtamTIkEn¬g
Edlelak/ñkrs'enA.
Peer Support – (karobtΩm∏BImi®tPk†i) – karCYyelak/ñk Ø¥◊nCasHes∫IyeLIgvij BI
sMNak'mnusßNamñak' EdlmanCm©Wp¬ËvstidUcelak/ñkEdr, ehIyEdlmnusßrUbenaHkMBugTTYl
◊nkarCasHes∫IyeLIgvijedayx¬ÁneKpÊal' ®BmTaMg◊nTTYlkarbN†¨HbN†al edIm∫ICYy
elak/ñkØ¥ecH®TaM®T, ecHer\bcMKe®magkar, nigecHB¥ayameZ√IØ¥x¬Án◊nCasHes∫IyeLIgvij.
/ñkp†l'karobtΩm∏BImi®tPk†i/acCaøBukm†ayrbs'ekµg EdlmanCm©Wp¬ËvstiNamñak' Edl◊nTTYl
karbN†¨HbN†al Ø¥CYyp†l'karobtΩm∏ nigCMnYydl'øBukm†ayrbs'ekµgd´T@eT\t EdlmanCm©W
p¬ËvstiEdr.
Psychological Assessment – (karvayt´m¬emIlEpñkcit†sa®s†) – karCYyeZ√IeraK
vinicœ‡y, vayt´m¬emIl/akar⁄eraK, nigkarer\bcMKe®magkarB¥a◊leraK.
Rehabilitation Case Management – (kar®Kb'®KgsMNuMer]gs†arnItism∫Ta) –
karCYys®mbs®mYlesvasuxPaBp¬ËvstiTaMgenAkñ¨g nige®kAkarsñak'B¥a◊lkñ¨gmnÊIreBT¥rbs'
elak/ñk. enH/acCaEpñkmYykñ¨gT®mg'karvayt´m¬emIlEbbbTTTYlcUlrbs'elak/ñk.
Special Population Evaluation – (karvayt´m¬Epñk®bCasa®s†Biess) –
esvakmµ
Edl®tUv◊np†l'CUndl'elak/ñkedaymnusßNamñak' Edl◊nTTYlkarbN†¨HbN†alBiess
xagEpñkeZ√IkargarCamYykUnekµg, mnusßeBjv‡y, …mnusßmansavtarecjBI/b∫Ër´nCnCatiPaK
ticNamYy edIm∫ICYykMNt'eKaledA´nkarB¥a◊lCm©Wepßg@.
Stabilization Services – (esvaesΩrkmµ) – karp†l'esvabe®mIenAkñ¨gpÊHrbs'elak/ñk
…enAkñ¨glMenAdƒanEdlmansNƒandUcpÊH edIm∫ICYyTb's˚at'/MBIkarcUlsñak'enAkñ¨gmnÊIreBT¥.
elak/ñkmincaM◊c'manT®mg'karvayt´m¬emIlEbbbTTTYlcUlCamun munnwgTTYlesvaenHeT.
Therapeutic Psychoeducation – (kar/b'rMEpñkcit†sa®s†edaye®bIviZIB¥a◊l) –
kar/b'rM/MBICm©Wp¬Ëvsti, Ce®mIs´nkarB¥a◊lsuxPaBp¬Ëvsti, kare®bI®◊s'OszB¥a◊lCm©Wp¬Ëvsti,
nigCasHes∫IyeLIgvij.
D S H S / D i v i s i o n o f B e h a v i o r a l H e a l t h a n d R e c o v e r y * P O B o x 4 5 3 3 0 O l y m p i a WA 9 8 5 0 4 - 5 3 3 0
s®mab'Es√gyl'Bt¤ m· anBisa† rbEnΩm, sUmTUrs‡BTÊ ak'TgeTA RSN kñg¨ shKmn—rbs'elak/ñk.
etIá/acerIsrk/ñkp†l'esvaEzTaMsuxPaBp¬Ëvstirbs'áedayx¬Áná◊neT?
/ñk/acerIsrk/ñkp†l'esvaEzTaMsuxPaBp¬ËvstiNamñak' CamYy RSN enAkñ¨gtMbn'rbs'/ñk. RSN
nwgp∂l/' kñ nUvbJÇ/I kñ p˚tp' g˚ ' enAkñg¨ esvatMbn'rbs'/kñ PÇab'CamYynwg eQµaH /as‡ydƒan elxTUrs‡BÊ nig P
asaepßgeT\te®kABIPasa/g'eK¬s. Edlelak/ñkkMBugTTYl esvakmµnanaenaH◊n. ebIelak/ñk
minerIsrk/ñkp†l'esvaEzTaMsuxPaBp¬Ëvstiedayx¬ÁnGgeT, eyIgnwg cat'taMgmñak'CUn/ñk. elak/ñ
kmansiTÛip¬as'b†Ër/ñkp†l'esvaEzTaMsuxPaBp¬Ëvstirbs'/ñk enAkñ¨g/ML¨g eBl 90 ´z©dMbUg◊n rW
bnÊab'B1I 2Excab'BIkalbriecœTEdl/ñk◊nyl'®Bme/ayesva.
etI/ace®bIesvaEzTaMsuxPaBevCÇsa®s† Edl◊nra"b'rgedaykmµviZIemDIexdedayreb\bNa?
ebIsinCa/ñkBMuman/ñkp˚t'p˚g'KaMBarsuxPaBedImeT, /ñk/accUleTAkan'eKhTMB‡r http://www.hca.
wa.gov/medicaid/Pages/index.aspx, rW TUrs‡BÊeTA 1-800-562-3022 sMrab'CMnYykñ¨g
kar e®CIserIs/ñkp˚t'p˚g'mYyenAkñ¨gtMbn'rbs'/ñk. /ñkp˚t'p˚g suxPaBsti/armµN—(MHP) /acCYytMrg'
/ñkkñ¨gkarrkßaB‡tman/MBIEpñkviCÇsa®s∂Edl®tUv ◊np˚t'p˚g'.
enAeBleTACYbevCÇbNÎit, sUmkuMeP¬cykb‡Nˆesvarbs'elak/ñkCab'eTAtamx¬Án edIm∫Ibg˙ajØ¥evCÇb
NÎit /ackMNt'emIl/MBIlk≈Nsm∫t†i´n´®mra"b'rgrbs'elak/ñk.
s®mab'kumarEdlmanv‡ycab'BI´z©ekItrhUtdl'/ayu 21 qñaM, eyIgmanesva®tYtBinit¥suxPaB
EPSDTb®mugCUnBYkeK. esva®tYtBinit¥suxPaB/acEvkrkCm©Wepßg@ Edlelak/ñk/acnwgman.
bnÊab'mk, evCÇbNÎit/acbJÇËnelak/ñk eTArk/ñkGkeTs edIm∫IBinit¥tamdansuxPaBCabn†.
kar®tYtBinit¥suxPaB, kareZ√IeraKvinicœ‡y, nigkarB¥a◊lsuxPaBbfmv‡y eTAtam
kalkMNt' (EPSDT) s®mab'kumar
etIkarBinit¥suxPaB EPSDT s®mab'kumarCa/√I?
EPSDT KWCakmµviZIsuxPaBs®mab'kumar Edlra"b'rgedaykmµviZIemDIexd (Medicaid), srubTaMg
kumarCakUnciJçwm (foster children), ehIyp†l'kartPÇab'eTAnwgesvakmµepßg@eT\t. CamYykar
obtΩm∏BI EPSDT, kumar/acTTYl◊nkarBinit¥tamdansuxPaBedayeT\gTat'. ebIkUnrbs'elak/ñk
®tUvkarTTYlesvaEzTaMsuxPaBevCÇsa®s†s®mab'bJ˙a/√ImYy Edl®tUv◊nrkeXIjenAkñ¨g/ML¨geBl´n
karBinit¥tamdansuxPaB, enaHkmµviZIemDIexdk°nwgra"b'rgecj®◊k'bg'´z¬karBinit¥B¥a◊lCabn†pgEdr.
kumar®KbrUb rab'cab'BI´z©ekItrhUtdl'/ayu 21 qñaM EdlmankmµviZIemDIexd /acTTYl◊nkarBinit¥tam
dansuxPaBedayeT\gTat'. enAkñ¨g/ML¨geBlBinit¥suxPaB EPSDT, kUnrbs'elak/ñk/ac®tUveK
bJÇËn Ø¥eTAeZ√Ikarvayt´m¬emIlsuxPaBp¬Ëvstirbs'eK tamry⁄ RSN …tamry⁄saxaNamYy´nEpn
karsuxaPi◊lrbs'kUnelak/ñk. elak/ñknwgTTYl◊nkarvayt´m¬emIl/MBIEbbbTTTYlcUl enAkñ¨g
eBlEdl/ñk®tUveKbJÇËneTA RSN .
etIkumarKb∫IeTATTYlkarBinit¥tamdansuxPaBenAeBlNa?
kumarKb∫ITTYlkarBinit¥suxPaBdMbUgrbs'eK enAkñ¨geBlEdlelak/ñkTTYl◊nb‡Nˆesva
(Services card) rbs'elak/ñkP¬am. bnÊab'BI◊nTTYlkarBinit¥suxPaBdMbUgehIy –
• kumarEdlman/ayuBIBIrdl'®◊MmYyqñaM Kb∫ITTYlkarBinit¥tamdansuxPaBkñ¨gmYyqñaMm†g.
• kumarEdlman/ayuBI®◊MBIrdl' 20 qñaM Km∫ITTYlkarBinit¥tamdansuxPaBer\gral'BIrqñaMm†g.
• kumarEdlman/ayue®kam/ayuBIrqñaM, cUrBie®KaHeyabl'CamYy/ñkp†l'esvaEzTaMsuxPaBbfmrbs'
elak/ñk zaetIkumarrUbenaHKb∫ITTYlkarBinit¥tamdansuxPaBjwkjab'b"uNˆa.
D S H S / D i v i s i o n o f B e h a v i o r a l H e a l t h a n d R e c o v e r y * P O B o x 4 5 3 3 0 O l y m p i a WA 9 8 5 0 4 - 5 3 3 0
7
karbJÇËnØ¥eTAeZ√Ikarvayt´m¬emIl/MBIsuxPaBp¬Ëvsti /acnwgekIteLIgenAeBlNamYy kñ¨geBleTACYb
evCÇbNÎit edIm∫IBinit¥tamdansuxPaBTaMgenH. enAeBlNaelak/ñkeTACYb/ñkmanviCÇaCIv⁄xagEpñk
suxPaBp¬Ëvsti, enaHevCÇbNÎitrUbenaHnwg®◊b'dMNwg dl'/ñkp†l'esvaEzTaMsuxPaBbfmrbs'elak/ñk
®beyaCn—Es√grklTÛPaB Ø¥BYkeKTaMgBIr/aceZ√IkarCamYyKña kñ¨gkarbeg˚ItEpnkarEzTaMsuxPaB.
ebIelak/ñkkMBugTTYl◊nesvaEzTaMsuxPaBp¬ËvstirYceTAehIy, enaH/ñkp†l'esvaEzTaMsuxPaBp¬Ëvsti
rbs'elak/ñknwgsYrelak/ñk zaetIelak/ñk◊nTTYlkarBinit¥tamdansuxPaBrbs'elak/ñkeT\gTat'
…eT. ebImin◊neT, enaHBYkeKnwgENnaMelak/ñk Ø¥eTACYbevCÇbNÎitNamñak' edIm∫ITukCa®KUeBT¥EzTaM
suxPaBbfmrbs'elak/ñk …mYyk°eKnwgØ¥elxTUrs‡BÊeTAelak/ñk edIm∫IØ¥elak/ñkTUrs‡BÊTak'Tgrk
evCÇbNÎitbfmNamñak'edayx¬ÁnGg s®mab'Binit¥tamdansuxPaBrbs'elak/ñk. BYkeKnwgeZ√I/√IEdleK
ehAza karbJÇËneTArk “Healthy Child Screening” (“kar®tYtBinit¥emIlsuxPaBkumar”).
e®kamkmµviZI EPSDT, emDIexdk°nwgra"b'rgecj®◊k'bg'´z¬kar®tYtBinit¥suxPaBeZµj nigEPñkpgEdr.
cuHebIkUnrbs'á …rUbá®tUvkar®KUeBT¥eZµj?
/tiziCnEdlcuHeQµaHkñ¨gkmµviZIemDIexd/acTTYl◊nkarra"b'rgsuxPaBeZµjedaymank®mit. edIm∫Irk
®KUeBT¥eZµj, sUmTUrs‡BÊTak'TgsmaKmeBT¥eZµj (dental society) ®bcaMmUldƒanrbs'elak/ñk.
bJÇIeQµaHeBT¥eZµjmancuHCUnenAelITMB‡rBN·el]g´nes\vePATUrs‡BÊ e®kamcMNgeCIgza
“Dentist Referral” (“karbJÇËneTArkeBT¥eZµj”) …TUrs‡BÊTak'Tgelx 1-800-562-3022.
siTÛirbs'elak/ñkkñ¨gnamCabuKlmYyrUb kMBugTTYlesvasuxPaBp¬ËvstiemDIexd⁄
kñg¨ namCa/ñkTTYlesvasuxPaBp¬vË stisaZarN:kñg¨ shKmn—mañ k' etIámansiT/iÛ xI√ H¬ ?
/ñkmansiTÛTTYl:
• mansiTÛiTTYl◊nkarrab'/anBI/ñkd´T®bkbedayesck†IeKarB nigPaB´z¬zñËr.
• mansiTÛiTTYl◊nkicçkarBarsiTÛiGkCn.
• mansiTÛiCYybeg˚ItEpnkarEzTaMsuxPaB edaymankarKYbpßMnwgesvakmµepßg@ edIm∫IeZ√IØ¥CYbtam
esck†I®tUvkarTaMgb"unµanrbs'elak/ñk.
• mansiTÛicUlrYmCYykñ¨gkareZ√Iesck†Ise®mc/MBIkarEzTaMsuxPaBp¬Ëvstirbs'elak/ñk.
• mansiTÛiTTYl◊nesvakmµenAtamTItaMgEdlKµanobsKraraMg (TItaMgEdlgayeZ√IdMeNIrecjcUl).
• TTYl◊neQµaH /as‡ydƒan elxTUrs‡BÊ nig PasaepßgeT\tEdl◊nesñIrsMue®kABIPasa/g'eK¬s
´n/ñkp˚t'p˚g'rbs'/ñkkñ¨g RSN Caer\gral'qñaM rW enAeBlEdl/ñkesñIrsMu.
• esvakmµeTAtamcMnYnbrimaN nigezrevlaEdlelak/ñk®tUvkar.
• sMbu®tsresr kicçkarkMNt'ehtuecjBI RSN ebIsinCaesvaNamYy®tUv◊nbdiesZ rW
man®BMuEdnkMNt' rWkat'bnΩy rW bJŒb'CabeN∂aH/asnñ rW lubecal rW /ñkminyl'®BmCamYynwgKMerag
• B‡tmanrcnasmı‡nÛ nig dMeNIrkar RSN
• esvase®g˚aHbnÊan' rW esvaemIlEzP¬am@ rW esvabJ˙asuxPaBEdlKYre/aycab'/armµN—
• esvakarBaresΩrPaBbnÊab'BI/ñkTTYl◊n esvase®g˚aHbnÊan' rW esvaemIlEzP¬am@ rW esvabJ˙asuxPaB
EdlKYre/aycab'/armµN— EdlCalTÛplenAkñ¨gkarrkßaCMgWpÊal'x¬ÁnenAkñ¨gmnÊIreBT¥
8
D S H S / D i v i s i o n o f B e h a v i o r a l H e a l t h a n d R e c o v e r y * P O B o x 4 5 3 3 0 O l y m p i a WA 9 8 5 0 4 - 5 3 3 0
esrIPaBrYcputBIkar®tUveKdak'Ø¥rs'enAdac'q©ayBIeKGg …karbg≈aMgepßg@.
mansiTÛiTTYl◊nesvakmµsmrm¥tamv‡y nigtamvb∫Zm·.
◊n/ñkbkE®bman/aC∆ab‡Nˆ nigsm∏ar⁄E®bs®mYlCaPasaelak/ñkeday≤tKit´z¬.
◊nB‡tmanEdl/ñkesñIrsMu nig CMnYyCaPasaepßg rW TMrg'EbbbT´nCMerIsrbs'/ñk
◊nCMerIsB¥a◊l nig CMerIsepßg@EdlnwgBn¥l'®◊b'/ñk
bdiesZkaresñIrsMuB¥a◊lNamYy
◊nesvaEzTaMedayKµankarerIse/Ig (dUcCa/ayu, Catisasn—, …®bePTCm©W).
◊nesrIPaBrYcputBIkar´K®bv‡Jç …karrukKYnp¬ËvePT.
◊nkarBn¥l'®◊b'/MBIzñaMB¥a◊lCMgWsti/armµN—EdlmanevCÇbJÇa®Kb'®bePT nigplb"HBal'nana.
B‡tmanbN†aMENnaMreb\bB¥a◊lTukCamun (advance directive)
◊nesvaEzTaMmanKuNPaB EdlcaM◊c'xagEpñkevCÇsa®s†.
◊
nkarp†l'eyabl'TIBIrBI/ñkmanviCÇaCIv⁄xagEpñksuxPaBp¬Ëvsti enAkñ¨g RSN tMbn'ebIsinCa/ñkmin
yl'®sbCamYy/ñkp˚t'p˚g'rbs'/ñk.
• siTÛidak'bN†wgsaTuk≈eTATIPñak'garrbs'elak/ñk …eTA RSN rbs'elak/ñk ebIsinCa/ñkminyl'®sb
CamYy/ñkp˚t'p˚g'rbs'/ñkebImineBjcit∂.
• m ansiTÛidak'bN†wgoTÛrN— RSN edayEp÷kelIesck†ICUndMNwgs†IBIcMNat'viZankarCalaylk≈N—/kßr
(written Notice of Action) rbs' RSN.
• mansiTÛierIsrk/ñkp†l'esvaEzTaMsuxPaBp¬ËvstieTAtamCe®mIsrbs'elak/ñk …erIsrk/ñkp†l'esva
EzTaMsuxPaBp¬ËvstiNamYysMrab'/ñkpÊalnig' s®mab'kUnrbs'elak/ñk(ebIsinCakUn/ñk/
ayusΩite®kam13 qñaM.
• mansiTÛip¬as'b†Ër/ñkp†l'esvaEzTaMsuxPaBp¬ËvstienAkñ¨g/ML¨geBl 30 ´z©dMbUg, ehIyCYnkal/ac
p¬as'b†ËrCajwkjab'.
• mansiTÛidak'Bak¥esñIsuMeZ√Isvnakar(yut†iZm·)rdƒ◊l.
• m ansiTÛiesñIsuM nigTTYl◊nsMeNAcm¬g´nr◊ykarN—evCÇsa®s†rbs'elak/ñk ®BmTaMg/
acesñIsuMØ¥eKEkt®mUvr◊ykarN—TaMgenaH. eKnwg®◊b'elak/ñk/MBIt´m¬´nkarztcm¬g.
• mansiTÛiTTYl◊nesrIPaBrYcputBIkarsgswk.
• m ansiTÛiesñIsuMsMeNAc∫ab'®btibt†i nignItiviZInanarbs' RSN nigTIPñak'garsuxPaBp¬ËvstishKmn—
(Community Mental Health Agencies, CMHA) EdlBak'B‡nÛnwgsiTÛirbs'elak/ñk.
• siTÛesñIrsMu nig TTYl◊ncÒab'cMlg´nsiTÛTaMgenH
elak/ñk/acTak'Tgkariyal‡ysiTÛisuIvil (Office of Civil Rights) tameKhTMB‡r – http://www.
hhs.gov/ocr.
•
•
•
•
•
•
•
•
•
•
•
•
etImankarsÊg'mti edIm∫IEs√gyl'/MBIkareBjcit† …mineBjcit†rbs'smaCikeT?
mYyqñaMm†g, DBHR eZ√IkarsÊg'mti edIm∫IEs√gyl'/MBI/armµN— Edlelak/ñk …smaCik´n®KYsarrbs'
elak/ñk mancMeBaHesvakmµnana Edlelak/ñk◊nTTYl. elak/ñkmin®tUv◊nt®mUvØ¥EtcUlrYmkñ¨g
karsÊg'mtienHeT. enAeBlNabuKlikeyIgáTak'Tgmkelak/ñk, sUmemt†aCMNayeBleq¬IytbeTA
nwgkarsÊg'mtienH. sMeLgrbs'elak/ñkmansarsMxan'Nas' kñ¨gkareZ√IØ¥®bB‡nÛenHl÷®besIreLIg.
D S H S / D i v i s i o n o f B e h a v i o r a l H e a l t h a n d R e c o v e r y * P O B o x 4 5 3 3 0 O l y m p i a WA 9 8 5 0 4 - 5 3 3 0
9
bN†aMENnaMreb\bB¥a◊lsuxPaBp¬ËvstiTukCamun
etIbN†aMENnaMreb\bB¥a◊lsuxPaBp¬ËvstiTukCamunCa/√I?
bN†aMENnaMreb\bB¥a◊lsuxPaBp¬ËvstiTukCamun (mental health advance directive) KWCa
Gksarlaylk≈N—/kßr EdlBN·na/MBI/√I Edlelak/ñkcg'Ø¥ekItmankñ¨gkrNIEdlelak/ñkZ¬ak'x¬Án
QWZ©n'eday/akar⁄eraKp¬Ëvsti, ehIyEdleZ√IØ¥b"HBal'CadMNMdl'bJÔasµartIrbs'elak/ñk …kñ¨gkrNI
Edlelak/ñkKµansmtΩPaBniyays†I Tak'TgeTAkan'mnusßNamñak'◊n. bN†aMenH®◊b'Ø¥mnusßd´T@
dwg/MBIviZIB¥a◊lEdlelak/ñkcg'◊n …mincg'◊n. bN†aMenH/acbJÇak'®◊b'/t†sJÔaNrbs'Cn
Edlelak/ñk◊n®bKl'siTÛi Ø¥eZ√Iesck†Ise®mc/MBIkarsMxan'caM◊c'epßg@CMnYselak/ñk.
®bsinebIelak/ñk◊ne®m\mlixitbN†aMENnaMreb\bB¥a◊lsuxPaBTukCamunNamYye®scehIy, enaH
elak/ñkKYrEtC®mab/ñkp†l'esvaEzTaMsuxPaBp¬Ëvstirbs'elak/ñk Ø¥◊n®Cab ®beyaCn—Ø¥BYkeK◊n
dwg/MBIbMNg®◊zñarbs'elak/ñk.
etIábMeBjbN†aMENnaMreb\bB¥a◊lsuxPaBp¬ËvstiTukCamuny"agdUcem†c?
/ñk/acTTYl◊ncÒab'cMlgTMrg'bN∂aMENnaM nig B‡tmandBI reb\bbMeBjTMrg'enaHtamryHeKhTMB‡r
http://www.dshs.wa.gov/dbhr/advdirectives.shtml rW elak/ñk/acTUr s‡BÊeTA
suMT®mg'enHBIkariyal‡y´dKU/tiziCn (Office of Consumer Partnerships) tamelx
1-800-446-0259. RSN rbs'/ñk rW /ñkp˚t'p˚g' rbs'/ñk rW /m◊d'rbs'/ñk/acCYy/ñkbMeBjTMr
g'enH◊n. bN†wgsaTuk≈ nigbN†wgoTÛrN—
ebIámineBjcit†nwgesvakmµrbs'áeT etIáKYreZ√Iy"agNa?
ebIsinCa/ñkminsbÒaycit∂CamYyesvarbs'/ñkeT, /ñk/ac®◊b' RSN rW elak/ñk/ac C®mab®
◊b'TIPñak'garsuxPaBp¬ËvstishKmn— (Community Mental Health Agency, CMHA)
enAkEn¬gEdl/ñkeTACYb/ñkp˚t'p˚g'rbs'/ñkØ¥®Cab/MBIer]genaH. ebIkarenaHenAEtminCYyeT\t,
enaHelak/ñk/ac –
• Tak'TgeTATIPñak'garesva/eg˚tbN∂wgBlrdƒ (Ombuds);
• dak'bN†wgsaTuk≈ ebIsinCa/ñkminsbÒaycit∂/MBI/√ImYyEdlminEmnCaskmµPaBbN∂wgmYy ;
• d ak'bN†wgoTÛrN— ®bsinebIelak/ñk◊nTTYlesck†ICUndMNwgs†IBIcMNat'viZankarlaylk≈N—
/kßrBIbN†aj RSN rbs'elak/ñk; nig¿…
• esñIsuMsvnakar(yut†iZm·)rdƒ◊lNamYyeLIg.
etInrNa/acCYyákñ¨gkardak'bN†wgsaTuk≈, bN†wgoTÛrN—, …svnakar(yut†iZm·)rdƒ◊l◊n?
RSN rW CMHA CakEn¬gEdl/ñkeTACYb/ñkp˚t'p˚g'rbs'/ñk.
/m◊d' rW buK˚lepßgeT\t´nCMerIsrbs'
/ñk. BYkeKTaMg/s'enH/acCYy/ñkedaH®say kar®BYy◊rm∏rbs'/ñkcMeBaHesvasuxPaBsti/armµN—
nig CYy/ñk bMeBjBak¥bN†wgsaTuk≈, bN†wgoTÛrN—, nignItiviZIsvnakaryut†iZmrdƒ◊lrbs'rdƒ. ®Bm
TaMgp∂l'/ñk bkE®bPasamñak'ebIsinCacaM◊c'.
10
D S H S / D i v i s i o n o f B e h a v i o r a l H e a l t h a n d R e c o v e r y * P O B o x 4 5 3 3 0 O l y m p i a WA 9 8 5 0 4 - 5 3 3 0
etIádak'bN†wgoTÛrN—reb\bNa?
xage®kamenHKWCaviZankarCaCMhan@enAkñg¨ dMeNIrkardak'bN∂gw saTuk≈ –
1.elak/ñk/acdak'bN†gw saTuk≈ edayeTApÊal', tamTUrs‡BkÊ ◊
° n …tamlixti laylk≈N/— kßresñrI eTAkan'
RSN kñg¨ tMbn'esvarbs' /ñk, CMHA kEn¬g/ñkTTYl◊nesva, rW /m◊d'rbs'/kñ .
/ñk/acsYrrkCMny
Y kñg¨ karbMeBjral'TrM g' rW dMNak'karNamYyk°◊n. sUmrYmbJçl
Ë cMNcu xage®kam:•
• eQµaHrbs'/kñ
• reb\bgay®sYlTak'Tgelak/ñk;
• bJ˙aEdl/ñkman
• htΩaelxarbs'/kñ nig karbriecœT´nkarcuHhtΩaelxaenaH
2. eBlNa CMHA … RSN ◊nTTYlbN†gw saTuke≈ nHehIy, enaHBYkeKnwg®◊b'elak/ñkØ¥dwg
tamlixti sMb®u tlaylk≈N/— kßr eTACUnlelak/ñkkñg¨ ry⁄eBl ®◊M´z©eZ√kI arCabEnΩmtame®kayeT\t.
3. bN†gw saTukr≈ bs'elak/ñknwg®tUvBinti ¥edaybN†amnusß EdlminZ¬ab'mankarCab'Bak'Bn‡ kÛ g¨ñ er]gra"v
(nanaTaMg)enHBImnu mkeT. ebIbN†gw saTukr≈ bs'elak/ñkKWCabN†gw s†/I BM kI arB¥a◊lsuxPaBp¬Ëvsti,
enaH/ñkmanviCÇaCIvHxagEpñkEzTaMsuxPaBp¬ËvstinwgcUlrYmCasmasPaKkñ¨gkarBinti ¥emIlbN†gw enH.
4.elak/ñknwgTTYl◊nsMbu®tmYyc∫ab' edIm∫IC®mab®◊b'elak/ñkØ¥®Cab/MBIesck†Ise®mcenHkñg¨ ryHeBl
90 ´z©bnÊab'.
5.ebIsinCa/ñkdak'Bak¥bN∂wgsarTuk≈enA CMHA nig va®tUv◊nbdiesZ, /ñk/acdak'Bak¥CamYy
RSN rbs'/kñ .
6.RSN nwg®◊b'e/ay/ñkdwgBIBak¥bN∂wgsarTuk≈rbs'/ñkEdlTTYl◊nkñ¨gryHeBl 5 ´z©eZ√Ikar.
7.RSN nwgBinit¥Bak¥bN∂wgsarTuk≈rbs'/ñkeLIgvij nig karsMerccit∂rbs'CMHA nig
ep∆IrsMbu®teTAe/ay/ñkdwgBIkarsMercrbs'BYkeK kñ¨gkML¨geBl 90 ´z©.
8. ebIelak/ñkmin◊nTTYlsMbu®tCUndMNwgenAkñ¨gry⁄eBl Edl◊nEcgkMNt'kñ¨gbTbJÔt†i, …ebI elak
/ñkminyl'®sbCamYy RSN, elak/ñk/acbn†esñIsuMsvnakar(yut†iZm·)rdƒ◊leT\t.
etIkicçkarmYyKWCa/√I?
ebIsni Ca/ñkesñrI sMeu svatamryH RSN kñg¨ tMbn'rbs'/kñ , kickç armYyKWCa:
1.karbdiesZ rW ®BMEdnkMNt' ´nkaryl'®BmmYytamsMeNIrEdl◊nesñrI sMeu svaeyagtamsiTcÛ l
U eTAkan
k' aremIlEzs∂gd' ar Access to Care . ebIsni Ca RSN min◊necjlixti /nuJaÔti∂ rWbg'®◊k'esva Edl
/ñk rW /ñkp˚tp' g˚ r' bs'/kñ tamkaresñrI sMru bs' CMHA, vaKWCakarbdiesZZmµtammYy.
2.karkat'bnΩy karbJŒb'CabeN∂aH/asnñ rW karlubecal ´nesvaEdl◊n/nuJÔati∂BImun.
ebIsinCaRSN kat'bnΩyesvaEdl/ñk Z¬ab'EtkMBgu TTYl◊n vaKWCakarkat'bnΩymYy. ebIsni Ca
RSN◊nbJŒb'esvaCabeN∂aH/asnñnvU esvaEdl/ñkkMBgu TTYl◊n vaKWCakarbJŒb'CabeN∂aH/asnñ.
ebIsni Ca RSN bJŒb'esvarbs'/kñ enaHvaKWCakarlubecal.
3.RSN bdiesZkñ¨gcMnYnTaMgmUl rW EpñkNamYy ´nesvakmµ.
4.kar/ak'xanrbs' RSN rW CMHA kñ¨gkarp∂l'esvaeTAe/ay/ñktameBlevlarWkBarmYy.
5. kar/ak'xanrbs' RSN kñg¨ karbMeBjkickç arkMLg¨ eBlevlaenAkñg¨ cÒab'.
D S H S / D i v i s i o n o f B e h a v i o r a l H e a l t h a n d R e c o v e r y * P O B o x 4 5 3 3 0 O l y m p i a WA 9 8 5 0 4 - 5 3 3 0
11
etIkicçkarkMNt'ehtuKWCa/√I?
sMbu®tmYyecjmkBI RSN Edl◊nbdiesZ rW bJŒb'CabeN∂aH/asnñ rW kat'bnΩy rW bJçb'esvasuxPaBsti
/armµN—emDIexdrbs'/ñk. sMbu®tenHmanpʨkdUcCa:
• karBn¥l'´nehtuplEdl/ñkkMBug◊nsMbu®t
• ehtuplsMrab'kicçkar
• siTÛrbs'/ñkeTAkan'Bak¥bN∂wg rW svnakaryuti∂Zmrdƒ◊lmYy
• siTÛrbs'/ñkeTAkan'CMerIsTI 2
etI/ñkdak'Bak¥bN∂wgtamreb\bNa?
ebIsinCa/ñkTTYl◊nkMNt'ehtukicçkarBI RSN, nig /ñkmineBjcit∂nwgkicçkarenaH/ñk/ac:
1. ®◊b' RSN edaypÊal' tamkarniyay rW CakarsresrEdl/ñkkMBugesñIrsMusvnakarmYy. /ñk®tUvEt
esñIrsMuBak¥bN∂wgkñ¨gkML¨g eBl 45 ´z©cab'BIkalbriecœT´nkMNt'ehtuenaH.sUmrYmmkCamYy:
• eQµaHrbs'/ñk;
• reb\bgay®sYlkñ¨gkarTMnak'TMng/ñk;
• ehtuplEdl/ñkminyl'®sbCamYykicçkarkMNt'ehtu; nig,
• htΩaelxarbs'/ñk nig kalbriecœT´neBlcuHhtΩaelxaenaH.
2. ebIsinCakMNt'ehtukicçkarkMBugeZ√IkarbdiesZesva bnÊab'BIkarvaytM´lEbbbTcUl,
kMNt'ehtuenaHmanpʨkdUcCa:
• siTÛrbs'/ñkeTAkan'CMerIsTI2 nig reb\bedImÒITTYl◊n;
•B‡tman/MBIesvad´TeT|tEdl/acyk◊ntamryH HCA rW kñ¨gshKmn—Edl/ñkrs'enA;
•nigsiTÛrbs'/ñkkñ¨gkardak'Bak¥bN∂wgsvnakaryut∂iZmrdƒ◊lmYyebIsinCa/kminyl'
®sbBIkarbdiesZenaH.
3.ebIsinCakicçkarkMNt'ehturbs'/ñkKWCaesvaEdl/ñkkMBugTTYl◊n /ñk/acesvaedImÒIbn∂rhUtdl'Bak¥
bN∂wg®tUv◊nsMerc. ebIsinCa/ñkcg'◊nKun®beyaCn—bn∂ sUmeZ√ItamcMNucdUcxage®kam:
• /ñ®tUvEtesñIsMuKun®beyaCn—e/aybn∂kñ¨gkML¨geBl 10 ´z©cab'BI´z©kicçkarkMNt'ehtu.
• K un®beyaCn—nwgbn∂sMrab'EtryHeBledImEdlBYkeK◊necjlixit/nuJÔati∂eTAkan'
kMNt'ehtubu"eNˆaH.
• /ñknwg®tUv/acbg'®◊k'sMrab'esvakmµbn∂ebIsinCaBak¥bN∂wg®tUv◊nbdiesZ
4. RSN nwg®◊b'/ñke/aydwgzaBYkeK◊nTTYlBak¥bN∂wgrbs'/ñkkñ¨gryHeBl 5 ´z©eZ√Ikar.
12
D S H S / D i v i s i o n o f B e h a v i o r a l H e a l t h a n d R e c o v e r y * P O B o x 4 5 3 3 0 O l y m p i a WA 9 8 5 0 4 - 5 3 3 0
5. kñ¨gdMeNIrkarBak¥bN∂wg/ñk/ac:
• d ak'bJçËl/ñktMNag®sbcÒab'rbs'/ñk /m◊d'mñak' rW /ñkKaM®Tepßg@ rW nrNamñak'Edl/ñkman
/armµN—zanwg/ac CYy/ñkenAkñ¨geBlbN∂wg.
• elIkbg˙ajPs∂¨tagTaMgLayEdl/ñkKitza/acCYy/ñk
• emIlGksarsMNMuer]grbs'/ñk rYmTaMgbJÇI®bvti∂viCÇsa®s∂ nig Gksar rW bJÇIepßgeT\tEdl◊ncat'
TukzaCaEpñk´ndMeNIrkar.
• htΩaelxarbs'/ñk.
6. RSN nigeZ√IkarsMercmYykñ¨gryHeBl 45 bnÊab'BIcugknʨyvik‡yb®t´nkMNt'eht'rbs'/ñk
luH®taEteBlbn∂enaH®tUv◊nbeg˚It.
7. ryHeBlbn∂cMnYn 14 ´z©bEnΩm/ac◊nesñIrsMuedayrUb/ñk rW RSN rbs'/ñkebIsinCavaKWCakar
cg'◊nrbs'/ñk.ebIsinCaRSNesñIrsMuryHeBlbn∂ /ñknwg®tUv◊n®bkas®◊b'.
etIBak¥bN∂wgrYsran'mYyKWCa/√I?
/ñk/acsYrrkBak¥bN∂wgrYsran'mYyebIsinCa/ñk rW /ñkp˚t'p˚g'KaMBarsuxPaBsti/armµN—rbs'/ñk
man/armµN—za vaCaviZIl÷sMrab'suxPaBsti /armµN—rbs'/ñk.ebIsinCa/ñksYrrkdMeNIrkar
rYsran'mYy nig RSN rbs'/ñkyl'®Bm, BYkeKnwg®◊b'e/ay/ñkdwgedaypÊal' rW tamryHTUrs‡BÊ.
RSN rbs'/ñknwgeZ√IkarsMercmYykñ¨gryHeBl 2 ´z©ebIsinCa/ñkCYbnwgtMrUvkarBak¥bN∂wgrYsran'
edImÒIedaH®saybJ˙akan'Etqab'. ryHeBlbn∂ 14 ´z©nwg/ac◊n/nuJÔati∂ebIsinCa RSN man
/armµN—zavaCacMNab'/armµN—l÷bMputsMrab'/ñk.
etIánwgTTYl◊nkarsMercCakarsresrmYyelIBak¥bN∂wgrbs'áEdrrWeT?
/ñknwgTTYl◊nkMNt'ehtudMeNaH®saymYyBI RSN enAelIBak¥bN∂wgrbs'/ñkcab'ep∂ImI
BehtuplsMrab' karsMerc nig Ps∂¨tagEdlp˚t'p˚g' karsMercenaH. ebIsinCaBak¥bN∂wgmin◊n
edaH®saytamEt/ñkcg'◊nenaHeT kMNt'ehtunwgrYmbJçËlsiTÛrbs'/ñkkñ¨gkaresñIrsMusvnakar
yuti∂Zmrdƒ◊lmYy.
etIádak'Bak¥bN∂wgsvnakarrdƒ◊lyuti∂ZmmYyedayreb\bNa?
ebIsinCa/ñk◊nbMeBjbJçb'dMeNIrkar Bak¥bN∂wg rW bN∂wgsarTuk≈ nig /ñkmineBjcit∂eT, /ñk/
ac esñIrsMusvnakarrdƒ◊lyuti∂ZmmYy kñ¨gkML¨g eBl 90 ´z©cab'BI´z©kMNt'ehtudMeNaH®say
edayTMnak'TMngeTAkan' kariyal‡ysvnakarrdƒ◊ltamryH :
Office of Administrative Hearings
PO Box 42489
Olympia, WA 98504
1-800-583-8271
rdƒ◊lecA®kmcÒab' (ALJ) nwgemIlelIral'Ps∂¨tagEdl◊np∂l' nig eZ√IkarsMercmYy eTaHbICaelIµselIcÒab'
rdƒva"sIunetan rW mYyk°/t'. RSN ®tUveZ√ItamkarsMercenH.
D S H S / D i v i s i o n o f B e h a v i o r a l H e a l t h a n d R e c o v e r y * P O B o x 4 5 3 3 0 O l y m p i a WA 9 8 5 0 4 - 5 3 3 0
13
niymn‡y
kar/nuJÔati∂cUleTAkan'karemIlEzs∂g'dar – Acces to Care Standards – karesñIrsMutictYcbMputEdl/ñkcuH
eQµaHenAkñ¨gemDIexd®tUv manedImÒITTYl ◊nkar/nuJÔati∂cUleTAesvasuxPaBsti/armµN—tamryH RSN.
viZankar, cMNat'viZankar, cMNat'kar – Action –
(1)karbdiesZ …karp†ls
' Ti /iÛ nuJaÔ tmank®mitedaybN†ajobtmΩ ®∏ bcaMtbM n' (Regional Support Network,
RSN) eTAelIesvakmµNamYy Edl◊nesñs
I eMu dayTIPañ k'garsuxPaBpËv¬ stishKmn— (Community Mental
Health Agency, CMHA) s®mab'elak/ñk, edayrab'srubTaMg®bePT …k®mit´nesvakmµpg;
(2)karkat'bnΩy, karB¥Ár, …karbJŒb'eday RSN nUvesvakmµNamYy Edlelak/ñk◊n nigkMBugTTYl;
(3) /ñkcuHeQµaHminyl'®sbCamYyKMeragB¥a◊l
(4)karbdiesZeday RSN, TaMg®sug …k°EtPaKx¬H, ´nkarecj®◊k'bg'´z¬esvakmµNamYy;
(5)karxkxankñ¨gkarp†l'esvakmµnana Ø¥Tan'tameBlevlakMNt'; nig¿…
(6)karxkxanrbs' RSN kñ¨gkar/unvt†n—cMNat'kar Ø¥Tan'kñ¨grg√g'eBlevlakMNt' EdlmanEcgkñ¨gbTbJÔt†inana.
oTÛrN—, bN†wgoTÛrN— – Appeal – nItiviZIEdl®tUv◊ne®bI®◊s' s®mab'eBlNaelak/ñkesñIsuMØ¥eKeZ√IkarBinit¥Bic‡ye
mIlcMNat'viZankarNamYyeLIgvij.
Pñak'garsuxPaBsti/armµN—shKmn— – Community Mental Health Agency (CMHA)
– Pñak'garmanlixit/nuJÔati∂edayrdƒva"sIunetanmanParHkicçp∂l'esvasuxPaBsti/armµN— nig /nukug®taeday RSN
sMrab'eKalkarN—enH.
esvavibt†i, esvabe®mIkarkñ¨geBlmanvibt†i – Crisis Services – karvayt´m¬ nigkarB¥a◊lvibt†isuxPaBp¬Ëv
stiNamYy Edlmanbe®mIkardl'/s'/tiziCn EdlTTYlCMnYyemDIexd (Medicaid). esvavibt†imanbe®mIkar 24
em"agkñ¨gmYy´z©. esvavibt†iKWep†atelIkarB¥a◊lvibt†isuxPaBp¬Ëvsti edIm∫IeZ√IØ¥buKlEdlmanvibt†i manesΩrPaBeLIgvij,
edIm∫ITb's˚at'karZ¬ak'OnzysuxPaBeTA/naKt, nigedIm∫Ip†l'karB¥a◊l nigkareZ√I/n†raKmn—CabnÊan' enAtamTItaMgNamYy
Edll÷bMputs®mab'buKlrUbenaH edIm∫IeZ√IØ¥Kat'◊nTTYlnUv/√I EdlKat'®tUvkars®mab'suxPaBrbs'Kat'
eTAtamlTÛPaBEdl/aceZ√IeTA◊n.
/ñkcuHeQµaH(kñ¨g), /ñkmaneQµaH(kñ¨g), /ñkTTYl(CMnYy) – Enrollee – mnusßNamñak'EdlTTYlCMnYyemDIexd
(Medicaid).
karEzTaMsuxPaBcMeBaHmux, karB¥a◊lCm©WcMeBaHmux – Emergent care – esvakmµnanaEdleKp†l'CUnmnusßNa
mña
k' Edl, ebIKµankarp†l'esvakmµTaMgenHeT, TMngCa/acnwgbN†alØ¥mankarTamTarnUvkicç/n†raKmn—seÂgaHvibt†i …kar
Binit¥vinicœ‡yemIlBImnÊIreBT¥ Ø¥xanminxan edaye®BaHmankarCab'CMBak'Tak'Tinnwge®KaHzñak'CayzaehtuNamYydl'samIx¬
Án, dl'mnusßd´T, …dl'Z¬ak'x¬ÁnmanBikarPaBZ©n'Z©reday®bkarNamYy.
svnakaryuti∂Zm – Fair Hearing – svnakarmYymuneBlsvnakarkariyal‡yrdƒ◊lrdƒva"sIunetan
bnÊab'BIdMeNIrkarbN∂wg nigbN∂wgsarTuk≈®tUv◊nbJçb'.
saTuk≈, bN†wgsaTuk≈, bN†wgesIerIesck†ITuk≈rbs'x¬Án, bN†wgtva"/MBIl‡k≈x‡NÎesvakmµ…kargar – Grievance –
ebIelak/ñksEm†gza elak/ñkmin®tUv◊neKeZ√IØ¥eBjcit†nwg/√ImYy e®kABIcMNat'viZankar, Edlvak¥sBÊ “cMNat'viZankar”
(“Action”) ®tUv◊nBn¥l'niymn‡ydac'edayELkenAkñ¨gEpñkenH. (bN†wgsaTuk≈/acrYmman, b"uEn†minkMNt'EtcMeBaH,
KuNPaB´nkarEzTaM…esvakmµ, karsEm†g≤riyabzminKb∫Irbs'/ñkp†l'esvabe®mI …buKliknieyaCit, …
karmineKarBdl'siTÛirbs'elak/ñk.
esck†I®tUvkarevCÇsa®s†CacaM◊c' … esck†IcaM◊c'xagEpñkevCÇsa®s – Medically Necessary or
Medical Necessity – vak¥sBÊs®mab'BN·na/MBIesvakmµEdleK◊nesñIsuMNamYy Edl®tUv◊nKNnaeLIg
edIm∫ITb's˚at', eZ√IeraKvinicœ‡y, Ekt®mUv, B¥a◊l, eZ√IØ¥ZUes∫Iy, …Tb's˚at'karZ¬ak'cuHdundab´n/akarepßg@kñ¨gx¬Án/ñk
TTYlesvakmµ Edl/acbg˚e®KaHzñak'dl'CIvit, …eZ√IØ¥manTuk≈ …karQWcab', …bN†alØ¥maneraKaBaZ …KuNvibt†iepßg@,
…KMramkMEhgnwgbg˚ …eZ√IØ¥sΩanPaBZ¬ak'Z©n'Z©reTA@rhUtdl'manBikarPaB, …eZ√IØ¥mankarxUcbg'®Tg'®Tay …dMeNIr/
skmµdl'ragkay, ehIyKµanmeZ¥a◊yB¥a◊lTI´TNaeT\t Edlman®bsiTÛPaBesµIenH, /ackarBar◊nhYsBIenH,
14
D S H S / D i v i s i o n o f B e h a v i o r a l H e a l t h a n d R e c o v e r y * P O B o x 4 5 3 3 0 O l y m p i a WA 9 8 5 0 4 - 5 3 3 0
…mant´m¬ezakCagenH manb®mugCUn …smrm¥sMrab'Cn EdlkMBugTTYlesvakmµenHeLIy. meZ¥a◊yB¥a◊l/acrYmmannUv
kar®Kan'Etseg˚tX¬aMemIl, …enATI/vsan, KWKµankarB¥a◊l/√ITaMg/s'esaHEtm†g.
bEnmBIelIenHeTAeT\t, buKlmñak'@®tUvEt◊nTTYlkarkMNt'za 1) Cm©Wp¬Ëvsti®tUvEtmankarra"b'rgedayesvasuxPaBp¬Ëv
stisaZarN⁄´nrdƒva"suInetan; 2) vibt†i(Cm©W)Tn'exßay nigesck†I®tUvkarsm®sb(nana)rbs'buKlmñak'@®tUvEtCalTÛpl
Cak'lak'ecjBICm©Wp¬Ëvsti; 3) /n†raKmn—cMeBaHvibt†i(Cm©W)®tUvEtsΩitkñ¨gsPaBcaM◊c'smehtusmpl edIm∫IeZ√IØ¥®besIrdl',
eZ√IØ¥manesΩrPaBcMeBaH, …Tb's˚at'karZ¬ak'®TuDe®Tam´nskmµPaBmuxgarkayBl EdlbN†almkBIvt†man´nCm©Wp¬ËvstiN
amYy; 4) buKlmñak'@®tUvEt◊neKrMBwgza nwgTTYl◊nnUvplk´®ml÷BI/n†raKmn—enH; nig 5) ®bB‡nÛ …kicçobtΩm∏kñ¨gp¬Ëvkar …
e®kAp¬ËvkarNaepßgBIenHmin/aceq¬Iytbnwgesck†I®tUvkar Edlmankg√Hxatrbs'buKlrUbenH◊neLIy.
/ñkp†l'esvaEzTaMsuxPaBp¬Ëvsti, /ñkp†l'karEzrkßasuxPaBp¬Ëvsti, ®KUeBT¥B¥a◊lsuxPaBp¬Ëvsti – Mental Health
Care Provider (MHCP) – buKlmñak'EdlmanPar⁄TTYlxus®tUvCacm∫gelIkarCYyelak/ñk edIm∫Ikarbeg˚It nig
bMeBjEpnkarBiessep†atelIt®mUvkarbuKls®mab'esvas†arnItism∫TaxagEpñksuxPaBp¬Ëvsti.
/ñkmanviCÇaCIv⁄EpñksuxPaBp¬Ëvsti, /ñkmanviCÇaCIv⁄CMnajxag xagEpñksuxPaBp¬Ëvsti – Mental Health
Professional – buK˚lNamñak'Edlmanlk≈Nsm∫t†iCYbtambTdƒannana®sbeTAtamniymn‡y
kñ¨gc∫ab'rdƒva"suInetan (Washington State law)sMrab' eBT¥cit∂sa®s∂ KilanubdƒayikaEpñkviklcrit,
nigbuK˚likeZ√IkarEpñksg˚mkicç. bTdƒanTaMgenaHKWEp÷kelImUldƒan´nTMhMbrimaN /MBIkar/b'rMEdlCnrUb enaHman
nigTMhMbrimaN/MBIbTBiesaZn—, rW bTBiesaZn—Edl◊nkML¨geBle®kamkardwknaMkaremIlEz nig B¥a◊lCMgWsti/armµN—.
esva/eg˚tbN†wgBlrdƒ, esvaPñak'gar/eg˚tbN†wgBlrdƒ – Ombuds Service – esvabe®mIeday lak'karsm©at'
nig≤tKit´z¬ edIm∫ICy
Y elak/ñk enAeBlNaelak/ñkmankartva"NamYy EdlBak'Bn‡ Û eTAnwgesvasuxPaBp¬vË stirbs'elak
/ñk. mnusßEdleZ√kI arenATIsañ k'kar´nesva/eg˚tbN†gw Blrdƒngw CYyelak/ñk kñg¨ karedaH®saykartva" …bJ˙arbs'elak/ñk
edaye®bInItiviZIc∫ab'kñ¨gk®mitTabbMput eTAtamlTÛPaB rW rWtambN∂wgsarTuk≈ rW bN∂wgtulakar rW svnakaryuti∂ZmEdl/aceZ√I
eTA◊n. esvaenH k°/acCYyelak/ñkedIm∫IEs√grk/ñkKaMBar/tiziCnd´T@eT\tpgEdr.esva/eg˚bN†wgBlrdƒKWCaTIPñak'gar
GkraCEdlminCab'Bak'B‡nÛCamYyTIPñak'bN†ajobtΩm∏®bcaMtMbn'(Regional Support Network, RSN) eT.
esvabeg˚alesΩrPaB – Post-Stabilization Services –
esva®tUv◊np∂l'eyagtamkaredaHElgBImnÊIreBT¥bnÊab'BIvibt∂imYyedImÒIkarBar karBinit¥B¥a◊lBImnÊIreBT¥ rW vibt∂iTaMgLay.
s†ar(suxPaB)eLIgvij, CaeLIgvij, sHes∫IyeLIgvij – Recovery – CMen]Edlza mnusßmña®Kb'rUbmansmtΩPaB
/aceZ√IØ¥KuNPaB´nCIvitrbs'x¬Án manPaBl÷®besIreLIgvij. kars†areLIgvijmanlk≈N⁄xus@Kña BImnusßmñak'eTAmnusßmñak'
GmnusßEdlmanCm©Wp¬Ëvsti/aceZ√IØ¥KuNPaB´nCIvitrbs'x¬Án manPaBl÷®besIreLIgvijenAkñ¨gshKmn—Edlx¬Ánrs'enA tamry⁄
karh√wkhat'sEm†g≤riyabzviCÇman nigkarxitxM®bwgE®bg eZ√IØ¥Cm©W◊nsHes∫IyeLIgvij eTAtamlTÛPaBEdlx¬Án/a
ceZ√IeTA◊n.
bN†ajobtΩm∏®bcaMtMbn' – Regional Support Network (RSN) – /aC∆aZrexanZI rW ®kum/aC∆aZr
exanZi rW ®kumd´TeT\tEdls˚al'edayrdƒedImÒIp∂l'esvasuxPaBsti/armµN—kñ¨gmUldƒanrbs'x¬Án.
karesñIsuMesva, karesñIsuMesvakmµ, karesñIsuMkarbe®mI – Request for Service –
eBlevlamYyEdlesvakmµ®tUv◊
neKEs√grk …dak'Bak¥suMtamry⁄TUrs‡BÊ, tamkarcUleTAesñIsuMedaypÊal'x¬ÁnenAkñ¨gkariyal‡y, …tamkarsresrlixitl
aylk≈N—/kßreday/ñkcuHeQµaH (enrollee) …edaymnusßNamñak' EdlmansiTÛi®sbc∫ab'kñ¨gkarp†l'kar/nuJÔatØ¥/ñ
kCm©WB¥a◊l.
karEzTaMCabnÊan', karB¥a◊lCabnÊan' – Urgent Care –
esvakmµEdleKp†l'CUnbN†aCnEdlkMBugEt®bQbmuxnwgvibt†isuxPaBp¬Ëvsti. ebICnrUbenaHmin◊nTTYlesvakmµTaMgenHØ¥
Tan'kñ¨gry⁄eBl 24 em"ag cab'BIeBlEdleK◊nesñIsuMenaHeT, enaHsΩanPaBrbs'CnrUbenaHTMngCa/acnwgZ¬ak'cuH®TuDe®Tam
dl'k®mitmYy EdlTamTarØ¥mankarB¥a◊lcMeBaHmuxCacaM◊c' Ø¥xanninxan.
D S H S / D i v i s i o n o f B e h a v i o r a l H e a l t h a n d R e c o v e r y * P O B o x 4 5 3 3 0 O l y m p i a WA 9 8 5 0 4 - 5 3 3 0
15
DSHS 22-661 CA (Rev. 6/13)
PRSRT STD
US POSTAGE PAID
WASHINGTON STATE
DEPT OF PRINTING