Section 388-865-0380 - Behavioral health organization managed care plan-Choice of primary provider(1) The behavioral health organization (BHO) managed care plan must: (a) Ensure that each individual receiving nonemergency behavioral health rehabilitation services has a primary provider who is responsible to carry out the individual service plan; and(b) Allow individuals, parents of individuals under age thirteen, and guardians of individuals of all ages to select a primary provider from the available primary provider staff within the BHO managed care plan.(2) For an individual with an assigned case manager, the case manager is the primary provider.(3) If the individual does not select a primary provider, the BHO managed care plan or its designee must assign a primary provider not later than fifteen working days after the individual requests services.(4) The BHO managed care plan or its designee must allow an individual to change primary providers at any time for any reason. The individual must notify the BHO managed care plan or its designee of the request for a change, and inform the plan of the name of the new primary provider.Wash. Admin. Code § 388-865-0380
Adopted by WSR 16-13-087, Filed 6/15/2016, effective 7/16/2016