Behavioral Health
Molina Healthcare covers outpatient and inpatient behavioral health treatment services with licensed mental health and substance use disorder specialists.
You may self-refer for an initial evaluation and outpatient behavioral health services or visit your Primary Care Provider (PCP). Your PCP may treat some behavioral health conditions such as depression or excessive alcohol use.
Crisis services are available for members having a mental health emergency. Learn more.
Mental health services may include:
- Initial evaluation and specialty follow-up evaluations as needed
- Individual, group and/or family treatment services
- Other Outpatient services such as:
- Medication management/monitoring
- Peer support
- Psychological assessment
- Wraparound with Intensive Services (WISe)*
- Program of Assertive Community Treatment (PACT)
- Applied Behavior Analysis (ABA)
- Day Support (typically provided in community mental health agencies, clubhouses or community centers. Intensive rehabilitative program which provides a range of integrated and varied life skills training).
- Crisis stabilization in outpatient or inpatient settings
- Mental health intensive residential treatment
- Acute psychiatric inpatient admissions to community hospitals, free standing behavioral health facilities or Evaluation and Treatment (E&T) facilities
Substance use disorder treatment services may include:
- Initial evaluation and specialty follow-up evaluation as needed
- Individual, group and/or family treatment services
- Other outpatient services such as: peer support, case management
- Intensive outpatient programs (IOP)
- Opiate use disorder treatment program services that includes medications and/or therapy services
- Withdrawal management (detoxification)
- Substance use disorder intensive residential treatment, long term residential treatment and recovery house residential treatment
Note: As of January 1, 2018, the following are covered:
- Annual depression screening for youth ages twelve (12) to eighteen (18), and up to age twenty (20) per EPSDT requirements
- Depression screening for mothers/caregivers of children up to six months old
To see a detailed list of covered behavioral health services click here and search for “mental health services” and “drug and alcohol treatment”
How to find a behavioral health provider
Find a behavioral health provider in your area by clicking here.
You can also go to our Find a Provider page and follow these easy steps:
- Select your city or enter zip code
- "Distance Within" - Select miles of how far you want to travel
- "Coverage" - select "Apple Health (Medicaid)"
- "Provider Type" - select "Behavioral Health"
- Click "Search"
How do members get care?
Call Member Services if you need help getting behavioral health services. We can help you get the care you need.
Resources
Ombuds
If you need help finding mental health services or if you feel that your rights have been violated, please call your regional behavioral health Ombuds. An Ombuds is a person who is an available option to provide free and confidential assistance with resolving concerns related to your behavioral health services (mental health or substance use). They can help if you have a behavioral health grievance, appeal, or fair hearing to resolve your concerns. The Ombuds is independent of your health plan. It is provided by a person or a person whose family member has had behavior health services. Ombuds know the services well and can help people resolve problems.
Use the phone numbers below to contact an Ombuds in your area:
| Region | Counties | Ombuds |
| Great Rivers | Cowlitz, Grays Harbor, Lewis, Pacific, Wahkiakum | In Cowlitz, Pacific and Wahkiakum counties: (866) 731-7403 (360) 414-0237 In Lewis and Grays Harbor counties: (833) 721-6011 (360) 266-7578 |
| Greater Columbia | Asotin, Benton, Columbia, Franklin, Garfield, Kittitas, Walla Walla, Whitman, Yakima | (833) 783-9444 (509) 783-9444 |
| King | King | (800) 790-8049 #3 (206) 477-0630 |
| North Central | Chelan, Douglas, Grant, Okanogan | (844) 636-2038 |
| North Sound | Island, San Juan, Skagit, Snohomish, Whatcom | (888) 336-6164 (360) 416-7004 |
| Pierce | Pierce | (800) 531-0508 |
| Salish | Clallam, Jefferson, Kitsap | (888) 377-8174 (360) 692-1582 |
| Spokane | Adams, Ferry, Lincoln, Pend Oreille, Spokane, Stevens | (866) 814-3409 (509) 477-4666 |
| Southwest | Clark, Klickitat, Skamania | (866) 666-5070 |
| Thurston-Mason | Mason, Thurston | (800) 658-4105 (360) 763-5793 |
Help Lines
Washington Recovery Help Line is a statewide 24-hour crisis intervention and referral line for those struggling with issues related to substance abuse, problem gambling and mental health. If you or someone you know is experiencing a mental health, substance use or problem gambling crisis please call (866) 789-1511 or click here
National Suicide Prevention Lifeline (24/7): 1-800-273-TALK or text 741741
WA Teen Link - Phone & Chat: (866) TeenLink, 866TeenLink.org Trained teens respond 7 days/week, 6-9:30 PM
Forefront Cares : Support for family members or loved who have lost someone to suicide.
WA Warm Line: (877) 500-WARM
Peer support for people living with emotional and mental health challenges. (Wed.-Sun. 5-9 PM)
WA Perinatal Support Line: (888) 404-7763
Mental health support, information & referrals for pregnant women
Behavioral Health Support Groups
Gamblers Anonymous: (855) 222-5542
AL-Anon & ALA-Teen: (800) 726-8094
Support for family members who have loved ones experiencing alcohol use problems.
For other support groups and 12 step support groups (such as Alcoholics Anonymous) Google “12 step meetings and/or support groups near me”
Advocacy Organizations
National Alliance on Mental Illness
Substance Abuse and Mental Health National Health Line : (800) 662-HELP (4357)
Educational Resources
Stopoverdose.org : crisis and treatment resources including medication assisted treatment for opioid addiction
Member Handbook
It tells you what you need to know about your Molina Healthcare Apple Health (Medicaid) Health Plan. Read here.