Rulemaking for Mental Health Assessment for Young Children

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Rulemaking for Mental Health Assessment for Young Children

The Health Care Authority (HCA) filed a notice of permanent rule adoption (or CR-103P) of WAC 182-531-1400 on May 11, 2022, to support implementation of policy changes related to mental health assessment of young children made by 2SHB1325 (2021). The rule amendment added the following language to WAC 182-531-1400(9)(a):

(ii) For clients five years of age and younger, the agency pays for the following without requiring prior authorization:

(A) Up to five sessions to complete a psychiatric diagnostic evaluation; and

(B) Evaluations in the home or community setting, including reimbursement for provider travel.

These rules went into effect on June 12, 2022. To read the filing notice and view the permanent rules, see WSR 22-11-028.

To learn more about HCA’s rulemaking process, visit our rulemaking webpage.

For more information about mental health assessments for young children, visit HCA’s Mental Health Assessment for Young Children provider webpage.

What’s next?

HCA and Department of Health (DOH) recognize the current language included in WAC 246-341-0640 requires justification of diagnosis from the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), and currently does not include reference to the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (DC:0-5™). HCA and DOH are partnering to update WAC 246-341-0640 to ensure alignment across HCA and DOH rules and guidance.

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