Chelan-Douglas Regional Support Network/
Prepaid Health Plan
For Mental Health
Your Responsibilities
Consumer Disenrollment
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Chelan-Douglas RSN/PIHP 509-886-6318 Monday - Friday |
Non-Covered Services within the Chelan-Douglas RSN/PHP are as follows:
- Inpatient Eating Disorders
- Sex Offender/Pedophile/Diagnosis
- Court Evaluations
- Antisocial Personality
- or, other conditions not deemed to be medically necessary or requiring mental health interventions.
Please note that this list may not be inclusive of all non-covered services and is subject to change. Always verify with the provider before the service is rendered regarding coverage.
Your Responsibility as a person receiving services, is to find out if you are eligible to receive public community funded mental health services, keep appointments and be responsive to services and recommendations.
Disenrollment happens with a Medicaid consumer when the consumer:
- Loses eligibility for Title XIX.
- On a case-by-case basis, the Mental Health Division will disenroll a consumer from his/her mental health prepaid health plan when the consumer has “good cause” for disenrollment.
- Good Cause is defined as the inability of the mental health prepaid health plan to provide medically necessary care that is reasonably available and accessible according to the WAC 388-865-0340 Consumer Disenrollment.
Crisis Line - 509-662-7105 or 1-800-852-2923