Behavioral Health Organizations

Better Care Through Integrated Behavioral Health Organizations

In 2014 the State Legislature passed Senate Bill 6312, directing DSHS to integrate funding and oversight for behavioral health (mental health and substance use) treatment services. An important reason for this change is to better coordinate care for people with co-occurring disorders. 

In 2016, the state began purchasing behavioral health services through regionally operated Behavioral Health Organizations  (BHO) through a managed-care structure.

As a result of the transition, the Behavioral Health Data Consolidation - BHDC project was started with the goal of developing and implementing a combined behavioral healthcare model, ultimately incorporating integrated behavioral health data collection, storage and supporting reporting functions and substance abuse data collection into a database called the Behavioral Health Data System - BHDS.  This was done in collaboration with BHO representatives in a workgroup called the Behavioral Health Data Group - BHDG.  The result of this collaboration is the Data Guide that determines how organizations format and submit data to DBHR: 

BHDC Resources

Questions or comments may be emailed to

Transition Resources

BHO Detailed Plans and Readiness Criteria

Great Rivers Plan and  Criteria

Greater Columbia Plan Part 1, Part 2 and Criteria

King Plan Part 1, Part 2 and Criteria

North Central Plan and Criteria

North Sound Plan Part 1, Part 2 and Criteria

Optum Plan Part 1, Part 2 and Criteria

Salish Plan Part 1, Part 2 and Criteria

Spokane Plan Part 1, Part 2 and Criteria

Thurston Mason Plan Part 1, Part 2 and Criteria

Request for BHO Detailed Plan


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