Role in Washington
HCA is Washington's primary state agency for healthcare funding policy. It administers Medicaid (Apple Health), behavioral health grants, and SAMHSA block grant sub-awards.
Key Programs
- Apple Health (Medicaid) — managed care contracts and fee-for-service reimbursement
- Substance Abuse Prevention and Treatment Block Grant sub-awards
- Community Mental Health Services Block Grant sub-awards
- State Opioid Response (SOR) grant sub-awards to behavioral health providers
- Behavioral Health Administrative Services Organizations (BH-ASO) contracts
- Projects for Assistance in Transition from Homelessness (PATH) sub-awards
Details
HCA is the single largest funder of healthcare services in Washington through Medicaid managed care. Beyond Medicaid, HCA administers the state's behavioral health system, distributing SAMHSA block grants and discretionary funding through contracts with managed care organizations and direct sub-awards to behavioral health agencies. HCA's Division of Behavioral Health and Recovery is the primary contact for behavioral health grant opportunities.