Washington contracts with five health plans that are at full-risk for physical health benefits. Although the state is divided into ten regional service areas, health plans are available on a county by county basis. Enrollees have a choice of the health plans in their county.
Currently, Washington is in the process of transitioning from a behavioral health carve-out model to a carve-in model where physical health and behavioral health financing are integrated under the health plans. The new model is called Integrated Managed Care (IMC). New health plan procurement and contracting took place in 2018, and the model is being phased in regionally, with planned completion by 2020. This contract is from 2016, prior to the procurement and transition to the IMC model.
This Washington Medicaid Contract is for Centene, signed January 1, 2016.
For more information on Washington’s Medicaid managed care programs, and to view other contracts, visit Washington Medicaid Managed Care Contracts.