HIPAA compliant, BAA available

Measurement-Based Care for Washington State Mental Health Teams

For community behavioural health agencies, primary care teams running collaborative care, and private practices from Seattle to Spokane. Washington already counts depression response and remission on the PHQ-9; HiBoop sends the scale by email or QR code, scores it on submission and charts each client's course. US customer data stays in Google Cloud US regions.

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HIPAA compliant, BAA available
Customer data kept in the US
SOC 2 Type II
PHQ-9 scored on submission
100+
validated assessments
BAA
for HIPAA covered entities
US
Google Cloud regions hold US data
$25
per month

Washington Already Measures Depression Outcomes

  • Washington's shared quality measures ask whether people get better, not only whether they were seen. The 2026 Washington State Common Measure Set, approved by the Performance Measures Coordinating Committee in December 2025 under a 2014 state law, places Depression Remission or Response in its Core Set: the share of people aged 12 and older with depression and an elevated PHQ-9 score who show response or remission 4 to 8 months later. Core Set measures are the ones the Health Care Authority says state purchasers, payers and providers should use in value-based contracts.

    Apple Health, the state's Medicaid program, builds measurement into billing as well. To bill the collaborative care codes, the Health Care Authority's physician-related services guide asks practices to set target outcomes measured with a validated rating scale such as the PHQ-9, track them in a registry, and file an attestation for each location. For young people in Wraparound with Intensive Services (WISe), the CANS is completed within 14 days of referral and repeated about every 90 to 105 days.

    That measure only works when a second PHQ-9 is collected months after the first. HiBoop sends it on the schedule you set, scores it as soon as the client answers, and keeps every result on one chart per client, with CSV and PDF exports for your registry or quality report. It does not submit data to the Health Care Authority or to a health plan for you.

  • Depression Remission or Response

    A Core Set measure in the 2026 Washington State Common Measure Set, built on PHQ-9 scores

  • Collaborative Care in Apple Health

    Billing guidance asks for a validated rating scale, a registry and an attestation per location

  • CANS for Youth in WISe

    Completed within 14 days of referral, then roughly every 90 to 105 days while enrolled

All regions

What HiBoop Does for Washington Care Teams

  • Washington integrates Medicaid physical and behavioural health under five managed care plans in ten regions, and keeps its own rules on mental health records and adolescent consent. HiBoop takes care of the scales so your team can spend the visit on the person.

  • A Follow-Up PHQ-9 That Arrives on Time

    Response and remission can only be counted when a second score exists months after the first. Schedule repeat PHQ-9s by email and each answer is scored and added to the client's chart without anyone chasing it.

  • A Registry View for Collaborative Care

    Care managers see every enrolled client's latest score and trend in one place, ready for the weekly case review with the psychiatric consultant. The scores inform clinical judgement; the decisions stay with the team.

  • Exports for Contracts and Audits

    Download a client's score history as PDF for the chart, or your caseload as CSV for the measures your organization reports under a value-based contract.

  • Substance Use Alongside Mental Health

    Integrated managed care means one plan pays for both. The ASSIST, TAPS and PCL-5 sit in the same library as the PHQ-9 and GAD-7 for clients with co-occurring needs.

  • Built for Multi-Site Agencies

    Community behavioural health agencies with several clinics can run them all under a Team or Network plan, with role-based access so each staff member sees only the clients their role allows.

  • Adolescents Aged 13 and Older

    In Washington an adolescent of 13 or older can ask for and receive outpatient mental health treatment without a parent's consent. The PHQ-A, SCARED and CRAFFT-2.1 cover adolescent depression, anxiety and substance use.

Mental health in Washington

Research data

  • Each figure below links to the source it comes from.

  • 27.9%

    of Washington adults had any mental illness in the past year (model-based annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 17.1%

    of Washingtonians aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 28.0%

    of Washington adults received mental health treatment in the past year (2024)

    SAMHSA NSDUH, 2024

Research from Washington

  • Value-based payment and depression outcomes

    In Washington's Mental Health Integration Program, among 1,806 adults treated in community health clinics, exposure to value-based payment was associated with an adjusted hazard ratio of 1.45 for reaching clinically significant improvement in depression.

    Bao et al., American Journal of Managed Care, 2017 PMID 28141930

  • Collaborative care over eight years

    Across 13,362 patients at 8 community health centres in the state's Mental Health Integration Program, depression outcomes improved on average over the first 2 years of collaborative care before improvement slowed, peaking at year 5.

    Carlo et al., Psychiatric Services, 2019 PMID 30453857

  • Follow-up PHQ-9 in primary care

    At UW Medicine's primary care clinics in western Washington, patients in a population-based depression care program had three times the odds of a follow-up PHQ-9 (odds ratio 3.28) compared with usual care.

    Chang et al., Journal of General Internal Medicine, 2021 PMID 32869208

  • Standardized measures in community mental health

    In the state-funded CBT+ training initiative, where clinicians tracked children's symptoms on standardized measures, children showed significant symptom reduction across all four treatment targets.

    Rivera Nales et al., Community Mental Health Journal, 2024 PMID 37880492

  • Telepsychiatry for rural primary care

    In interviews with 17 staff at 3 rural Washington primary care sites, all identified specific ways that telepsychiatric consultations improved their capacity to identify and treat psychiatric disorders.

    Al Achkar et al., Annals of Family Medicine, 2020 PMID 32928760

How Measurement Fits Washington's System

  • HiBoop is independent of these programs and does not connect to state or health plan systems. These are the expectations your plan contracts, care managers and reviewers will already know.

  • Washington State Common Measure Set

    2026 Core Set

    A state law passed in 2014 directed Washington to build one shared set of health care measures. The Performance Measures Coordinating Committee approved the 2026 set in December 2025. Depression Remission or Response sits in the Core Set, and Depression Screening and Follow-Up in the Supplemental Set. The Core Set is guidance for value-based contracts; it does not by itself oblige a practice to report.

    PHQ-9 basedAges 12 and olderValue-based contracts

  • Collaborative Care in Apple Health

    Medicaid billing

    Apple Health pays for the collaborative care codes 99492, 99493 and 99494 and HCPCS G2214. The physician-related services billing guide asks each servicing location to send the Collaborative Care Model attestation (HCA 09-003), use a registry and a validated rating scale, and start a new episode after a 6-month lapse; an expedited prior authorization applies to a new episode inside 6 months. Depression screening is billed with 96127 or 96160.

    99492 to 99494G221496127

  • WISe and the CANS

    Youth up to age 20

    Wraparound with Intensive Services serves Apple Health eligible young people aged 20 and under with complex behavioural health needs. The WISe manual uses the full CANS for care planning and outcome measurement: a CANS screen entered in the state's Behavioral Health Assessment Solution within 14 days of referral, then a full CANS about every 90 to 105 days.

    CANSWraparoundApple Health

  • Integrated Managed Care and BH-ASOs

    Ten regions

    The Health Care Authority contracts with five managed care plans that coordinate physical and behavioural health for their members across ten regions. Each region also has a Behavioral Health Administrative Services Organization, funded through state and federal block grants, which runs a regional crisis line around the clock and manages the block grants under locally approved plans.

    Five plansBH-ASO crisis linesBlock grants

  • CCBHC Demonstration

    From January 2027

    Washington is one of ten states chosen for the federal Certified Community Behavioral Health Clinic demonstration. Peninsula Behavioral Health Services in Clallam County and Valley Cities Counseling in King County are participating and are due to start CCBHC operations on 1 January 2027.

    Clallam CountyKing CountyFederal demonstration

Care Teams in Every Washington Region

  • HiBoop works in any browser, so a Capitol Hill group practice and a clinic in the Okanogan use the same check-ins. Each line follows the Health Care Authority's maps of Apple Health regions and their BH-ASOs.

  • King County

    A single-county region where all five Apple Health managed care plans are available.

  • Pierce County

    A single-county region whose BH-ASO is Carelon Behavioral Health - Pierce.

  • North Sound

    Island, San Juan, Skagit, Snohomish and Whatcom counties form one Apple Health region.

  • Spokane and the Northeast

    The Spokane region joins Adams, Ferry, Lincoln, Pend Oreille, Spokane and Stevens counties, with four managed care plans available.

  • Greater Columbia

    Nine counties from Yakima and Kittitas to the Tri-Cities, Walla Walla, Whitman and Asotin share one region.

  • Southwest Washington

    Clark, Klickitat and Skamania counties, whose BH-ASO is Carelon Behavioral Health - Southwest.

  • Olympic Peninsula and Kitsap

    The Salish region covers Clallam, Jefferson and Kitsap counties; email and QR code check-ins between visits spare clients a ferry or a long drive.

Data sovereignty

Why Washington clinics choose HiBoop

  • Why Washington Teams Choose HiBoop

    • Customer data for US accounts lives in Google Cloud US regions and is encrypted at rest and in transit
    • A business associate agreement on request, plus SOC 2 Type II certification
    • Role-based access, and a record of every view and export of client information
    • The Care plan is $25/month, can be cancelled any month, and needs no card to try
    • Clients complete scales on their own phone from an emailed link or a QR code at the front desk

  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    One clinician, cancel any month
    $25
    USD/month
    Team
    Unlimited clinicians, from this price
    $200
    USD/month
    Network
    For agencies with several sites
    Custom
    Enterprise pricing

100+ validated scales for Washington clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Depression Outcomes, Anxiety and Suicide Risk

    • PHQ-9 (Depression)
    • GAD-7 (Anxiety)
    • C-SSRS Screener (Suicide Risk)

  • Co-Occurring Substance Use and Trauma

    • ASSIST (Substance Involvement)
    • TAPS (Tobacco, Alcohol and Other Substances)
    • PCL-5 (PTSD)

  • Adolescents

    • PHQ-A (Adolescent Depression)
    • SCARED (Child Anxiety)
    • CRAFFT-2.1 (Youth Substance Use)
Browse all assessments

Washington Mental Health Records, Consent and Health Data

  • HIPAA is the federal baseline. Washington adds a chapter on the confidentiality of mental health records, lets adolescents consent to outpatient care from age 13, and has a consumer health data law that reaches health information HIPAA does not. None of these certifies software; the duties sit with your organization, and HiBoop's part is the safeguards that help you meet them.

  • What Washington law asks of care teams

    • Keep the fact that someone was admitted for mental health services, and the records compiled about them, confidential except where RCW 70.02.230 permits disclosure or the client gives a valid authorization
    • Accept a request for outpatient treatment from an adolescent aged 13 or older without a parent's consent, as RCW 71.34.530 allows
    • Know that the My Health My Data Act (chapter 19.373 RCW) covers consumer health data, including mental health status, held outside HIPAA, such as through a website or app, while protected health information under HIPAA is exempt
    • Keep HIPAA safeguards and breach notification in place, with a business associate agreement for every vendor handling protected health information

  • What HiBoop provides

    • A signed business associate agreement for covered entities
    • Hosting in Google Cloud US regions, with encryption at rest and in transit
    • Role-based permissions and an audit trail of who viewed or exported client data
    • An independent SOC 2 Type II report, summarized on our trust page

  • Running a vendor review?

    Start with our trust page for hosting, encryption, access control and SOC 2 Type II details, then contact us for a BAA or a completed security questionnaire.

    Open the trust centre

Grants & funding for Washington mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • Washington Health Care Authority (HCA)

    Behavioral Health Innovation Fund

    Tech eligible

    Washington’s HCA administers innovation funds for behavioral health organizations focused on care integration, measurement, and technology adoption. Practices implementing outcome tracking for Medicaid populations are well-positioned.

    VariesLearn more

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more

  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more

  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more

  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more

  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more
View all grants & funding

Resources for Washington practitioners

  • Billing guides, compliance documentation, and clinical practice resources.

  • Collaborative careCPT 99492 Billing Guide

    The first month of psychiatric collaborative care: time thresholds, roles and documentation

  • ScreeningCPT 96127 Billing Guide

    Brief emotional and behavioural assessment, the code Apple Health lists for depression screening

  • DepressionPHQ-9 Clinical Guide

    Scoring, severity bands, and what counts as response and remission

  • LibraryFull Assessment Library

    Every scale HiBoop describes, with its validation references

Washington Policy, Billing and Privacy Resources

Latest in mental health in California

Crisis and urgent help lines

More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does Washington require measurement-based care?

    Not across the board. We found no Washington statute that requires every outpatient provider to use standardized symptom scales. What exists is narrower: the Common Measure Set puts PHQ-9 based Depression Remission or Response in the Core Set that payers and providers should use in value-based contracts, Apple Health's collaborative care billing asks for a validated rating scale and a registry, and WISe uses the CANS. Check your managed care contract for the measures it names.

  • Will HiBoop send our data to the Health Care Authority or our managed care plan?

    No. HiBoop has no connection to HCA, BHAS or health plan systems. It sends and scores the scales, keeps each client's history on one chart, and lets you export it as CSV or PDF for whatever your plan or quality team asks for.

  • Can a 13-year-old start therapy without a parent in Washington?

    For outpatient treatment, yes. Under RCW 71.34.530 an adolescent, defined as a minor aged 13 or older, may request and receive outpatient treatment without a parent's consent. How you handle a young client's scores and who can see them follows your clinical policy and Washington's records rules, so confirm the details with your counsel. HiBoop's role-based access lets you restrict which staff can view them.

  • Does the My Health My Data Act apply to our clinic?

    Protected health information covered by HIPAA is exempt from the Act, so a HIPAA covered entity's clinical records fall under HIPAA and Washington's health care information laws instead. The Act matters for consumer health data outside HIPAA, such as information gathered through a website or app. Whether any of your data falls under it is a question for your counsel. HiBoop is HIPAA compliant and offers a business associate agreement.

Official sources for Washington

  • Billing and payment routes

    1. 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    2. 2.CMS Physician Fee Schedule look-up · fee schedule
    3. 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.ASPPB: psychology licensing boards · psychologists
    2. 2.ASWB: social work regulatory boards · social workers
    3. 3.Counseling Compact · counsellors
    4. 4.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.