King County Mental Health Plan's
Levels of Outpatient Care

Tier 2: Stability Services | Tier 3a: Rehabilitation | Tier 3b: Exceptional Care

King County Mental Health Plan (KCMHP) provides outpatient mental health services for Medicaid eligible and a portion of non-Medicaid individuals. The KCMHP administers funding for contracted services through a provider network. In the KCMHP managed care model there are three levels of care. A level of care is based on medical necessity criteria that in turn are based on an individual client's needs.

A description of each level of care is summarized as follows:

Tier 2: Stability Services

Child/Adolescent: Treatment or services to establish, improve or stabilize level of functioning for children who require, at a minimum, occasional supervision.

Adults/Older Adults: Treatment or services to establish, improve or stabilize level of functioning for adults/older adults who require, at a minimum, occasional supervision.

Tier 3a: Rehabilitation

Child/Adolescent: Active rehabilitation and/or intervention services to stabilize or improve a child’s level of functioning or to prevent deterioration below 3A level of functioning. The child may have or need multi-system involvement, although this is not a requirement.

Adults/Older Adults: Active rehabilitation and/or intervention services to stabilize or improve an adult’s/older adult’s level of functioning or to prevent deterioration below 3A level of functioning.

Tier 3b: Exceptional Care

Child/Adolescent: Consistent, intensive, long-term services to improve functioning or stabilize in the community, children who are severely impaired and for whom lack of treatment would result in serious dysfunction, failure in functioning or involvement in more restrictive treatment.

Adults/Older Adults: Consistent, intensive long-term services to improve functioning or stabilize in the community adults/older adults who are severely impaired and for whom lack of treatment would result in serious dysfunction, failure in functioning or involvement in more restrictive treatment.