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To monitor the success of integrating behavioral health benefits into its Medicaid managed care system, the Washington Health Care Authority (HCA) established an “early warning system” (EWS) to monitor the access and outcomes for the fist six months after the regional Medicaid managed care organization (MCO) contracts went live. The EWS was designed to be a communication tool to monitor key indicators selected by regional stakeholders. HCA began using the EWS in 2016 when the first region for fully integrated managed care launched in the Southwest Region. As each region went live, HCA established the EWS with regional stakeholders; HCA . . .

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