{"reporting_entity_name":"Molina-Healthcare-of-Washington","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-07-10","version":"2.0.0","provider_references":[{"provider_group_id":210399,"network_name":["PROV NETWORK - SPECIALIZED BEHAVIORAL HEALTH AGENCY"],"provider_groups":[{"npi":[1619068624],"tin":{"type":"ein","value":"910836093","business_name":"CASCADE COMMUNITY HEALTHCARE_1619068624"}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"Behavioral Health Accommodations - Residential -Psychiatric","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"1001","description":"Behavioral Health Accommodations","negotiated_rates":[{"provider_references":[210399],"negotiated_prices":[{"setting":"both","negotiated_type":"PERDIEM","negotiated_rate":850.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"PERDIEM","negotiated_rate":850.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRISIS INTERVEN MENTAL HEALTH SERVICES PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9484","description":"CRISIS INTERVEN MENTAL HEALTH SERVICES PER HOUR","negotiated_rates":[{"provider_references":[210399],"negotiated_prices":[{"setting":"both","negotiated_type":"PERDIEM","negotiated_rate":450.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"PERDIEM","negotiated_rate":450.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRISIS INTERVENT MENTAL HEALTH SERV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9485","description":"CRISIS INTERVENT MENTAL HEALTH SERV","negotiated_rates":[{"provider_references":[210399],"negotiated_prices":[{"setting":"both","negotiated_type":"PERDIEM","negotiated_rate":450.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"PERDIEM","negotiated_rate":450.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Private - Psychiatric","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0114","description":"Room & Board - Private (One Bed)","negotiated_rates":[{"provider_references":[210399],"negotiated_prices":[{"setting":"both","negotiated_type":"PERDIEM","negotiated_rate":850.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"PERDIEM","negotiated_rate":850.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Semiprivate - 2 Beds - Psychiatric","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0124","description":"Room & Board - Semi-private (Two Beds)","negotiated_rates":[{"provider_references":[210399],"negotiated_prices":[{"setting":"both","negotiated_type":"PERDIEM","negotiated_rate":850.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"PERDIEM","negotiated_rate":850.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]}]}