For purposes of compliance with the Health Insurance Portability and Accountability Act, amendments and implementing rules, the Washington state department of social and health services is declared to be a hybrid covered entity. In accord with 45 C.F.R. 164.105 (a)(2)(iii)(D), the following programs are designated as health care components:

Administration/Division	Health Care Components	Type of Component
Administration and external relations administration	▪ Programs performing covered functions for health care components	Same as designated components
Financial services administration	▪ Programs performing covered functions for health care components	Same as designated components
Aging and long-term support administration	▪ HCS medicaid eligibility and case management services ▪ Home and community based care ▪ Chronic care management program ▪ Medicaid demonstration projects	Plan
Behavioral health and services integration administration	▪ Community and residential chemical dependency treatment programs ▪ Mental health rehabilitation ▪ Children's long-term residential treatment programs	Plan
	▪ State mental hospitals ▪ Child Study and Treatment Center     provider	Provider
Developmental disabilities administration	▪ Residential habilitation centers ▪ State operated living alternatives	Provider
	▪ Residential programs ▪ Community programs	Plan
Children's administration	None	N/A
Economic services administration	▪ Aged blind and disabled program ▪ CSD medicaid eligibility and referral services	Plan
Juvenile justice and rehabilitation administration	▪ Institutional medical services	Provider

May 3, 2013

Patricia K. Lashway, Assistant Secretary

Administration and External Relations