This week, our In Focus section reviews the Washington State Health Care Authority’s (HCA’s) request for proposal (RFP) for Apple Health – Fully Integrated Managed Care in the Southwest Washington (SWWA) regional service area, comprised of Clark and Skamania counties. This RFP is effectively a rebid of existing Apple Health managed care contracts with the addition of fully integrated behavioral health services and standalone behavioral health wraparound services funded through non-Medicaid sources. Clark and Skamania are the first two county authorities to pursue the fully integrated physical and behavioral health, as initiated by 2014 legislation that also transitioned to a regional procurement model, with HCA anticipating statewide integration by 2020.