Washington state received a five-year grant in 2003 to implement SBIRT in nine Emergency Departments statewide. A total of 106,464 persons were screened using SBIRT during this grant period.



The key findings from the 2003-2008 WASBIRT initiative were:


  • Declines in substance use, increased abstinence, reduced anxiety and depression, increased employment, and reductions in homelessness
  • Increased admissions to chemical dependency treatment for individuals who received a brief intervention
  • Reductions in medical costs for individuals who received a brief intervention


The findings from the 2003-2008 initiative were so promising that Washington decided to expand SBIRT services. Washington reapplied for the SAMHSA SBIRT grant to expand SBIRT into primary care and began receiving funding for the Washington Screening, Brief Intervention, and Referral to Treatment Primary Care Integration (WASBIRT-PCI) in September 2011.


  • WASBIRT-PCI is a 5 year grant from 2011-2016
  • Washington was awarded $8,333,000 from SAMHSA over the 5 year period
  • WASBIRT-PCI has Partner Clinics in 5 counties in Washington


The WASBIRT-PCI goal is to implement SBIRT into primary health and create a sustainable, reimburseable SBIRT system. Much time has been dedicated to working with the Washington Health Care Authority to open billing codes created by the Centers for Medicare and Medicaid Services and make sure the biling codes are practical for clinics. The Medicaid codes became available for use January 1, 2014.  SBIRT can be billed under Medicare, Medicaid, and private insurance in the state of Washington.