Making Referrals to the HUB

How to Refer to the North Sound Community HUB

The Community HUB accepts referrals from medical and behavioral health providers, emergency departments, human services/social services, community based organizations, community health workers, and community members.

During the 2019 launch of the North Sound Community HUB, we are accepting referrals via the Care Coordination Systems platform. Getting set up in CCS is easy, and referrals can be made immediately after setup.

HUB Referral Toolkit (updated June 2019)

  1. Request login credentials to CCS by emailing
  2. Review CCS user guide.
  3. Login to CCS and begin making referrals.

Individuals who meet HUB eligibility will be: 

  • On Medicaid, Medicaid-eligible, including dual eligible
  • Resident of Island, San Juan, Snohomish, Skagit, or Whatcom county
  • Self-identifying with behavioral health conditions (includes anxiety, depression, hopelessness, abuse, or substance use) and one or more of the following: 
    • Chronic physical health conditions
    • Of childbearing age  
    • Multiple ED visits and/or inpatient stays within the last 6 months
    • Housing insecurity or instability
    • Multiple prison or jail admissions in the last year

Upon referral, HUB care coordinators will use approved assessment tools to verify behavioral health, substance use, or postpartum needs. The HUB and its care coordinators assess the above needs; clinical diagnosis is not required.

What Happens After You Make a Referral

Step one:  The Community HUB receives a referral

When North Sound Community HUB receives a referral, the HUB’s Intake Coordinator verifies the client meets the eligibility criteria and checks to see if the individual is already working with a care coordinator.

Step two:  HUB sends referral to a Care
Coordination Agency (CCA)
The HUB will assign client to a CCA, who will then assign a care coordinator to connect with the individual directly or via the referral source.

Step three: Client meeting and enrollment.

At the initial meeting, the CCA’s care coordinator will ask the individual to complete and sign the Release of Information and Consent Form, which then goes back to the HUB.