Department of Medical Assistance Services
Credentialing



Medicaid ARTS Providers applying for a new DBHDS substance use license for substance use services may email their ARTS Attestation forms to SUD@dmas.virginia.gov with the subject heading "New Substance Use Provider Application Expedite Review Request." DMAS will coordinate expedited reviews with DBHDS Office of Licensing for Medicaid providers only for Residential Treatment, Partial Hospitalization Programs, Intensive Outpatient Programs, and Opioid Treatment Programs that are located in high need areas.


ADDICTION AND RECOVERY TREATMENT SERVICES (ARTS) CREDENTIALING INFORMATION
Pathways for Becoming ARTS Provider

ARTS Network Relations Contacts

ARTS Managed Care Regional Map

ARTS PROVIDERS ASAM LEVELS 2.1 TO 3.7 (INTENSIVE OUTPATIENT / PARTIAL HOSPITALIZATION / RESIDENTIAL)
ARTS Attestation Form for ASAM Level 2.1 to 3.7

ARTS Organizational Staff Roster

ARTS PREFFERED MEDICATION ASSISTED TREATMENT ATTESTATION PACKET FOR ASAM LEVELS 2.1 TO 3.7
ARTS Attestation Form for Preferred Medication Assisted Treatment Providers

ARTS Preferred Medication Assisted Treatment Organizational Staff Roster

ARTS Preferred Medication Assisted Treatment Model of Care Description

OFFICE BASED OPIOID TREATMENT (OBOT)
ARTS Attestation Form for Office Based Opioid Treatment (OBOT) Programs

ARTS OBOT Organizational Staff Roster

ARTS OBOT Credentialing Checklist

OPIOID TREATMENT PROGRAMS
ARTS Attestation Form for Opioid Treatment Programs

ARTS Organizational Staff Roster

MENTAL HEALTH AND ARTS PEER SUPPORT SERVICES
Mental Health and ARTS Peer Recovery Services Attestation Checklist

Mental Health and ARTS Peer Recovery Services Organizational Staff Roster

Health Plan and Magellan of Virginia Peer Support Services Contact Information

DBHDS LICENSING RESOURCES
DBHDS OTP/MAT License Technical Assistance (March 2017)

DBHDS Licensing and ASAM LOC Crosswalk

ASAM Level of Care Crosswalk with DBHDS Licensing Numbers