Department of Medical Assistance Services
BEHAVIORAL HEALTH SERVICES AT DMAS

Virginia Medicaid provides an array of behavioral health (mental health and substance use disorder) services through fee-for-service reimbursement and through managed care companies under contract with DMAS. For information about Medicaid managed care, please use this link: http://www.dmas.virginia.gov/Content_pgs/mc-home.aspx. Behavioral health services reimbursed as fee-for-services are the responsibility of the DMAS Behavioral Health Unit.

ANNOUNCEMENTS and CURRENT PROJECTS

Changes to the Community Mental Health Rehabilitative Services (CMHRS) Regulations are effective as of January 30, 2015. A copy of the regulations can be located at http://townhall.virginia.gov/L/ViewStage.cfm?stageid=6536. Providers are strongly encouraged to review all regulations and definitions pertaining to any service that they provide as these regulations are currently in effect.

Medicaid Memo Regarding Changes to Community Mental Health Rehabilitation Services

CMHRS Education and Outreach

A Magellan Provider Webinar is scheduled for April 10, 2015 at 1pm to provide an overview of the CMHRS program changes. Additionally there will be four in-person training sessions scheduled for dates during the spring to discuss detailed program changes and the revised program manuals. To find details on all upcoming trainings please refer to: http://magellanofvirginia.com/for-providers-va/training.aspx.

Information regarding upcoming trainings will be posted to the DMAS and Magellan of Virginia websites. Recorded trainings will also be posted to both websites. Additional online training resources will be announced once the effective dates are finalized.

GAP PROGRAM INFORMATION

         GAP - Governor’s Access Plan for the Serious Mentally Ill :

DMAS BEHAVIORAL HEALTH UNIT
Mission: To provide high quality, consumer-focused, recovery-based and appropriate behavioral health services to Virginia Medicaid and CHIP members.

The Behavioral Health Unit is staffed with knowledgeable and experienced employees functioning as a multi-disciplinary team responsible for the following functions:

Policy Interpretation and Development - staff serve as a resource regarding Medicaid covered behavioral health services for internal and external stakeholders, workgroups and committees.

Regulations and Provider Manuals-staff are responsible for the following Medicaid Provider Manuals that can be found on the DMAS Provider web portal:
  1. Community Mental Health Rehabilitative Services
  2. Psychiatric Services
  3. Mental Health Clinic
State regulations related to behavioral health services can be found in the Virginia Administrative Code:

Behavioral Health Services Administrator Contract Monitor-The Behavioral Health Unit is responsible for monitoring the DMAS contract that provides a single entity to handle network management (provider enrollment, credentialing, contracting, development), service authorizations, quality of care, and claims for fee-for-service behavioral health services. DMAS contracted with Magellan of Virginia to conduct these activities:

PROVIDER RESOURCES
Magellan of Virginia-Providers are encouraged to contact Magellan with questions about provider enrollment, provider contracts, covered behavorial health services, service authorizations, Magellan provider handbook, and claims at http://magellanofvirginia.com, or VAProviderQuestions@magellanhealth.com, and grievances/complaints at vaqualityrecongrev@magellanhealth.com

Virginia Department of Behavioral Health and Developmental Services (DBHDS) at http://www.dbhds.virginia.gov
DBHDS Office of Licensing
DBHDS Office of Human Rights

Virginia Department of Health Professions

DMAS Managed Care
DMAS Commonwealth Coordinated Care
GAP
Transportation http://transportation.dmas.virginia.gov or http://www.logisticare.com

The Behavioral Health Unit may be reached by emailing cmhrs@dmas.virginia.gov. Provider questions that have not been directed to Magellan of Virginia prior to coming to the Behavioral Health Unit will be forwarded to Magellan for response.