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Virginia Department of Medical Assistance Services

Residential Treatment

The Department of Medical Assistance Services provides ongoing training to local Comprehensive Services Act teams on the procedures for using Medicaid for residential treatment services. These procedures include, but are not limited to, eligibility, services, billing, reimbursement and related reporting requirements.

Any Medicaid eligible individual seeking admission to a freestanding psychiatric hospital or residential treatment facility must be certified as requiring inpatient services in order for the psychiatric facility to receive a Medicaid reimbursement for the admission. Residential treatment is available in psychiatric units of acute care hospitals for recipients under age 21. For Comprehensive Services Act children, a Certificate of Need for admission is required by an independent team.