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Addiction and Recovery Treatment Services
The Addiction and Recovery Treatment Services (ARTS) benefit provides treatment for those with substance use disorders across the state.
Providing an array of behavioral health and addiction and recovery treatment services through Managed Care Organizations, CCC Plus and Medallion 4.0, and through the Behavioral Health Services Administrator.
Virginia's Medicaid Smiles For Children program offers comprehensive dental services to children, through age 20.
Information for Financials, Billing, Outreach Material and Hospital Presumptive Eligibility (HPE) Information.
High Needs Support
The High Needs Support Program will provide critical housing and employment support services to the Commonwealth’s high need Medicaid members.
Providing a wide variety of training opportunities to learn more about the programs covered by Virginia Medicaid.
Long Term Care
Nursing Facilities, Specialized Care Nursing Facilities, Long-Stay Hospitals, Home Health and more.
Information for Commonwealth Coordinated Care Plus (CCC Plus), Medallion 3.0 and Medallion 4.0 Managed Care Programs.
Maternal and Child Health
Virginia’s Maternal and Child Health Insurance Programs, which include Family Access to Medical Insurance Security (FAMIS) and FAMIS Plus.
Pharmacy and Drug Formularies
Reference site for the Preferred Drug List and Prior Authorization Programs, as well as for information on upcoming changes.
A program for eligible men and women that covers birth control and services to help prevent unplanned pregnancies.
Procedure Fee Files & CPT Codes
Procedure Fee Audit Trail information and CPT, HCPC, Dental Procedure, and Revenue Codes.
Department of Medical Assistance Services (DMAS) Rate Setting Information for Medicaid Reimbursement.
School Based Services
In some instances, schools can be reimbursed some of the costs associated with providing these services to children enrolled in Medicaid or FAMIS.