Cardinal Care
Virginia's Medicaid Program
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Overview

Virginia Medicaid provides an array of behavioral health and addiction and recovery treatment services through Managed Care Organizations (MCOs) (through CCC Plus and Medallion 4.0), and through the Behavioral Health Services Administrator, which are contracted by DMAS. You can find notices related to regulatory and manual updates, including dates for public comment periods, are posted on the Virginia Regulatory Townhall Website at: http://www.townhall.virginia.gov


Enhanced Behavioral Health and Addiction Services for Youth and Adults

Enhanced Behavioral Health services seek to keep Virginians well and thriving in their communities, reduce the need to focus on crisis by investing in prevention and early intervention for mental health and substance use disorder (SUD) comorbidities, and support a comprehensive alignment of services across the systems that serve Medicaid members.


Current Project BRAVO Rates

The budget passed during the August 2021 special session included a 12.5% increase for community based service providers starting July 1, 2021. Project BRAVO services were included in that rate increase. Project BRAVO services include the following services:

  • Mental Health Intensive Outpatient (S9480)
  • Mental Health Partial Hospitalization Program (H0035)
  • Assertive Community Treatment (H0040)
  • Multisystemic Therapy (H2033)
  • Functional Family Therapy (H0036)
  • Mobile Crisis Response (H2011)
  • Community Stabilization (S9482)
  • 23-Hour Crisis Stabilization (S9485)
  • Residential Crisis Stabilization Unit (H2018)
  • Applied Behavior Analysis (97155, et al.)

View the Project BRAVO services rates.

Background and General Information

 

Magellan of Virginia serves as the Behavioral Health Services Administrator or "BHSA" and is responsible for the management and administration of the fee for service (FFS) behavioral health benefit programs under contract with DMAS. Magellan of Virginia is contracted to render service authorizations; adjudicate and process claims; gather and maintain utilization data; reimburse providers; perform quality assessment and improvement activities; conduct member outreach and education; resolve member and provider issues; train FFS provider network and perform utilization management of services and provide care coordination for members receiving FFS Medicaid-covered behavioral health services. For more information about Magellan of Virginia, please contact Magellan of Virginia at: 800-424-4536 or VAProviderQuestions@MagellanHealth.com, or visit the Magellan of Virginia website.

Mental Health Services

On July 1, 2021 and December 1, 2021, Virginia’s Medicaid Program launched six enhanced treatment services – Behavioral Health Redesign for Access, Value and Outcomes (BRAVO). For more information, please visit the BRAVO webpage.

Addiction Recovery And Treatment Services

On April 1, 2017, Virginia’s Medicaid Program launched an enhanced substance use disorder treatment benefit – Addiction and Recovery Treatment Services (ARTS). For more information, please visit the ARTS Webpage.