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
We are pleased to announce that Re-entry Targeted Case Management (RTCM) are available as of July 1!
As we prepare for implementation, we are posting a draft version of the RTCM Manual Supplement to give providers an early opportunity to review the upcoming guidance and begin familiarizing themselves with the program. Please note that this document is for informational purposes only and remains a draft until the final version is officially released. We appreciate your patience and look forward to supporting providers as these new services become available.
The Department of Medical Assistance Services (DMAS) is making significant changes to the process used to submit service authorization requests for Fee-for-Service (FFS) members. Effective November 1, 2023, all providers who provide services to Medicaid and FAMIS members will submit service authorizations to Acentra Health (formerly known as KePro).
Acentra Health (Kepro)
6802 Paragon Place, Suite 440
Richmond, VA 23230
Local Phone: (804) 622-8900
Tollfree: (888) 827-2884
Fax: (877) 652-9329
To place a TTY call for Hearing impaired dial 711
If you require assistance or program information in a language other than English, please contact the Customer Service Number listed above.
Kepro DMAS Provider Email (do not include PHI): VAproviderissues@kepro.com
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.
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:
View the Project BRAVO services rates.
Virginia Medicaid Behavioral Health Service Codes and Descriptions: Virginia Medicaid service codes and descriptions for covered mental health and substance use disorder treatment and recovery services.
Virginia Medicaid