Virginia MedicaidMedicaid Behavioral Health Services Redesign
In December, 2022, Governor Youngkin announced a six-pillar plan to transform Virginia’s behavioral health system: the Right Help, Right Now. Plan. (RHRN). As plans developed, initiatives to redesign Medicaid legacy community mental health rehabilitative services (CMHRS) emerged as significant needs within the system. CMHRS services include:
Intensive In-Home
Therapeutic Day Treatment
Mental Health Skill Building
Psychosocial Rehabilitation
Mental Health Case Management for both adults and youth
The current 2024-2026 biennium budget includes Item 288, XX which provides the Department of Medical Assistance Services (DMAS) the authority to replace our CMHRS services and case management service.
In collaboration with the Department of Behavioral Health and Developmental Services and the Department of Health Professions, DMAS launched a two-year project (July 2024-June 2026) to replace our CMHRS services and case management service.
Closed Informal Public Postings
- DMAS Community Psychiatric Support and Treatment (CPST) DRAFT Community Policy 12.15.2025
- Mental Health Case Management (H0023) - 09-26-2025
- Community Psychiatric Support and Treatment (CPST) - Draft For Comment 09-05-2025
- Community Psychiatric Support and Treatment - School Setting
- Coordinated Specialty Care (CSC)
- DMAS Mental Health Clubhouse Services DRAFT Policies 11.13.2025
- DMAS Coordinated Specialty Care policies_DRAFT V2_03.26.26
- DMAS Coordinated Specialty Care Policy Change Summary
- DMAS Mental Health Clubhouse Services policies_DRAFT V2_03.26.26
- DMAS Mental Health Clubhouse Services Policy Change Summary
- DMAS Mental Health Case Management policies_DRAFT V2_03.26.26
- DMAS Mental Health Case Management Policy Change Summary
General Information
- DMAS Medicaid Behavioral Health Services Redesign Implementation Frequently Asked Questions (FAQ) 06.08.26
- Behavioral Health Services Redesign Implementation Date Change
- CPST_Community_Adult_Provider_Readiness_Self_Assessment
- CPST_Community_Youth_Provider_Readiness_Self_Assessment
- DMAS Approved Accreditations for Community Psychiatric Support and Treatment
- DMAS Behavioral Health Services Redesign Rate Sheet
- DMAS Behavioral Health Redesign Provider Readiness Analysis Slide Deck
- DMAS IIHS to CPST Youth Community Provider Transition Readiness
- DMAS TDT to CPST Youth School Setting Provider Transition Readiness
- DMAS MHSS to CPST Adult Community Provider Transition Readiness
- DMAS Mental Health Clubhouse Services Provider Transition Readiness
- A Scientific Review of the Clubhouse International Model
- Behavioral Health Redesign: Community Psychiatric Support and Treatment - Youth (Home/Community) Webinar Recording
- DMAS Behavioral Health Redesign Rate and Fiscal Impact Summary
- DMAS Behavioral Health Redesign SFY 2027 Rate Study Report
- DMAS CMHRS_BH Redesign Adult Services Provider Analysis
- DMAS CMHRS_BH Redesign Youth Services Provider Analysis
- DMAS Behavioral Health Redesign July 2025 Project Update Slide Deck
- DMAS Behavioral Health Redesign July 2025 Project Update Webinar Recording
- Virginia Medicaid Behavioral Health Services Redesign Stakeholder Summary
- DMAS Behavioral Health Redesign Project Update 12.16.2024 (Video)
- Virginia Medicaid Behavioral Health Services Redesign Information Webinar 07.29.2024 (Video)
- 2018 Behavioral Health In Virginia Alignment, Accountability & Access Report (Farley Center)(pdf)
- 2019 Continuum Proposal Report (pdf)
Provider Open Office Hours
The Department of Medical Assistance Services (DMAS) invites behavioral health providers to join our Provider Office Hours dedicated to Behavioral Health Redesign. This session offers an opportunity for providers to ask questions and clarify policies regarding the new services (Community Psychiatric Support and Treatment, Coordinated Specialty Care, Mental Health Clubhouse Services and policy changes to Mental Health Case Management). DMAS subject matter experts will be available during this time to address your questions. The links below will connect you with Provider Open Office Hours:
6/17/2026 @ 10-11am: Teams Meeting Link
7/8/2026 @ 10-11am: Teams Meeting Link
7/22/2026 @ 10-11am: Teams Meeting Link
8/5/2026 @ 10-11am: Teams Meeting Link
8/19/2026 @ 10-11am: Teams Meeting Link
9/9/2026 @ 10-11am: Teams Meeting Link
9/23/2026 @ 10-11am: Teams Meeting Link
10/6/2026 @ 10-11am: Teams Meeting Link
10/21/2026 @ 10-11am: Teams Meeting Link
11/4/2026 @ 10-11am: Teams Meeting Link
11/18/2026 @ 10-11am: Teams Meeting Link
12/2/2026 @ 10-11am: Teams Meeting Link
12/16/2026 @ 10-11am: Teams Meeting Link