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.
Open Informal Public Postings
General Information
- Behavioral Health Redesign: Community Psychiatric Support and Treatment - Youth (Home/Community) Webinar Recording
- Virginia Medicaid Behavioral Health Services Redesign Milestones and Timeline October 2025
- 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
- Redesign Public Webinar Q&A 7.21.2025
- DMAS Behavioral Health Services Flyer
- 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)
- Virginia Medicaid Behavioral Health Services Redesign Milestones and Timeline(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) that will be implemented on 07/01/2026. DMAS subject matter experts will be available during this time to address your questions.