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
New Process for Submitting Service Authorizations for All Behavioral Health and ARTS Services
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
Customer Service Phone
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 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.
Resources - Behavioral Health
Regulations / Provider Manual
State regulations related to behavioral health services and provider manuals on the Virginia Medicaid Portal
Mental Health Services Training and Outreach, Fee-for-Service contractor, Licensing, Credentialing, Registration and Transportation Resources
Background, Stakeholder Presentations, Implementation Workgroups and Enhancement Image Files
Background and General Information
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.