Archives
Enhancements Stakeholder Presentations
Video Presentations for Providers and Stakeholders
Behavioral Health Enhancement
02.17.2021 - Recording
Behavioral Health Enhancement
12.11.2020 - Recording
Behavioral Health Enhancement
07.20.2020 - Session 1
Behavioral Health Enhancement
07.20.2020 - Session 2
Implementation Workgroups
Project BRAVO Crisis Workgroup - 08.26.2021
Project BRAVO: Racial Equity Workgroup - 08.25.2021
Project BRAVO MST/FFT Workgroup - 08.23.2021
Project BRAVO: Racial Equity Workgroup - 04.21.2021
ACT Behavioral Health Enhancement Workgroup - 03.25.2021
PHP-IOP Behavioral Health Enhancement Workgroup - 03.23.2021
Enhancement Image Files
Medallion 3.0
Some Medicaid enrollees may receive primary and acute care through Medicaid contracted Medallion 3.0 managed care organizations (MCOs). For these Medallion 3.0 MCO enrollees, assessment and evaluation, and outpatient psychiatric and substance abuse therapy services (individual, family, and group) are handled through the individual’s Medallion 3.0 MCO. The community mental health rehabilitative services are carved-out of the Medallion 3.0 MCO contracts and are covered by the BHSA, for Medallion 3.0 MCO enrollees, in accordance with DMAS fee-for-service established coverage criteria and guidelines. The Medallion 3.0s are responsible with providing care coordination to enrollees by assisting with referrals to carved out services and covering transportation for carved-out services. For information about Medallion 3.0 Medicaid MCO coverage, please visit The Medallion 3.0 Webpage.
GAP - Governor’s Access Plan for individuals with serious Mental Illness
The Governor’s Access Plan, to expand healthcare services in Virginia, ended March 31, 2019. GAP was a Medicaid plan that provided limited medical and behavioral health care coverage for low income individuals with Serious Mental Illness (SMI). It included mental health and substance use disorder services, medical doctor visits, medications, access to a 24-hour crisis line, recovery navigation services, and care coordination.
- Effective February 7, 2018, Final Regulations for the Governor’s Access Plan Demonstration Waiver for Individuals with Serious Mental Illness (12 VAC 30-135-400 et seq.) went into effect:
- The GAP Provider Manual is posted on the provider portal.
- Providers may submit GAP claims and file appeals through March 31, 2020.
- Questions regarding GAP should be directed to Magellan of Virginia at 800-424-GAP9.