Behavioral Health

Providing an array of behavioral health and addiction and recovery treatment services

Overview

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

Addiction and Recovery Treatment Services

The Addiction and Recovery Treatment Services (ARTS) benefit provides treatment for those with substance use disorders across the state.

Regulations / Provider Manual

State regulations related to behavioral health services and provider manuals on the Virginia Medicaid Portal

Provider Resources

Mental Health Services Training and Outreach, Fee-for-Service contractor, Licensing, Credentialing, Registration and Transportation Resources

Medicaid Behavioral Health Services Redesign

Background, Stakeholder Presentations, Implementation Workgroups and Enhancement Image Files

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).

Address

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.

Email

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.

Enhanced Behavioral Health Resources for Virginia Medicaid

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.

Background and General Information

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.

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.