Virginia MedicaidOverview
This page provides information for Behavioral Health providers, including:
- Credentialing & Licensing Resources
- ASAM Levels - Intensive Outpatient, Partial Hospitalization, Residential, and Medically Managed Inpatient
- Opioid Treatment
- Office-based addiction treatment
- Peer Recover Supports Services
Service Authorizations for Virginia Medicaid Behavioral Health Providers
All service Authorizations (SA) are now handled by Acentra Health (formerly KePro), who oversee all service authorizations for behavioral health for fee for service members. Please review the essential Medicaid Bulletins regarding the transition to Acentra Health, as well as information about provider training. You can also visit the new SA website for additional information.
Credentialing Information
Pathways for Becoming an ARTS Provider
DBHDS Licensing Resources
Department Of Behavioral Health & Developmental Services
ARTS Providers ASAM Level 2.1 to 4.0
Providers must submit the appropriate DBHDS license(s) for the level of care you are looking to provide to the DMAS Provider Services Solution (PRSS) vendor and each of the MCOs to start the credentialing and contracting process if not already in-network.
Note: New Virginia-based residential treatment facilities must submit pro-forma cost report data, which will be used to set the initial per diem rate based on an audited cost report for a 12-month period within the first two years of operation. Virginia-based Residential Treatment and ARTS Residential/non-hospital-based facilities that do not submit pro forma cost reports shall be paid at 75 percent of the established rate ceiling.
PRSS enrollment and training can be found on the MES Public Portal under Provider Training. Enrollment guides, video courses detailing how to enroll as a provider and other resources are available.
View this Town Hall presentation to learn more about PRTF/ARTS Facility Rate Updates.
Opioid Treatment Programs
Please ensure that you submit a DBHDS license for the intended level of care to the DMAS Provider Services Solution (PRSS) vendor and each of the Medicaid health plans to start the credentialing and contracting process if not already in-network.
Detailed training on PRSS Enrollment can be found on the MES Public Portal under Provider Training. Find enrollment guides as well as video courses detailing how to enroll as a provider.
Office Based Addiction Treatment
Providers must submit a completed ARTS Preferred OBAT attestation, credentialing Checklist, and staff roster to sud@dmas.virginia.gov for review. Once an OBAT Recognition Letter is provided, please submit all documents to the DMAS Provider Services Solution (PRSS) vendor and each of the MCOs to start the credentialing and contracting process if not already in-network. The PRSS vendor (Gainwell) can be accessed via the PRSS (Provider portal) from the MES website.
OBOA/OBAT Resources
Video: Starting Up an OBOT - March 2021
Slide Deck: Starting Up an OBOT - March 2021
How to Become a Preferred OBAT
ARTS Attestation Form for Office Based Addiction Treatment (OBAT) Programs
Peer Recovery Supports Services and Forms
Please ensure that you submit an active registration from the Department of Health Professions' Board of Counseling to the DMAS Provider Services Solution (PRSS) vendor and each of the Medicaid health plans to start the credentialing and contracting process if not already in-network. The PRSS vendor (Gainwell) can be accessed via the PRSS (Provider portal) from the MES website.
Registration / Service Authorization Forms
Video: Medicaid Peer Recovery Support Services Symposium
Slide Deck: Medicaid Peer Recovery Support Services Symposium
ARTS and Mental Health Services Registration Form Effective February 21, 2024
Detailed training on PRSS Enrollment can be found on the MES Public Portal under Provider Training. Enrollment guides, video courses detailing how to enroll as a provider, and more can be found on the MES portal.