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The purpose of this bulletin is to provide an update on Virginia Medicaid’s redesign of Community Mental Health Rehabilitative Services (CMHRS) which was authorized by the General Assembly in 2024. The redesigned services were originally planned to start on July 1, 2026, however, the start date will be delayed due to changes proposed during the current General Assembly session. DMAS will communicate the new implementation date to providers in an upcoming bulletin as soon as possible following the conclusion of the state budget process. All current Medicaid CMHRS will remain in effect until the redesign services are implemented. 

Additional Information

The redesign includes the retirement of four Medicaid CMHRS:

• Intensive In-Home Services

• Therapeutic Day Treatment

• Mental Health Skill Building Services

• Psychosocial Rehabilitation

The new services which will be implemented are:

• Community Psychiatric Support and Treatment (CPST) – Adult, Community 

• Community Psychiatric Support and Treatment (CPST) – Youth, Community

• Community Psychiatric Support and Treatment (CPST) – Youth, School Setting

• Coordinated Specialty Care for First Episode Psychosis

• Mental Health Clubhouse Services

A standardized assessment, The Virginia Comprehensive Assessment of Needs and Strengths (CANS Lifetime), and new Level of Need Model will also be implemented as part of redesign. 

Additional details including draft manuals, presentations and a frequently asked questions (FAQ) document are located here. Information related to Department of Behavioral Health and Developmental Services (DBHDS) licensing will be communicated directly to current providers by DBHDS and will be posted here. 

Providers can direct questions related to Behavioral Health Services Redesign to the DMAS Behavioral Health Division at enhancedbh@dmas.virginia.gov.  In addition, DMAS  hosts Provider Open Office Hours dedicated to Behavioral Health Services Redesign questions from providers twice a month.  Information on accessing these office hours is located here.

To avoid disruption to claims payment through FFS and the MCOs providers must periodically check the DMAS provider portal, also known as the Provider Services Solution (PRSS), to ensure that the provider's enrollment, contact information, and license information is up to date, for all of the provider's respective service locations. Under federal rules, MCOs and DMAS are prohibited from paying claims to network providers who are not enrolled in PRSS. Additional information is provided on the MCO Provider Network Resources webpage and includes links to resources, tutorials and contact information to reach Gainwell with any provider enrollment or revalidation related questions.  Dental providers should continue to enroll directly through the DMAS Dental Benefits Administrator, DentaQuest.