It is clear that there is no valid evidence that CACRAP certificatoin offers any better therapists outcomes than non CACRAP outcomes.   While my program is in Maryland, we have been asked to open an office is VA.  If you adopt these regulations, we will not even consider brining our practic to VA. As one of the few larger providers that is in network with medicaid and all commercial insurances, that would be a loss for Virginia.  My prectice currently sees over 2000 people a month with no CACRAP graduates in insurance networks.  We provide great care and get excellent reivews. No, I do not support a Monopoly of CACREP