Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
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6/30/22  10:32 am
Commenter: Anonymous

REACH Crisis Home RNs

REACH CTHs are being included in the RCSU DMAS requirements for 24/7 on-site nursing.  RCSUs cover 16 bed facilities that serve individuals primarily with MH/SA diagnoses; these facilities are TDO accepting and provide residential medical detox (both of which REACH CTHs do not provide).  REACH Crisis Homes are short term stays and currently utilize a mix of on-site (daytime) and on-call nursing (nighttime) to ensure 24/7 access to nursing support if needed.  This model meets the needs of individuals supported.

Requiring 24/7 on-site nursing for REACH CTHs increases the operating costs of the program tremendously without increasing revenue opportunities.   

CommentID: 122173