Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
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5/13/21  4:56 pm
Commenter: Tamara Starnes

ACT Appendix D

Critical Features: Change “Team” to “Staff”. There are some ACT teams, especially in rural communities, and during work force shortages, that require additional (non team specific) staff to be used to cover 24/7. Its impossible in some places for the core “team” to screen calls 24/7. Unless the pool is widened, this requirement will increase staff turnover which is a determent to clients. This will be difficult for many CSBs to make happen with work force shortages. This could be a high fidelity measure versus regulation. Recommend keeping the need for 24 hour on call coverage, however less prescriptive about who that entails. 


“Critical features of ACT include:

? Team availability either directly or on-call 24 hours per day, seven

days per week and 365 days per year;

? Crisis response and intervention that is available 24 hours per day,

seven days per week, including telephone and face-to face contact;

? Team is to be the first line (and generally sole provider) of all the

services that individuals may need by providing individualized,

intensive treatment/rehabilitation and support services in the


CommentID: 98524