| Action Summary | The Department of Behavioral Health and Developmental Services (DBHDS) was directed by the 2025 General Assembly within Item 293 of the 2025 Appropriation Act to utilize emergency authority to align licensing regulations with the modifications being made to Medicaid behavioral health services pursuant to Item 288 of the 2025 Appropriation Act. Item 288 requirement the Department of Medical Assistance Services (DMAS) to: XX. 1. Effective July 1, 2024, the Department of Medical Assistance Services (DMAS) shall have the authority to modify Medicaid behavioral health services such that: (1) legacy services that predate the current service delivery system, including Mental Health Skill Building, Psychosocial Rehabilitation, Intensive In Home Services, and Therapeutic Day Treatment are phased out; (2) legacy youth services are replaced with the implementation of tiered community based supports for youth and families with and at-risk for behavioral health disorders appropriate for delivery in homes and schools, (3) legacy services for adults are replaced with a comprehensive array of psychiatric rehabilitative services for adults with Serious Mental Illness (SMI), including community-based and center-based services such as independent living and resiliency supports, community support teams, and psychosocial rehabilitation services, (4) legacy Targeted Case Management- SMI and Targeted Case Management- Serious Emotional Disturbance (SED) are replaced with Tiered Case Management Services. DBHDS shall enact three separate emergency regulatory actions to align the DBHDS Licensing Regulations with the changes to Medicaid by removing provisions that would conflict with newly funded behavioral health services and establishing new licensed services for those newly funded behavioral health services. Those services are: Community Psychiatric Support and Treatment (CPST), Coordinated Specialty Care (CSC) and Clubhouse. This regulatory action will establish the newly licensed service of CPST. |
| Chapters Affected | Only affects this chapter. |
| Executive Branch Review | This action will go through the normal Executive Branch Review process. |
| RIS Project | Yes [8445] |
| Associated Mandates | Align licensing regulations with DMAS Behavioral Health Redesign |
| New Periodic Review | This action will not be used to conduct a new periodic review. |
| Name / Title: | Susan Puglisi / Regulatory Research Specialist |
| Address: |
Jefferson Building 1220 Bank St., 4th Floor Richmond, VA 23219 |
| Email Address: | susan.puglisi@dbhds.virginia.gov |
| Phone: | ()- FAX: (804)371-6638 TDD: (804)371-8977 |