Department of Medical Assistance Services
Board of Medical Assistance Services
General Notice: Notice of Public Comment Period: Mental Health Clubhouse Services
CLOSED Opened on 11/17/2025 and Ended on 12/3/2025
As part of Right Help, Right Now. Medicaid Behavioral Health Services Redesign, DMAS is seeking public comment on a new behavioral health service, Mental Health Clubhouse Services. A draft Mental Health Clubhouse service description is available at the following link: https://www.dmas.virginia.gov/media/2zqiic0w/dmas-mental-health-clubhouse-services_draft-policies_11132025.pdf.
Additional information on the Right Help, Right Now. Medicaid Behavioral Health Services Redesign is available on the DMAS website at: https://www.dmas.virginia.gov/for-providers/benefits-services-for-providers/behavioral-health/medicaid-behavioral-health-services-redesign/
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68 comments
| Comment Title | Commenter | |
|---|---|---|
| Notice of Public Comment Period: Mental Health Clubhouse Services | Virginia Beach Department of Human Services | 12/3/25 10:58 pm |
| Clubhouse Questions | Loudoun County MHSADS | 12/3/25 6:21 pm |
| Allow Choice for Model and certification | Anonymous (238392) | 12/3/25 5:44 pm |
| Draft Manual Concerns | Hampton-Newport News CSB | 12/3/25 5:17 pm |
| Clubhouse Comments | Anna Jones, Henrico Area Mental Health & Developmental Services | 12/3/25 4:40 pm |
| Feedback Regarding Mental Clubhouse Services | Rockbridge Area Community Services | 12/3/25 4:01 pm |
| Draft Concerns | Arlington County CSB | 12/3/25 3:22 pm |
| Additional Responses to Draft Regulations | Lynn Brackenridge, AHCS | 12/3/25 2:30 pm |
| Clubhouse Comments | Amy | 12/3/25 2:24 pm |
| Clubhouse comments | Hank - Norfolk CSB | 12/3/25 2:14 pm |
| Clubhouse comments | Hank - Norfolk CSB | 12/3/25 2:14 pm |
| Clubhouse concerns | Natalia Tague | 12/3/25 2:01 pm |
| ACT clients benefit from PSR/Clubhouse | Adam Yoder, LPC, Harrisonburg Rockingham CSB | 12/3/25 1:33 pm |
| Concerns re Clubhouse proposed regulations | Ryan Hite RBHA | 12/3/25 12:09 pm |
| DMAS changes with CPST/Clubhouse International | Brandy Rushing, LPC (RBHA) | 12/3/25 12:05 pm |
| Clubhouse Draft Regulation Comments | Emily Londeree, Dominion Care | 12/3/25 11:50 am |
| Economic feasibility of Clubhouse model / consumers maintain stability through PSR | Kyle Vaught | 12/3/25 11:28 am |
| Clubhouse proposed draft requirement concerns | Dana Dewing, HRCSB | 12/3/25 11:02 am |
| Is this change necessary...especially at this time? | Daphne Cunningham | 12/3/25 10:42 am |
| Doesn't reflect the eco system of rural communities | Michele Ebright | 12/3/25 10:30 am |
| Concerns with Clubhouse Draft Manual | Shannon Wright, Region Ten CSB | 12/3/25 10:09 am |
| Clubhouse Model concerns | Martha Fowlkes, Crossroads CSB, Town House | 12/3/25 9:10 am |
| Response to Draft Regulations concerns | Lynn Brackenridge, Alleghany Highlands Community Services | 12/3/25 9:05 am |
| Response to Draft Regulations concerns | Lynn Brackenridge, Alleghany Highlands Community Services | 12/3/25 8:26 am |
| Response to Clubhouse Draft Regulations | Nicole Lewis, Southside Behavioral Health | 12/2/25 4:33 pm |
| ISP oversight by Clinical Director or Program Director | Anonymous (238291) | 12/2/25 4:26 pm |
| Removal of ACT, financial burden, inconsistencies | Anonymous (238288) | 12/2/25 4:13 pm |
| Response to Draft DMAS Clubhouse Policies | Chesapeake Integrated Behavioral Healthcare | 12/2/25 4:06 pm |
| Concern | Anonymous (238285) | 12/2/25 3:50 pm |
| Concern | Anonymous (238280) | 12/2/25 2:29 pm |
| Clubhouse Requirement Concerns | Danville-Pittsylvania Community Services | 12/2/25 1:31 pm |
| Is CARF No Longer a Choice?! (and other comments) | NWCSB | 12/2/25 12:31 pm |
| Policy Draft Suggestions and Feedback | Michelle Salzman, LCSW Prince William CSB (CARF Accredited Program) | 12/2/25 10:42 am |
| Concerns regarding proposed draft regulations | Eastern Shore CSB | 12/1/25 2:55 pm |
| Draft Concerns | Anonymous (238158) | 12/1/25 2:07 pm |
| Clubhouse Model Feedback | NRVCS | 12/1/25 1:33 pm |
| Rates and admin burden | Anonymous (238149) | 12/1/25 12:14 pm |
| Clubhouse Comments | Emily Hollidge, HopeLink Behavioral Health | 11/26/25 1:00 pm |
| Why Clubhouse? | Anonymous (238069) | 11/26/25 9:47 am |
| Clubhouse Requirements | Danville Pittsylvania Community Services | 11/25/25 4:53 pm |
| BH Redesign/PSR | Anonymous (238029) | 11/25/25 10:07 am |
| clubhouse | Alexandria | 11/24/25 4:05 pm |
| clubhouse membership | Anonymous (237985) | 11/24/25 3:58 pm |
| OTHER OPTIONS | Anonymous (237984) | 11/24/25 3:51 pm |
| EMPLOYMENT CONCERN | Anonymous (237983) | 11/24/25 3:50 pm |
| FINANCIAL CONCERN | Anonymous (237982) | 11/24/25 3:48 pm |
| Part 2. Service Definitions | Anonymous (237981) | 11/24/25 3:47 pm |
| Part 6.E Exclusions and Service Limitations | Anonymous (237980) | 11/24/25 3:47 pm |
| Part 6. 9 Exclusions and Service Limitations | Anonymous (237979) | 11/24/25 3:46 pm |
| Part 6. Exclusions and Service Limitations | Anonymous (237978) | 11/24/25 3:45 pm |
| Part 6.10 Exclusions and Service Limitations | Anonymous (237977) | 11/24/25 3:45 pm |
| Part 5.2 Diagnostic Criteria | Anonymous (237976) | 11/24/25 3:43 pm |
| Part 5.2 Diagnostic Criteria | Anyonymous | 11/24/25 3:43 pm |
| Part 3.1.2 Assessment | Anonymous (237974) | 11/24/25 3:42 pm |
| Part 5.2 Continued Stay Criteria | Anonymous (237973) | 11/24/25 3:41 pm |
| Mental Health Clubhouse Services Draft Policy | Justin Ray | 11/24/25 1:50 pm |
| CARF Accreditation – Clarification Needed | Hanover County Community Services Board | 11/24/25 12:53 pm |
| ACT & Clubhouse | Hanover County Community Services Board | 11/24/25 12:49 pm |
| Concerns for Clubhouse requirements | Melanie Tosh, DPCS | 11/24/25 9:21 am |
| Concerns Regarding Proposed Clubhouse Service Requirements | Jodie Burton, Danville Pittsylvania Community Services | 11/24/25 9:15 am |
| Would hurt ACT individuals who desperately need the Clubhouse for socialization... | MPNN-BH (formerly CSB) -MO | 11/23/25 11:18 am |
| NOT true Clubhouse Model | anonymous (237857) | 11/20/25 12:51 pm |
| Confusing or Contradictory Billing Structure | Rappahannock Area Community Services Board | 11/20/25 9:23 am |
| Staffing and Billable Service Constraints | Rappahannock Area Community Services Board | 11/20/25 9:22 am |
| Documentation and Administrative Burdens | Rappahannock Area Community Services Board | 11/20/25 9:21 am |
| Overlap and Confusion With Other Service Types | Rappahannock Area Community Services Board | 11/20/25 9:20 am |
| Restrictions That May Limit Member Participation | Rappahannock Area Community Services Board | 11/20/25 9:19 am |
| These regulations seem to be contradictory to Clubhouse International standards | AL, LCSW | 11/20/25 8:11 am |
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