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It fulfills a legislative mandate to convene an advisory panel and meet at least every two months to review and advise on the plan and implementation. The review covers provider operations related to service authorization, interpretation of medical necessity criteria, and claims processing by Medicaid managed care organizations, with findings reported by April 1, 2021.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":11,"@type":70,"position":76},"https://docshare.wps.com/template/presentations/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/redesign-of-behavioral-health-services-report-to-the-virginia-general-assembly-april-1-2021/244379/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/redesign-of-behavioral-health-services-report-to-the-virginia-general-assembly-april-1-2021/244379.png","ImageObject",442,249,{"name":88,"@type":89},"Eden","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-20","2026-09-12",true,{"@type":98,"interactionType":99,"userInteractionCount":20},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What legislative requirement governs this report?","Question",{"text":108,"@type":109},"The report is submitted in compliance with a Virginia Acts of the Assembly item requiring DMAS to convene an advisory panel and review the redesign of behavioral health services.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What areas will the advisory panel review during the redesign process?",{"text":113,"@type":109},"The advisory panel reviews operations of selected providers focused on service authorization, interpretation of medical necessity criteria, and claims processing by Medicaid managed care organizations.",{"name":115,"@type":106,"acceptedAnswer":116},"Who will receive the findings from the DMAS review and by when?",{"text":117,"@type":109},"DMAS reports findings to the advisory panel and to the Secretary of Health and Human Resources, and to the chairs of House Appropriations and Senate Finance by April 1, 2021.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},244379,1791384877,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":8,"category_name":11,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":20,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":47,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":73},1374391974468,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","COMMONWEALTH of VIRGINIA  \nDepartment of Medical Assistance Services  \nKAREN KIMSEY DIRECTOR  \nMarch 17, 2021  \nSUITE 1300  \n600 EAST BROAD STREET RICHMOND, VA 23219 804/786-7933 804/343-0634 (TDD) [www.dmas.virginia.gov](www.dmas.virginia.gov)  \nMEMORANDUM  \nTO: The Honorable Janet D. Howell  \nChair, Senate Finance Committee  \nThe Honorable Luke E. Torian  \nChair, House Appropriations Committee  \nThe Honorable Mark D. Sickles  \nVice Chair, House Appropriations Committee  \nFROM: Karen Kimsey  \nDirector, Virginia Department of Medical Assistance Services  \nSUBJECT: Redesign of Behavioral Health Services  \nThis report is submitted in compliance with the Virginia Acts of the Assembly – Item  \n313.NNNN., which states:  \n“The Department of Medical Assistance Services (DMAS) shall convene an advisory panel of representatives chosen by the Virginia Association of Community Services Boards (VACSB), the Virginia Association of Community-Based Providers (VACBP), the Virginia Coalition of Private Provider Associations (VCOPPA), Caliber, the Virginia Network of Private Providers (VNPP), and the Virginia Hospital and Healthcare Association. The advisory panel shall meet at least every two months with the appropriate staff from DMAS to review and advise on all aspects of the plan for and implementation of the redesign of behavioral health services with a specific focus on ensuring that the systemic plan incorporates development, and maintenance of sustainable business models. Upon advice of the Advisory panel, DMAS may assign staff, as necessary, to review operations of a sample of providers to examine the process for service authorization, the interpretation of the medical necessity criteria, and the claims processing by all Medicaid managed care organizations. DMAS will report their findings from this review to the advisory panel and to the Secretary of Health and Human Resources, and the Chairs of House Appropriations and Senate Finance by April 1, 2021.”  \nShould you have any questions or need additional information, please feel free to contact me at (804) 786-8099.  \nKK  \nEnclosure  \nPc: The Honorable Daniel Carey, M.D., Secretary of Health and Human Resources  \nRedesign of Behavioral Health Services  \nA Report to the Virginia General Assembly  \nReport Mandate:  \nThe Department of Medical Assistance Services (DMAS) shall convene an advisory panel of representatives chosen by the Virginia Association of Community Services Boards (VACSB), the Virginia Association of CommunityBased Providers (VACBP), the Virginia Coalition of Private Provider Associations (VCOPPA), Caliber, the Virginia Network of Private Providers (VNPP), and the Virginia Hospital and Healthcare Association. The advisory panel shall meet at least every two months with the appropriate staff from DMAS to review and advise on all aspects of the plan for and implementation of the redesign of behavioral health services with a specific focus on ensuring that the systemic plan incorporates development, and maintenance of sustainable business models. Upon advice of the Advisory panel, DMAS may assign staff, as necessary, to review operations of a sample of providers to examine the process for service authorization, the interpretation of the medical necessity criteria, and the claims processing by all Medicaid managed care organizations. DMAS will report their findings from this review to the advisory panel and to the Secretary of Health and Human Resources, and the Chairs of House Appropriations and Senate Finance by April 1, 2021.  \nExecutive Summary  \nDMAS received initial funding for the proposed Redesign of Behavioral Health Services through the 2020 Special Session I Amendments to the 2020 Appropriation Act Item 313. NNNN, though this funding was unallotted during the initial Public Health Emergency associated with COVID- 19. Funding was reinstated through the 2020 Special Session of the General Assembly, with an altered timeline and budget projection that accommodated for ","cbCaijy43lTXqcHt","https://ap.wps.com/l/cbCaijy43lTXqcHt","pdf",626448,"English","# Redesign of Behavioral Health Services\n## Report Mandate\n## Executive Summary\n## About DMAS and Medicaid","[{\"question\":\"What legislative requirement governs this report?\",\"answer\":\"The report is submitted in compliance with a Virginia Acts of the Assembly item requiring DMAS to convene an advisory panel and review the redesign of behavioral health services.\"},{\"question\":\"What areas will the advisory panel review during the redesign process?\",\"answer\":\"The advisory panel reviews operations of selected providers focused on service authorization, interpretation of medical necessity criteria, and claims processing by Medicaid managed care organizations.\"},{\"question\":\"Who will receive the findings from the DMAS review and by when?\",\"answer\":\"DMAS reports findings to the advisory panel and to the Secretary of Health and Human Resources, and to the chairs of House Appropriations and Senate Finance by April 1, 2021.\"}]","Redesign of Behavioral Health Services - Report to the Virginia General Assembly - April 1, 2021 | PDF",1789216672]