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Medical Policies - Behavioral Health

  • 23-Hour Crisis Stabilization Medicaid - Behavioral Health 33

    PDF, 289 KB Last Updated: 08/01/2025

    PDF, 289 KB Last Updated: 08/01/2025

  • Applied Behavioral Analysis Medicaid - Behavioral Health 37

    PDF, 269 KB Last Updated: 11/11/2025

    PDF, 269 KB Last Updated: 11/11/2025

  • ARTS Family Support Partners Medicaid - Behavioral Health 41

    PDF, 344 KB Last Updated: 09/02/2025

    PDF, 344 KB Last Updated: 09/02/2025

  • ARTS Peer Support Services Medicaid - Behavioral Health 40

    PDF, 328 KB Last Updated: 09/02/2025

    PDF, 328 KB Last Updated: 09/02/2025

  • ASAM Level 2.1 Intensive Outpatient Services for Substance Abuse (Adolescent) Concurrent Medicaid - Behavioral Health 50

    PDF, 294 KB Last Updated: 07/02/2025

    PDF, 294 KB Last Updated: 07/02/2025

  • ASAM Level 2.1 Intensive Outpatient Services for Substance Abuse (Adolescent) Initial Medicaid - Behavioral Health 48

    PDF, 290 KB Last Updated: 07/02/2025

    PDF, 290 KB Last Updated: 07/02/2025

  • ASAM Level 2.1 Intensive Outpatient Services for Substance Abuse (Adult) Concurrent Medicaid - Behavioral Health 49

    PDF, 296 KB Last Updated: 07/02/2025

    PDF, 296 KB Last Updated: 07/02/2025

  • ASAM Level 2.1 Intensive Outpatient Services for Substance Abuse (Adult) Initial Medicaid - Behavioral Health 08

    PDF, 305 KB Last Updated: 07/02/2025

    PDF, 305 KB Last Updated: 07/02/2025

  • ASAM Level 2.5 Partial Hospitalization Services for Substance Abuse (Adolescent) Concurrent Medicaid - Behavioral Health 53

    PDF, 296 KB Last Updated: 07/02/2025

    PDF, 296 KB Last Updated: 07/02/2025

  • ASAM Level 2.5 Partial Hospitalization Services for Substance Abuse (Adolescent) Initial Medicaid - Behavioral Health 51

    PDF, 291 KB Last Updated: 07/02/2025

    PDF, 291 KB Last Updated: 07/02/2025

  • ASAM Level 2.5 Partial Hospitalization Services for Substance Abuse (Adult) Concurrent Medicaid - Behavioral Health 52

    PDF, 293 KB Last Updated: 07/02/2025

    PDF, 293 KB Last Updated: 07/02/2025

  • ASAM Level 2.5 Partial Hospitalization Services for Substance Abuse (Adult) Initial Medicaid - Behavioral Health 09

    PDF, 312 KB Last Updated: 07/02/2025

    PDF, 312 KB Last Updated: 07/02/2025

  • ASAM Level 3.1 Clinically Managed Low Intensity Residential Treatment for Substance Abuse (Adolescent) Concurrent Medicaid - Behavioral Health 56

    PDF, 293 KB Last Updated: 07/02/2025

    PDF, 293 KB Last Updated: 07/02/2025

  • ASAM Level 3.1 Clinically Managed Low Intensity Residential Treatment for Substance Abuse (Adolescent) Initial Medicaid - Behavioral Health 54

    PDF, 288 KB Last Updated: 07/02/2025

    PDF, 288 KB Last Updated: 07/02/2025

  • ASAM Level 3.1 Clinically Managed Low Intensity Residential Treatment for Substance Abuse (Adult) Concurrent Medicaid - Behavioral Health 55

    PDF, 308 KB Last Updated: 07/02/2025

    PDF, 308 KB Last Updated: 07/02/2025

  • ASAM Level 3.1 Clinically Managed Low Intensity Residential Treatment for Substance Abuse (Adult) Initial Medicaid - Behavioral Health 10

    PDF, 279 KB Last Updated: 07/02/2025

    PDF, 279 KB Last Updated: 07/02/2025

  • ASAM Level 3.3 Clinically Managed Population Specific High-Intensity Residential Services for Substance Abuse (Adult) Concurrent Medicaid - Behavioral Health 57

    PDF, 293 KB Last Updated: 07/02/2025

    PDF, 293 KB Last Updated: 07/02/2025

  • ASAM Level 3.3 Clinically Managed Population Specific High-Intensity Residential Services for Substance Abuse (Adult) Initial Medicaid - Behavioral Health 11

    PDF, 281 KB Last Updated: 07/02/2025

    PDF, 281 KB Last Updated: 07/02/2025

  • ASAM Level 3.5 Clinically Managed High-Intensity Residential Services for Substance Abuse (Adult) Concurrent Medicaid - Behavioral Health 58

    PDF, 294 KB Last Updated: 07/02/2025

    PDF, 294 KB Last Updated: 07/02/2025

  • ASAM Level 3.5 Clinically Managed High-Intensity Residential Services for Substance Abuse (Adult) Initial Medicaid - Behavioral Health 12

    PDF, 281 KB Last Updated: 07/02/2025

    PDF, 281 KB Last Updated: 07/02/2025

  • ASAM Level 3.5 Clinically Managed Medium-Intensity Residential Services for Substance Abuse (Adolescent) Concurrent Medicaid - Behavioral Health 59

    PDF, 319 KB Last Updated: 07/02/2025

    PDF, 319 KB Last Updated: 07/02/2025

  • ASAM Level 3.5 Clinically Managed Medium-Intensity Residential Services for Substance Abuse (Adolescent) Initial Medicaid - Behavioral Health 13

    PDF, 309 KB Last Updated: 07/02/2025

    PDF, 309 KB Last Updated: 07/02/2025

  • ASAM Level 3.7 Medically Monitored High Intensity Inpatient Services (Adolescent) Concurrent Medicaid - Behavioral Health 44

    PDF, 312 KB Last Updated: 10/22/2025

    PDF, 312 KB Last Updated: 10/22/2025

  • ASAM Level 3.7 Medically Monitored High Intensity Inpatient Services (Adolescent) Initial Medicaid - Behavioral Health 42

    PDF, 306 KB Last Updated: 10/22/2025

    PDF, 306 KB Last Updated: 10/22/2025

  • ASAM Level 3.7 Medically Monitored Intensive Inpatient Admission for Substance (Adult) Concurrent Medicaid - Behavioral Health 43

    PDF, 299 KB Last Updated: 10/22/2025

    PDF, 299 KB Last Updated: 10/22/2025

  • ASAM Level 4.0 Medically Managed Intensive Inpatient Admission for Substance Abuse (Adolescent) Concurrent Medicaid - Behavioral Health 47

    PDF, 288 KB Last Updated: 07/02/2025

    PDF, 288 KB Last Updated: 07/02/2025

  • ASAM Level 4.0 Medically Managed Intensive Inpatient Admission for Substance Abuse (Adolescent) Initial Medicaid - Behavioral Health 45

    PDF, 285 KB Last Updated: 07/02/2025

    PDF, 285 KB Last Updated: 07/02/2025

  • ASAM Level 4.0 Medically Managed Intensive Inpatient Admission for Substance Abuse (Adult) Concurrent Medicaid - Behavioral Health 46

    PDF, 287 KB Last Updated: 07/02/2025

    PDF, 287 KB Last Updated: 07/02/2025

  • ASAM Level 4.0 Medically Managed Intensive Inpatient Admission for Substance Abuse (Adult) Initial Medicaid - Behavioral Health 07

    PDF, 285 KB Last Updated: 07/02/2025

    PDF, 285 KB Last Updated: 07/02/2025

  • Assertive Community Treatment (ACT) Medicaid - Behavioral Health 28

    PDF, 285 KB Last Updated: 10/21/2025

    PDF, 285 KB Last Updated: 10/21/2025

  • Community Stabilization Medicaid - Behavioral Health 32

    PDF, 337 KB Last Updated: 08/01/2025

    PDF, 337 KB Last Updated: 08/01/2025

  • Functional Family Therapy Medicaid - Behavioral Health 36

    PDF, 290 KB Last Updated: 10/22/2025

    PDF, 290 KB Last Updated: 10/22/2025

  • Intensive in-Home Service for Youth Medicaid - Behavioral Health 18

    PDF, 287 KB Last Updated: 07/02/2025

    PDF, 287 KB Last Updated: 07/02/2025

  • Medicaid SHP ASAM Level 3.7 Medically Monitored Int Inpatient Adult Initial BH 06 v6.pdf

    PDF, 293 KB Last Updated: 10/21/2025

    PDF, 293 KB Last Updated: 10/21/2025

  • Mental Health Case Management Medicaid - Behavioral Health 22

    PDF, 272 KB Last Updated: 10/21/2025

    PDF, 272 KB Last Updated: 10/21/2025

  • Mental Health Family Support Partners Medicaid - Behavioral Health 23

    PDF, 288 KB Last Updated: 10/21/2025

    PDF, 288 KB Last Updated: 10/21/2025

  • Mental Health Intensive Outpatient Services (MH-IOP) Medicaid - Behavioral Health 29

    PDF, 292 KB Last Updated: 10/21/2025

    PDF, 292 KB Last Updated: 10/21/2025

  • Mental Health Partial Hospitalization Program (MH-PHP) Medicaid - Behavioral Health 30

    PDF, 301 KB Last Updated: 10/22/2025

    PDF, 301 KB Last Updated: 10/22/2025

  • Mental Health Peer Support Services Medicaid - Behavioral Health 19

    PDF, 296 KB Last Updated: 10/21/2025

    PDF, 296 KB Last Updated: 10/21/2025

  • Mental Health Skill-Building (MHSS) Medicaid - Behavioral Health 24

    PDF, 280 KB Last Updated: 10/21/2025

    PDF, 280 KB Last Updated: 10/21/2025

  • Mobile Crisis Response Medicaid - Behavioral Health 31

    PDF, 280 KB Last Updated: 10/22/2025

    PDF, 280 KB Last Updated: 10/22/2025

  • Multisystemic Therapy Medicaid - Behavioral Health 35

    PDF, 311 KB Last Updated: 10/22/2025

    PDF, 311 KB Last Updated: 10/22/2025

  • Psychosocial Rehabilitation Medicaid - Behavioral Health 21

    PDF, 264 KB Last Updated: 08/01/2025

    PDF, 264 KB Last Updated: 08/01/2025

  • Residential Crisis Stabilization Unit (RCSU) Medicaid - Behavioral Health 34

    PDF, 316 KB Last Updated: 08/01/2025

    PDF, 316 KB Last Updated: 08/01/2025

  • Sensory - Weighted Vest Commercial - Behavioral Health 27

    PDF, 268 KB Last Updated: 08/01/2025

    PDF, 268 KB Last Updated: 08/01/2025

  • Sensory - Weighted Vest Medicaid - Behavioral Health 27

    PDF, 240 KB Last Updated: 10/21/2025

    PDF, 240 KB Last Updated: 10/21/2025

  • Sensory - Weighted Vest Medicare - Behavioral Health 27

    PDF, 297 KB Last Updated: 08/01/2025

    PDF, 297 KB Last Updated: 08/01/2025

  • Therapeutic Day Treatment (TDT) for Youth Medicaid - Behavioral Health 20

    PDF, 329 KB Last Updated: 05/13/2025

    PDF, 329 KB Last Updated: 05/13/2025

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© Sentara Health Plans 2026, PO Box 66189, Virginia Beach, Virginia 23466

Sentara Health Plans is the trade name for Sentara Health Plans, Sentara Health Insurance Company, Sentara Health Administration, Inc., and Sentara Behavioral Health Services, Inc. Vantage Health Maintenance Organization (HMO) and Point of Service (POS) plans are issued and underwritten by Sentara Health Plans. Medicare products are administered under an agreement with Sentara Health Plans and the Centers for Medicare and Medicaid Services (CMS). Medicaid and Family Access to Medical Insurance Security (FAMIS) products are administered under an agreement with Sentara Health Plans and the Virginia Department of Medical Assistance Services (DMAS). Plus Preferred Provider Organization (PPO) products are issued and underwritten by Sentara Health Insurance Company. The Sentara Employee Assistance Program (EAP) is administered by Sentara Behavioral Health Services, Inc. Large group self-funded health plans and BusinessEDGE® plans are administered but not underwritten by Sentara Health Administration, Inc. Wellness programs are administered by Sentara Health Administration, Inc. All plans have benefit exclusions and limitations, and terms under which the policy or plan may be continued in force or discontinued. For costs and complete details of coverage, please call your broker or review this website for more information. Sentara Health Plans complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.