Chapter 105. Rules and Regulations for Licensing Providers by the Department of Behavioral Health and Developmental Services

A medically managed intensive inpatient program shall meet the following staff requirements: 1. Have a team of appropriately trained and credentialed professionals who provide medical management by physicians 24 hours a day, primary nursing care and observation 24 hours a day, an…

A medically managed intensive inpatient program shall meet the following programmatic requirements. The program shall: 1. Deliver services in a 24-hour medically managed, acute care setting and shall be available to all individuals within that setting; 2. Provide cognitive, behav…

Before a medically managed intensive inpatient program may admit an individual, the individual shall meet the criteria for admission as defined by the provider's policies. The provider's policy regarding admission shall at a minimum require the individual to: 1. Meet diagnostic c…

Before a medically managed intensive inpatient program may discharge or transfer an individual, the individual shall meet the criteria for discharge or transfer as defined by the provider's policies, which shall include provisions for the discharge or transfer of individuals who …

A. Medically managed intensive inpatient co-occurring enhanced programs shall be staffed by appropriately credentialed mental health professionals who assess and treat the individual's co-occurring mental disorders. All clinical staff shall be qualified by training and experience…

A medically monitored intensive inpatient treatment program shall meet the following staff requirements. The program shall: 1. Have a licensed physician to oversee the treatment process and ensure quality of care. A physician, a licensed nurse practitioner, or a licensed physicia…

A medically monitored intensive inpatient treatment program shall meet the following programmatic requirements. The program shall: 1. Be made available to all individuals within the inpatient setting; 2. Provide a combination of individual and group therapy as deemed appropriate …

The provider including its employees, contractors, students, and volunteers shall comply with: 1. This chapter; 2. The terms and stipulations of the license; 3. All applicable federal, state, or local laws and regulations including: a. Laws regarding employment practices includin…

Before a medically monitored intensive inpatient program may admit an individual, the individual shall meet the criteria for admission as defined by the provider's policies. The provider's policy regarding admission shall at a minimum require the individual to: 1. Meet diagnostic…

A. Before a medically monitored intensive inpatient program may discharge or transfer an individual, the individual shall meet the criteria for discharge or transfer as defined by the provider's policies, which shall include provisions for the discharge or transfer of individuals…

A. Medically monitored intensive inpatient co-occurring enhanced programs shall offer psychiatric services, medication evaluation, and laboratory services as indicated by the needs of individuals admitted to the service. A psychiatrist shall assess the individual by telephone wit…

A clinically managed high-intensity residential care program shall meet the following staff requirements. The program shall: 1. Offer telephone or in-person consultation with a physician, a licensed nurse practitioner, or a licensed physician assistant in case of emergency relate…

A clinically managed high-intensity residential care program shall meet the following programmatic requirements. The program shall: 1. Provide daily clinical services, including a range of cognitive, behavioral, and other therapies in individual or group therapy; programming; and…

A. Providers responsible for complying with §§ 37.2-505 and 37.2-606 of the Code of Virginia regarding community services board and behavioral health authority preadmission screening and discharge planning shall implement policies and procedures that include: 1. Identification, q…

A. The individuals served by a clinically managed high-intensity residential care program are individuals who are not sufficiently stable to benefit from outpatient treatment regardless of intensity of service. B. Before a clinically managed high-intensity residential service pro…

Before a clinically managed high-intensity residential service program may discharge or transfer an individual, the individual shall meet the criteria for discharge or transfer as defined by the provider's policies, which shall include provisions for the discharge or transfer of …

A. Clinically managed high-intensity residential services co-occurring enhanced programs shall offer psychiatric services, medication evaluation, and laboratory services. Such services shall be available by telephone within eight hours and onsite or closely coordinated offsite wi…

A clinically managed, population-specific, high-intensity residential services program shall meet the following staff requirements. The program shall: 1. Offer telephone or in-person consultation with a physician, a licensed nurse practitioner, or a physician assistant in case of…

A clinically managed, population-specific, high-intensity residential services program shall meet the following programmatic requirements. The program shall: 1. Provide daily clinical services that shall include a range of cognitive, behavioral, and other therapies administered o…

A. The provider shall permit representatives from the department to conduct reviews to: 1. Verify application information; 2. Assure compliance with this chapter; and 3. Investigate complaints. B. The provider shall cooperate fully with inspections and investigations and shall pr…

Before a clinically managed, population-specific, high-intensity residential service program may admit an individual, the individual shall meet the criteria for admission as defined by the provider's policies. The provider's policy regarding admission shall at a minimum require t…

A. Before a clinically managed, population-specific, high-intensity residential service program may discharge or transfer an individual, the individual shall meet the criteria for discharge or transfer as defined by the provider's policies, which shall include provisions for the …

A. Clinically managed population-specific high-intensity residential services co-occurring enhanced programs shall offer psychiatric services, medication evaluation, and laboratory services. Such services shall be available by telephone within eight hours and onsite or closely co…

A clinically managed low-intensity residential services program shall meet the following staff requirements. The program shall: 1. Offer telephone or in-person consultation with a physician in case of emergency related to an individual's substance use disorder, available 24 hours…

A clinically managed low-intensity residential services program shall meet the following programmatic requirements. The program shall: 1. Offer a minimum of five hours a week of professionally directed treatment in addition to other treatment services offered to individuals, such…

Before a clinically managed low-intensity residential service program may admit an individual, the individual shall meet the criteria for admission as defined by the provider's policies. The provider's policy regarding admission shall at a minimum require the individual to: 1. Me…

Before a clinically managed low-intensity residential services program may discharge or transfer an individual, the individual shall meet the criteria for discharge or transfer as defined by the provider's policies, which shall include provisions for the discharge or transfer of …

A. Clinically managed low-intensity residential services co-occurring enhanced programs shall offer psychiatric services, including medication evaluation and laboratory services. Such services shall be provided onsite or closely coordinated offsite, as appropriate to the severity…

A substance abuse partial hospitalization program shall meet the following staff requirements. The program shall: 1. Have an interdisciplinary team of addiction treatment professionals, which may include counselors, psychologists, social workers, and addiction-credentialed physic…

A substance abuse partial hospitalization program shall meet the following programmatic requirements. The program shall: 1. Offer no fewer than 20 hours of skilled treatment services per week in a structured program. Services may include individual and group counseling, medicatio…

A. If there is noncompliance with any applicable regulation during an initial or ongoing review, inspection, or investigation, the department shall issue a licensing report describing the noncompliance and requesting the provider to submit a corrective action plan for each violat…

Before a substance abuse partial hospitalization program may admit an individual, the individual shall meet the criteria for admission as defined by the provider's policies. The provider's policy regarding admission shall at a minimum require the individual to: 1. Meet diagnostic…

Before a substance abuse partial hospitalization program may discharge or transfer an individual, the individual shall meet the criteria for discharge or transfer as defined by the provider's policies, which shall include provisions for the discharge or transfer of individuals wh…

A. Substance abuse partial hospitalization co-occurring enhanced programs shall offer psychiatric services appropriate to the individual's mental health condition. Such services shall be available by telephone and onsite or closely coordinated offsite, within a shorter time than …

A substance abuse intensive outpatient services program shall meet the following staff requirements. The program shall: 1. Be staffed by interdisciplinary team of appropriately credentialed addiction treatment professionals, which may include counselors, psychologists, social wor…

A substance abuse intensive outpatient services program shall meet the following programmatic requirements. The program shall: 1. Offer a minimum of three service hours per service day to achieve no fewer than nine hours and no more than 19 hours of programming per week in a stru…

Before a substance abuse intensive outpatient services program may admit an individual, the individual shall meet the criteria for admission as defined by the provider's policies. The provider's policy regarding admission shall at a minimum require the individual to: 1. Meet diag…

Before a substance abuse intensive outpatient services program may discharge or transfer an individual, the individual shall meet the criteria for discharge or transfer as defined by the provider's policies, which shall include provisions for the discharge or transfer of individu…

A. Substance abuse intensive outpatient services co-occurring enhanced programs shall offer psychiatric services appropriate to the individual's mental health condition. Such services shall be available by telephone and onsite or closely coordinated offsite, within a shorter time…

Substance abuse outpatient services programs shall meet the following staff requirements. The program shall: 1. Have appropriately credentialed or licensed treatment professionals who assess and treat substance-related mental and addictive disorders; 2. Have program staff who are…

Substance abuse outpatient services programs shall meet the following programmatic requirements. The program shall: 1. Offer no more than nine hours of programming a week; 2. Ensure emergency services shall be available by telephone 24 hours a day, seven days a week; 3. Provide i…

A. The provider shall notify the department in writing prior to implementing changes that affect significant changes to the staffing plan, position descriptions, or employee or contractor qualifications. B. A provider shall notify the department in writing of its intent to discon…

Before a substance abuse outpatient services program may admit an individual, the individual shall meet the criteria for admission as defined by the provider's policies. The provider's policy regarding admission shall at a minimum require the individual to: 1. Meet diagnostic cri…

Before a substance abuse outpatient services program may discharge or transfer an individual, the individual shall meet the criteria for discharge or transfer as defined by the provider's policies, which shall include provisions for the discharge or transfer of individuals who ha…

A. Substance abuse outpatient services co-occurring enhanced programs shall offer ongoing intensive case management for highly crisis-prone individuals with co-occurring disorders. B. Substance abuse outpatient services co-occurring enhanced programs shall include credentialed me…

Each mobile medication-assisted treatment program shall operate as a component of a licensed MAT location and shall be listed on the provider's license addendum.Statutory Authority§§ 37.2-302 and 37.2-400 of the Code of Virginia.