23-Hour Crisis Stabilization Services - Regulatory Update
Update #: OPS23HRCR101724
Effective Date: 12/2/2024 (Extended from 10/17/2024 by DMAS on 10/24/2024)
Applicable Plan(s): Medicaid
Applicable Policy: N/A
Business Owner: Network Management – Contracting
Current State: N/A
Future State: Department of Behavioral Health and Developmental Services (DBHDS) is requiring that providers of 23-Hour Crisis Stabilization services obtain one of the following licenses: (i) MH Center-Based Crisis Receiving Center for Adults (02-040) and/or MH Center-Based Crisis Receiving Center Children and Adolescents (02-041). Providers of 23-Hour Crisis Stabilization are required to do all the following actions by December 2, 2024.
If you are a Sentara Health Plans participating provider providing 23-Hour Crisis Services and do not meet the December 2, 2024 deadline of enrolling as a 23-Hour Crisis Stabilization provider with the new DBHDS license and applicable provider type(s) and specialty, you will not be eligible to provide these services for Sentara Health Plans or be reimbursed by DMAS or its contractors until enrollment is complete and approved. Please be advised that any requests for retroactive claims reimbursements for 23-Hour Crisis Stabilization services for any provider not in possession of the updated licensure(s) by December 2, 2024, will be denied by Sentara Health Plans and will not be paid under any circumstances–no exceptions.
Participating providers will also receive a detailed communication pertaining to this regulatory change via USPS mail.
Please send a copy of your new license to our credentialing department via email at: Cred_Org_Apps@sentara.com and in the subject line please note: New 23-Hour Crisis Stabilization License.
Download and Print:
23-Hour Crisis Stabilization Services - Regulatory Update
View Related DMAS Medicaid Bulletin - 8/13/24:
DMAS Memo 23-Hour Crisis Stabilization
View Deadline Extension Medicaid Bulletin - 10/24/24:
Extended Deadlines for 23-Hour Crises Stabilization - Providers