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Building and Transforming Coverage, Services and Supports for a Healthier Virginia Approval Period: August 1, 2026 through December 31, 2031 Page 4 of 51

an IMD. It will also support state efforts to enhance provider capacity, improve the availability of Medication Assisted Treatment (MAT), and improve access to a continuum of SUD, SMI, or SED evidence-based services at varied levels of intensity, including withdrawal management services.

During the demonstration period, the state seeks to achieve the following goals:

FFCY Goals: The objectives of the FFCY demonstration component are to increase and strengthen overall coverage of former foster care youth and improve health outcomes for this population.

SUD Goals:

SMI/SED Goals:

1 Reduce utilization and lengths of stay in EDs among beneficiaries with SMI or SED while awaiting mental health treatment in specialized settings 2 Reduce preventable readmissions to acute care hospitals and residential settings 3 Improve availability of crisis stabilization services including services made available through call centers and mobile crisis units, intensive outpatient services, as well as services provided during acute short-term stays in residential crisis stabilization programs, psychiatric hospitals, and residential treatment settings throughout the state 4 Improve access to community-based services to address the chronic mental health care needs of beneficiaries with SMI or SED including through increased integration of primary and behavioral health care 5 Improve care coordination, especially continuity of care in the community following episodes of acute care in hospitals and residential treatment facilities

III. GENERAL PROGRAM REQUIREMENTS

1. Compliance with Federal Non-Discrimination Statutes. The state must comply with all applicable federal statutes relating to non-discrimination. These include, but are not limited to, the Americans with Disabilities Act of 1990 (ADA), Title VI of the Civil Rights Act of 1964, section 504 of the Rehabilitation Act of 1973 (Section 504), the Age 1 Increase rates of identification, initiation, and engagement in treatment for SUD 2 Increase adherence to and retention in treatment 3 Reduce overdose deaths, particularly those due to opioids 4 Reduce utilization of emergency departments and inpatient hospital settings for treatment where the utilization is preventable or medically inappropriate through improved access to other continuum of care services 5 Fewer readmissions to the same or higher level of care where the readmission is preventable or medically inappropriate 6 Improve access to care for physical health conditions among beneficiaries with SUD