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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 21 of 51

develop and/or utilize current patient index capability that supports the programmatic objectives of the demonstration. ii. The Health IT Plan will describe the state’s current and future capabilities to support providers implementing or expanding Health IT functionality in the following areas: (1) Referrals, (2) Electronic care plans and medical records, (3) Consent, (4) Interoperability, (5) Telehealth, (6) Alerting/analytics, and (7) Identity management. iii. In developing the Health IT Plan, states should use the following resources: 1. States may use federal resources available on Health IT.gov including behavioral health IT (https://www.healthit.gov/topic/behavioral-health), “Section 34: Opioid Epidemic and Health IT” (https://www.healthit.gov/playbook/opioid-epidemic-and-health-it), and the HHS Health IT Alignment Program (https://www.healthit.gov/topic/hhs-health-it-alignment-program). 2. States may request from CMS technical assistance to conduct an assessment and develop plans to ensure they have the specific health IT infrastructure with regards to electronic care plan sharing, care coordination, and behavioral health-physical health integration, to meet the goals of the demonstration. 3. States should review the ASTP/ONC’s Interoperability Standards Advisory (https://www.healthit.gov/isa/) for information on additional non-proprietary standards and implementation specifications developed by consensus-based standards development organizations not included in 45 CFR part 170, Subpart B that can support health IT investments. 25. SMI/SED Financing Plan. As part of the SMI/SED implementation plan referred to in STC 23(d), the state must submit, within 90 calendar days after approval of the demonstration, a financing plan for approval by CMS. Once approved, the Financing Plan will be incorporated into the STCs as part of the implementation plan in Attachment C and, once incorporated, may only be altered with CMS approval. Failure to submit an SMI/SED Financing Plan within 90 days of approval of the demonstration will be considered a material failure to comply with the terms of the demonstration project as described in 42 CFR 431.420(d) and, as such, would be grounds for termination or suspension of the SMI/SED program under this demonstration. Components of the financing plan must include: a. A plan to increase the availability of non-hospital, non-residential crisis stabilization services, including but not limited to the following: services made available through crisis call centers, mobile crisis units, coordinated community response services that includes law enforcement and other first responders, and observation/assessment centers; and