| Sentara Health Plans | ASAM Level 3.7 Medically Monitored High Intensity - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 3.7 Medically Monitored Intensive - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 4.0 Medically Managed Intensive - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 4.0 Medically Managed Intensive - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 4.0 Medically Managed Intensive - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 4.0 Medically Managed Intensive - Medicaid | 2025-07-01 |
| Sentara Health Plans | Assertive Community Treatment (ACT), BH 28 - Medicaid | 2025-07-01 |
| Sentara Health Plans | Intensive in-Home Service for Youth - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 3.7 Medically Monitored - Medicaid | 2025-07-01 |
| Sentara Health Plans | Mental Health Case Management BH 22 - Medicaid | 2025-07-01 |