The purpose of this survey is to gather input from VACBP members on your priorities as we develop the association's advocacy plan for 2026. Thanks for sharing your thoughts on the most important issues facing your agency so we can ensure that the VACBP's advocacy efforts are focused on those critical issues.

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* 1. I would characterize my position regarding the current Medicaid service redesign process as:

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* 2. Please indicate the likelihood your agency will deliver one or more of the redesigned services in the future.

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* 3. What are the issues related to Medicaid service redesign that are most important to you?

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* 4. Please rank by order of importance the following issues related to Medicaid service redesign.

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* 5. It is important to my agency that reimbursement rates for Virginia’s community-based behavioral health services more appropriately reflect the true costs associated with delivering them.

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* 6. Please describe the most important factors that either are not currently included in reimbursement rates or are not sufficiently included. Please be specific in your response.

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* 7. The regulatory environment around ABA services is important to my agency.

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* 8. Please describe the most important issues and challenges related to ABA services for your agency.

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* 9. The regulatory environment around crisis services is important to my agency.

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* 10. Please describe the most important issues and challenges related to crisis services for your agency.

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* 11. The regulatory environment around SUD services is important to my agency.

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* 12. Please describe the most important issues and challenges related to SUD services for your agency.

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* 13. The regulatory environment around foster care services is important to my agency.

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* 14. Please describe the most important issues and challenges related to foster care services for your agency.

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* 15. Business and/or operational issues are a concern for my agency.

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* 16. Please describe the most important challenges related to business/operational issues for your agency.

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* 17. It is important to my agency that strategies be implemented to better develop, support, retain and grow the workforce needed to meet the mental health needs of Virginia residents, including ensuring the workforce better reflects the populations served.

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* 18. Please describe what you believe is most needed to address the workforce challenges facing behavioral health providers.

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* 19. It is important to my agency that barriers that keep those with lived experience from participating in the delivery of mental health services be reduced.

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* 20. Please describe what you believe the most significant barriers are for those with lived experience who want to be a part of the system and how those barriers may be reduced.

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* 21. It is important to my agency that unnecessary and/or duplicative administrative and regulatory requirements on providers be reduced.

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* 22. Please describe specific areas where there are duplicative and/or unnecessary administrative requirements today that could be changed without threatening the health or safety of those being served or negatively impacting the delivery of quality services.

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* 23. My agency is experiencing challenges working with the Medicaid MCOs.

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* 24. Please describe your challenges working with the MCOs and what would help address those challenges.

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* 25. It is important to my agency that solutions to address challenges related to Social Determinants of Health be advanced.

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* 26. Please share your thoughts on potential solutions to address the negative impacts of Social Determinants of Health.

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* 27. It is important to my agency that a comprehensive approach to protecting the integrity in Virginia’s publicly funded behavioral health system be developed that includes a greater role for providers in exposing and eliminating fraudulent and inappropriate delivery of services.

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* 28. Please describe where you believe there is vulnerability to fraud and abuse in the system today and how you would suggest that be addressed. Please also share your ideas on how providers can play a greater role to help protect the integrity of the system.

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* 29. Please rank the following policy priorities in order of importance for your agency for 2025.

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* 30. Please provide any other feedback you'd like to share regarding the VACBP's 2026 advocacy priorities.

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* 31. Contact information:

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