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Virginia’s Community Services Boards/
Behavioral Healthcare Authorities (CSB/BHAs) |
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Each day CSB/BHAs in Virginia provide programs and services that:
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Virginia’s Community Services Boards (CSB/BHAs) are local government agencies created by the Code of Virginia in 1968 and amended through the years.
- The Virginia Code requires that every local government jurisdiction form or, with other local governments, form a CSB/BHA. CSB/BHAs' responsibility is assuring, with allocated resources, the delivery of community-based mental health, mental retardation, and substance use disorder services to citizens with those disabilities;
- Emergency services and case management are Code-mandated services;
- All other services are promoted state regulations of the Department of Mental Health, Mental Retardation, and Substance Abuse Services (DMHMRSAS), the Department of Medical Assistance Services (DMAS), and other human services agencies.
- CSB/BHA services are licensed by DMHMRSAS, subject to the DMHMRSAS Human Rights Regulations and to state and local Human Rights Committees. DMHMRSAS, under the oversight of DMAS, has specific roles in the operation of the Medicaid MR Waiver. All CSB/BHAs have provider agreements with DMAS for Clinical, Rehabilitation, and MR Waiver services.
- Services are delivered through a network of CSB/BHAs, private providers, and other public providers, licensed by DMHMRSAS. Many of these providers also have agreements with DMAS.
- CSB/BHAs have agreements with local human services agencies, public safety and courts.
In 2007, CSB/BHAs served individuals (children and adults)
with severe mental disabilities: |
| Mental Retardation: ______ |
Mental Illness: _____ |
Substance Use Disorder:
______ |
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| CSB/BHA Boards are Administrative and Policy Boards |
- Approximately 600 citizens board members in Virginia are appointed by local governing bodies to serve on CSB/BHAs. They are local officials, responsible for the services in their localities and directly represent the community.
- The duties and accountabilities of Board members are prescribed in the Code of Virginia as well as the responsibilities and accountability requirements for CSB/BHAs. The Code requires that one-third of the Board members of each CSB/BHA are family members and/or consumers of services.
- One single locality in Virginia has chosen an option that empowers the local governing body itself to act on behalf of its citizens with mental disabilities, so the members of that Board are more advisory in nature.
- CSB/BHAs employ over 12,000 staff statewide. Each individual is a public employee, many are on call 24/7, and accountable to their Boards and localities for their actions and decisions.
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| CSB/BHAs have Performance Contracts with DMHMRSAS |
- Specifies services and populations to be served with state and federal block grant funding.
- Annually, each local government approves the Performance Contract for its CSB/BHA.
- As part of the Code requirement for comprehensive planning, DMHMRSAS, CSB/BHAs and state facilities engage in planning and data activities which produce the DMHMRSAS Comprehensive Plan.
- Such planning translates to provisions in the Performance Contract for services for children and adults, many of whom are eligible, under Virginia’s eligibility criteria, for Medicaid and Medicaid Mental Retardation Waiver services.
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| CSB/BHAs – Single Point of Entry |
- Virginia’s public policy decision-makers, both elected and appointed, have affirmed and, through the years, strengthened the role of CSB/BHAs as the single point of entry for services for individuals with mental illness, mental retardation and substance use disorders.
- CSB/BHA oversight and accountability at the local and state levels put in place by the Virginia General Assembly and implemented by DMHMRSAS, DMAS, and local governing bodies, provide the confidence in CSB/BHAs to be the single points of entry and case management entities.
- As state leaders have determined criteria for individuals being placed on the Urgent Care Wait list for the MR Waiver by CSB/BHAs, DMHMRSAS and DMAS have approved individuals placed on the list based on the criteria.
- When funding allows for additional MR Waiver slots, local CSB/BHAs have an objective process in place, to determine who on the Urgent Care Wait list has the most critical need for a slot. In place also are procedures that support consumer choice and transfer options should a consumer choose to move to a different locality.
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