Virginia CCC Plus | DBHDS | DMAS | MCO Credentialing | Recovery Residence

Coach Brown’s 6-Month Coaching & Mentorship Program

 

 

 

 

 

 

Virginia CCC Plus | DBHDS | DMAS | MCO Credentialing | Recovery Residence

 

 

Program Format

 

• Duration: 6 Months (24 Weeks)
• Delivery: Weekly Live Coaching + Office Hours
• Support: Templates, Policies, SOPs, Credentialing Walkthroughs
• Outcome-Driven: Operate, Bill, and Scale compliantly in Virginia

 

 

 

 

 

MONTH 1: FOUNDATION & BUSINESS STRUCTURING (Weeks 1–4)

 

 

Goal: Build a compliant foundation aligned with Virginia Medicaid & DBHDS requirements.

 

 

Core Focus

 

 

• Business entity structuring (LLC vs LLC + Nonprofit hybrid)
• NPI, EIN, SAM.gov readiness
• Choosing your primary service model:
  
• CCC Plus Waiver Add-On Services
• DBHDS Consumer-Directed Services
• Recovery Residence (SUD / Re-entry)

 

 

 

Training Includes

 

 

• Virginia Medicaid ecosystem explained (DMAS, MCOs, DBHDS)
• Provider risk areas & audit triggers
• Service stacking strategy (what can & cannot be billed together)

 

 

 

Deliverables

 

 

• Business compliance checklist (Virginia-specific)
• Service selection & revenue map
• Startup compliance binder framework

 

 

 

 

 

MONTH 2: CCC PLUS WAIVER ADD-ON SERVICES (Weeks 5–8)

 

 

Goal: Become ready to provide non-personal care revenue services under CCC Plus.

 

 

Core Focus

 

 

• CCC Plus Waiver overview
• Add-on services such as:
  
• Community Engagement
• Supportive Employment Assistance
• Respite coordination
• Care coordination add-ons
• Eligibility & documentation requirements

 

 

 

Training Includes

 

 

• How CCC Plus differs from traditional Medicaid
• Service authorizations & service limits
• Documentation that protects payment

 

 

 

Deliverables

 

 

• CCC Plus service descriptions
• Care plan & progress note templates
• Add-on service pricing structure

 

 

 

 

 

MONTH 3: DBHDS CONSUMER-DIRECTED SERVICES (Weeks 9–12)

 

 

Goal: Launch or add DBHDS Consumer-Directed (CD) services compliantly.

 

 

Core Focus

 

 

• Understanding Virginia Department of Behavioral Health and Developmental Services oversight
• Consumer-Directed vs Agency-Directed models
• Serving:
  
• Mental Health
• ID/DD
• Co-occurring populations

 

 

 

Training Includes

 

 

• CD employer-of-record rules
• Staff vs attendant compliance
• Risk mitigation & incident reporting

 

 

 

Deliverables

 

 

• DBHDS policies & procedures
• Consumer rights & responsibilities packet
• CD onboarding & training templates

 

 

 

 

 

MONTH 4: MCO CREDENTIALING & NETWORK ENTRY (Weeks 13–16)

 

 

Goal: Get credentialed and contracted with Managed Care Organizations.

 

 

Core Focus

 

 

• CCC Plus MCO landscape in Virginia
• Credentialing timelines & approval traps
• Single vs multi-service credentialing

 

 

 

Training Includes

 

 

• CAQH setup & optimization
• Contract negotiation strategies
• Fee schedule comprehension

 

 

 

Deliverables

 

 

• MCO credentialing tracker
• CAQH completion checklist
• Contract review & red-flag guide

 

 

 

 

 

MONTH 5: DMAS BILLING & REIMBURSEMENT SYSTEMS (Weeks 17–20)

 

 

Goal: Bill correctly, get paid faster, and survive audits.

 

 

Core Focus

 

 

• DMAS enrollment & revalidation
• Billing pathways for:
  
• CCC Plus
• DBHDS services
• Add-on supports
• EVV & documentation alignment

 

 

 

Training Includes

 

 

• Understanding Virginia Department of Medical Assistance Services
• Common billing denials & corrections
• Preparing for post-payment reviews

 

 

 

Deliverables

 

 

• Billing SOPs
• Claims submission checklist
• Audit-ready documentation system

 

 

 

 

 

MONTH 6: RECOVERY RESIDENCE LICENSURE & SCALE (Weeks 21–24)

 

 

Goal: Add Recovery Housing / Re-entry housing as a high-impact revenue layer.

 

 

Core Focus

 

 

• Recovery Residence levels (I–IV)
• Licensing vs certification in Virginia
• Housing + service compliance (what’s allowed)

 

 

 

Training Includes

 

 

• SUD housing compliance
• Fair Housing & ADA considerations
• Referral pipelines (courts, CSBs, re-entry programs)

 

 

 

Deliverables

 

 

• Recovery Residence licensure roadmap
• House rules & resident agreements
• Referral partnership scripts

 

 

 

 

 

PROGRAM BONUSES

 

 

• Weekly CEO Office Hours with Coach Brown
• Virginia-specific policy library
• Live credentialing walk-throughs
• Scaling roadmap (multi-location & multi-service)

 

 

 

 

 

END-OF-PROGRAM OUTCOMES

 

 

By the end of 6 months, participants will:

 

• Operate legally and compliantly in Virginia
• Be credentialed or credential-ready with MCOs
• Bill DMAS correctly with confidence
• Stack CCC Plus, DBHDS, and Recovery Housing services
• Build sustainable Medicaid-backed revenue

 

 

 

 

If you want, next I can:

 

• Turn this into a sales page for Shopify
• Create a VIP + Standard tier breakdown
• Build a DMAS + DBHDS compliance binder
• Or map expected monthly revenue per service