HIPAA compliant, BAA available

Measurement-Based Care for Virginia Mental Health Teams

For community services boards, Cardinal Care network providers, group practices and solo clinicians from Arlington to Abingdon. Send the C-SSRS Screener, the PHQ-9 and other validated scales by email or QR code, have them scored on submission, and follow each client's progress on a single chart. US customer data is hosted in Google Cloud US regions.

Schedule a WalkthroughBrowse assessments
HIPAA compliant, BAA available
Data hosted in the US
SOC 2 Type II
Scored on submission
100+
validated assessments
BAA
signed with HIPAA covered entities
US
cloud regions for US data
$25
per month

Virginia's Public System Has Picked Its Outcome Measures

  • Virginia's 40 community services boards (CSBs) deliver a common set of core services under STEP-VA, the System Transformation Excellence and Performance initiative written into the Code of Virginia in 2018 and modelled on certified community behavioral health clinics. Its Scope of Services Manual (revised August 2026) names two measures used across the program. Everyone aged six or older who opens a new mental health or substance use case at a CSB is screened for suicide risk with the Columbia Suicide Severity Rating Scale (C-SSRS) during Same Day Access.

    The second measure is changing. The Department of Behavioral Health and Developmental Services (DBHDS) piloted the WHO Disability Assessment Schedule (WHODAS 2.0) from January to June 2025 with 5,302 people screened and 1,149 followed up, and it replaces the Daily Living Activities-20 (DLA-20) from fiscal year 2027, with 1 July 2026 as the implementation date. DBHDS asks CSBs to give it every six months, encourages the 12-item version for adults, and collects summed domain scores to see how many people improve in outpatient services, peer and family support, psychiatric rehabilitation, case management and care coordination.

    Repeating the same measure at set intervals and keeping the dated results is the core of measurement-based care. HiBoop sends the C-SSRS Screener, the PHQ-9, the GAD-7 and other scales by email or QR code, scores each on submission and charts every client's results, with CSV and PDF exports. Our library describes the WHODAS 2.0, but it is not yet a scale you can send from the app, and HiBoop does not submit data to DBHDS.

  • C-SSRS at Same Day Access

    Suicide risk screening for every new mental health or substance use case, ages six and older

  • WHODAS 2.0 Every Six Months

    Replacing the DLA-20 as the STEP-VA functioning measure from fiscal year 2027

  • CANS for Children's Services Act Cases

    The uniform assessment for children and families whose services are funded through the CSA

All regions

What HiBoop Does for Virginia Care Teams

  • Virginia funds public behavioural health through its CSBs and pays for Medicaid care through Cardinal Care. HiBoop collects and scores the measures; your clinicians decide what the scores mean for each client.

  • Suicide Risk Screening at First Contact

    Send the C-SSRS Screener with the intake link so a scored result is waiting when the client arrives. It sits in the same library as the PHQ-9, so depression and suicide risk can be screened in one visit.

  • Scores on a Fixed Schedule

    In a program, add a session for each check-in with its due date in days from the start, and each result is dated on the client's chart. A six-month rhythm like the one DBHDS uses becomes routine, and the trend line helps inform your clinical judgement.

  • Exports for Your Own Reports

    Download a client's score history as CSV or PDF for a treatment plan review, a records request or an internal quality report. Your whole account can be exported at any time.

  • Mental Health and Substance Use in One Place

    STEP-VA covers both mental health and substance use, and so does the library: the ASSIST, TAPS and CRAFFT-2.1 sit next to the depression, anxiety and trauma scales.

  • Built for Agencies With Many Programs

    Team and Network plans give a CSB, agency or group practice one account across clinicians and sites, with role-based access so staff see only the clients their role permits.

  • Scales for Children and Teens

    Virginia treats a minor as an adult when consenting to outpatient mental health care. For young clients, HiBoop includes the PHQ-A, the SCARED and the CRAFFT-2.1.

Mental health in Virginia

Research data

  • Each figure below links to the source it comes from.

  • 23.1%

    of Virginia adults had any mental illness in the past year (model-based annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 17.5%

    of Virginians aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 23.0%

    of Virginia adults received mental health treatment in the past year (2024)

    SAMHSA NSDUH, 2024

  • 15.6%

    of Virginians aged 12 or older had a substance use disorder in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

Research from Virginia

  • Alcohol screening in primary care

    In electronic health records from 67 Virginia primary care practices (2020 to 2023), 69% of 11,789 patients were screened for unhealthy alcohol use, but only 16% with a tool the US Preventive Services Task Force recommends, and 7% screened positive.

    Rockwell et al., AJPM Focus, 2024 PMID 38947491

  • Crisis evaluations and commitment

    Emergency services clinicians across Virginia evaluated 2,624 adults in crisis over one month in 2007; the factors studied, including the unavailability of alternatives to hospitalization, predicted 84% of actions to initiate involuntary commitment.

    McGarvey et al., Psychiatric Services, 2013 PMID 23475404

  • Evidence-based programs in the public system

    Virginia Commonwealth University's Center for Evidence-based Partnerships describes its work with the state, including statewide fidelity monitoring of evidence-based programs such as multisystemic therapy, functional family therapy and high fidelity wraparound.

    Southam-Gerow et al., Frontiers in Public Health, 2024 PMID 38544730

  • Youth mental health surveillance

    In 2023 Youth Risk Behavior Survey data from 1,866 Virginia high school students, each one-point rise on a food insecurity index was associated with higher odds of persistent sadness or hopelessness (adjusted odds ratio 1.066).

    James et al., Journal of School Health, 2026 PMID 42253011

Where Measurement Fits in Virginia's System

  • HiBoop is independent of these programs and does not connect to state systems. This is the landscape your CSB, health plan and licensing board work within.

  • STEP-VA Core Performance Measures

    40 CSBs

    STEP-VA's nine services reached full implementation in July 2024, from Same Day Access (2020) and primary care screening (2021) to care coordination. Its core measures are the C-SSRS for suicide risk at Same Day Access and, from fiscal year 2027, the WHODAS 2.0 for functioning, given by the primary service program every six months. DBHDS uses WHODAS scores for program evaluation, not clinical decisions.

    C-SSRSWHODAS 2.0Same Day Access

  • Children's Services Act

    CANS

    The laws and policies behind the Children's Services Act require one uniform assessment for every child and family receiving CSA-funded services, and in 2008 the State Executive Council chose the Virginia version of the CANS. The Department of Social Services also requires it for all children in foster care. Certified users record it in the Office of Children's Services' CANVaS 2.0 platform, which can track progress over time.

    Uniform assessmentFoster careCANVaS 2.0

  • Medicaid Behavioral Health

    Cardinal Care

    Virginia Medicaid provides behavioural health and addiction treatment through contracted managed care organizations and a Behavioral Health Services Administrator. Its behavioural health code list, effective 1 January 2024, includes the psychiatric collaborative care management codes 99492, 99493 and 99494. Since 1 November 2023, service authorizations for fee-for-service members go to Acentra Health.

    Collaborative care codesManaged careAcentra Health

  • 988 and the Crisis Call Center Fund

    Code of Virginia

    Virginia funds its crisis call centre partly through a 988 charge: $0.12 a month on postpaid wireless lines and $0.08 on each prepaid wireless retail transaction. The money goes to the Crisis Call Center Fund, a nonreverting fund used only to establish and run the call centre under the Commonwealth's comprehensive crisis system.

    988Crisis systemMarcus alert

Care Teams Across Virginia

  • HiBoop works in a web browser, so the same check-ins suit a CSB clinic in Hampton Roads and a telehealth caseload in the southwest. Each line names a DBHDS state facility serving the area or research done there.

  • Northern Virginia

    DBHDS runs the Northern Virginia Mental Health Institute, one of its state psychiatric hospitals.

  • Richmond and Central Virginia

    DBHDS has its central office on Bank Street in Richmond and operates Central State Hospital.

  • Hampton Roads

    Eastern State Hospital is another of the psychiatric hospitals DBHDS operates for the Commonwealth.

  • Shenandoah Valley

    Western State Hospital and the Commonwealth Center for Children and Adolescents are both DBHDS facilities.

  • Roanoke and the New River Valley

    Piedmont Community Services Board runs an assertive community treatment program with Virginia Tech Carilion School of Medicine that uses telepsychiatry.

  • Southside

    The Southern Virginia Mental Health Institute is another psychiatric facility in the DBHDS state system.

  • Southwest Virginia

    The Southwestern Virginia Mental Health Institute is the DBHDS hospital in the far southwest, where check-ins by email or QR code save clients long drives.

Data sovereignty

Why Virginia clinics choose HiBoop

  • Outcome Tracking for Virginia Programs

    • Google Cloud US regions host US customer data, encrypted in transit and at rest
    • A HIPAA compliant service with a BAA for covered entities, and SOC 2 Type II certified
    • Every view and export of client data is logged, and access follows each person's role
    • The Care plan is $25/month, month to month, with no credit card needed to begin
    • Clients answer on their own phone, through an emailed link or a QR code in the lobby

  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    One clinician, month to month
    $25
    USD/month
    Team
    Starting price, unlimited clinicians
    $200
    USD/month
    Network
    Multi-site organizations
    Custom
    Enterprise pricing

100+ validated scales for Virginia clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Suicide Risk and Depression

    • C-SSRS Screener (Suicide Risk)
    • PHQ-9 (Depression)
    • PHQ-A (Adolescent Depression)

  • Anxiety and Trauma

    • GAD-7 (Anxiety)
    • PCL-5 (PTSD)
    • SCARED (Child Anxiety)

  • Substance Use

    • ASSIST (Substance Involvement)
    • TAPS (Tobacco, Alcohol and Other Substances)
    • CRAFFT-2.1 (Youth Substance Use)
Browse all assessments

Virginia Health Records and Minors' Consent

  • HIPAA sets the federal baseline. Virginia adds its own health records privacy statute and gives minors the authority to consent to outpatient mental health care. These laws do not certify software; the duties fall on your organization, and HiBoop's part is to give you safeguards that support them.

  • What Virginia law asks

    • Treat health records as private: a health care entity may not disclose them except as the Health Records Privacy Act or other state law permits, and must give individuals their records, including an audit trail of changes if specifically requested (Va. Code s.32.1-127.1:03)
    • Accept a minor's own consent to outpatient care, treatment or rehabilitation for mental illness, emotional disturbance or substance abuse; the minor is also deemed an adult for accessing or authorizing disclosure of those records (Va. Code s.54.1-2969(E))
    • Give either parent access to a minor's other health records unless the treating physician, clinical psychologist, clinical social worker or licensed professional counsellor has documented that it would be reasonably likely to cause substantial harm (Va. Code s.20-124.6)
    • Keep HIPAA's safeguards and breach notification duties, with a business associate agreement for each vendor handling protected health information

  • What HiBoop provides

    • A business associate agreement for HIPAA covered entities
    • US customer data in Google Cloud US regions, encrypted in transit and at rest
    • A logged record of each view and export, which helps when a client asks who has seen their information
    • SOC 2 Type II certification, with the underlying controls on our trust page

  • Taking HiBoop to your CSB or practice?

    Our trust page explains hosting, encryption, access controls and our SOC 2 Type II certification. Get in touch for a BAA or for help with your security questionnaire.

    See the trust centre

Grants & funding for Virginia mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more

  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more

  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more

  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more

  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more

  • CMS Innovation Center (CMMI)

    ACCESS Model — Behavioral Health Track

    Tech eligible

    The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model includes a Behavioral Health Track for practices treating depression and anxiety. It shifts from fee-for-service to monthly payments tied to outcomes — explicitly requiring technology-enabled care and outcome measurement.

    Enhanced per-patient paymentsLearn more
View all grants & funding

Resources for Virginia practitioners

Virginia Policy, Privacy and Licensing Resources

Latest in mental health in California

Crisis and urgent help lines

More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does Virginia require measurement-based care?

    Not for every provider. We found no Virginia statute that requires outpatient clinicians in general to use standardized symptom scales. The public system does use set measures: CSBs screen new cases with the C-SSRS at Same Day Access and, from fiscal year 2027, give the WHODAS 2.0 every six months under STEP-VA, and the Children's Services Act uses the CANS. Your health plan contracts may add their own expectations.

  • Can HiBoop send the WHODAS 2.0?

    Not yet. Our library has a reference page on the WHODAS 2.0, but it is not one of the scales the app can send today. HiBoop does send the C-SSRS Screener, the PHQ-9, the GAD-7 and others, scores them on submission and exports results as CSV or PDF. It does not connect to DBHDS or CSB systems.

  • Can a minor consent to counselling without a parent in Virginia?

    For outpatient care, yes. Under Va. Code s.54.1-2969(E), a minor is deemed an adult to consent to outpatient care, treatment or rehabilitation for mental illness, emotional disturbance or substance abuse, and to access or authorize disclosure of those records. The statute sets no minimum age for this. Parents keep access to a minor's other health records in most cases, so confirm the details with your counsel. HiBoop's role-based access lets you control who sees a young client's scores.

  • Is HiBoop HIPAA compliant for Virginia practices?

    Yes. HiBoop is HIPAA compliant and signs a business associate agreement with covered entities. Virginia's Health Records Privacy Act adds its own rules on disclosure and on giving people their records, so check particular disclosures with your counsel.

Official sources for Virginia

  • Billing and payment routes

    1. 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    2. 2.CMS Physician Fee Schedule look-up · fee schedule
    3. 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.ASPPB: psychology licensing boards · psychologists
    2. 2.ASWB: social work regulatory boards · social workers
    3. 3.Counseling Compact · counsellors
    4. 4.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.