Admissions
Admissions Paperwork
Please feel free to complete the admission application below or forward the child’s information to us and we will complete it for you.
- Facility License [PDF]
- Facility Accreditation [PDF]
- Rate Sheet [PDF]
- Full Admissions Application [PDF]
Daily Residential Rates
Effective November 1, 2009 through June 30, 2010
| Room and Board | $210.00 |
| Combined Residential | $199.90 |
| Education | $143.00 |
| Per Diem Rate with Education | $552.90 |
| Additional Services (provided as needed) | |
| One-to-One Supervision | $25.00/hour |
| Transportation** | $25.00/hour |
*If requested more than the allowable 1 transport per quarter outside a 10-mile radius.
These rates are subject to change and will be adjusted to Virginia Medicaid’s Rate setting as per the contract once the rates are assigned by them.
Please note: reimbursement for treatment services will be utilized first by Medicaid. If and when Medicaid funding is not available, the CSA/CPMT will be responsible. Medicaid cannot regulate a Provider’s negotiated rate with the CSA/CPMT that the Provider makes public. Medicaid can mandate that, if the recipient is eligible, the CSA/CPMT cannot be billed more than what Medicaid would pay the Provider. This excludes educational fees and combined residential services.