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GAP Information

GAP Information

Here you will find information regarding Virginia's Governor's Access Plan (GAP).


GAP Information for GAP Members and Potential GAP Members

Effective October 1, 2017- For individuals applying for GAP coverage, the eligibility limits for a household income has increased from 80% to 100% (with an additional 5% disregard) of the federal poverty level.

Also, effective October 1, 2017- GAP insurance now covers additional Addiction and Recovery Treatment Services (ARTS) including Partial Hospitalization Services (ASAM Level 2.5) and Residential treatment (ASAM Levels 3.1 through 3.7) for members who have substance use disorders. For more information on ARTS services, GAP members can visit the Department of Medical Assistance Services’ (DMAS) Addiction and Recovery Treatment Services (ARTS) website or call Magellan of Virginia at 1-800-424-4046. 

Recovery Navigation Flier

GAP Flier 2017

ARTS one-pager for Peer Support

Mental Health one-pager for Peer Support

ARTS Residential Services Levels of Care

List of SMI Eligible Diagnosis Codes

GAP Screener Training

Please visit the GAP training page to find all webinars and training decks relating to GAP. 

For additional resources and information about the Governor's Access Plan (GAP), please visit the Virginia Department of Medical Assistance Services (DMAS) website.

GAP Communications

Billing Update: GAP Screenings -- posted August 29
GAP Case Management Modifiers -- posted August 3
GAP Eligibility -- posted July 7
GAP Crisis Stabilization SRA added question -- posted February 2

GAP Care Coordination Requirements - effective immediately -- posted March 6
UPDATE GAP SMI screening forms - Magellan and DMAS P-603 -- posted January 21
UPDATE GAP online application -- posted January 19

Virginia GAP Program for the Seriously Mentally Ill and Virginia Department of Medical Assistance Services Notice of Public Hearing and Public Comment Period -- posted September 11



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