The Virginia Department of Behavioral Health and Developmental Services (DBHDS), in collaboration with the Department of Medical Assistance Services, is in the process of reviewing payment rates for services delivered through the DD Waivers as well as Personal Assistance, Respite, Nursing, and Service Facilitation services across programs. The Burns & Associates division of Health Management Associates (HMA-Burns) is assisting in the review and has established this website to host project-related materials.


HMA-Burns has developed proposed rate models and is seeking input on these proposals.

  • The proposed rate models can be accessed here.
  • A recorded webinar that describes HMA-Burns’ approach to rate-setting can be accessed here.
  • A recorded webinar that walks-through the proposed rate models can be accessed here.
  • The PowerPoint presentation used in the webinars can be accessed here.

DBHDS and DMAS will review submitted comments before finalizing the rate models. Written comments will be accepted through August 20 and should be submitted to [email protected].


A key consideration in the rate study was a provider survey that collected information regarding providers’ operations and costs. 

  • The Excel-based survey can be accessed here.
  • The written survey instructions can be accessed here.
  • An overview of the analysis of submitted surveys can be accessed here and the detailed analysis packet can be accessed here.