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Policies, Regulations and Standards that Frame CLC

There are a number of policies, standards, and requirements that inform and influence the way that services are delivered to racially, ethnically, linguistically and other diverse communities.  Some are federal law that are tied to the funding received.  Some are requirements associated with accreditation standards.  Some are expectations that are outlined in fee for service agreements.  And still others are frameworks for organizing the way we plan for services.  In this section, you can learn more about the laws, policies, standards, expectations, and requirements specific to Virginia's service delivery system. 

Browse the key policies, standards, and requirements that drive our work below.

Useful Articles

Legislation as an Intervention for Language Access

Accreditation and funding entities also provide guidance that support and determine how we deliver services.  Read about some of these below.


joint commission 

Advancing Effective Communication, Cultural Competence, and Patient-and Family-Centered Care: A Roadmap for Hospitals

This monograph was developed by The Joint Commission to inspire hospitals to integrate concepts from the communication, cultural competence, and patient- and family-centered care fields into their organizations. The Roadmap for Hospitals provides recommendations to help hospitals address unique patient needs, meet the patient-centered communication standards, and comply with related Joint Commission requirements. Example practices, information on laws and regulations, and links to supplemental information, model policies, and educational tools are also included. The patient-centered communication standards are presented in Appendix C, which provides self-assessment guidelines and example practices for each standard.

CARF accredits health and human service programs across the continuum of care, serving children to seniors. Given the diverse needs of various populations, the programs are organized into several standards manuals, each serving the unique needs of the person served. Each standards manual is linked to an operating unit or a department of CARF, which is known as the customer service unit or CSU. The CARF family of organizations currently accredits more than 47,000 programs and services at more than 21,000 locations on five continents. More than eight million persons of all ages are served annually by more than 6,000 CARF-accredited providers.

The mission of CARF is to promote quality, value, and optimal outcomes of services through a consultative accreditation process that centers on enhancing the lives of persons served.

CARF hopes that, by being responsive to the dynamic and diverse environment, we can help facilitate improvement for the quality of life of the persons served by CARF-accredited organizations.

CARF adheres to several values, including:

all people have the right to be treated with dignity and respect.
people should have access to needed services that achieve optimal outcomes.
people should be empowered to make informed decisions.
CARF’s accreditation, research, and educational activities are all conducted in accordance with these core values and with the utmost integrity.

CARF is committed to the continuous improvement of both organizational management and service delivery.

CARF is committed to diversity and cultural competence in all of its activities and associations, and to enhancing the involvement of the person served in CARF activities.

Magellan Provider Handbook 2014


Cultural Competency -

Our Philosophy
Magellan is committed to embracing the rich diversity of the people we serve. We believe in providing high-quality care to culturally, linguistically and ethnically diverse populations, as well as to those who are visually and hearing impaired. All people entering the behavioral health care system must receive equitable and effective treatment in a respectful manner, recognizing individual spoken language(s), gender, and the role culture plays in a person’s health and well-being.
Our Policy
Magellan staff is trained in cultural diversity and sensitivity, in order to refer members to providers appropriate to their needs and preferences. Magellan also provides cultural competency training, technical assistance and online resources to help providers enhance their provision of high-quality, culturally appropriate services. Magellan continually assesses network composition by actively recruiting, developing, retaining and monitoring a diverse provider network compatible with the member population.

Magellan Provider Handbook

Magellan Cultural Competency Resource Kit

Department of Medicaid Services

The updated Provider Manual for Community Mental Health Rehabilitation Services from Virginia Department of Medical Assistance includes a chapter on cultural and linguistic competence expectations for providers of services. 

Resilience/Recovery and Cultural/Linguistic Competence

Cultural and Linguistic Competencies
DMAS encourages providers to demonstrate an understanding and respect for each individual’s health-related beliefs and cultural values through the establishment of policies, practices and allocation of resources that support culturally and linguistically appropriate services. Culture has a significant impact on how people of different backgrounds express themselves, seek help, cope with stress and develop social supports. It also affects every aspect of an individual’s life, including how they experience, understand, and express, mental and emotional distress, illness and conditions.

Development of cultural and linguistic competency means that providers have the ability to value diversity, adapt to diverse populations, obtain any needed education and training in order to enhance cultural knowledge, work within values and beliefs that may be different from their own, and be capable of evolving over extended periods of time as cultures change.

Providers licensed by the DBHDS should refer to Office for Cultural and Linguistic Competence at DBHDS for guidance in this area. Providers are responsible for adhering to this manual, available on the DMAS website portal, their BHSA provider contract and policies, and related state and federal regulations.

Centers for Medicaid and Medicare Services

CMS Language Access Plan

Medicare Services and Notices