CSB Performance Contract
The CSB Performance Contract is a mandatory, biennial agreement between DBHDS and local Community Services Boards (CSBs) that serves as the primary accountability and funding mechanism for mental health, developmental, and substance use services.
It defines service deliverables, performance metrics, and compliance standards, ensuring legal, state, and federal funding.
Purpose: It outlines responsibilities, specific goals, and objectives for service delivery, ensuring quality care.
Funding: It is the required, standardized vehicle for distributing state and federal funds to CSBs.
Requirements: CSBs must report on their progress using defined, collaborative mechanisms
Approval: The contract requires approval by local governments every biennium.
Components: It covers core services, budgetary information, and specific performance measures.
The contract is critical to operations; failure to sign it can result in a loss of funding
Key Aspects of CSB Performance Contract Compliance:
Financial & Operational Requirements: The contract is the legal pathway for funding. Compliance requires adhering to budget, utilizing specific data systems, and meeting submission deadlines.
Service & Clinical Standards: CSBs must meet core performance measures.
Legal & Regulatory Adherence: Compliance includes maintaining confidentiality (42 CFR Part 2), providing a drug-free workplace, and adhering to state code regarding interagency agreements.
Monitoring & Evaluation: Compliance is monitored through performance reports, with requirements to improve on measures that fall below established benchmarks.
Failure to comply can directly impact a CSB’s ability to maintain operations, as it is the primary contractual agreement with the Commonwealth.
Parts of Performance Contract
| Section | Topic |
| Main body | General terms |
| Exhibit A | CARS report template |
| Exhibit B | Continuous quality |
| Exhibit C | Regional discharge assistance planning (DAP) |
| Exhibit D | Funding amendments (ongoing) |
| Exhibit E | Contract timeline |
| Exhibit F | Federal grant requirements |
| Exhibit G | Master program requirements |
| Exhibit H | Local inpatient purchase of services (LIPOS) |
| Exhibit I | Behavioral health wellness |
| Exhibit K | State hospital discharge |
| Exhibit M | DOJ settlement |
| Addendum I | Administrative requirements |
| Addendum II | Partnership agreement |
| Addendum III | Core services taxonomy |
OMS Performance Contract/Exhibits D Review Timeline
September – January
- DBHDS reviews the Performance Contract, all exhibits, and other supplemental documents
- DBHDS convenes VACSB Policy and Admin Committee to begin meeting on changes for upcoming performance contract
February – April
- DBHDS sends communication to VACSB regarding review process and established timeline
- DBHDS schedules meetings with internal stakeholders and VACSB for Performance Contract review/revisions/negotiations
- DBHDS submits Performance Contract to the Office of Attorney General for review and approval of material changes
- March 30 – No other PC changes will be accepted, and Exhibits D or amendments for mid-year balance spend down are finalized
- April 30 – SGF Exhibits D effective for July 1 should be finalized
- DBHDS finalizes the Performance Contract, all exhibits, and other supplemental documents
- DBHDS creates a summary of substantive changes and distributes the Performance Contract and Exhibits D for authorized signatures
- CSBs submit Performance Contract for 30-day public comment
May – June
- May 30th OEMS sends VACSB final draft of PC for final review, approval, with the CSB EDs
- June 1st or sooner OEMS distributes PC and Exhibits D to CSBs for execution
- OEMS provides a fully executed copy of the Performance Contract and Exhibits D to the CSBs
- OEMS posts the Performance Contract and other supplemental documents to the OMS SharePoint and public site
July – September
- July 1 – Federal Funded Exhibits D are finalized
- September 30 – Federal Funded Exhibits D are effective, and CSB must submit their signed Performance Contract to DBHDS for final execution
Training
DBHDS provides training and assistance to program staff and CSBs in collaboration with financial departments. This includes in-person training or Teams, group training, role specific training of our process. All appointment scheduling is done internally, and we have office hours on Wednesday from 3:00 PM to 4:00 PM and Friday from 12:00 PM to 1:00 PM during which we answer questions you may have.
For access to the trainings and office hours, email performancecontractsupport@dbhds.virginia.gov.
| Acronym | Name | Acronym | Name |
| ACE | Adverse Childhood Experiences | DEI | Diversity, Equity, Inclusion |
| ACT | Assertive Community Treatment (effective 7-1-2021) | DHP | Department of Health Professionals |
| AHP | Advocates for Human Potential | DMAS | Department of Medical Assistance Services (Medicaid) |
| APA | Auditor of Public Accounts | DOJ | Department of Justice (U.S.) |
| ASAM | American Society of Addiction Medicine | DSS | Department of Social Services |
| BAA | Business Associate Agreement (for HIPAA compliance) | DV | Disabled Veteran |
| BHA | Behavioral Health Authority (non-government/non-profit) | DVS | Virginia Department of Veteran Services |
| BHC | Virginia Behavioral Health Commission | EBL | Extraordinary Barriers to Discharge List |
| BHE | Behavioral Health Equity | EBP | Evidence Based Practice |
| BOD | Board of Directors | EHR | Electronic Health Record |
| BRAVO | Behavioral Health Redesign for Access, Value, & Outcomes | FFT | Functional Family Therapy |
| BSCA | Bipartisan Safer Communities Act | FGMO | Federal Grant Management Office |
| CAP | Corrective Action Plan (Objective 7) | FOIA | Freedom of Information Act |
| CARS | Community Automated Reporting | FSP | Family Support Partner |
| CBT-p | Cognitive Behavioral Therapy for Psychosis | FTE | Full Time Equivalent |
| CCBHC | Certified Community Behavioral Health Clinics (SAMHSA) | HIPAA | Health Insurance Portability and Accountability Act if 1996 |
| CCS (3) | Community Consumer Submission (three) | IAG | Interagency Agreement |
| CFR | Code of Federal Regulations | ICC | Intensive Care Coordination (CSA) |
| CIT | Crisis Intervention Team | ICF | Intermediate Care Facility |
| CMS | Center for Medicare and Medicaid Services | ICT | Intensive Community Treatment |
| CPMT | Community Policy and Management | IDAPP | Individualized Discharge Assistance Program Plan |
| CPS | Child Protective Services | IEG | Institute for Ethics in Government |
| CQI | Continuous Quality Improvement | IMD | Institute of Mental Disease |
| CRC | Crisis Receiving Centers | IMR | Illness Management Recovery |
| CRC | Community Resource Consultant (DD Waiver) | IOP | Intensive Outpatient Program |
| CSA | Children’s Services Act | JLARC | Joint Legislative Audit and Review Commission |
| CSB | Community Service Board | KPI | Key Performance Indicator |
| CSC | Coordinated Specialty Care | LIPOS | Local Inpatient Purchase of Services |
| CSU | Crisis Stabilization Unit | MAT | Medication Assisted Treatment |
| CSV | Comma Separated Value | MCALF | Memory Care Assisted Living Facility |
| DAP | Discharge Assistance Program | MCC | Military Cultural Competency |
| DARS | Virginia Department for Aging & Rehabilitative Services | MCO | Managed Care Organization |
| DBHDS | Department of Behavioral Health and Developmental Services | MHBG | Federal Mental Health Block Grants |
| DD | Developmental Disabilities | MHSS | Mental Health Skills Building Services |
| MOA | Memorandum of Agreement | RST | Regional Support Team (DD Waivers) |
| MOE | Maintenance of Effort | RUMCT | Regional Utilization Management and Consultation Team |
| MOU | Memorandum of Understanding | SA | Substance Abuse |
| MST | Multisystemic Therapy | SABG | Federal Substance Abuse Block Grant |
| MTF | Military Treatment Facilities | SAMHSA | Substance Abuse and Mental Health Services Administration |
| NASMHPD | National Association of State Mental Health Program Directors | SDA | Same Day Access |
| NCI | National Core Indicator | SDOH | Social Determinants of Health |
| NGRI | Not Guilty by Reason of Insanity | PSR | Psychosocial Rehabilitation |
| OAA | Opioid Abatement Authority | RAFT | Residential Assisted Facility Treatment |
| OAG | Office of Attorney General | READS | Research Evaluation and Data SME (Subject Matter Expert) |
| OBHW | Office of Behavioral Health & Wellness | RSPI | Regional Suicide Prevention Initiative |
| OCFS | Office of Child and Family Services | SAARA | Substance Abuse & Addiction Recovery Alliance |
| O(E)MS | Office of (Enterprise) Management Services | SBIRT | Screening, Brief Intervention, & Referral to Treatment |
| OKR | Objective Key Results ECO | SFA | Subrecipient Funding Agreement |
| OTP | Outpatient Treatment Program | sFTP | Secure File Transfer Protocol |
| PACT | Program of Assertive Community Treatment retired 7-1-2021 see ACT | SLT | System Leadership Team |
| PATH | Projects for Assistance in Transition from Homeless | SCC | State Corporation Commission |
| PC | Performance Contract | SE | Supported Employment |
| PCM | Procurement & Contract Management | SED | Serious Emotional Disturbances |
| PCS | Performance Contract Support | SME | Subject Matter Expert |
| PHI | Protected Health Information | SMI | Serious Mental Illness |
| PHP | Partial Hospitalization Program | SMVF | Service Members, Veterans and their Families |
| PII | Personally Identifiable Information | SOR | State Opioid Response |
| POC | Point of Contact | SoR | System of Records |
| PPS | Prospective Payment System (CCBHC) | SPF | Strategic Prevention Framework |
| PRS | Peer Recovery Specialists | SRAP | State Rental Assistance Program |
| PSH | Permanent Supportive Housing | STAC | Step-VA Advisory Committee |
| QMHP | Qualified Mental Health Professional | STEP-VA | System Transformation Excellence and Performance in Virginia |
| QSR | Quality Service Reviews | SUD | Substance Abuse Disorder |
| RCSU | Residential Crisis Stabilization Unit | TEDS | Treatment Episode Data Set |
| RDAP | Regional Discharge Assistance Program | TDO | Temporary Detention Order |
| REACH | Regional Education Assessment Crisis Services Habilitation | (US)PRA | (United States) Psychiatric Rehabilitation Association |
| RFA | Request for Assistance | VACSB | Virginia Association of Community Services Boards |
| RFP | Request for Proposal | VADOC | Virginia Department of Corrections |
| RHRNP | Right Help Right Now Initiative | VARR | Virginia Association of Recovery Residence |
| RMG | Regional Management Group | WHAM | Whole Health Action Management |
| VHA | Veterans Health Administration | WHODAS | World Health Organization Disability Assessment Schedule |
| VIDES | Virginia Individual DD Eligibility Survey | WRAP | Wellness Recovery Action Planning |
| VPPA | Virginia Public Procurement Act | WaMS | Waiver Management System (DD Waivers) |
Contacts
Office of Enterprise Management Service (OEMS)
Chaye Neal-Jones
Director
Chaye.Neal-Jones@dbhds.virginia.gov
Carly Daniels
Office Manager
Carly.Daniels@dbhds.virginia.gov
Joel Rothenberg
Special Project Coordinator
J.Rothenberg@dbhds.virginia.gov
The Office of Management Services (OMS)
Brian Watson
Deputy Director
Brian.Watson@dbhds.virginia.gov
Kidest Dessalegn
Program Contract Manager
Kidest.Dessalegn@dbhds.virginia.gov
Jennifer Gunther
Program Contract Manager
The Office of Community Operations Program Support (COPS)
Magaret Steele
Deputy Director
Margaret.Steele@dbhds.virginia.gov
Brandon Edwards
Project Manager
Brandon.Edwards@dbhds.virginia.gov
Nathanael Rudney
Block Grant Coordinator
Nathanael.Rudney@dbhds.virginia.gov
Ervina Baskerville-Allen
Block Grant Specialist
Ervina.Baskerville-Allen@dbhds.virginia.gov
Tanya Nesgoda
Executive Administrative Assistant
