| Sentara Health Plans | ASAM Level 3.5 Clinically Managed High- - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 3.5 Clinically Managed High- - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 3.5 Clinically Managed High- - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 3.5 Clinically Managed Medium- - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 3.7 Medically Monitored High Intensity - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 3.7 Medically Monitored High Intensity - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 3.7 Medically Monitored Intensive - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 4.0 Medically Managed Intensive - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 4.0 Medically Managed Intensive - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 4.0 Medically Managed Intensive - Medicaid | 2025-07-01 |