| Sentara Health Plans | ASAM Level 2.1 Adult (Concurrent) Intensive - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 2.1 Intensive Outpatient Services - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 2.5 Partial Hospitalization - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 2.5 Partial Hospitalization - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 2.5 Partial Hospitalization - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 2.5 Partial Hospitalization - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 3.1 Clinically Managed Low - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 3.1 Clinically Managed Low - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 3.1 Clinically Managed Low - Medicaid | 2025-07-01 |
| Sentara Health Plans | ASAM Level 3.1 Clinically Managed Low - Medicaid | 2025-07-01 |