Browser tab: 2, Title: "Levels of care · Mindful Compliance", URL: "http://127.0.0.1:8767/levels".
1 AXWebArea Levels of care · Mindful Compliance, URL: 127.0.0.1:8767/levels
	2 container Mindful Compliance
		3 link Description: Mindful Compliance, Value: 127.0.0.1:8767/
		4 container
			5 text THE SYSTEM
			6 link Description: Home, Value: 127.0.0.1:8767/
			7 link Description: Record auditor, Value: 127.0.0.1:8767/auditor
			8 link Description: Program & walkthrough, Value: 127.0.0.1:8767/demo
			9 link Description: Note Review, Value: 127.0.0.1:8767/note-review
			10 link Description: Work by position, Value: 127.0.0.1:8767/audit-work
			11 link Description: Local outbox, Value: 127.0.0.1:8767/audit-outbox
			12 link Description: Ask Mindful, Value: 127.0.0.1:8767/ask
			13 text AGENT
			14 link Description: Intake, Value: 127.0.0.1:8767/intake
			15 link Description: Countdown, Value: 127.0.0.1:8767/countdown
			16 link Description: Chart check, Value: 127.0.0.1:8767/chartqa
			17 link Description: Review queue, Value: 127.0.0.1:8767/queue
			18 link Description: Audit room, Value: 127.0.0.1:8767/audit
			19 link Description: Send desk, Value: 127.0.0.1:8767/send
			20 link Description: Inbox, Value: 127.0.0.1:8767/inbox
			21 link Description: Team, Value: 127.0.0.1:8767/team
			22 link Description: Outcomes, Value: 127.0.0.1:8767/outcomes
			23 link Description: Levels of care, Value: 127.0.0.1:8767/levels
			24 link Description: Connections, Value: 127.0.0.1:8767/connections
			25 text EDUCATION
			26 link Description: Listen and read, Value: 127.0.0.1:8767/resource/#listen
			27 link Description: Rule library, Value: 127.0.0.1:8767/resource/#rules
			28 link Description: Deadline clocks, Value: 127.0.0.1:8767/resource/#clocks
			29 link Description: Touchpoint map, Value: 127.0.0.1:8767/resource/#map
			30 link Description: Education home, Value: 127.0.0.1:8767/resource/
		31 text THIS DESK
		32 text Synthetic tokens. A person signs. A person records the filing.
	33 container
		34 text MINDFUL  / LEVELS OF CARE
	35 container
		36 text Fictional demo · Cedar Harbor Recovery All people, records and activity are synthetic.
		37 link Description: Program & walkthrough →, Value: 127.0.0.1:8767/demo
		38 text ALL LEVELS
		39 heading Levels of care, Value: 1
			40 text Levels of care
		41 text Every level a Virginia program might run, from early intervention to inpatient. Each card says what the Agent can do today for that level. A level is only "running" when its rules were read in the primary source and tested.
		42 text Virginia's covered-service names follow the 2013 (third edition) numbering. ASAM's fourth edition renames some levels, so a matching number is not always the same service. Always use the payer's own name. The redesign of the legacy mental health services is now July 1, 2027, not 2026.
		43 container L0.5
			44 heading 0.5 Early intervention / SBIRT, Value: 2
				45 text 0.5  Early intervention / SBIRT
			46 text Screening, brief intervention and referral in health care settings.
			47 text SUD outpatient · Library rules read; clocks not built yet · Virginia covered-service naming; ASAM fourth-edition adoption for the payer/service date must be verified separately.
			48 container
				49 text In the library: A-061
			50 container
				51 link Description: source 1, Value: law.lis.virginia.gov/admincode/title12/agency30/chapter130/section5070/
				52 text verified 2026-10-05
		53 container L1.0
			54 heading 1.0 Substance use outpatient services, Value: 2
				55 text 1.0  Substance use outpatient services
			56 text Outpatient assessment, counseling, education and medication services.
			57 text SUD outpatient · Library rules read; clocks not built yet · Virginia legacy outpatient 1.0 is not ASAM fourth-edition 1.0 Long-Term Remission Monitoring; never normalize by number alone.
			58 container
				59 text In the library: A-061
			60 container
				61 link Description: source 1, Value: law.lis.virginia.gov/admincode/title12/agency30/chapter130/section5080/
				62 text verified 2026-10-05
		63 container L2.1
			64 heading 2.1 Substance use intensive outpatient, Value: 2
				65 text 2.1  Substance use intensive outpatient
			66 text Structured outpatient addiction treatment with an interdisciplinary team.
			67 text SUD outpatient · Scoped clocks and selected chart checks; remaining checks may skip · Virginia covered-service naming; ASAM fourth-edition adoption for the payer/service date must be verified separately.
			68 container
				69 text In the library: A-001 A-002 A-003 A-010 A-011 A-012 A-013 A-014 A-015 A-017 A-018 A-019 A-020 A-021 A-022 A-023 A-024 A-025 A-026 A-034 A-042 A-039 A-048 A-049 A-062 A-064
				70 text Chart checks: NOTE-LATE NOTE-UNSIGNED NOTE-NO-TIME NOTE-CLONED NOTE-COSIGN GROUP-SIZE DAY-HOURS WEEK-HOURS SERVICE-NO-AUTH PLAN-ELEMENTS ASSESS-DIMENSIONS ASSESS-MISSING EXCLUSION-STALE
			71 container
				72 link Description: source 1, Value: law.lis.virginia.gov/admincode/title12/agency30/chapter130/section5090/
				73 text verified 2026-10-05
		74 container L2.5
			75 heading 2.5 Substance use partial hospitalization, Value: 2
				76 text 2.5  Substance use partial hospitalization
			77 text A more intensive outpatient addiction program with integrated therapies and medical support.
			78 text SUD outpatient · Scoped clocks and selected chart checks; remaining checks may skip · Virginia calls this partial hospitalization; ASAM fourth-edition public FAQ calls 2.5 High Intensity Outpatient. Do not silently rename payer records.
			79 container
				80 text In the library: A-001 A-002 A-003 A-010 A-011 A-012 A-013 A-014 A-016 A-017 A-018 A-019 A-020 A-021 A-022 A-023 A-024 A-025 A-026 A-034 A-042 A-039 A-048 A-049 A-062 A-064
				81 text Chart checks: NOTE-LATE NOTE-UNSIGNED NOTE-NO-TIME NOTE-CLONED NOTE-COSIGN GROUP-SIZE DAY-HOURS WEEK-HOURS SERVICE-NO-AUTH PLAN-ELEMENTS ASSESS-DIMENSIONS ASSESS-MISSING EXCLUSION-STALE
			82 container
				83 link Description: source 1, Value: law.lis.virginia.gov/admincode/title12/agency30/chapter130/section5100/
				84 text verified 2026-10-05
		85 container L3.1
			86 heading 3.1 Clinically managed low intensity residential, Value: 2
				87 text 3.1  Clinically managed low intensity residential
			88 text Clinical recovery treatment in a supervised residence; housing alone is not treatment.
			89 text SUD residential · Scoped clocks and selected chart checks; remaining checks may skip · Virginia covered-service naming; ASAM fourth-edition adoption for the payer/service date must be verified separately.
			90 container
				91 text In the library: A-011 A-021 A-053 A-058 A-059
				92 text Chart checks: WEEK-HOURS SERVICE-NO-AUTH
			93 container
				94 link Description: source 1, Value: law.lis.virginia.gov/admincode/title12/agency30/chapter130/section5110/
				95 text verified 2026-10-05
		96 container L3.3
			97 heading 3.3 Clinically managed population-specific high intensity residential, Value: 2
				98 text 3.3  Clinically managed population-specific high intensity residential
			99 text Residential addiction treatment tailored to population needs with clinical and recovery supports.
			100 text SUD residential · Scoped clocks and selected chart checks; remaining checks may skip · Virginia covered-service naming; ASAM fourth-edition adoption for the payer/service date must be verified separately.
			101 container
				102 text In the library: A-011 A-021 A-054 A-058 A-059
				103 text Chart checks: SERVICE-NO-AUTH
			104 container
				105 link Description: source 1, Value: law.lis.virginia.gov/admincode/title12/agency30/chapter130/section5120/
				106 text verified 2026-10-05
		107 container L3.5
			108 heading 3.5 Clinically managed high intensity residential (adult); medium intensity (adolescent), Value: 2
				109 text 3.5  Clinically managed high intensity residential (adult); medium intensity (adolescent)
			110 text Residential addiction treatment with scheduled professional services and recovery therapies.
			111 text SUD residential · Scoped clocks and selected chart checks; remaining checks may skip · Virginia covered-service naming; ASAM fourth-edition adoption for the payer/service date must be verified separately.
			112 container
				113 text In the library: A-011 A-021 A-055 A-058 A-059
				114 text Chart checks: SERVICE-NO-AUTH
			115 container
				116 link Description: source 1, Value: law.lis.virginia.gov/admincode/title12/agency30/chapter130/section5130/
				117 text verified 2026-10-05
		118 container L3.7
			119 heading 3.7 Medically monitored intensive inpatient (adult); high intensity inpatient (adolescent), Value: 2
				120 text 3.7  Medically monitored intensive inpatient (adult); high intensity inpatient (adolescent)
			121 text Medical and nursing monitoring alongside addiction treatment in permitted licensed settings.
			122 text SUD residential/inpatient · Scoped clocks and selected chart checks; remaining checks may skip · Virginia covered-service naming; ASAM fourth-edition adoption for the payer/service date must be verified separately.
			123 container
				124 text In the library: A-011 A-021 A-056 A-058 A-059
				125 text Chart checks: SERVICE-NO-AUTH
			126 container
				127 link Description: source 1, Value: law.lis.virginia.gov/admincode/title12/agency30/chapter130/section5140/
				128 text verified 2026-10-05
		129 container L4.0
			130 heading 4.0 Medically managed intensive inpatient, Value: 2
				131 text 4.0  Medically managed intensive inpatient
			132 text Hospital addiction treatment for acute withdrawal and related medical or psychiatric distress.
			133 text SUD inpatient · Scoped clocks and selected chart checks; remaining checks may skip · Virginia covered-service naming; ASAM fourth-edition adoption for the payer/service date must be verified separately.
			134 container
				135 text In the library: A-011 A-021 A-057 A-059
				136 text Chart checks: SERVICE-NO-AUTH
			137 container
				138 link Description: source 1, Value: law.lis.virginia.gov/admincode/title12/agency30/chapter130/section5150/
				139 text verified 2026-10-05
		140 container LWM
			141 heading WM Withdrawal management, Value: 2
				142 text WM  Withdrawal management
			143 text Medical assessment and management of withdrawal; setting and service intensity require clinician review.
			144 text SUD withdrawal management · Rules not loaded; not assessed · Virginia covers medically necessary withdrawal management. ASAM fourth-edition public education integrates withdrawal services in the main continuum; no automatic billing or placement crosswalk.
			145 container
				146 text In the library:  no level-specific record yet
			147 container
				148 link Description: source 1, Value: law.lis.virginia.gov/admincode/title12/agency30/chapter130/section5040/
				149 text verified 2026-10-05
		150 container LOTP
			151 heading OTP Opioid treatment program, Value: 2
				152 text OTP  Opioid treatment program
			153 text Licensed opioid treatment program combining medication treatment and clinical services.
			154 text SUD medication program · Rules not loaded; not assessed · Program/service designation, not a universal numeric ASAM level. OBOT is legacy language; OBAT is current section 5060 title. Do not infer identical payer requirements.
			155 container
				156 text In the library:  no level-specific record yet
			157 container
				158 link Description: source 1, Value: law.lis.virginia.gov/admincode/title12/agency30/chapter130/section5050/
				159 text verified 2026-10-05
		160 container LOBOT
			161 heading OBOT Preferred office-based opioid treatment (legacy term), Value: 2
				162 text OBOT  Preferred office-based opioid treatment (legacy term)
			163 text Legacy Virginia term for office-based opioid treatment; preserve the original payer terminology.
			164 text SUD medication program · Rules not loaded; not assessed · Program/service designation, not a universal numeric ASAM level. OBOT is legacy language; OBAT is current section 5060 title. Do not infer identical payer requirements.
			165 container
				166 text In the library:  no level-specific record yet
			167 container
				168 link Description: source 1, Value: law.lis.virginia.gov/admincode/title12/agency30/chapter130/section5020/
				169 text verified 2026-10-05
		170 container LOBAT
			171 heading OBAT Preferred office-based addiction treatment, Value: 2
				172 text OBAT  Preferred office-based addiction treatment
			173 text Office-based addiction medication treatment coordinated with counseling and care planning.
			174 text SUD medication program · Rules not loaded; not assessed · Program/service designation, not a universal numeric ASAM level. OBOT is legacy language; OBAT is current section 5060 title. Do not infer identical payer requirements.
			175 container
				176 text In the library:  no level-specific record yet
			177 container
				178 link Description: source 1, Value: law.lis.virginia.gov/admincode/title12/agency30/chapter130/section5060/
				179 text  · 
				180 link Description: source 2, Value: vamedicaid.dmas.virginia.gov/bulletin/new-obat-attestation-process
				181 text verified 2026-10-05
		182 container LMH-IOP
			183 heading MH-IOP Mental health intensive outpatient, Value: 2
				184 text MH-IOP  Mental health intensive outpatient
			185 text Mental health intensive outpatient program governed by its own service requirements.
			186 text Mental health outpatient · Scoped clocks and selected chart checks; remaining checks may skip · Separate mental health service family; do not apply ARTS or ASAM addiction rules solely because IOP/PHP wording matches.
			187 container
				188 text In the library: A-035 A-036 A-041 A-044 A-045 A-046
				189 text Chart checks: NOTE-LATE NOTE-UNSIGNED NOTE-NO-TIME NOTE-CLONED NOTE-TIMES GROUP-SIZE DAY-HOURS WEEK-HOURS SERVICE-NO-AUTH EXCLUSION-STALE
			190 container
				191 link Description: source 1, Value: vamedicaid.dmas.virginia.gov/memo/updates-intensive-clinic-support-appendix-appendix-f-mental-health-services-manual
				192 text verified 2026-10-05
		193 container LMH-PHP
			194 heading MH-PHP Mental health partial hospitalization, Value: 2
				195 text MH-PHP  Mental health partial hospitalization
			196 text Mental health partial hospitalization program governed by its own service requirements.
			197 text Mental health outpatient · Scoped clocks and selected chart checks; remaining checks may skip · Separate mental health service family; do not apply ARTS or ASAM addiction rules solely because IOP/PHP wording matches.
			198 container
				199 text In the library: A-037 A-038 A-041 A-044 A-045 A-046
				200 text Chart checks: NOTE-LATE NOTE-UNSIGNED NOTE-NO-TIME NOTE-CLONED NOTE-TIMES GROUP-SIZE DAY-HOURS WEEK-HOURS SERVICE-NO-AUTH EXCLUSION-STALE
			201 container
				202 link Description: source 1, Value: vamedicaid.dmas.virginia.gov/memo/updates-intensive-clinic-support-appendix-appendix-f-mental-health-services-manual
				203 text verified 2026-10-05

The focused UI element is 1 AXWebArea Levels of care · Mindful Compliance, URL: 127.0.0.1:8767/levels