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Metro Richmond


Mental Health Skill Building is a Virginia Medicaid funded training service provided to adult individuals who may have a compromised ability to navigate life largely due to a significant mental health diagnosis.


This service was designed to enable individuals with certain significant mental health issues to achieve and maintain community stability and independence in the most appropriate and least restrictive environment.

Who is Eligible

Individuals must be 18 years of age or older and possess a clinical necessity for the service from a condition due to mental, behavioral, or emotional illness that results in significant functional impairments in major life activities. A clinical necessity is further defined as having a qualifying mental health diagnosis; (ex. Psychotic disorder, bipolar disorder etc.)

In addition, the individual must have a prior history of qualifying mental health treatment such as hospitalization in a psychiatric hospital or residential facility. If an individual has a disorder that is not specifically listed by Medicaid, it would have to be documented fully by a physician as to the necessity of Mental Health Skill Building Services.


To increase an individual’s ability to function appropriately in the community, and access needed resources when suitable, in order to stabilize mental and physical health as well as living conditions.


  • Funded by Medicaid, therefore no cost to the Medicaid-insured consumer.

  • Appointment scheduling assistance provided.

  • Medication management assistance in addition to monitoring health, nutrition, and physical condition.

  • Skill-building training to enable more independent living, with a focus on functional skills and appropriate behavior as it relates to the individual's health and safety.

  • Assistance with first identifying areas for growth and then provision of processes to acquire needed competencies.

  • Community resource connection and training on utilizing these resources more fully.

  • 24-hour crisis support

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