Virginia recovery programs
The non-clinical side of a recovery program, organized around one operator and an AI system. Clinicians treat. Owners decide. I work on the operations.
What Medicaid pays for one PHP / IOP day. One late note and it is gone.
DMAS ARTS fee schedule · 2026Desks already built: a working compliance engine for Virginia 2.1 / 2.5 programs.
Compliance engine · synthetic data · October 2026What three to four admin seats cost in Richmond a year, before turnover.
Richmond postings and salary surveys · October 2026 · detail in the framework PDFBuilt around your reality
For an owner of a Virginia DBHDS 2.1 or 2.5 program: one or two locations, a small staff, and too much administration landing on the owner’s desk.
Target program profile · AI Operations Framework, section 2 · October 2026Most new programs are in-network with two or three of the five Virginia Medicaid plans. Every plan you are missing is a referral you cannot take. Mapping those gaps and working each application is the first thing I do.
The non-clinical work
Status: Built in part
Organize screening, referrals and ARTS registration drafts.
I follow each inquiry through the admissions queue.
Clinicians assess fit and decide level of care.
Status: Built in part
Track ARTS authorization windows and draft review packets.
I work follow-ups across the five Virginia Medicaid plans.
Authorized staff review, sign and submit.
Status: Built in part
Flag missing evidence against supported DBHDS readiness checks.
I maintain the checklist and organize corrections.
Clinicians sign notes; owners own corrective action.
Status: Built in part
Compare chart hours, claim units and authorization windows.
I work the exceptions and denial list with your biller.
The billing lead reviews and releases claims.
Status: Buildable
Draft plan packets and track licenses and renewals.
I map gaps across the five Virginia Medicaid plans.
Owners sign contracts and make hiring decisions.
Status: Built in part
Organize probation and parole, CSB and hospital referrals.
I follow up with drug court, sober homes and churches.
You approve outreach, words and relationships.
Status: Buildable
Draft materials around 2.1: 9+ hours; 2.5: 20+ hours weekly.
I assemble, version and organize the materials.
Clinicians approve curriculum and deliver care.
Status: Buildable
Organize inboxes, meeting notes and owner-report drafts.
I keep priorities moving and explain the weekly report.
You adopt policy, set priorities and sign filings.
What I already built for a program like yours
Selected authorization clocks, chart checks, note review, revenue rules and payer profiles run on synthetic data. Export discovery and adapter mapping come before any EHR connection. Demonstration on a call; no patient-data readiness claim.
Engine STATUS.md · October 10, 2026 · synthetic demonstrationProfiles for five Virginia Medicaid managed-care plans, plus fee-for-service. Each field carries its evidence and limits.
Payer seed: five MCO profiles plus FFS · Oct 2026A checklist for organizing requirements and evidence: 135 items across 19 sections. It supports preparation; it does not guarantee an inspection result.
Auditor build package · readiness checklist · October 2026112 cited requirement records, with source locations and verification labels. A resource hub delivered for program education and lookup.
Requirements library seed · Oct 2026Demonstrations use synthetic data and are shown on a call. No live EHR integration, complete coverage or patient-data readiness is implied.
Take the plan with you
The working rules
People stay in charge. Clinicians sign notes. Owners sign filings. People press Send. The AI drafts, checks, reminds and reports.
No client record touches an AI tool without the agreements that protect it, including a BAA and applicable Part 2 agreement.
Until those safeguards are in place, demonstrations use synthetic data.
No diagnosis, level-of-care decisions or ASAM scoring by AI. Licensed clinicians keep clinical decisions.
No promised authorization, payment, audit outcome or measured customer result.
Before the conversation
No. Clinicians retain diagnosis, medical necessity, level-of-care decisions and signatures.
I can show a local synthetic-data demonstration on a call. No public patient-data demo is offered.
I begin with export discovery and adapter mapping. Vendor access, contracts and data completeness must be checked first.
Your next move
A free AI Audit. 45 to 60 minutes. A written plan within 24 hours. Yours whether or not you hire me.
AI Audit consultation framework · September 2026Book the free AI Audit240-416-2701
themetaaialchemist@gmail.com
I reply within one business day. Prefer to text? Text the number.
I reply within one business day.
