Statement of Purpose
The Family First Prevention Services Act (FFPSA) created an avenue for states to use federal funds for a limited number of evidence-based programs (EBPs) for youth and their families in order to prevent out-of-home placements, where such interventions are indicated and deemed safe. Virginia included eight services in the state plan, Brief Strategic Family Therapy (BSFT), Family Check-Up (FCU), Functional Family Therapy (FFT), High Fidelity Wraparound (HFW), Homebuilders (HB), Motivational Interviewing (MI), Multisystemic Therapy (MST), and Parent-Child Interaction Therapy (PCIT).
The following report provides available data on how all cases for five of these services (BSFT, FCU, FFT, HFW, and MST) are funded in Virginia.
BSFT Case Funding Sources
Figure 1. Funding source information for BSFT cases seen from January-March 2026
Figure 1 breaks down the number of new cases funded by major payors in the state, as reported by provider companies. Based on available data, BSFT cases were funded in similar shares by Medicaid, Title IV-E Family First Prevention funds (Title IV-E), and the Children’s Services Act (CSA) from January to March 2026. Note that Medicaid funding is not widely available for this service; at this time, multiple managed care organizations are piloting Medicaid funding with one BSFT team in the state of Virginia.
FCU Case Funding Sources
Figure 2. Funding source information for FCU cases seen from January-March 2026
Figure 2 breaks down the number of cases funded by the payors in the state, as reported by provider companies, the two major being CSA and Title IV-E. From January to March 2026, CSA funding covered 62% of FCU cases in Virginia, with Title IV-E covering 31%.
FFT Case Funding Sources
Figure 3. Funding source information for FFT cases seen from January-March 2026
Figure 3 breaks down the number of cases funded by major payors in the state, as reported by provider companies, with Medicaid funding the most cases (70%), followed by CSA (14%) and the Department of Juvenile Justice (DJJ) at 11%.
Figure 4. Funding source information for FFT cases seen from January 2024 to March 2026
Figure 4 compares the breakdown of each funding source by quarter, where Medicaid has consistently funded the majority of FFT cases since 2024.
HFW Case Funding Sources
Figure 5. Funding source information for HFW cases seen from January-March 2026
Figure 5 breaks down the number of cases funded by major payors, as reported by provider organizations for known cases. The data show that CSA is the major funder of HFW cases in Virginia (75%), followed by County and Community Service Board (CSB) funding (9%).
MST Case Funding Sources
Figure 6. Funding source information for MST cases seen from January-March 2026
Figure 6 illustrates the number of MST cases funded by each of the major payors. Medicaid remains the top funder of MST cases, covering 72% of cases in January to March 2026.
Figure 7. Funding source information for MST cases seen from January 2024 to March 2026
Figure 7 compares the breakdown of each funding source by quarter. Medicaid has consistently funded the majority of MST cases, comprising 72% in the most recent quarter.
All Funding Sources
Figure 8. Funding source percentages from January-March 2026
Figure 8 compares the share of cases paid for by each major funding source. Note that this figure is not representative of the total number of cases; the EBPs with the lowest and highest number of cases are FCU at 29 and HFW at 265, respectively.
