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 October-December 2025
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 equally by Title IV-E Family First Prevention funds and Medicaid in October-December 2025, each covering 40% of cases. 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 October-December 2025
Figure 2 breaks down the number of cases funded by the two payors in the state, as reported by provider companies, Children’s Services Act (CSA) and Title IV-E. From October to December 2025, CSA funding covered 79% of FCU cases in Virginia, with Title IV-E covering 21%.
FFT Case Funding Sources
Figure 3. Funding source information for FFT cases seen from October-December 2025
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 (64%), followed by CSA (17%) and the Department of Juvenile Justice (DJJ) at 15%.
Figure 4. Funding source information for FFT cases seen from January 2024 to December 2025
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 October-December 2025
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 (76%), followed by County and Community Service Board (CSB) funding (9%).
MST Case Funding Sources
Figure 6. Funding source information for MST cases seen from October-December 2025
Figure 6 illustrates the number of MST cases funded by each of the major payors. Medicaid remains the top funder of MST cases, covering 66% of cases in October-December 2025.
Figure 7. Funding source information for MST cases seen from January 2024 to December 2025
Figure 7 compares the breakdown of each funding source by quarter. Medicaid has consistently funded the majority of MST cases, comprising 68% in the most recent quarter.
All Funding Sources
Figure 8. Funding source percentages from October-December 2025
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 19 and HFW at 262, respectively.
