JetBrains language plugins don't really map well onto VSCode's idea of a language server.
The first thing you do in a JetBrains language is to write a lexer and parser for the target language. Your parser produces a syntax tree containing enough information to reconstruct the original document, and the IDE then operates on this semi-abstract syntax tree. When the IDE saves a file, it re-generates the contents from the semi-AST.
JetBrain's products are best understood as a refactoring engine (their original product) skinned with an editor.