We serve children who have alleged child abuse. Each of the 400 or so children we see each year is referred to mental health intervention. We relly on our community partners for these services, some of which use license eligible counselors. We currenly have limited availablity for our kids. Please reconsider sweeping changes to the services covered by Medicaid, so children in the Commonwealth can continue receiving counseling, residential and other behavioral health services. Do not further reduce access by disallowing license-eligible counselors from providing billable service, or dramatically changing the residential care system. If you do, then child abuse victime will reap the consequences of untreated childhood trauma. Children need to know they can get help, when and where they need it, no matter what!