12VAC30-50-490 A.l -Indicates a Face-to-Face every 3 months; however, 12VAC30-440A.I. indicate Face-to-Face every 90 days and 12VAC30-122-190 A6 indicates quarterly visit.   Please ensure consistency through the document. If a“ quarterly”  or “3 months”  language is used, provide clarification of the term.

Early presentation on the new Waiver indicated that a 10 days grace period would be offered for Support Coordinators Face-to-Face visit. The 10 days grace period is crucial in extreme circumstances, e.g.  there are times when a family experience an emergency, or a Support Coordinator must manage a crisis and a planned visit must be rescheduled, illness of the individual etc. The 10 days grace period would allow the face- to -face visit to be rescheduled without the stress on the individuals/families/providers.

12VAC30-50-490 &12VAC30-50-440. – Inconstancy in qualification and requirements for Support Coordinates for individuals with DD and ID.  Clarification is needed whether the same requirements are needed for support coordinators providing services for individuals with ID. The sections differ in the area of supervisory requirement including the frequency of the supervisory, supervisory documentation and training hours.

12VAC-30-122-20 & 12VAC-30-122-30B references regulations that are either repealed or no longer in effect e.g. reference to Elderly and Disabled Wavier and Technology Assisted Wavier that no longer exist.

12VAC-30-122-20 Definition- define exclusion of Environmental Modification – group home is the individual home , are we assuming the service can be applied to this living environment?

 12VAC-30-122-20 Definition- define “ one week” when referencing to writing , signing and dating progress notes. Do we assume five days allowable to enter the progress notes? The 12 VAC 30-122-120d states that documentation shall be written on the date of service delivery.

12VAC30-122-80 C.5.b.- Requesting change the time to 180 days for retain slot.

12-VAC30-122-150 A. 2.e-the language indicates a Support Coordinator may also function as a Service Facilitator, which will not ensure conflict free case management, requesting clarification.

12 VAC 30-122-190 C1- clarify whether quarterly ISP review means every 90 days. Elaborate regarding ISP review grace period.

12-VAC30-122-200 A1 -2b – clarification needed regarding SIS requirement for individuals over 72 years old and frequency of SIS for  individuals  between 5-15 years old.