My agency works in an underserved community.  About 90% of our clients are Medicaid recipients.  We are the only provider within 45 minutes of this community.  Our agency has several staff on board that are in residency that see clients that otherwise would not be able to access mental health services.  If DMAS makes this change we will run longer wait lists and not be able to serve the same client population.  In addition, we will not be able to continue to employ our clinicans who will have to look elsewhere for clinical experience.  I believe that this change in regulation is ill-conceived and the impact will be determental to the community in which I work.