The proposed changes would impact the level of care that case management services provide to brain injury survivors.  Our staff is grounded in specialized brain injury training focusing on brain injury specific continuing education, certifications, and years of experience. This training allows us to serve this unique population and the challenges they face by providing tailored person centered services.  The addition of agencies and staff that do not have training or expertise in brain injury is a disservice to this population and their families.  I urge you to maintain the current provider requirements which ensures that brain injury survivors continue to receive the highest level of specialized care they need and deserve.