My name is Stephanie Forbes and I have served on the board of Brain Injury Connections of the Shenandoah Valley (BICSV) since 2020. Based on my observations and work with this non-profit, I believe it would be a mistake to change the provider requirements of the Brain Injury Services Targeted Brain Injury Supplement to include agencies licensed by DBHDS. While our case managers team up with the CSBs in our community to provide a well rounded team approach to client services, we worry the proposed change could delay services or potentially keep CSBs from working with our non-profit. CSBs routinely have wait lists with a detrimental gap in services whereas BICSV delivers a quick turn around of support for our clients and their families. In addition, BICSV provides services to ALL brain injury diagnoses, not just TBIs and our case managers are trained to cater their service delivery to each individual client's challenges as a result of their brain injury. The myriad of ways our case managers support and improve their client's lives is astounding. I often explain this non-profit is one you hope you never need but so thankful exists if someone you love ever does and it is because of the accreditation by CARF for TCM. If someone in your family suffers a brain injury, you would want their case manager specifically knowledgeable about the effect of brain injury which will not be the case if you include those licensed by DBHDS. Therefore, the Brain Injury Services Targeted Brain Injury Supplement should NOT expand their provider requirements to include agencies licensed by the DBHDS. Thank you for your informed consideration.