Call to action with Caseload limits:  We recommend DMAS consider that, if a caseload max is required, that DMAS remove the current wording and replace with “no case manager will have a caseload which exceeds 60 in any given month”.  That is a clear maximum which is easily demonstrated at audit.  However, this would still allow us the flexibility to maintain continuity of care for our individuals, adjust to onboarding and offboarding of staff, adjust to unexpected staff medical leave, and still maintain a high level of services to the individuals we serve.