Notice of Public Comment Period: 1915(c) Home and Community-Based Services Waivers Amendments Effect
These individuals' comments are an echo of our needs and my support comments. I am the EOR of an individual and deal with these same issues as she has described below. I am 76 and the wife is 69 thus dealing with the daughter can get very hard without having the support from the DMAS staff and attendants. Sorry to copy this but being an older individual it is hard from me to put some of these comments in writing.
My parents, grandparents, siblings, husband, extended family, and me have all worked for, and paid
taxes to, the state of Virginia for decades. Never have any of us ever asked for anything from the state
until years after the birth of my daughter.
. We managed with what insurance offered, sporadic nursing, and taking on full
responsibility for our son ourselves.
Now my daughter is an adult, I find myself managing him alone and did seek guidance and help from the
state on my son's behalf.
Her needs have become more extensive over the years, and I became his live-in caregiver. It took
months of meetings and paperwork and hoops to jump through to get help to begin with, and now the
same people who helped me are also losing their jobs. That's incredulous!
Virginia will take away the Service Facilitators, who we chose, who helped guide us through the DMAS
maze and who advocates for us, forcing us to use to use a "Broker" of Virginia's choosing not our
own, employed by the fiscal agent who pays us. Isn't that a conflict of interest?
Virginia also wants to cap our hours. Well, my hours are 24/7 regardless of what Virginia feels is
justified in paying for. Why not have Virginia cap the DMAS workers hours, but expect them to
continue working unpaid to help these disabled persons, how many would do so? Even for an hour?
Probably no one. Yet parents do it day after day year after year.
I have one question, what would Virginia do if all the parents caring for their adult children, become so
overwhelmed with the system and the lack of resources, that we lift our hands in defeat and we put
our children in the state of Virginia's care? We walk away?
Where would you house these disabled adults? What agency would care for them? Who would you
then have to train and pay to care for our family members? Would you send them to group homes?
You would never have enough homes for them all. Foster care is not an option, they are too old.
I'm sure using the families homes and vehicles is incredibly less expensive than having to maintain
group home properties, staff them, provide transportation and so on. What would the state do if all the
parents walked away? Have you considered this?
You have advocates in the parents and family member caregivers of these disabled adults. Help us
help them and in turn help Virginia. Use our expertise in these complex issues our kids face to better
Virginia's care, raise awareness, work on good alternatives for these struggling adults. Provide us with
the resources we need!
These special adults need compassion as do the exhausted faithful families who care for them, to the
point of giving up our own dreams, freedoms and careers to care for our families in need. Put yourself
in our shoes. Don't be a state that shamefully turns it's back those who need you the most.