I'm the parent of a 13-year-old with a rare genetic disorder who receives consumer-directed personal care through the CCC+ Waiver in Northern Virginia.

In August 2026, our authorization changed hands between our Services Facilitator, our MCO, and PPL, and the new authorization was never activated in PPL. For about a week there was no active authorization and our attendants could not be paid, until a new one was submitted and backdated. Nothing about my daughter's eligibility changed. It was a data entry error during a handoff, and the broken authorization could not be fixed, only resubmitted.

The transition plan ends every Services Facilitator authorization and creates a new one through the support broker. That is the same handoff that failed for us. I ask DMAS to:

1. Require confirmation that the new authorization is active in the F/EA system before the old one is end-dated.
2. Give families written notice of the new authorization dates and their support broker's contact information before the switch.
3. Clarify, for Region 2 transitioning June 1, 2027, whether a reauthorization due around that date is submitted by the Services Facilitator or carried by the 90-day extension, so families don't fall between the two.

Thank you.