D. Provider requirements. 

2. For??[?agency directed?]?respite service, the provider shall (i) be licensed by DBHDS as a??[?supportive in-home residential service provider,?]??center-based respite service provider,??[?supportive?] ?in-home respite service provider, out-of-home respite service provider or residential respite service provider; (ii) a VDSS-certified foster care home for children or a VDSS-certified adult foster care home for individuals who do not reside in that foster home; (iii) meet the Virginia Department of Health (VDH) licensing requirements; or (iv) have accreditation from a CMS-recognized organization to be a personal care or respite care provider. 

Comment:  Return option for providers of other residential services to provide respite services.  This service is vastly under supported by providers because of low reimbursement rates.   By allowing residential providers to provide respite services when staffing or availability allows, this much needed support would be able to be provided to more people throughout the state.