Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
 
Board
Board of Medical Assistance Services
 
Guidance Document Change: The purpose of the memorandum is to notify providers on the required service authorization and billing procedures for Employment and Community Transportation services under the three (3) Developmental Disability (DD) Waivers (Community Living, Family and Individual Support, and Building Independence Waivers).

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3/31/21  9:37 am
Commenter: Karen Tefelski - vaACCSES

Overall Comment - Empl & Comm Transportation
 

Although a critical and needed service, the service as written is operationally a nightmare for any provider to provide.  This includes documentation requirements, supporting documentation such as “Google Maps/MapQuest print-outs to support trip mileage”, driver requirements, no administering agency overhead reimbursement for the administrative provider, and the exclusion of flexible modes of transportation available in the community including para-transit, Lyft, Uber, cab, etc. There are also cost reimbursement issues that do not reflect current rates via public transportation, etc.

 

I am fearful that this new service will end up not being regularly used (like Shared Living) because of the way it is operationalized by the Department. 

We have provided feedback and worked as members of workgroups from the inception of the initial development of this service in 2015.    Unfortunately, it seems that advice and recommendations from the field have not been taken seriously. 

 

CommentID: 97594