After reviewing the proposed changes, we are very pleased.  These changes will eliminate an additional burden to providers of services to AAL recipients, while not affecting the overall quality of care to the recipients.   These changes mirror the current services and standards for the assisted living and alzheimers private pay residents.   The true benefit  of the changes will come to the elderly seniors of the Commonwealth of Virginia by encouraging more providers of assisted living services to participate in DMAS AAL waiver program.