The Virginia Auxiliary Grant Program provides an important funding mechanism that helps ensure access to assisted living services for some of our most vulnerable citizens. The overall structure of the program is relatively straightforward and easy for providers, residents, and families to understand and navigate with some help from DSS. However, one of the most significant challenges facing the program today is the extended timeline for completion of Uniform Assessment Instruments (UAIs). In many areas of the Commonwealth, local DSS and assessment agencies appear to be under-resourced relative to demand, resulting in lengthy delays that can postpone placement decisions and create unnecessary hardships for individuals in need of services.

Additionally, while access and process improvements are needed, the reimbursement rates associated with the Auxiliary Grant Program remain a separate and equally critical concern. Providers continue to face increasing operational costs related to staffing, regulatory compliance, food, utilities, insurance, and resident care, while reimbursement levels have not kept pace with these realities. Meaningful discussions regarding reimbursement adequacy will ultimately require engagement with the Virginia General Assembly to ensure the program remains sustainable for providers and continues to offer quality care options for eligible Virginians.