Concerning the deletion of the change in the unit structure that was formerly mentioned in the proposed regulations:

·         While the language in the Economic Impact Statement states that the proposed changes to rate structure were budget neutral, provider’s estimate a loss of 10-25% of revenue would be lost due to the change.  This would seriously impact providers ability to continue to provide services as well as have the quality assurance and supervisory measures in place to make sure the services that are provided are of high quality.

·         We wholeheartedly support the deletion of the language that may have led to these reductions.