Virgnina has changed the way that the SIS is responded to and scored.  When the SIS first was utilized in Virginia, providers were trained on how to assist individuals with the appropriate responses to the SIS to be able to correctly capture the correct amount of support needed, the frequency and the amount of time.  The way in which we were trained initially has not been the method being utilized by the assessors and it doesn't appear that the methodology in which we were initially trained has been changed.  Providers with this change have experienced overwhelming reduction in tiers thus lowering our reimbursement rates.  There have been providers, advocates, parents etc. raising concern about this issue and where the methodology has gone awry.  If this system is going to be utilized, we would recommend that not only the independent assessor be trained on the appropriate data to be collected from the responses of the individual but also the providers be trained as well.  In our experience, there is too much discrepency from the aidd's scoring clarifications and the application of these clarifications in SIS's that we as the provider have attended.