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Public Comment Forum

General Notice: Notice of Public Comment Period: 1915(c) Home and Community-Based Services Waivers Amendments Effective 1/1/2027

red dot In Progress!     Opened on 9/17/2026 and closes at 11:59pm on 10/18/2026

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500 comments
Comment Title Commenter
Soft Caps / Personal Assistance Richard Edwards, Amivie  10/16/26  1:16 pm
Opposing the new support broker proposal Daniel Barnhart, Advocate and Consumer  10/16/26  12:39 pm
Broker replacing Service Facilitators Anonymous (242484)  10/16/26  12:23 pm
Proposed Amendments to Virginia’s Medicaid Waiver Programs Anonymous (242483)  10/16/26  11:56 am
Changes and EVV requirement Ron D  10/16/26  11:54 am
Opposition and Concerns for Support Broker Model The Junction Center For Independent Living, Inc.  10/16/26  11:41 am
No soft cap on hours, no brokers, support LRI and families!! Lucia Claster  10/16/26  11:39 am
Strong Opposition to Eliminating Service Facilitators Families Deserve Better Nancy Reyes  10/16/26  11:12 am
Family member support facilitator / Jada Meredith LLC Ms Jones  10/16/26  10:59 am
Please keep Service Facilitators for Virginia Families Sheila McKinney  10/16/26  10:57 am
Strong Opposition to Eliminating Service Facilitators Families Deserve Better Anonymous (242476)  10/16/26  10:50 am
Service Facilitators IMPORTANT Deborah Haddad  10/16/26  10:42 am
Concerned this move will encourage and increase institutionalization not decrease it Anonymous (242474)  10/16/26  10:40 am
strongly oppose strongly oppose  10/16/26  10:34 am
MORE HOURS FOR LIVING ATTENDANT NMA  10/16/26  10:32 am
Service Facilitation Equals Choice Anonymous (242471)  10/16/26  10:16 am
Please don't remove Service Facilitation like Mom's in motion! Jennifer  10/16/26  10:06 am
****A Major Change Without Clear Answers, SAY NO**** Anonymous (242469)  10/16/26  8:53 am
Proposed waiver changes will negatively impact all families with affected children Anonymous (242468)  10/16/26  7:59 am
Objection to proposed changes in choice of Service Facilitation Ronnie L Shank / Michael D. Shank  10/16/26  7:38 am
Title: Family Opposition to Proposed Medicaid Waiver Changes — Protect Individualized Care, Family C Howard Jack Benkert  10/16/26  7:12 am
oppose changes Anonymous (242465)  10/16/26  7:02 am
EVV app and staffing shortages are unrealistic and dangerous for live in care givers Lola Lacey  10/16/26  5:58 am
Concerned citizen Adrianne Jones-Alston  10/16/26  3:58 am
Please consider the impact on parents Ralph Belander  10/15/26  9:50 pm
I agree with The Arc of Northern Virginia's cogent analysis. Salma  10/15/26  9:44 pm
IN HOME TIME INPUT CHANGE Anonymous (242458)  10/15/26  9:20 pm
DMAS doesn’t care Anonymous (242457)  10/15/26  9:09 pm
STRONGLY OPPOSE everything EXCEPT the EOR change Steve Grammer, Disability Advocate  10/15/26  9:01 pm
Strong Opposition to Proposed Medicaid Waiver Changes Keeog kim  10/15/26  8:35 pm
Strongly Oppose V. Davis  10/15/26  8:20 pm
Public Comment on General Notice ID 3470 Medicaid Waiver Program Anne Tuccillo  10/15/26  7:56 pm
Protect Existing Services Julia  10/15/26  7:28 pm
STRONGLY OPPOSE ELIMINATING SERVICE FACILITATORS Dmitriy P.  10/15/26  7:00 pm
STRONGLY OPPOSE Lena P.  10/15/26  6:49 pm
Opposing DMAS changes Mabel Hammer  10/15/26  6:23 pm
Maintain Dedicated Service Facilitation Anonymous (242447)  10/15/26  4:26 pm
Opposition to the Proposed 56-Hour Personal Care Cap Anonymous (242446)  10/15/26  4:12 pm
No to the new Proposal and Changes for live in caregivers Belinda Arey  10/15/26  4:09 pm
Opposing DMAS changes Anonymous (242442)  10/15/26  3:45 pm
Oppose Support Broker Model Olesya Ermolenko  10/15/26  3:36 pm
Oppose service brokerage model Andrea King  10/15/26  3:30 pm
Beyond the Policy: The people, the families, and the futures at stake Moms In Motion  10/15/26  3:29 pm
Strongly Oppose - This puts disabled individuals in institutions Erica Dorsey  10/15/26  3:25 pm
Medicaid Waiver Amendment Anonymous (242436)  10/15/26  3:06 pm
Opposition to proposed changes with explanations as to why Anonymous (242435)  10/15/26  2:00 pm
Medicaid Waiver amendment proposals Virginia Autism Project  10/15/26  1:56 pm
Opposition to the Proposed 56-Hour Weekly Soft Cap and Restrictive Exception Criteria for DD waiver Anonymous (242433)  10/15/26  1:36 pm
Public Objection to the Proposed 56-Hour Cap on Personal Assistance Anonymous (242431)  10/15/26  1:25 pm
Why take away more? Idalgiza Lisa Grullon  10/15/26  1:13 pm
I Strongly Oppose Anonymous (242428)  10/15/26  1:12 pm
proposed DMAS changes in Virginia Jen Tucker, Virginia Autism Project  10/15/26  12:24 pm
Service Facilitator Management - DO NOT CHANGE Teresa Lancaster  10/15/26  12:06 pm
STOP THE SOFT CAP Anonymous (242423)  10/15/26  11:13 am
Please don't give more Authority to cdcn or PPL they don't do the job they have very well Anonymous (242422)  10/15/26  10:04 am
Uphold Family Choice and Preserve Service Facilitators in Virginia Lynda Chandler  10/15/26  9:59 am
Service facilitators are in the family’s and individual’s best interest Anonymous (242420)  10/15/26  9:57 am
Live in exemption Guy  10/15/26  9:50 am
Proposed DD Waiver Changes Rosa Lachape;  10/15/26  9:00 am
Subject: Public Comment on Proposed Medicaid Waiver Changes and Consumer-Directed Care Donna Werge  10/15/26  9:00 am
Concerns about reduced hours Anonymous (242415)  10/15/26  8:48 am
Opposition to proposed amendments Adrienne Franklin  10/15/26  8:02 am
EEV system service facilitator Anonymous (242413)  10/15/26  4:53 am
No to proposed changes Mom  10/14/26  11:15 pm
Oppose Medicaid changes to service facilitation and 56 hour cap Anonymous (242411)  10/14/26  11:13 pm
Strong Opposition to Proposed Changes Mary Payne  10/14/26  11:02 pm
Technical Questions and Feedback John and Emily Sagle  10/14/26  10:55 pm
Strong Opposition to General Notice 3470 – Elimination of Independent Services Facilitation and Tran Jacqueline Jones  10/14/26  10:33 pm
56 hour soft cap Anonymous (242407)  10/14/26  10:26 pm
Keep Service Facilitator’s Anonymous (242406)  10/14/26  10:02 pm
Concern Regarding Continuity of Support and Consumer Choice CDSF  10/14/26  9:44 pm
No to Proposed Changes. EOR/Parent  10/14/26  9:30 pm
Support Brokers vs Care Facilitators LaVerne Ramey  10/14/26  9:17 pm
Strong opposition to current proposals being peddled Diana D  10/14/26  8:05 pm
Comments on Proposed 2026 Medicaid Waiver Policies Anonymous (242400)  10/14/26  7:49 pm
No Brokers. EOR Anonymous (242399)  10/14/26  7:38 pm
Stop the poor choices Angry EOR  10/14/26  7:12 pm
oppose the soft cap on consumer direct hires Anonymous (242397)  10/14/26  6:37 pm
Medicaid waiver changes Deborah Hotaling  10/14/26  5:30 pm
Oppose Support Broker Model and Questions regarding the model Gayl Brunk  10/14/26  5:02 pm
Please Reconsider the Soft Cap and Brokerage Model L Lattanzio  10/14/26  4:48 pm
Service facilitators Anonymous (242393)  10/14/26  4:40 pm
Changes Anonymous (242391)  10/14/26  4:17 pm
Conditional Support for the Support Broker Model: Accountability, Transparency, and Enforcement Anonymous Services Facilitator  10/14/26  4:16 pm
Changes to cccplus facilitators Anonymous (242387)  10/14/26  3:15 pm
EVV Exemption for Live in caregivers Mark, Live in caregiver of son  10/14/26  3:02 pm
STRONGLY opposed to the proposed Support Brokerage model Amy Dellinger, Harrisonburg-Rockingham Community Services Board  10/14/26  1:33 pm
Recommendation to Add Home-Delivered Meals to Virginia’s CCC+, CL, and FIS Waivers Mom's Meals  10/14/26  1:32 pm
Facilitators Diana Greenhow  10/14/26  1:24 pm
Do not bully or intimidate our disabled family members and friends Linda Valenti  10/14/26  1:09 pm
Opposition to Transitioning Service Facilitation to Insurance Company-Provided Support Brokers Anonymous (242378)  10/14/26  12:45 pm
Keep Service Facilitators Stacey Nichols  10/14/26  12:43 pm
Subject: Strong Opposition to the Elimination of Service Facilitators Anonymous (242376)  10/14/26  12:33 pm
Opposition to the Proposed 56-Hour Soft Cap for DD Waiver Services kayla Joo  10/14/26  12:27 pm
Stop taking away our rights Anonymous (242374)  10/14/26  12:10 pm
NO TO PROPOSED CHANGES (NO BROKERS) Anonymous (242373)  10/14/26  12:08 pm
Possibe changes to the Medicaid Program Joe Kennedy Parent of a person with a DD Waiver  10/14/26  12:07 pm
Do not change, keep the facilitators Anonymous (242371)  10/14/26  11:55 am
Keep our facilitators Anonymous (242370)  10/14/26  11:38 am
Please do not get rid of our facilitators! Amy W.  10/14/26  11:32 am
Service facilitors Are a bridge Sharonda bullock  10/14/26  11:01 am
Please keep our facilitators Anonymous (242367)  10/14/26  10:55 am
Waiver Changes Sonya Peyton  10/14/26  10:54 am
It's becoming ridiculous. Anonymous (242365)  10/14/26  10:51 am
Comments on Proposed 2026 Medicaid Waiver Policies Zhikun Meng  10/14/26  10:45 am
Everyone deserve a right to care Anonymous (242363)  10/14/26  10:39 am
Comments on Proposed 2026 Medicaid Waiver Policies Chimes  10/14/26  10:24 am
Service facilitators are essential! Anonymous (242361)  10/14/26  10:21 am
Keep our Facilitators Sarita Gramby  10/14/26  10:17 am
VACSB Comments on Proposed 1915(c) Home and Community-Based Services Waiver Amendments Virginia Association of Community Services Boards (VACSB)  10/14/26  10:16 am
Please keep service facillitators Marybeth Clarke  10/14/26  10:13 am
Home Healthcare Workers Jason  10/14/26  10:11 am
Support Brokers remove choices and protections for Individuals with ID/DD Juanita Williams  10/14/26  10:11 am
Keep Service Faciltators V. New  10/14/26  10:03 am
Keep our service facilitators! Shannon Seymour  10/14/26  9:55 am
Please don’t take my rights away and put my health at risk Anonymous (242349)  10/14/26  8:16 am
To Virginia Medicaid (DMAS): Remember the People You Were Called to Serve ONBOARD LLC  10/14/26  7:29 am
I strongly oppose this proposal Mi L Lee  10/13/26  10:40 pm
Please think about our children with disabilities and their right of living with dignity Rolana Mreich  10/13/26  10:35 pm
Unfair Moutieh Tomeh  10/13/26  10:28 pm
Placing Support Brokers Within Fiscal Agencies Will Not Best Serve Virginians with Disabilities Renay Hannon, EOR  10/13/26  4:15 pm
Against brokerage model- keep our service facilitators! ID  10/13/26  3:33 pm
No to Brokers — Do Our Families and Their Choices Still Matter? Ib  10/13/26  3:33 pm
Strong Opposition to 56-Hour Cap: Protect Severely Disabled Families Theresa R  10/13/26  3:25 pm
What is the end goal? Anonymous (242339)  10/13/26  2:11 pm
Petition to oppose brokers Roger Atkinson  10/13/26  1:48 pm
Please Preserve Services Facilitation and Family Choice in Virginia Waiver Services Judy W.  10/13/26  1:47 pm
Formal Opposition to Eliminating Independent Service Facilitators in Virginia Katelynn S.  10/13/26  1:41 pm
Why is this necessary? Brock Dorsey  10/13/26  12:03 pm
Financial Implication of changes Anonymouse  10/13/26  11:50 am
dLCV Comment on Proposed Changes to Medicaid Waivers disAbility Law Center of Virginia  10/13/26  7:56 am
Support Broker vs Services Facilitation Chris Grandle  10/12/26  7:43 pm
Keep the Waiver Anonymous (242327)  10/12/26  6:13 pm
Keep Facilitators- NO BROKERS!!! Brenda Brocki  10/12/26  4:43 pm
NO BROKER keep faciliatators Alyssa Muhlendorf  10/12/26  4:18 pm
Strong Opposition to 56-Hour Cap: Protect Severely Disabled Families Anonymous (242324)  10/12/26  2:58 pm
I don’t want change Anonymous (242323)  10/12/26  2:25 pm
Choice is critical! Tanya Layne  10/12/26  2:05 pm
Oppose to Broker models and changing waivers. Keep Service Facilitators. Gloria Strang  10/12/26  1:51 pm
Please keep Services Facilitation as an option for families Anthony Poindexter Jr  10/12/26  1:46 pm
Support the comments from the Arc of Northern Virginia Sandra Atkins  10/12/26  1:15 pm
Exhausted! Courtney Veerman EOR  10/12/26  11:56 am
EXHAUSTED! EOR  10/12/26  11:42 am
Soft cap 56 hours Anonymous (242316)  10/12/26  11:37 am
PLEASE KEEP OUR FACILITATORS!!!!!!!!!!!!!!!!!!!!!!!! Anonymous (242315)  10/12/26  11:27 am
Service Facilitators vs Brokers / 56 hour cap Patient  10/12/26  11:22 am
Oppose 56 hour cap Anonymous (242312)  10/12/26  7:56 am
WE NEED SERVICE FACILITATORS EOR  10/12/26  7:47 am
Service Facilitators Grandparent to a client  10/11/26  11:10 pm
Grateful, Sad, and Concerned Services Facilitator Lou's Solutions, LLC  10/11/26  9:09 pm
Do NOT end service facilitation Anonymous (242308)  10/11/26  7:54 pm
Protect parents rights Anonymous (242307)  10/11/26  6:24 pm
We are TIRED. Tired of fighting for basic needs…  10/11/26  11:42 am
DMAS/Independent Service Facilitators Anonymous (242305)  10/11/26  11:09 am
Subject: Strongly Oppose the Elimination of Services Facilitation and other changes MARY LLOYD  10/11/26  5:27 am
Public Comment on Notice No. 3470: Live-In Caregiver EVV Exemption Larisa Turkatte  10/10/26  7:08 pm
Oppose to ending SF, 56 hour cap A Concerned Sister and family advocate  10/10/26  6:04 pm
Please NO Brokers! Martha Jones  10/10/26  5:40 pm
Do not take away our facilitators and keep the EVV live in exemption. Anonymous (242300)  10/10/26  1:39 pm
No Change Anonymous (242299)  10/10/26  9:56 am
Service Facilitation Connor B. Land  10/10/26  8:33 am
Public Comment on Proposed 1915(c) HCBS Waiver Amendments — Services Facilitation, Caregiver Hours, Randall Kemp  10/9/26  4:46 pm
OPPOSING THE PROPOSED 56-HOUR PERSONAL ASSISTANCE SOFT CAP Krizia Lopez  10/9/26  2:15 pm
Protect our rights Anonymous (242295)  10/9/26  1:17 pm
NO BROKERS, let us have service facilitators!!! Christina Resch  10/9/26  1:16 pm
protect service facilitators, say no to brokers Metro Sayre  10/9/26  11:27 am
The right to choose Service Facilitation Nyla Spawn  10/9/26  11:25 am
Meaningful Public Notice, Concerns Regarding the Proposed Service Facilitator Changes Larisa Turkatte  10/9/26  11:14 am
Against Broker Model Anonymous (242290)  10/9/26  11:11 am
no to broker Model Anonymous (242289)  10/9/26  10:38 am
Against Broker Model- Protect Our Right to Choose Our Own Service Facilitators Iman  10/9/26  10:37 am
Against Broker Model- we have the right to choose our facilitators IB  10/9/26  10:36 am
Against Broker vs Service Facilitator Lindsay Rapoport Weis  10/9/26  9:07 am
Service Facilitation is much more than just a service! Rochell Kemp  10/9/26  8:52 am
Against Brokerage Model Lillian C Barnhart  10/9/26  8:41 am
Public Comment Regarding Proposed CCC Plus Waiver Amendments (General Notice 3470) Justin Hensley  10/9/26  7:35 am
Service Facilitators are Vital and Soft Caping Hours could be dangerous Anonymous (242282)  10/9/26  4:44 am
Oppose replacing facilitators with brokers, continue to accept EVV exemption for live in caregivers Anonymous (242281)  10/8/26  10:14 pm
Keep service facilitators, the EVV live-in exemption, and an exception to the 56-hour cap Shai Malik  10/8/26  10:01 pm
I oppose ending SF Anonymous (242279)  10/8/26  9:33 pm
Service facilitators- keep them for families! Anonymous (242278)  10/8/26  9:24 pm
Against brokerage model- keep our service facilitators! I.B  10/8/26  9:12 pm
Service Facilitators- Protect Our Right to Choose Our Own Service Facilitators and Preserve Our Ind I.N  10/8/26  9:09 pm
Service facilitators- Freedom and ability to choose for our family ! Anonymous (242275)  10/8/26  9:08 pm
Independent Service Facilitators Shannon Ray  10/8/26  9:04 pm
Please do not cap weekly hours Anonymous (242271)  10/8/26  6:44 pm
Changes to services facilitator Anonymous (242270)  10/8/26  6:24 pm
Service Facilitators Wendy Saunders  10/8/26  6:23 pm
service facilitator Anonymous (242268)  10/8/26  5:57 pm
PLEASE! Do NOT end service facilitators Anonymous (242267)  10/8/26  5:53 pm
Local Services Facilitators are necessary partners for Virginians with disabilities Jennifer Hutcheson  10/8/26  5:19 pm
CHRISTOPHER SERVICES Facilitation Ramona Reitnauer  10/8/26  4:48 pm
Protect Services Facilitation and Family Choice Jessica Gonzalez  10/8/26  4:30 pm
Difficulty creates pain/suffering Anonymous (242263)  10/8/26  4:09 pm
Opposition to Replacing Service Facilitation With a Brokerage Model Kathleen Goolsby  10/8/26  4:05 pm
Service Facilitator vs. Broker Pam Witham  10/8/26  4:03 pm
Please stop this change Anonymous (242260)  10/8/26  4:02 pm
Service Facilitators Are Needed Heather Boseman  10/8/26  3:57 pm
Taking rights away Christina  10/8/26  3:47 pm
No changes!! Imani B  10/8/26  3:45 pm
Will cost more, and result in more suffering! Williamsburg Mom  10/8/26  2:48 pm
Soft-Cap will ultimately cost Virginia tax payers more money Anonymous (242255)  10/8/26  2:42 pm
Protect Service Facilitator Positions Sherry Routh  10/8/26  12:40 pm
No changes T Loving  10/8/26  12:36 pm
Vital support of service facilitators April Hepler  10/8/26  11:14 am
Need for service facilitator Anonymous (242251)  10/8/26  11:01 am
Live-in Attendant Sandra Harris  10/8/26  9:31 am
EVV for Live-In Attendants Anonymous (242249)  10/8/26  9:23 am
the soft 56 hour cap would cause harm Charles Tillapaugh  10/8/26  9:18 am
Children with disabilities need your support Amanda Dietrich  10/8/26  9:16 am
proposed changes Annette Boothe  10/8/26  8:41 am
Live in exemption needed please Anonymous (242245)  10/8/26  8:21 am
The support broker model may be a better fit for newly enrolled waiver recipients Anonymous (242244)  10/8/26  8:09 am
Ready for change Anonymous (242243)  10/8/26  8:02 am
Support Broker transition: verify new authorizations before ending old ones Anonymous (242242)  10/8/26  6:47 am
Conditional Support for Broker Transition Maria McWhirt  10/7/26  10:14 pm
Will replacing Service Facilitators with Service Brokers cause harm? Mark Albert, parent, guardian, and Employer of Record  10/7/26  9:51 pm
big time conflict of interest Anonymous (242237)  10/7/26  7:36 pm
Community Living Must Be Available - This Proposal Hinders The Availability Cynthia Lee  10/7/26  6:39 pm
Town hall Anonymous (242235)  10/7/26  6:12 pm
No to support broker Lindsey O'Quinn  10/7/26  6:10 pm
No to any change Jenn  10/7/26  5:38 pm
SUPPORT BROKER MICHELLE RUNION  10/7/26  5:26 pm
DMAS Services Facilitator 2026 Town Hall on October 7, 2026 Anonymous (242230)  10/7/26  4:24 pm
Keep the service facilitator Angela D Switzer  10/7/26  3:58 pm
Reduce the fraud Anonymous (242228)  10/7/26  3:54 pm
Concerned about proposed changes to Medicaid waiver Anonymous (242227)  10/7/26  3:25 pm
Our service facilitators have been a key support Andrew Harbick  10/7/26  3:18 pm
I strongly oppose replacing Service Facilitation with a Support Brokerage model. Kammi Evans, Support Coordinator HARRISONBURG-ROCKINGHAM CSB  10/7/26  1:35 pm
Strongly oppose the elimination of Service Facilitators Krista King  10/7/26  12:45 pm
With respect, fully support comments submitted by ARC of Northern Virginia Anonymous Parent  10/7/26  12:39 pm
With respect, in full support of comments submitted by ARC of Northern Virginia Anonymous Parent  10/7/26  12:38 pm
No to Brokerage Model Jen Anderson  10/7/26  12:33 pm
Need to better understand the consequences Hugo Bonuccelli  10/7/26  11:59 am
Opposing this change. Barbara Dolan  10/7/26  11:47 am
NO to changes Jaffar Al khudhur  10/7/26  11:26 am
Why I need A live in caregiver Mary Carver  10/7/26  10:53 am
I DO NOT support moving to the proposed "Broker" system for CD Services. Wendy Moyers HRCSB Support Coordinator  10/7/26  10:43 am
No information or reasoning provided; do not take away our service facilitators Peyton Walther  10/7/26  10:20 am
Please do not end service facilitation Katy Jones  10/7/26  10:20 am
new requirements for evv for live in caretakers is wrong !!Don’t take away our facilitators ! Anonymous (242209)  10/7/26  9:40 am
DMAS proposed changes Allen and Susan Clague, Legal Guardians  10/7/26  9:34 am
No to Brokerage Model Jed Miller, HRCSB Support Coordinator  10/7/26  9:31 am
No to "brokers" Sarah Moyers  10/7/26  8:32 am
Elderly care Anonymous (242204)  10/7/26  7:26 am
Why Parent-Provided Care Matters to Our Family Jason Harley  10/6/26  10:37 pm
Caregiver Medicare & Medicaid. Services cut Caregiver  10/6/26  10:20 pm
Proposed Elimination of Services Facilitators and New EVV Requirements Elizabeth Noriega  10/6/26  8:51 pm
A Live-In Caregiver’s True Story: The Real-Life Effects of EVV (512) Anonymous (242200)  10/6/26  8:17 pm
Stop now Greed  10/6/26  7:05 pm
The human cost of Medicaid savings Annie Hawkins, Harrisonburg Rockingham Community Service Board  10/6/26  6:18 pm
We Need our SFs! Anonymous (242196)  10/6/26  6:10 pm
Don’t take away Makenzie Delea  10/6/26  6:06 pm
Service facilities and hours Karin King  10/6/26  6:03 pm
Impact of Proposed Changes on Families Relying on Parent Caregivers Erinn Harley  10/6/26  5:52 pm
Serious Conflict of Interest, Care Disruption, and Regulatory Non-Compliance in the Proposed Support anonymous (242192)  10/6/26  5:09 pm
I agree with the ARC of Northern VA and too many changes - not enough information Anonymous (242191)  10/6/26  5:05 pm
Independent service facilitators specifically Jada Meredith. Karen Robinson  10/6/26  4:34 pm
Eliminating the SF - Are you kidding me ? Anonymous (242189)  10/6/26  3:31 pm
New Changes Krista Hines  10/6/26  3:20 pm
No to placing burden of service facilitation on familie Anonymous (242187)  10/6/26  3:05 pm
?? no changes in SF Anonymous (242186)  10/6/26  2:38 pm
Kudos for our administrator Jack Joyner  10/6/26  1:27 pm
KEEP OUR FACILITATORS! Dorothy  10/6/26  12:49 pm
No to "brokers" and broken trust Jeremy Breneman  10/6/26  12:28 pm
I do not support moving to the proposed "Broker" system for CD Services. Rob Slaubaugh Harrisonburg/Rockingham CSB Senior Manager DD services  10/6/26  11:50 am
Pause the elimination of standalone Services Facilitation... Anonymous (242179)  10/6/26  11:36 am
Public Comment Regarding Proposed Transition from Services Facilitation to Support Brokerage Natasha Benenson, HRCSB  10/6/26  10:48 am
Against the change! Catalina Lopez  10/6/26  10:48 am
Individuals have the right to choices/ person centered supports Tiffany Tillman  10/6/26  9:38 am
DMAS Waiver Changes David Muir  10/5/26  10:33 pm
How helpful and how much u depend on my service facilitator Tennile Dixon  10/5/26  9:54 pm
Keep independent service facilitators LLC's Shirley, Miss. Jada Meredith,LLC  10/5/26  9:18 pm
Preserve independent Services Facilitation as a member-choice option alongside Support Brokerage! Anonymous (242172)  10/5/26  8:58 pm
Service Facilitator perspective King  10/5/26  8:43 pm
Parent of a child receiving consumer-directed services Matt K.  10/5/26  8:38 pm
Support of the Arc Nova Anonymous (242169)  10/5/26  8:27 pm
Support to facilitate Anonymous (242168)  10/5/26  6:18 pm
Please Preserve the Live In Attendant Exemption for Virginia Families Lijah Smith-Nicholson  10/5/26  5:26 pm
I strongly oppose the proposed elimination of independent service facilitators like Jada Meredith Kimberly Jackson  10/5/26  5:09 pm
Don't eliminate independent facilitators in VA!! They are necessary and vital to the patients! Anonymous (242165)  10/5/26  4:53 pm
oppose the proposed elimination of independent Services Facilitators. Tiffany Atkins  10/5/26  4:34 pm
Don't eliminate independent facilitators in VA!! They are necessary and vital to the patients! Anonymous (242163)  10/5/26  4:31 pm
Independent Service facilitators Tiffany Atkins  10/5/26  4:28 pm
I OPPOSE ENDING SF Shannelle Coles, EOR  10/5/26  4:20 pm
Please Preserve Independent Services Facilitation for Virginia Families Margo Smith  10/5/26  4:18 pm
Independent Service Facilitators PAUL H BLALOCK JR  10/5/26  4:16 pm
JADA MEREDITH LLC Anonymous (242158)  10/5/26  4:14 pm
Facilitators Tarsha Brown  10/5/26  4:11 pm
Eliminating Services Facilitation Would Destabilize Consumer-Directed Care Jada , Miss Jada Meredith LLc  10/5/26  2:54 pm
Please do not change the current system! Rhonda Baxley  10/5/26  10:21 am
EVV and Facilitator Anonymous (242154)  10/5/26  10:20 am
Services Facilitator Anonymous (242153)  10/5/26  10:10 am
SF Anonymous (242152)  10/5/26  9:36 am
Concerns Anonymous (242151)  10/5/26  9:02 am
Protect the Right of CHOICE khash  10/5/26  8:36 am
Keep Service Facilitators instead of Brokers Christian Reed Live in Attendant and Karen Reed Eor  10/4/26  10:50 pm
Why Dmas should restore the Live in exemption for clocking in and out Christian Reed, Live in Attendant  10/4/26  7:46 pm
WE NEED in home EXEMPTIONS Ally whittaker  10/4/26  7:44 pm
Concern about waiver changes Jenni Blick  10/4/26  7:30 pm
Keep MOMS in MOtion facilitators and stop treating full time caregivers like criminals Lola Lacey  10/4/26  4:06 pm
Service Facilitator Anonymous (242144)  10/4/26  3:58 pm
Patient Pay EOR  10/4/26  3:06 pm
Preserve Independent Services Facilitation and Family Choice Renee Hyder  10/4/26  12:13 pm
Virginia Lawmakers: Federal Funding Pressures? Who Benefits From the Broker Model? Risk to Small HCB Anonymous 2  10/4/26  10:12 am
Hour 57: Show Us the Math Carey D. Load  10/4/26  9:10 am
56 Hours: When a "Soft Cap" Hits Hard Nita Moore-Hours  10/4/26  8:50 am
Mayday: Rebuilding Home Care Midflight Terry B. Lence  10/4/26  8:00 am
Reinstate EVV live in exemption && save our service facilitators! Anonymous (242137)  10/3/26  5:11 pm
Keep moms in motion as our service facilitator Anonymous (242136)  10/3/26  3:52 pm
Don't do away with Facilitators Sarah Hambrick  10/3/26  3:40 pm
Brokers Furious  10/3/26  1:48 pm
DMAS Anonymous (242133)  10/3/26  12:48 pm
Opposed Medicaid EVV change Priscilla Davenport  10/3/26  11:26 am
Please Protect Families Providing Essential Care for Their Children Anonymous (242131)  10/3/26  11:03 am
Service Facilitation Choice Amanda Chew  10/3/26  9:00 am
Your turn DMAS Anonymous (242129)  10/3/26  8:13 am
Service Facilitators Anonymous (242128)  10/3/26  8:06 am
Oppose EVV Priscilla Davenport  10/3/26  7:22 am
Get rid of the time app for live in care givers. Anonymous (242126)  10/3/26  7:14 am
Does this violate federal law? Eric Rothman  10/3/26  5:45 am
WHY WHY do you do this to families ?? Shelley Reichard Personal caregiver  10/2/26  11:37 pm
Reinstate EVV Live-in Exemption M.P.  10/2/26  11:35 pm
This Is What California and Minnesota Anonymous (242122)  10/2/26  11:27 pm
We need our Service Facilitators! Molly  10/2/26  11:19 pm
56 Hour False Cap - There IS no ‘soft cap’ FARCE Anonymous (242120)  10/2/26  11:18 pm
EVV - DANGEROUS For High Needs Elopers With Lack of Safety Awareness Anonymous (242119)  10/2/26  11:03 pm
Virginia Families Deserve Choice in Services Facilitation Anonymous (242118)  10/2/26  10:46 pm
Please Protect Services Facilitation and Provider Choice for Virginia Families Tiara A.  10/2/26  10:27 pm
Our Family Supports Service Facilitation Model J.F.  10/2/26  9:39 pm
Don’t change anything! Anonymous (242115)  10/2/26  8:33 pm
Why wreck a good thing? Anonymous (242114)  10/2/26  8:22 pm
Do not take away choice! Service facilitation must not end. Anonymous (242113)  10/2/26  7:32 pm
We want to keep moms in motion as our service facilitator Anonymous (242112)  10/2/26  7:27 pm
Complete conflict of interest and discrimination against those with disabilities Anonymous (242111)  10/2/26  7:24 pm
Preserve Independent Services Facilitation Anonymous (242110)  10/2/26  6:25 pm
Facilitator services Anonymous (242109)  10/2/26  5:59 pm
Live In exemption Anonymous (242108)  10/2/26  5:54 pm
Service Facilitators Erin, Autism Project  10/2/26  5:49 pm
Opposition to the Removal of the EVV Live-In Exemption Anonymous (242106)  10/2/26  5:42 pm
EVV Erin, Autism Project  10/2/26  5:39 pm
Choice Anonymous (242104)  10/2/26  5:38 pm
Agree!! A Person who helps people  10/2/26  5:33 pm
Public Comments on the Transition from Service Facilitation to the Support Broker Model Anonymous (242102)  10/2/26  5:31 pm
SFs might be a good idea Anonymous (242101)  10/2/26  5:27 pm
Do not replace our service Ficilitators Lori Andrews  10/2/26  5:22 pm
Wrong direction Anonymous (242099)  10/2/26  5:21 pm
Cancelled EVV please Sam Jiang  10/2/26  5:12 pm
Opposed Anonymous (242097)  10/2/26  5:11 pm
Call the DOJ! This is disgusting Anonymous (242096)  10/2/26  5:04 pm
Comments on Proposed 2026 Medicaid Waiver Policies Lucia Sedwick Claster  10/2/26  4:47 pm
I am poos Anonymous (242092)  10/2/26  11:33 am
I am poos Anonymous (242093)  10/2/26  11:33 am
Opposition to Eliminating Service Facilitators Anonymous (242090)  10/2/26  10:25 am
The Dog Whistle: “Fraud, Waste, and Abuse” - the Catch-All Justification, HC Providers on Parole Sue S. Picion  10/2/26  9:20 am
EVV - Endless Verification Vortex! Polly C. Oversight  10/2/26  7:58 am
56 Hour Soft Cap Anonymous (242087)  10/1/26  8:24 pm
EVV Unhappy EVV User  10/1/26  8:08 pm
Agree with Arc of NOVA Rachel Shoukry  10/1/26  6:42 pm
Please hear us Rachel Estok  10/1/26  6:26 pm
I stand with the Arc of NOVA Brittney H  10/1/26  5:45 pm
Don’t take away service facilitators!!! Anonymous (242081)  10/1/26  5:13 pm
Service facilitation Stacey Carter  10/1/26  4:42 pm
Changes to the Medicaid Waiver program Sandi M Long  10/1/26  3:33 pm
Support for Arc of NoVa comments Kathryn Ramchand  10/1/26  3:26 pm
DMAS Policy Review and Request for Updates Regarding Children with Neurodevelopmental Disabilities Ebony Feliz, MSN, APRN, FNP-BC  10/1/26  2:03 pm
I support the comments from The Arc of Northern Virginia Anonymous (242076)  10/1/26  1:41 pm
Proposed Medicaid Changes Anonymous (242075)  10/1/26  1:40 pm
This won’t fly Anonymous (242074)  10/1/26  1:21 pm
Protecting Independent Advocacy, Consumer Choice and Access to Essential Care ANGELA MW THANYACHAREON  10/1/26  1:20 pm
I am Dey and I support the comments from The Arc of Northern Virginia. Dey  10/1/26  1:19 pm
Agree with the Comments of the Arc of NoVA Michael Montante  10/1/26  12:48 pm
Comments by the Arc of Northern Virginia Anonymous (242069)  10/1/26  12:47 pm
Regulation Changes to Medicare Waiver and State Plan Anonymous (242068)  10/1/26  12:15 pm
Agree with ARC NOVA Anonymous (242067)  10/1/26  12:02 pm
OPPOSED Andrea Miller  10/1/26  10:38 am
Opposition to proposed changes Matthew Boesen  10/1/26  9:42 am
comment section Heather Heflin  10/1/26  8:25 am
Medicaid Waivers Jessica Burmester  10/1/26  8:19 am
I support The Arc of NOVA‘s comments Kenneth Israel  10/1/26  8:16 am
Opposition to 56-hour Personal Assistance Cap fir Individuals with Complex Disabilities Anonymous (242060)  10/1/26  8:10 am
SF is more than just visits in the home! Anonymous (242059)  10/1/26  7:38 am
Support comments from the ARC of NoVA Mark Woodward  10/1/26  7:05 am
Don't make life more difficult for people with disabilities and their families Andrea Carpenter  10/1/26  6:27 am
I support the ARC of Northern VA Debra Tinker  10/1/26  6:25 am
Opposes ending service facilitation Anonymous (242055)  10/1/26  12:42 am
56 hour cap facilitation Who is responsible  9/30/26  10:22 pm
Service facilitator Disappointed in the decision makers  9/30/26  10:19 pm
Don’t violate the rights of disabled individuals by replacing service facilitators! Davannah Byers  9/30/26  9:21 pm
Do Not replace Service Facilitators with brokers Karen Cole  9/30/26  9:12 pm
Service Facilitators Anonymous (242050)  9/30/26  8:57 pm
Comments from the Arc of Northern Virginia Cheryl Takemoto  9/30/26  8:48 pm
Service Facilitators Kelley Calhoun  9/30/26  8:39 pm
56 hour/ current service facilitation model has serious flaws Anonymous (242047)  9/30/26  8:28 pm
Proposed Medicaid Waiver Changes Nicole Wade-Jones  9/30/26  7:31 pm
In support of the ARCofNOVA's comments Jean Walker-Wiley  9/30/26  7:31 pm
Support for Arc of Northern Virginia’s comments Ayah Ibrahim  9/30/26  6:10 pm
I support the Arc of NoVA's Comments Maya Wechsler  9/30/26  5:57 pm
Support the Arc comments on proposed Medicaid changes Anonymous (242042)  9/30/26  5:54 pm
Proposed changes to Medicaid Waiver Program Marisa Cenci Brown  9/30/26  5:26 pm
Protect Medically complex individuals and preserve safeguards Anonymous (242040)  9/30/26  5:22 pm
DMAS Should Disclose the Financial Analysis Supporting This Change - removal of SF Anonymous (242039)  9/30/26  5:13 pm
Mom to 2 Adults with Disabilities supports the Arc of NOVA's comments Lisa Escoto  9/30/26  4:49 pm
Special Needs Parent Supports ARC of Northern VA Comments Elizabeth Davis  9/30/26  4:45 pm
Support of comments made by the Arc Robin Grant Weisman  9/30/26  4:38 pm
Comment on planned changes to Medicaid Waiver program Anonymous (242035)  9/30/26  4:35 pm
Support of Comments from The Arc of Northern Virginia Ashley Cantatore  9/30/26  4:27 pm
Comments on Proposed 2026 Medicaid Waiver Policies Dennis Findley  9/30/26  4:27 pm
Concerns Ana Hughes  9/30/26  4:22 pm
Support of comments from The Arc John D. Berman  9/30/26  4:19 pm
Medicaid Waiver program changes Anonymous (242030)  9/30/26  4:19 pm
Comments on Proposed 2026 Medicaid Waiver Policies Lucy Beadnell, The Arc of Northern Virginia  9/30/26  3:46 pm
Concerns on PA Cap and Service Facilitation Transition Anonymous (242028)  9/30/26  3:20 pm
O P P O S E D ANONYMOUS (242027)  9/30/26  2:32 pm
Preserve Choice and Consumer Direction in Virginia’s Medicaid Waiver Services Eleanor Janek  9/30/26  10:36 am
Concerned about these changes Beth Sanmartin  9/30/26  9:33 am
OPPOSE HB 1495 Mike D  9/30/26  8:47 am
Keep Service Facilitators Elizabeth Shapiro  9/30/26  8:13 am
Service Facilitation transition to Service Broker Lucy Hill - Lucy Hill Services  9/30/26  3:50 am
Removal of Service Facilitation Concerned Service Facilitator  9/30/26  12:37 am
Keep things as is Anonymous (242018)  9/29/26  7:55 pm
Facilitator vs. Service brokers Dana Hasal-Vegas  9/29/26  3:36 pm
1915(c) Home and Community-Based Services Waivers Amendments Voter  9/29/26  12:46 pm
1915(c) Home and Community-Based Services Waivers Amendments Concerned citizen  9/29/26  12:43 pm
1915(c) Home and Community-Based Services Waivers Amendments An Attendant and caregiver for medicaid consumers  9/29/26  12:38 pm
Notice of Public Comment Period: 1915(c) Home and Community-Based Services Waivers Amendments Effect H Wessell  9/29/26  11:11 am
Opposition to the 56-Hour Soft Cap and Elimination of Services Facilitation Rachel Johnson  9/29/26  10:50 am
WHAT ABOUT CHOICE - ITS A RIGHT!!!! Tracey Johnson  9/29/26  8:02 am
Help! NA  9/28/26  9:24 pm
Protect Consumer Choice, Services Facilitation, and Individualized HCBS Supports Rozeena Khattak  9/28/26  8:47 pm
Keeping My Current Service Facilitator at (Coastal) clarissa d e moore-0b to  9/28/26  8:27 pm
Why Facilitator to Broker Anonymous (242006)  9/28/26  7:44 pm
Incorporating Services Facilitation into the Statewide Support Broker Model Through the Fiscal-Emplo Bernice D Griffin  9/28/26  5:07 pm
No Cap and No Broker Needed Tamera Armstrong  9/28/26  12:59 pm
Service Facilitors needed for disabled community Debra Flanagan  9/28/26  12:07 pm
Opposition to HB 1495 E.Kent  9/27/26  7:41 pm
Opposition to HB 1495 Z.Kent  9/27/26  7:34 pm
56 hour soft cap and Service Facilitators Anonymous (241998)  9/27/26  3:53 pm
before you vote....... Kathy McCutcheon  9/27/26  2:32 pm
Risk of Institutionalization YT  9/27/26  2:25 pm
Cognitive vs. Physical Needs YT  9/27/26  2:23 pm
Incompatible Criteria YT  9/27/26  2:22 pm
Please keep the service facilitation as is and do not implement the 56 hr cap. Anonymous (241993)  9/27/26  1:48 pm
56 hr cap. Please read and consider the consequences. TT  9/27/26  1:32 pm
Strongly Against This B. Hadley  9/27/26  9:55 am
Oppose!! Anonymous (241990)  9/27/26  8:03 am
Oppose!!! Anonymous (241989)  9/26/26  10:06 pm
Caregiver Amanda Dillon  9/26/26  11:57 am
Opposition to Proposed Waiver Amendments/Changes Anonymous (241987)  9/26/26  11:29 am
Strongly opposed! Anonymous (241985)  9/26/26  5:19 am
Don't throw the baby out with the bath water !! Anonymous (241984)  9/26/26  1:24 am
I guess the EVV mobile app's now make PPL and CDCN Medical Providers Anonymous (241983)  9/26/26  12:59 am
So, CDCN and PPL have hired RN's and Dr's and become a medical facility ? Anonymous (241982)  9/26/26  12:44 am
DMAS, Have you ever had to deal with CDCN ???? Anonymous (241981)  9/26/26  12:24 am
Service facilitator Anonymous (241970)  9/25/26  7:21 pm
Strongly Oppose Kimberly Griffin  9/25/26  6:19 pm
Strongly Oppose Anonymous (241966)  9/25/26  6:06 pm
I am against replacing my service facilitator Anonymous (241963)  9/25/26  5:17 pm
Revision Request on application Gail Dutchess  9/25/26  2:57 pm
Why? Savannah entsminger  9/25/26  2:54 pm
Refuse violation of right to choose  9/25/26  2:33 pm
Service Facilitator's, Hours and making life more difficult Anonymous (241934)  9/25/26  2:17 pm
Service Facilitators Lindsey Pyle  9/25/26  1:56 pm
Why? Meli da zamos  9/25/26  1:55 pm
Caregiver Hours Melody Thompson  9/25/26  1:14 pm
Strongly Oppose 56-Hour PA Cap and Elimination of Service Facilitation (CL & FIS Waiver Amendments) Anonymous (241873)  9/25/26  9:55 am
Save our facilities Anonymous (241843)  9/25/26  7:24 am
Service Broker Anonymous (241840)  9/25/26  6:11 am
These kids don’t deserve this Anonymous (241832)  9/24/26  11:54 pm
SF Changes Lisa Johnson  9/24/26  11:43 pm
SERVICE FACILITATORS Anonymous (241829)  9/24/26  11:39 pm
Oppose 56-Hour Limitation Maya Wechsler  9/24/26  10:45 pm
Proposed Change to Service Broker Anonymous (241815)  9/24/26  9:39 pm
The hours need to be left available Anonymous (241787)  9/24/26  6:23 pm
Keep SF Model intact! Anon  9/24/26  5:27 pm
Have you lost your mind? Lisa Volante  9/24/26  5:01 pm
56 hour soft cap for waivers is dehumanizing, goes against DMAS policy, creates poverty for families Mother of a son with Disability  9/24/26  4:54 pm
Please keep SF. they are crucial and needed. A. S.  9/24/26  4:15 pm
Continue to allow parents to be live in caregivers Anonymous (241752)  9/24/26  1:46 pm
56 Hour Limit and People with Intellectual Disabilities Anonymous (241751)  9/24/26  1:43 pm
Strong opposition to service facilitator phase out, and the soft 55 hour cap Anonymous (241748)  9/24/26  1:32 pm
Sponsored residential Anonymous (241742)  9/24/26  1:08 pm
support broker model SCCC  9/24/26  10:41 am
support broker model Sharon Cason Card Consultation  9/24/26  10:28 am
Support Broker - Caring for humans is NOT a commodity Dawn M.  9/23/26  9:52 pm
Please Do Not Implement the 56-Hour Cap anonymous (241641)  9/23/26  4:53 pm
personal care needs are not limited to 56 hours Anonymous (241619)  9/23/26  2:37 pm
Concerned about 56-hour cap Anonymous (241608)  9/23/26  1:43 pm
1915(c) HCBS Waiver Amendments — 56-Hour Cap and Services Facilitation-Concerns Anonymous (241597)  9/23/26  12:26 pm
I disagree with policy that impacts paid caregivers Jemila Yimam  9/23/26  11:48 am
Do not remove the DMAS Nurse review from the Level of Care (LOC) process Anonymous (241593)  9/23/26  11:42 am
Keep Employer Identification Number (EIN) assigned to the EORs. Anonymous (241590)  9/23/26  11:32 am
Please Keep Service Facilitators Anonymous (241589)  9/23/26  11:16 am
Please keep current SF's Bethany Sizemore  9/23/26  10:41 am
please do not make it so my wife can not be paid hours to provide care to our daughter thomas kalka  9/23/26  9:50 am
please do not vote yes. tom kalka  9/23/26  9:16 am
Opposition to dismantling Service Facilitation Dana Gunn, RN  9/23/26  8:53 am
Please Preserve Services Facilitators in Medicaid Waiver Program Anonymous (241572)  9/23/26  8:38 am
concern about implementation schedule Anonymous (241563)  9/22/26  10:26 pm
What happens to people who genuinely need 24-hour support? Anonymous (241549)  9/22/26  9:44 pm


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