• Between pages 1 and 2, there is a change in language.  Page 1 talks about the care coordinator overseeing this transition and page 2 does not discuss the care coordinator's role at all but, rather, refers to the service facilitator. 
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• While we appreciate that there is proposed a 30 day continuity of care service authorization requirement, it should be noted that many individuals will also need to switch fiscal agents which is likely to take longer than 30 days.  This means that attendants are likely to see a delay in payment regardless of the continuity of care.
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• On page 2, bullet point 3 indicates that continuity of care service authorization requests ought to be noted on top of the DMAS-97 A/B.  What is the purpose of this as opposed to having a note in the justification in WaMS?  Additionally, is it required that a new DMAS-97 be written if the new 97 is still active and accurate?
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• Page 2, bullet point 6 discusses "required assessments and documentation."  Please be more specific.  Is this referring to the DMAS-99 and Part V?  
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• Also, page 2, bullet point 6 references this documentation must be submitted by the 20th of the month.  Does this mean the 20th day of the continuity of care period? 
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• As support coordinators for the DD waiver, we frequently do not know who the care coordinator is for our individuals.  How are we expected to be able to coordinate with them for transition if we do not know who this is?

why does anyone at dmas think we need yet another social worker blocking access to services? Which is essentially what adding ccc+ will do now we have 3 social workers to jump through hoops for to justify the services we waited 16 to get .... so our loved one doesn’t end up back in a state facility to be raped, beaten, and heavily drugged until the facility causes their premature death.  :( 

after Fully reading the memo myself I think it is wonderful dmas is trying to improve the transition of care... I know during my sons transition to cl waiver services it took from Feb 26 to June 13 2018 to get his “support coordinator” from Va Beach CSB to do anything ... Our sf had their part completed in mid March ... long unnecessary delays :(   I am happy dmas is recognizing the problem

the Fiscal agent part ... why doesn’t the sc and sf start the paperwork transfer fiscal agents or let the consumer or guardian know that if the consumer is still using cdpa they are going to have to switch sfs and let them at least know where the consumer direct care network website is so the eor can find the paperwork to complete the transfer so there isn’t a lengthy delay ? 

I don’t think it is too much to ask the sc to coordinate with the outgoing ccc+ case manager ... odds are wouldn’t the sf know who the ccc+ case manger is or couldn’t the sc call the insurance company? 

Still think it is awesome ?? dmas is trying to prevent loss of services etc