I am writing to share significant concerns of the impacts the proposed changes to the Medicaid manual to LBAs, LABAs, and the clients and families receiving ABA services. Implementing the manual as drafted would place significant strain on the Tier based model of services which could have a domino effect impacting both the mental health of clients and ABA staff in addition to the agencies providing services. Please consider the following changes to the draft:
Thank you for the opportunity to comment.