Who will have the final say as to who is admitted to the waiver program and when? What will the criteria be? One more complicated thing for providers to face...

I often have people on the CL Waivers and FIS Waivers who cannot tap into their benefits because of complex built in regulations about waiver useage and eligibility. I have had 5 people over the last 2 months on our PDN case load who have been victims of "churn".

I suggest appointing someone to handle Medicaid elegibilities for more complex Waivered cases (the people DMAS seems to be trying to priortize here) who can interface with DSS to better serve current members.  As it is now, Medicaid is lumping all expansion people in with Waiverd individuals for annual eligibility renewals. Why do tracheostomy and ventalated clients need to prove continued elegibility every year? Is this really necessary? 

Leave this process alone please and work on correcting existing issues regarding elegibility of your current members who are already either receiving Waiver services or trying to.