I would just like to say that my tiny agency has been operating for almost 11 years. 100% of our income comes from the Behavioral Health services we provide via Medicaid.  I believe it is wrong that we are no longer allowed to use projected income as proof of financial stability. We solely rely on the MCOs for our income, and we have never experienced difficulties with receiving payments in a timely fashion.  We provide services in southwest Virginia where there is a dearth of behavioral health services, and this may negatively impact our service delivery.  For example, if we need to purchase a van or some other costly piece of equipment, we may be reluctant due to the  threat of an auditor citing us for not having extra cash in our budget.  I hope you will reconsider this rule.