Most of the country, including Texas, New York, and California requested an additional year to hold off EVV so advocates can continue to get it removed from federal regulations.  Why is Virginia not looking out for its citizens who are disabled and are using a service to keep them out of nursing homes and other costly facilities? You are making that service obsolete by imposing EVV which adds costs to a job it is already near impossible to staff.  Please DMAS put in for the good faith effort waiver. CMS says you still can.  Also PLEASE exempt live in providers.