Nursing agencies -

Are you aware that the larger nursing agencies are no longer taking Medicaid Waiver cases. I was told by Maxim and Continuum they no longer staff waiver cases due to low reimbursement rates and frequent Medicaid rules changes, and they do not staff our Culpeper area at all. Smaller agencies have to pick up cases. Our area is extremely difficult to staff for homecare as most nurses are employed and live near I95 in the Woodbridge area which is a great distance from Culpeper, Fauquier areas and it's difficult to staff with these small agencies. Please look into this. Thank you.