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General Notice: Notice of Public Comment Period: 1915(c) Home and Community-Based Services Waivers Amendments Effective 1/1/2027

red dot In Progress!     Opened on 9/17/2026 and closes at 11:59pm on 10/18/2026

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60 comments
Comment Title Commenter
KEEP Service Facilitation Anonymous (241350)  9/21/26  1:58 pm
It is already so hard to deal with ppl about anything this wild be a nightmare to put these ppl in c Traci -BHNC  9/21/26  12:15 pm
We need to keep Service Facilitation SAT  9/21/26  12:03 pm
Oppose Broker for Consumer Directed Anonymous (241346)  9/21/26  11:46 am
Virginia is having a complete fail for the disabled with this move. Sharon  9/21/26  10:57 am
Changes to Virginia Consumer Directed- Services Lucas Horta  9/21/26  10:12 am
Will Participants Have a Choice of Support Broker? Anonymous (241341)  9/21/26  9:24 am
Please Preserve Services Facilitation in Virginia’s Medicaid Waiver Programs Anonymous (241340)  9/21/26  9:19 am
Oppose Service Facilitator Model Replaced by Broker Model Sara  9/20/26  6:45 pm
Subject: Public Comment on 1915(c) HCBS Waiver Amendments — 56-Hour Cap and Services Facilitation Pamula Floyd  9/20/26  5:43 pm
Opposition to Broker System Ryan Duffy, The Benefit ACE LLC  9/20/26  5:04 pm
For Consumer Directed: The EOR is basically the S.F. Anonymous (241333)  9/20/26  3:06 pm
Correcting paid-family-caregiver requirements Anonymous (241332)  9/20/26  3:04 pm
Proposed 56-hour soft cap M. Bell  9/20/26  2:57 pm
These changes are not looking at every part of service facilitation! Anonymous (241330)  9/20/26  2:55 pm
SUPPORT: Elimination of Service Facilitators Anonymous (241329)  9/20/26  2:51 pm
Removing safeguards and independent oversight M.Bell  9/20/26  2:50 pm
Removing safeguards and independent oversight M. Bell  9/20/26  2:49 pm
Are the hours cuts due to loosing grants for malfeasance? Anonymous (241324)  9/20/26  1:57 pm
Are The Brokered Services The Contractors with DMAS who own Daycares/LTC Facilities? Anonymous (241323)  9/20/26  1:46 pm
How Many Rooms/Beds Are Available For Our Consumers? Anonymous (241322)  9/20/26  1:33 pm
TITLE: Serious Concerns Regarding the Elimination of Independent Services Facilitation AGENCY: Depa Anonymous (241321)  9/20/26  1:24 pm
SF’s DEMANDED MORE $. We Supported. No Improvement! Anonymous (241320)  9/20/26  1:23 pm
TITLE: Serious Concerns Regarding the Elimination of Independent Services Facilitation AGENCY: Depa Anonymous (241319)  9/20/26  1:20 pm
THE ‘SOFT CAP’ IS UNLAWFUL. ILLEGAL ALIENS WERE CAUGHT HI-JACKING BENEFITS! Anonymous (241318)  9/20/26  1:10 pm
Opposing the Replacement of Services Facilitation Anonymous (241317)  9/20/26  11:23 am
Opposition to the Elimination of Services Facilitation in Virginia Anonymous (241316)  9/20/26  11:18 am
STOP THIS INSANITY. Anonymous (241315)  9/20/26  10:36 am
What Problem Is DMAS Trying to Solve? Anonymous (241314)  9/20/26  10:13 am
Strong Opposition to Removing Choice from People Who Depend on Consumer-Directed Care Teresa Catron  9/20/26  9:54 am
Keep SF Danisha Williams  9/20/26  8:33 am
Strongly Oppose Fiscal Agent Serving as the SF. They can't manage the current case load. Bernice D Griffin  9/20/26  8:13 am
Admendments to va medicaid waiver The right to choose it is being taken Belinda Danner  9/20/26  12:03 am
I STRONGLY OPPOSE brokerage over facilitator services . I STRONGLY OPPOSE 56 HR cap on services Anonymous (241307)  9/19/26  10:22 pm
Where are our Virginia Advocates for Caregivers?? Stephanie Whitmer  9/19/26  7:07 pm
Still cheaper than institutional care. R Mays  9/19/26  7:04 pm
Oppose support of brokers Anonymous (241304)  9/19/26  6:28 pm
Service Facilitators are able to give personalized guidance suitable the local area and consumer. Anonymous (241303)  9/19/26  5:34 pm
Oppose The Use of Support Brokers! Service Facilitators Have Been A Godsend! Amber Stingel  9/19/26  5:26 pm
Be an Advocate not an Enemy! JMM  9/19/26  2:38 pm
Keep Service Facilitators and oppose the broker system Lialeh Eagan  9/19/26  1:23 pm
Oppose broker system- keep our service facilitators Anonymous (241299)  9/19/26  1:21 pm
What would Virginia do without family caregivers? Anonymous (241298)  9/19/26  1:21 pm
Oppose the Support Broker Model without continuity of care Anonymous (241297)  9/19/26  1:19 pm
Please stop Virginia from regressing back to the worst Eugenic State of the Union! Concerned Virginia Historian Caregiver  9/19/26  12:36 pm
Oppose eliminating services facilitation to replace it with support broker model robert church  9/19/26  8:45 am
Public Comment Regarding Proposed CCC+ Waiver Amendment Service Facilitation / Statewide Service Bro Anonymous (241294)  9/19/26  1:36 am
Public Comment Regarding Proposed CCC+ Waiver Amendment Service Facilitation / Statewide Service Bro Willie Brown  9/19/26  1:35 am
Oppose Eliminating Service Facilitators and Oppose Ending DMAS Higher Level Review Anonymous (241292)  9/19/26  1:13 am
I oppose eliminating Service Facilitators. Consumers have a right to choose their Facilitators Anonymous (241291)  9/19/26  12:40 am
Is there a pathway for existing providers to contract as Support Brokers? Anonymous (241290)  9/18/26  11:59 pm
Strongly oppose eliminating services facilitation to replace it with support broker model Anonymous (241289)  9/18/26  9:01 pm
I strongly oppose the proposed elimination of Services Facilitation and the replacement of our Servi Kristin Williams  9/18/26  6:35 pm
Oppose eliminating services facilitation to replace it with support broker model Talia Parvizi  9/18/26  6:17 pm
Oppose eliminating Services Facilitation to replace it with support broker model Jessica Cruz  9/18/26  6:03 pm
Strong Opposition to Service Facilitation Phase-Out / Support Broker Amendments (12 VAC 30-122 Anonymous (241284)  9/18/26  5:57 pm
Require Clear Provider Participation Rules & Participant Protections Before the SB Transition Anonymous (241281)  9/18/26  12:57 pm
Qualifed Concerns with Notice Anonymous (241280)  9/18/26  12:34 pm
Support brokers for consumer direct services Robin Masters  9/18/26  12:26 pm
Considerations for points 1 and 2 Anonymous (241278)  9/18/26  10:39 am


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