Department of Medical Assistance Services
Board of Medical Assistance Services
General Notice: Virginia Home and Community Based Services (HCBS) Heightened Scrutiny Submission
In Progress!
Opened on 8/13/2026 and
Closes Today! (11:59pm)
As required by the Centers for Medicare and Medicaid, Virginia is posting the assessment results of the HCBS settings that reached heightened scrutiny status. These documents contain information related to the required compliance elements of the HCBS Final Rule.
These documents are available here and on the DMAS website under the header "VA Site Visit” at:
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59 comments
| Comment Title | Commenter | |
|---|---|---|
| Supporting Family Choice | Anonymous (241220) | 9/12/26 6:33 pm |
| Why this matters to our community | An advocate against Vanguard Landing as an HCBS approved provider | 9/12/26 5:55 pm |
| Strong Advocacy Message to All | Anonymous (241218) | 9/12/26 5:21 pm |
| Freedom and Dignity | Anonymous (241217) | 9/12/26 5:20 pm |
| Jordyn Marie White | Jodi | 9/12/26 5:07 pm |
| Vanguard Medicaid approval | Anonymous (241215) | 9/12/26 4:45 pm |
| Public Comment in Favor of Approving Medicaid Waiver Services at Vanguard Landing | Blake White Jr. | 9/12/26 4:23 pm |
| Jordyn Marie White | Pamela Astin | 9/12/26 4:02 pm |
| Hope House Foundation Public Comment - Heightened Scrutiny Review | Kim Black, Hope House Foundation | 9/12/26 4:02 pm |
| Jordy Marie! | Anonymous (241211) | 9/12/26 3:56 pm |
| Full support of Vanguard Landing- definitely HCBS compliant | Adele H.B | 9/12/26 3:50 pm |
| Support for Jordy | Anna Soll | 9/12/26 3:46 pm |
| Medicare Waiver | Anonymous (241208) | 9/12/26 3:30 pm |
| We choose Vanguard Landing | Suzanne B | 9/12/26 3:07 pm |
| Vanguard Landing sounds like a private institution | Anonymous (241206) | 9/12/26 10:12 am |
| From an aide’s perspective | Débora Keller | 9/12/26 10:05 am |
| We need places like Vanguard Landing | Jennifer Andrew | 9/11/26 10:42 pm |
| The real right to choose where I want to live with SRAP | Lindsey Rasmussen | 9/11/26 10:18 pm |
| Importance of meeting HCBS and OHR regulations | Anonymous (241202) | 9/11/26 9:18 pm |
| The Arc of Virginia — Public Comment on Vanguard Landing Heightened Scrutiny Review | Tonya Milling, The Arc of Virginia | 9/11/26 7:15 pm |
| HCBS requirements not met | Hope House Foundation Board of Directors | 9/11/26 2:57 pm |
| Heightened Scrutiny Review Package for Vanguard Landing | Virginia Board for People with Disabilities | 9/11/26 11:36 am |
| From a Mom walking the walk. | Jennifer Staude | 9/10/26 7:43 pm |
| The worry of Vanguard | An invested family | 9/10/26 4:21 pm |
| Strong support for Vanguard Landing | Maria Urbano and Tom Manser (parents) | 9/9/26 11:49 am |
| Addressing Vanguard rebuttals to DMAS concerns | Katherine Salvant | 9/6/26 12:57 pm |
| A Media Blitz does not equate integration | Concerned Citizens | 9/4/26 9:25 am |
| HCBS Settings Rule/Heightened Scrutiny Review | T Morgan | 9/4/26 9:19 am |
| Does not meet HCBS | Anonymous (241010) | 9/2/26 3:18 pm |
| Vanguard is great, but it is not HCBS complaint - the two are different | Not HCBS Compliant | 9/1/26 4:15 pm |
| Support for Vanguard Landing | B. C. | 9/1/26 3:03 pm |
| Uphold HCBS Settings Rule | Anonymous (240926) | 9/1/26 11:11 am |
| Note to other providers making comments | Anonymous (240925) | 9/1/26 11:08 am |
| How the community works with Vanguard Landing. | Amanda Earl | 9/1/26 8:21 am |
| Vanguard Landing - a wolf in sheep's clothing | A concerned advocate | 8/31/26 6:08 pm |
| Strongly Supporting Vanguard Landing | Bryan and Amanda Earl | 8/31/26 4:39 pm |
| Need For Inclusive Communities | Gigi Hill | 8/31/26 10:46 am |
| Independence for Special People | Jack Hill | 8/31/26 8:42 am |
| Strongly Support Vanguard Landing | Paul and Catherine White | 8/31/26 6:09 am |
| Strongly Support | Doug and Wendy Bruttomesso--parents of current resident | 8/30/26 9:50 am |
| My son has the right to choose where he uses his Medicaid waiver | Dianna Wassell | 8/29/26 2:09 pm |
| Scared for abuse | Anonymous (240903) | 8/28/26 6:40 pm |
| Waiver rules should protect choice—not make it depend on private resources | Rebekah Hartman | 8/28/26 11:56 am |
| I chose Vanguard Landing. | Anna Hartman | 8/28/26 11:50 am |
| Do not support segregated exclusionary services | Anonymous (240893) | 8/27/26 7:23 pm |
| STRONGLY SUPPORT | Laure Valmon | 8/27/26 3:52 pm |
| Public Comment in Favor of Approving Medicaid Waiver Services at Vanguard Landing | Blake White | 8/27/26 2:39 pm |
| This is bad | Anonymous (240874) | 8/27/26 8:57 am |
| Strongly Support | Patty and Andy McGann | 8/26/26 9:23 pm |
| Heightened Scrutiny | Anonymous (240848) | 8/24/26 12:45 pm |
| Please let me use my Medicaid Waiver at Vanguard Landing! | Scott Wassell | 8/22/26 9:07 pm |
| Are the HCBS rules not for everyone? | Anonymous (240837) | 8/21/26 11:33 am |
| No thank you | Anonymous (240832) | 8/19/26 5:54 pm |
| Strongly Support | Ben and Ann Wolf | 8/18/26 1:29 pm |
| Strongly Support | Greg and Sara Walters | 8/16/26 2:20 pm |
| Accommodations and struggling adults | Anonymous (240826) | 8/16/26 11:45 am |
| Do not support | Anonymous (240825) | 8/14/26 4:49 pm |
| Vanguard landing oversight | Jackson Salvant | 8/13/26 10:37 pm |
| Virginia State Department of Medical Assistance | Cynthia Favret, Guardian | 8/13/26 8:09 pm |
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