I appreciate the opportunity to comment on the proposed document to remove the allowance for virtual delivery of case management face-to-face services.  Having worked as a service provider in various services for over twenty-five years, it is nice to see decision makers reach out for feedback from people actually delivering and receiving services, before making choices about what works 'best'.  Allowance of telehealth service delivery during the pandemic was essential in making sure people were able to continue supportive services in what was a very challenging time for all.  What also came of this allowance was access to services for individuals who otherwise would not have participated.  Individuals with barriers to access services were able to receive support and resources they never knew about before.  Those who were reluctant to seek services, were able to reach out without leaving home.  Despite what people in urban areas like Richmond think, there are many people in rural areas with limited or no access to consistent transportation.  Public transportation does not exist outside town limits, and insurance funded transportation is incredibly unreliable, and also largely unavailable for many reasons.  A tremendous amount of stigma still exists in society around seeking mental health, developmental, and substance use services.  The barriers, the stigma, and the positive outcomes from telehealth options all have substantial amounts of data to show they exist.  Do I believe individuals should have a right to choose in-person or telehealth service delivery?  Yes.  Do I believe providers should also have stipulations related to providing in-person services for individuals who may be in crisis, are medically fragile, or who indicate health and safety concerns?  Definitely.  However, in keeping services person centered, meeting people where they are, and trying to reach people who have needed help for so long and finally have it...let's consider all these things please before completely eliminating an option that could save a life or support an individual to break down a wall of reluctance.  Additionally, from a practical standpoint as a parent, and as someone who grew up in a home with an individual with intellectual disability, consider that families are also pushed to the limit every day.  Daily responsibilities in the most typical households are hard.  When adding multiple services, many appointments, etc. we see people start to be documented as "noncompliant".  They aren't noncompliant.  They are tired.  Thank you for consideration of the comment.