Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
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5/17/23  3:36 pm
Commenter: Marcia Tetterton

Comments on Proposal


“Critical Incident” means any incident that threatens or impacts the well-being of the member. Critical incidents shall include, but are not limited to, the following incidents: medication errors, theft, suspected physical or mental abuse or neglect, financial exploitation, and sentinel events. 

Expand this by adding “development of a pressure ulcer, hospitalization”


“Facility” means, for the purpose of coordinating services between the community and facility, an acute care hospital, freestanding psychiatric hospital, long term care hospital, psychiatric or addictions focused residential treatment facility or nursing facility. 

Expand this by adding licensed assisted living facility.


“Home” means a place of temporary or permanent residence, not including a hospital, ICF/ID, nursing facility, or licensed residential care facility.

Expand this by adding licensed assisted living facility.


Question how will some of the Case Management KSA be validated and measured.

Examples are

• Advocating for continuity of services, system flexibility and community integration, proper utilization of facilities and resources, accessibility, and participant rights; and

• Demonstrating a positive regard for individuals and their families (e.g., treating people as individuals, allowing risk taking, avoiding stereotypes of people with a brain injury, respecting individual and family privacy, and believing individuals can grow and contribute to their communities).

• Being persistent and remaining objective.

• Working as a team member, maintaining effective inter- interagency and intra[1]agency working relationships.

• Establishing and maintaining ongoing supportive relationships with individuals and their families; and,

CommentID: 217013