12VAC30-122-390 includes language that restricts the number of licensed beds in group home residential to six (6) or fewer.  CRi does not support large congregate settings. We have made a concerted effort over the past few years to reduce the number of individuals who reside in homes operated and supported by CRi.  However, we are mindful that the level of support needed by individuals who reside in these homes is dependent on many factors one which impacted by reimbursement rates paid by Medicaid which are controlled by the General Assembly.  Reimbursement rates have been stagnant for many years and the only remedy for providers has been to increase the number of operating beds in the home to gain some type of economy of scale.  The current Code of Virginia classifies group homes of eight (8) beds or fewer as single family residences. 

CRi does not support the inclusion of this provision.  We strongly urge modification of the language in the Manual.