Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
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3/23/23  1:41 pm
Commenter: Karrin Lukacs

Paying family caregivers through consumer-directed services is good policy!

Paying family caregivers through Consumer-Directed services is good policy because it:

  • Addresses workforce issues raised by the COVID-19 pandemic and which have not been resolved and are not likely to be resolved for many years.
  • Promotes equity and access to services in underserved communities.
  • Addresses workforce shortages, which are long-standing (even prior to COVID-19).
  • Confronts increasing demand for home-based care. 
  • Addresses gaps in meeting the needs of communities of color and English Language learners. 
  • Recognizes increasing interest in home-and community-based care over institutional care through consumer direction programs and gives older adults and people with disabilities an alternative to institutionalization.  
  • Keeps vulnerable children safe with parent caregivers. (This is particularly true if a child has aggression issues. Requiring others to be attendants puts the safety of the individual at risk. If the child hits the outside attendant then that is assault and a criminal offense.)
  • Helps families who have no other employment options due to the demands of caring for a disabled loved one. Even with attendant care for their child, many parents are not able to work full-time jobs because they must be on-call to handle any issues that arise with behaviors, health, school, jobs.

For these reasons, I respectfully ask that it remains possible to pay family caregivers through consumer-directed services.

CommentID: 213281