I strongly oppose the proposed DMAS changes that would replace Services Facilitation with a Support Brokerage model. Service Facilitators provide important support to our families to assist in navigating a complicated Medicaid waiver system, understand requirements, avoid service interruptions and access resources that support loved ones in their community.  Service Facilitators’ guidance and advocacy are invaluable to families.

I am concerned that changes will remove choice and competition between providers that help ensure quality services, as well as trusted relationships that are built with the Service Facilitation professionals who understand their unique circumstances.

For many families, Services Facilitators are not simply administrative supports; they are partners who help them successfully manage waiver services and maintain community living. I encourage DMAS to preserve the current Services Facilitation model and maintain family choice. These services make a real difference in the lives of Virginians with disabilities and their caregivers.

Thank you for considering my comments.