Agency
Department of Medical Assistance Services
 
Board
Board of Medical Assistance Services
 
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10/15/26  3:30 pm
Commenter: Andrea King

Oppose service brokerage model
 

The proposed Support Broker model raises significant concerns about the loss of established community-based services. Services Facilitation is much more than an administrative function. Services Facilitators provide information and referral, help families navigate complicated systems, connect individuals with local resources, and support independence. Replacing this structure with individual independent contractors risks losing the training, supervision, continuity, and infrastructure that established organizations provide. I encourage DMAS to preserve the ability to contract with qualified Virginia-based organizations that have demonstrated experience providing high-quality services, particularly in rural communities where local connections are essential.  Moreover, if the purpose of this proposal is to address poor-performing providers, I am wondering if all alternatives have been addressed? Is there a level of authority that DMAS needs to be granted that is not currently in place?  Services Facilitators help families navigate significant challenges with fiscal agents. Expanding fiscal agents' responsibilities to include Support Brokers raises questions about accountability, service quality, and potential additional barriers for families. Stronger oversight of individual providers should be considered without unnecessarily disrupting the entire service delivery system. If DMAS needs additional authority to remove providers, this is what legislation should focus on, not the complete dismantling of a system. 


CommentID: 242440