We reviewed the responses of the other CSB’s/BHA’s on the table and most of them address the concerns we identified at our CSB.  As with other CSB’s/BHA’s, the changes in reimbursement will significantly impact our revenue with a decrease of about 50%. We also have concerns that since the original definition of the service described MHSS as “training and support” and now the new definition describes it only as a “training service” that some of our individuals who receive this service will no longer be eligible.  We have individuals who live in the community but recovery/training has been slow or intermittent so support services are required as we continue to help these individuals maintain their independence.