As the Medicaid Coordinator for Galax City Public Schools, I oppose the changes that DMAS is proposing to the Medicaid reimbursement program.  Requirement of a physician's signature for each Plan of Care for nursing and personal care services would be detrimental to Galax in that the turnaround time would be too great in relation to Medicaid billing ability.  Funding that is received from Medicaid helps to offset the rising cost of services and programs that we provide to our students.  

Hopefully these proposed changes will be reconsidered and the reimbursement program will be allowed to stay the same.