I am writing to express my strong opposition to the proposed elimination of Consumer-Directed Services Facilitation and the transition to the Support Broker model in Virginia.

This decision raises serious concerns about the future of consumer-directed services, the well-being of individuals with disabilities, and the families who depend on consistent, personalized support.

1. Protecting Individuals with Disabilities and Their Families

Service Facilitators play an essential role in helping individuals with disabilities, older adults, and their families navigate Medicaid consumer-directed services. They provide education, guidance, monitoring, and ongoing support to ensure individuals receive appropriate care.

Eliminating this established system risks disrupting relationships built on years of trust and understanding.

2. Preserving Consumer Choice and Independence

Consumer-directed services are built on the principles of independence, flexibility, and individual choice.

Replacing independent Service Facilitators with Support Brokers working through Fiscal/Employer Agents raises concerns about reduced provider choice, potential conflicts of interest, and diminished independent oversight.

Families should have the right to choose professionals they trust rather than being limited to a more centralized system.