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General Notice: Notice of Public Comment Period: 1915(c) Home and Community-Based Services Waivers Amendments Effective 1/1/2027

CLOSED     Opened on 9/17/2026 and Ended on 10/18/2026

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500 comments
Comment Title Commenter
DD Waiver cuts to 56 hours Jane Brobbey  10/18/26  11:59 pm
Opposition to Proposed HCBS Waiver Amendments: Protect Consumer Choice and Individualized Care Lauren Buchbauer  10/18/26  11:59 pm
Strong opposition to weekly cap of caregiving hours Anonymous (242731)  10/18/26  11:58 pm
Service Facilitator / Support Broker Anonymous (242730)  10/18/26  11:56 pm
No Brokers! Anonymous (242729)  10/18/26  11:42 pm
Opposition to 56-hour weekly cap Tiffany Joseph  10/18/26  11:38 pm
Opposition to the Weekly Caregiver Hour Cap Heesun Soboleski  10/18/26  11:27 pm
Strongly Oppose Broker Model Anonymous (242726)  10/18/26  11:18 pm
HCBS Waiver Proposal 1/1/27 T  10/18/26  11:07 pm
No support Brookers Anonymous (242724)  10/18/26  11:06 pm
Protecting my father’s rights Lydia Roberts  10/18/26  11:00 pm
Broker takes away Consumer choice Anonymous (242722)  10/18/26  10:59 pm
Oppose Medicaid changes Anonymous (242721)  10/18/26  10:57 pm
Don’t stop helping the helpless!!!! Anonymous (242720)  10/18/26  10:51 pm
Jayada Amiyah  10/18/26  10:48 pm
Please protect our rights Anonymous (242718)  10/18/26  10:45 pm
Oppose the 56 hour cap on DD Waiver care and the support brokerage model of care Katharine Paal  10/18/26  10:08 pm
Proposed changes to Medicaid Jane Thatcher  10/18/26  10:03 pm
I Do Not Want A Broker... Tiernan Travelstead  10/18/26  10:02 pm
Family with 3 Disabled tenagres Khan  10/18/26  9:56 pm
Oppose restrictions LRIs and 56 hour cap Anonymous (242713)  10/18/26  9:54 pm
Do Not End Service Facilitation!... Cheryl L Travelstead  10/18/26  9:52 pm
Protect the Incapacitated persons against proposed 56-hour soft cap limit on personal care Maria BC  10/18/26  9:43 pm
HCBS Waiver Amendments 1/01/27 NO to support cap and NO to brokers Michala Conroy, Consumer Direct Care Network  10/18/26  9:39 pm
No to cap! Savanna Turner  10/18/26  9:21 pm
Don’t take away 24 hour care Anonymous (242708)  10/18/26  9:20 pm
No! Mary smith  10/18/26  9:18 pm
Oppose the proposed 56-hour cap on DD waiver CDPA and replacement with brokerage model Dung Van Nguyen  10/18/26  9:14 pm
NO Tanya Kimmitz  10/18/26  9:12 pm
No to reduced hours Terry Kimmitz  10/18/26  9:08 pm
REF: Oppose 56-hour cap on DD waiver Ngoc Mai Nguyen  10/18/26  9:00 pm
Please Do Not Make Life Harder for Families Caring for Adults with Disabilities Anonymous (242702)  10/18/26  8:56 pm
No to reduced hours! Nia Turner  10/18/26  8:49 pm
Crazy! Say no to cap Wanda Campbell  10/18/26  8:43 pm
Just say no Voter!  10/18/26  8:41 pm
I DO NOT AGREE WITH THIS CAP! Melissa Lamb  10/18/26  8:40 pm
Bewilderment at logic of 55-hour soft cap for FIS DD waivers Nancy Wemmerus Rosene  10/18/26  8:33 pm
VA Town Hall - Toddlers to Grandparents Anonymous (242696)  10/18/26  8:19 pm
I oppose Anonymous (242695)  10/18/26  8:04 pm
I do not support this bill! Kaliah Green  10/18/26  7:54 pm
No to reduced hours Cindy Turner  10/18/26  7:48 pm
Help -Waiver Anonymous (242692)  10/18/26  7:26 pm
Changes to Medicaid funding for individuals receiving community-based care JANET RIFE  10/18/26  7:21 pm
Please reconsider…we love our facilitator… She is AMAZING Richard and Suzanne Rainey  10/18/26  6:57 pm
Opposition to this reduction Stephen Kahn CPA. Parent of a disabled little girl 7yo  10/18/26  6:49 pm
We Need More Than 56 Hours and We Need Our Service Facilitators Stephanie C  10/18/26  6:44 pm
Opposite to 56 hours cap Anonymous (242687)  10/18/26  6:34 pm
PROTECT THE PEOPLE Anonymous (242686)  10/18/26  6:24 pm
Opposition to 56 hour cap Anonymous (242685)  10/18/26  6:22 pm
Opposition to the Proposed 56-Hour Personal Assistance Soft Cap for DD Waiver Anonymous (242684)  10/18/26  6:19 pm
Medicaid services Anonymous (242683)  10/18/26  5:30 pm
Opposition to 56-hour cap! Dwayne Thigpen  10/18/26  5:01 pm
Important Action We All Need to Take Regarding VA DD Waivers! Tina Tran  10/18/26  4:59 pm
Support of the Arc of NoVA, Oppose 56 hour cap, Oppose replacement of service providers Mike Keppler, Parent and Board Chair, Our Stomping Ground  10/18/26  4:53 pm
Oppose to 56-hour cap Anonymous (242679)  10/18/26  4:49 pm
Do not implement this change Kim Brown  10/18/26  4:42 pm
FACILITATORS ARE A MUST Stacey R.  10/18/26  4:30 pm
Proposed Changes to Virginia Medicaid Waivers Anonymous (242676)  10/18/26  3:45 pm
Elimination of standalone Services facilitation Anonymous Provider  10/18/26  3:43 pm
Listen to Us! Anonymous (242674)  10/18/26  3:28 pm
No to Medicaid cut to Service Facilitators Anonymous (242673)  10/18/26  3:26 pm
Medicaid Facilitators Anonymous (242672)  10/18/26  3:25 pm
Live in Exempt - Service Facilitation - 56 hour cap Sonja Lassiter  10/18/26  3:24 pm
56 Hour Cap Anonymous (242670)  10/18/26  3:20 pm
We need Medicaid Facilitators Jadon Lassiter  10/18/26  3:19 pm
Service Facilitators Are Needed NOT Brokers Sheila D. Johnson  10/18/26  2:54 pm
Words for your heart Anonymous (242667)  10/18/26  2:18 pm
One family's case in favor of changing to support brokers - with requested safeguards Cathy Allen, Sister, POA, Personal Care Attendant  10/18/26  2:12 pm
Comments and Concerns:1915(c) Home and Community-Based Services Waivers Amendments David King / Retired  10/18/26  1:57 pm
Medicaid Cuts Anonymous (242664)  10/18/26  1:56 pm
Please don’t limit help for those who need it Anonymous (242663)  10/18/26  1:26 pm
Hate is the barrier, money is the excuse Mother Bear  10/18/26  12:30 pm
Don’t fix something that’s not broken Anonymous (242661)  10/18/26  12:30 pm
Opposition to the Proposed DD Waiver CDPA Changes Anonymous (242660)  10/18/26  11:43 am
Please keep the families in mind. Anonymous LRI  10/18/26  11:01 am
Medicaid Services Anonymous (242658)  10/18/26  10:42 am
Do not keep the brokers Anonymous (242657)  10/18/26  10:19 am
No brokers in place Anonymous (242656)  10/18/26  10:18 am
Families need to be heard Anonymous (242655)  10/18/26  10:17 am
We need to be heard Anonymous (242654)  10/18/26  10:11 am
Keep our brokers to keep helping the people Anonymous (242653)  10/18/26  10:08 am
Do not turn you back on our child Anonymous (242652)  10/18/26  10:06 am
We the people say no! Anonymous (242651)  10/18/26  10:05 am
Do not apply these changes Anonymous (242650)  10/18/26  10:05 am
Keep organizing Anonymous (242649)  10/18/26  10:03 am
Strong opposition to these changes Anonymous Guardian  10/18/26  9:58 am
Opposition to 56 hour cap on DD waiver CDPA care and replacement of service facilitators Kelly Dillon  10/18/26  9:49 am
Home and Community-Based Service Waiver Amendments 1/01/2027 JulieQ  10/18/26  9:43 am
Service facilitation Karen B.Land  10/18/26  9:23 am
Virginia Department of Medical Assistance Services changes "SUPPORT BROKER MODEL" Charlotte Dunn  10/18/26  8:44 am
Keep SF stand alone service Anonymous (242643)  10/18/26  8:27 am
56 Hour Cap OPPOSITION Anonymous (242642)  10/18/26  8:01 am
DD waiver CDPA care Eileen Ladino  10/18/26  7:15 am
So let me get this straight VIRGINIA Concerned Parent  10/18/26  7:15 am
Proposed Medicaid DD Waiver Changes Theresa J Kim  10/18/26  7:10 am
No change please! Zeinab Hassouna  10/18/26  1:23 am
Please reconsider! Anonymous (242636)  10/17/26  10:47 pm
Stop this change Anonymous (242635)  10/17/26  10:39 pm
Do not support Anonymous (242634)  10/17/26  10:37 pm
Cap o DD waiver Mindy McAllister  10/17/26  10:36 pm
Concerned Anonymous (242632)  10/17/26  10:35 pm
We need this for individuals in need Anonymous (242631)  10/17/26  10:33 pm
Do not implement this change Anonymous (242630)  10/17/26  10:31 pm
Oppose this change! Anonymous (242629)  10/17/26  10:29 pm
Oppose cap Anonymous (242628)  10/17/26  10:09 pm
Agree Anonymous (242627)  10/17/26  10:07 pm
soft cap of 55 hours for personal attendant services. Stephanie Flick Valley Community Services Board  10/17/26  9:35 pm
These are terrible amendments Caleb Echterling  10/17/26  8:53 pm
The amendments may prevent home care Anonymous (242623)  10/17/26  8:44 pm
Suggested Changes Represent An Undue Burden Anonymous (242622)  10/17/26  8:41 pm
EVV compliance for LRI Jessica Branch  10/17/26  8:32 pm
Service facilitator are essential. Anee's Care/ Anisa Merchant  10/17/26  8:30 pm
Please keep service facilitators Jessica Branch  10/17/26  8:29 pm
FACILITATORS NEEDED!!! Tamiko Cook  10/17/26  8:13 pm
Oppose Proposed Changes Kelven Seng  10/17/26  8:08 pm
Opposing the Proposed Change for DMAS Facilitators Rochelle Johnson  10/17/26  7:58 pm
Strong Opposition to DMAS Proposed Amendments Anonymous (242614)  10/17/26  7:29 pm
Strongly opposed Amendments Anonymous (242613)  10/17/26  7:28 pm
Protecting Individualized Care, Community Integration, and Continuity of Care Mera Babineaux  10/17/26  7:20 pm
Support Anonymous (242611)  10/17/26  7:01 pm
Support of Arc of Northern VA Anonymous (242610)  10/17/26  6:59 pm
Against proposed change by DMAS to our service facilitators William Miller  10/17/26  6:55 pm
Reducing services will make it harder for the disabled to stay in their family home Kathy Adams, president of autism community alliance  10/17/26  6:54 pm
56 HR CAP Anonymous (242607)  10/17/26  6:51 pm
Opposition to Proposed Amendments - Chimes Chimes  10/17/26  6:43 pm
Oppose Amendments regarding soft cap and Anonymous (242605)  10/17/26  6:34 pm
I strongly support the Arc of Northern Virginia's comments. Andrea Colburn  10/17/26  6:09 pm
Strong Opposition to Proposed VA Medicaid HCBS Waiver Amendments. Do Not Weaken the Support Systems Anonymous (242603)  10/17/26  5:47 pm
SF, EVV and Support Tonya Milling of ARC Anonymous (242602)  10/17/26  5:47 pm
Comments on proposed changes to Virginia's 1915(c) Home and Community-Based Services Waivers Teresa Champion, The Virginia Autism Project  10/17/26  5:15 pm
Support for our friends and neighbors with disabilities Cary Haver  10/17/26  5:09 pm
Public Comment Concerned Citizen  10/17/26  5:07 pm
Against 56 hour cap Laura Jones  10/17/26  4:58 pm
I Strongly Oppose to The Proposed Amendments; Demand Publish of Impact Analysis and Clarify the Effe Anonymous (242597)  10/17/26  4:57 pm
Proposed changes promise complexity, chaos, stress and increased costs Darlene Lee  10/17/26  4:46 pm
Strong Opposition to Proposed Amendments. Protect Virginia’s Most Vulnerable, Preserve Quality Care, Anonymous (242595)  10/17/26  4:32 pm
Strong Opposition to Proposed Amendments—Protect Virginia Most Vulnerable: Preserve Quality Care, Su Anonymous (242594)  10/17/26  4:24 pm
Protect Individuals with Disabilities, Their Families, and Their Future Catherine Nguyen  10/17/26  4:20 pm
Stakeholders are key The Arc of Virginia, Tonya Milling  10/17/26  4:15 pm
Against 56 hr cap underserves individuals Nika  10/17/26  4:15 pm
support brokers sue wycoff  10/17/26  4:13 pm
Strongly oppose reduction of hours/elimination of service facilitators Denise  10/17/26  4:13 pm
I oppose the proposed 56-hour cap on DD waiver CDPA care Melissa Sacknoff  10/17/26  4:09 pm
Support the ARC. Tim Nguyen  10/17/26  3:49 pm
REF:56-hour cap on DD waiver CDPA care & replacement of service facilitators wt. brokerage model TUAN Q TRUONG  10/17/26  3:45 pm
Continue Services Wecare757  10/17/26  3:44 pm
REF:56-hour cap on DD waiver CDPA care & replacement of service facilitators wt. brokerage model HA MINH DANG  10/17/26  3:43 pm
56 hour cap Jill C Buzby  10/17/26  3:38 pm
Protect Virginia’s Most Vulnerable: Preserve Quality Care, Support Families, & Protect Caregivers BJ  10/17/26  3:29 pm
Strong Opposition to Proposed Virginia Medicaid HCBS Waiver Amendments — Protect Children, Young Adu Anonymous (242581)  10/17/26  3:18 pm
Support Arc’s Comments on proposed Medicaid policies for 2026 Elbagir M Abousam  10/17/26  3:08 pm
People over profit Betsy Dickerson  10/17/26  3:01 pm
 I urge DMAS to preserve Services Facilitation as a standalone, independent service. Anonymous (242578)  10/17/26  3:01 pm
Support ARC comments on proposed Medicaid policies on 2026 Omaima Abusalih  10/17/26  2:58 pm
Support Arc’s Comments on proposed Medicaid policies for 2026 Anonymous (242576)  10/17/26  2:58 pm
Comments on Proposed 2026 Medicaid Waiver Policies Robert John Cynkar  10/17/26  2:58 pm
Oppose the change AUN SENG  10/17/26  2:50 pm
Disagree to Medicaid proposal Daravy Lim  10/17/26  2:47 pm
Comments on Proposed 2026 Medicaid Waiver Policies Kimberly Cynkar  10/17/26  2:46 pm
Opposed to the proposal Julie Soeung  10/17/26  2:39 pm
Strongly Disagree Anonymous (242570)  10/17/26  2:18 pm
I am writing to express my strong opposition to the proposed elimination of Consumer-Directed Servic Lee  10/17/26  2:15 pm
Proposed Change DD waiver Ernest May  10/17/26  2:06 pm
Proposed Change DD waiver Ernest May  10/17/26  2:02 pm
Opposed the change Chansophea Lim  10/17/26  2:01 pm
Dont believe your legislators! They told DMAS to do this! Voter  10/17/26  1:58 pm
Proposed 56-hour cap on DD waiver CDPA care Jan Byrnes  10/17/26  1:51 pm
I am a self-advocate and do not want the proposed changes to the DD waiver implemented Alex Thurman  10/17/26  1:47 pm
Proposed 56-hour cap on DD waiver CDPA care Michael Byrnes  10/17/26  1:47 pm
56-hour cap on DD waiver CDPA care Minh Pham  10/17/26  1:45 pm
No reduction in hours, keep our service facilitators and list to Us. Anonymous (242560)  10/17/26  1:43 pm
Do not implement the proposed changes to DD waiver Allison Thurman  10/17/26  1:39 pm
No cap and keep our service facilitators Anonymous (242558)  10/17/26  1:29 pm
Our autonomy is being stripped away piece by piece Han  10/17/26  1:09 pm
Proposed 56 Hour Cap Loretta McMahon  10/17/26  12:53 pm
Please support family services & oppose 56 hour cap Donna Shank  10/17/26  12:47 pm
I Oppose the Hours Cap Anonymous (242553)  10/17/26  12:41 pm
Opposition to proposed changes to for waiver services Kenneth Shive  10/17/26  12:30 pm
Service Facilitators are terrible! Anonymous (242550)  10/17/26  11:55 am
Oppose the proposed 56-hour cap on DD waiver CDPA care and replacement of service facilitators with Angela Kail - Family Care Giver  10/17/26  11:46 am
Oppose proposed changes DD waiver Anonymous (242548)  10/17/26  11:40 am
NO BROKERS Anonymous (242547)  10/17/26  11:40 am
Opposing cap to waiver hours David Freccia  10/17/26  11:31 am
Home and Community-based Service Waiver Amendments 1-01-27 Frederick E. Breaux  10/17/26  11:19 am
Medicaid waiver Anonymous (242544)  10/17/26  11:14 am
Home and Community-based Service Waiver Amendments 1-01-27 Benjamin Breaux  10/17/26  11:09 am
Virginia Medicaid Waivers Mark Smith, Fairfax County  10/17/26  10:50 am
Opposed to Support Broker Changes Sara C  10/17/26  10:47 am
Opposition to Proposed DD Waiver CDPA Hour Limits and Replacement of Service Facilitators Leslie Aqueron  10/17/26  10:41 am
Strongly oppose medicaid waiver managed Leslie  10/17/26  10:38 am
DO NOt take away service Failitators!-NO Broker model, no 56 hour cap, no EVV for live ins Barbara Hiestand Virginia Autism Project, Autism Society Central Virginia  10/17/26  10:24 am
Strong Opposition to the Broker “Support” Model Leland Gross  10/17/26  10:16 am
Strong Opposition to Support Broker Proposal – Protecting Choice for Families with Autism Mark Bodoh  10/17/26  10:02 am
Please keep service facilitator — No broker plea Anonymous (242535)  10/17/26  9:46 am
Protecting Families and Children with Disabilities Anonymous (242534)  10/17/26  9:23 am
First and foremost! Daniel Williams  10/17/26  9:08 am
We need service facilitators M. Flores  10/17/26  8:52 am
No hour reduction under the DD Waivers Guerra Family  10/17/26  8:23 am
Tearing Families Apart Bryan Bridges  10/17/26  6:56 am
No brokers Anonymous (242529)  10/17/26  6:42 am
Dmas - no broker for those who need us most Jeff kroener  10/17/26  4:30 am
Concerned about the support broker model Rebecca Burke  10/17/26  2:17 am
Strongly Oppose the 56-Hour Cap – 112-Hour Caregiver Reality Anonymous (242526)  10/17/26  12:05 am
Keep service facilitators Anonymous (242525)  10/16/26  11:55 pm
Request for Participant Choice and Continuity Protection under the New Support Broker Model Anonymous (242524)  10/16/26  11:39 pm
Keep our service facilitators Anonymous (242523)  10/16/26  11:02 pm
Support for the Arc of Northern Virginia's Comments and Strong Opposition to Proposed Changes Anonymous (242522)  10/16/26  10:52 pm
Home and Community Based Service Waiver Amendments Sara Breaux  10/16/26  10:24 pm
56 Hour cap on attendant hours will hurt families and individual with disabilities Anonymous (242520)  10/16/26  10:03 pm
In reference to Service Facilitators being eliminated in the State of Virginia Leslie Simpkins  10/16/26  9:55 pm
Preserve Individualized, Person-Centered DD Waiver Supports Bradley David Calhoun  10/16/26  9:35 pm
Concerns Regarding Proposed Medicaid Waiver Changes to Personal Assistance Hours and EVV Requirement Allison Kay Coles-Jonson  10/16/26  9:14 pm
Proposed changes for service facilitators Sarah K  10/16/26  9:12 pm
Stop the change Anonymous (242515)  10/16/26  9:09 pm
Service Facilitation is essential to our survival/we don't work 8 hours a day, we work 24/7 MaryJo Bartels  10/16/26  9:02 pm
DO NOT MAKE CHANGES! Anonymous (242513)  10/16/26  8:52 pm
Strong opposition to service facilitator phase out, and the soft 55 hour cap Anonymous (242512)  10/16/26  8:16 pm
Strong Opposition to 56-Hour Cap Anonymous (242511)  10/16/26  7:55 pm
Keep service facilitation essential! Anonymous (242510)  10/16/26  7:51 pm
Service Facilitation vs Service Broker Anonymous (242509)  10/16/26  7:36 pm
Protect Families Rights to choose Independent Service Facilitators Matthew Wright  10/16/26  7:25 pm
We need clarification! What will support brokers actually do? Anonymous (242507)  10/16/26  7:19 pm
Service facilitators Anonymous (242506)  10/16/26  7:16 pm
Service Facilitation vs Broker service Anonymous (242505)  10/16/26  7:09 pm
Medicaid Anonymous (242504)  10/16/26  6:55 pm
Service facilitators are Anonymous (242503)  10/16/26  6:37 pm
Reject 1915(c) Home and Community-Based Services Waivers Amendments Paul and Mary Geraci  10/16/26  5:07 pm
Caring for my Adult Son Giovanna  10/16/26  4:57 pm
Strong objection to proposed capping of care giver hours at 56 hours per week. Sam Ikomi  10/16/26  4:36 pm
Doing away with Service Facilitation Michael Huebner  10/16/26  4:01 pm
Please do not remove access to hours and service facilitation Anonymous (242497)  10/16/26  3:41 pm
Changes to Personal Assistance Services Janet Long  10/16/26  3:22 pm
In support of Chimes and the Arc of Northern VA Sarah Vogel, Career Support Systems  10/16/26  2:55 pm
Opposing Clock-in/Clock-out Change Kyle Cochrane  10/16/26  2:37 pm
*Opposition* to changes for Services Facilitation Jessica Kell  10/16/26  2:17 pm
Agree with comment from Chimes Hugo Bonuccelli  10/16/26  2:15 pm
Soft Caps / Personal Assistance Richard Edwards, Amivie  10/16/26  1:16 pm
Opposing the new support broker proposal Daniel Barnhart, Advocate and Consumer  10/16/26  12:39 pm
Broker replacing Service Facilitators Anonymous (242484)  10/16/26  12:23 pm
Proposed Amendments to Virginia’s Medicaid Waiver Programs Anonymous (242483)  10/16/26  11:56 am
Changes and EVV requirement Ron D  10/16/26  11:54 am
Opposition and Concerns for Support Broker Model The Junction Center For Independent Living, Inc.  10/16/26  11:41 am
No soft cap on hours, no brokers, support LRI and families!! Lucia Claster  10/16/26  11:39 am
Strong Opposition to Eliminating Service Facilitators Families Deserve Better Nancy Reyes  10/16/26  11:12 am
Family member support facilitator / Jada Meredith LLC Ms Jones  10/16/26  10:59 am
Please keep Service Facilitators for Virginia Families Sheila McKinney  10/16/26  10:57 am
Strong Opposition to Eliminating Service Facilitators Families Deserve Better Anonymous (242476)  10/16/26  10:50 am
Service Facilitators IMPORTANT Deborah Haddad  10/16/26  10:42 am
Concerned this move will encourage and increase institutionalization not decrease it Anonymous (242474)  10/16/26  10:40 am
strongly oppose strongly oppose  10/16/26  10:34 am
MORE HOURS FOR LIVING ATTENDANT NMA  10/16/26  10:32 am
Service Facilitation Equals Choice Anonymous (242471)  10/16/26  10:16 am
Please don't remove Service Facilitation like Mom's in motion! Jennifer  10/16/26  10:06 am
****A Major Change Without Clear Answers, SAY NO**** Anonymous (242469)  10/16/26  8:53 am
Proposed waiver changes will negatively impact all families with affected children Anonymous (242468)  10/16/26  7:59 am
Objection to proposed changes in choice of Service Facilitation Ronnie L Shank / Michael D. Shank  10/16/26  7:38 am
Title: Family Opposition to Proposed Medicaid Waiver Changes — Protect Individualized Care, Family C Howard Jack Benkert  10/16/26  7:12 am
oppose changes Anonymous (242465)  10/16/26  7:02 am
EVV app and staffing shortages are unrealistic and dangerous for live in care givers Lola Lacey  10/16/26  5:58 am
Concerned citizen Adrianne Jones-Alston  10/16/26  3:58 am
Please consider the impact on parents Ralph Belander  10/15/26  9:50 pm
I agree with The Arc of Northern Virginia's cogent analysis. Salma  10/15/26  9:44 pm
IN HOME TIME INPUT CHANGE Anonymous (242458)  10/15/26  9:20 pm
DMAS doesn’t care Anonymous (242457)  10/15/26  9:09 pm
STRONGLY OPPOSE everything EXCEPT the EOR change Steve Grammer, Disability Advocate  10/15/26  9:01 pm
Strong Opposition to Proposed Medicaid Waiver Changes Keeog kim  10/15/26  8:35 pm
Strongly Oppose V. Davis  10/15/26  8:20 pm
Public Comment on General Notice ID 3470 Medicaid Waiver Program Anne Tuccillo  10/15/26  7:56 pm
Protect Existing Services Julia  10/15/26  7:28 pm
STRONGLY OPPOSE ELIMINATING SERVICE FACILITATORS Dmitriy P.  10/15/26  7:00 pm
STRONGLY OPPOSE Lena P.  10/15/26  6:49 pm
Opposing DMAS changes Mabel Hammer  10/15/26  6:23 pm
Maintain Dedicated Service Facilitation Anonymous (242447)  10/15/26  4:26 pm
Opposition to the Proposed 56-Hour Personal Care Cap Anonymous (242446)  10/15/26  4:12 pm
No to the new Proposal and Changes for live in caregivers Belinda Arey  10/15/26  4:09 pm
Opposing DMAS changes Anonymous (242442)  10/15/26  3:45 pm
Oppose Support Broker Model Olesya Ermolenko  10/15/26  3:36 pm
Oppose service brokerage model Andrea King  10/15/26  3:30 pm
Beyond the Policy: The people, the families, and the futures at stake Moms In Motion  10/15/26  3:29 pm
Strongly Oppose - This puts disabled individuals in institutions Erica Dorsey  10/15/26  3:25 pm
Medicaid Waiver Amendment Anonymous (242436)  10/15/26  3:06 pm
Opposition to proposed changes with explanations as to why Anonymous (242435)  10/15/26  2:00 pm
Medicaid Waiver amendment proposals Virginia Autism Project  10/15/26  1:56 pm
Opposition to the Proposed 56-Hour Weekly Soft Cap and Restrictive Exception Criteria for DD waiver Anonymous (242433)  10/15/26  1:36 pm
Public Objection to the Proposed 56-Hour Cap on Personal Assistance Anonymous (242431)  10/15/26  1:25 pm
Why take away more? Idalgiza Lisa Grullon  10/15/26  1:13 pm
I Strongly Oppose Anonymous (242428)  10/15/26  1:12 pm
proposed DMAS changes in Virginia Jen Tucker, Virginia Autism Project  10/15/26  12:24 pm
Service Facilitator Management - DO NOT CHANGE Teresa Lancaster  10/15/26  12:06 pm
STOP THE SOFT CAP Anonymous (242423)  10/15/26  11:13 am
Please don't give more Authority to cdcn or PPL they don't do the job they have very well Anonymous (242422)  10/15/26  10:04 am
Uphold Family Choice and Preserve Service Facilitators in Virginia Lynda Chandler  10/15/26  9:59 am
Service facilitators are in the family’s and individual’s best interest Anonymous (242420)  10/15/26  9:57 am
Live in exemption Guy  10/15/26  9:50 am
Proposed DD Waiver Changes Rosa Lachape;  10/15/26  9:00 am
Subject: Public Comment on Proposed Medicaid Waiver Changes and Consumer-Directed Care Donna Werge  10/15/26  9:00 am
Concerns about reduced hours Anonymous (242415)  10/15/26  8:48 am
Opposition to proposed amendments Adrienne Franklin  10/15/26  8:02 am
EEV system service facilitator Anonymous (242413)  10/15/26  4:53 am
No to proposed changes Mom  10/14/26  11:15 pm
Oppose Medicaid changes to service facilitation and 56 hour cap Anonymous (242411)  10/14/26  11:13 pm
Strong Opposition to Proposed Changes Mary Payne  10/14/26  11:02 pm
Technical Questions and Feedback John and Emily Sagle  10/14/26  10:55 pm
Strong Opposition to General Notice 3470 – Elimination of Independent Services Facilitation and Tran Jacqueline Jones  10/14/26  10:33 pm
56 hour soft cap Anonymous (242407)  10/14/26  10:26 pm
Keep Service Facilitator’s Anonymous (242406)  10/14/26  10:02 pm
Concern Regarding Continuity of Support and Consumer Choice CDSF  10/14/26  9:44 pm
No to Proposed Changes. EOR/Parent  10/14/26  9:30 pm
Support Brokers vs Care Facilitators LaVerne Ramey  10/14/26  9:17 pm
Strong opposition to current proposals being peddled Diana D  10/14/26  8:05 pm
Comments on Proposed 2026 Medicaid Waiver Policies Anonymous (242400)  10/14/26  7:49 pm
No Brokers. EOR Anonymous (242399)  10/14/26  7:38 pm
Stop the poor choices Angry EOR  10/14/26  7:12 pm
oppose the soft cap on consumer direct hires Anonymous (242397)  10/14/26  6:37 pm
Medicaid waiver changes Deborah Hotaling  10/14/26  5:30 pm
Oppose Support Broker Model and Questions regarding the model Gayl Brunk  10/14/26  5:02 pm
Please Reconsider the Soft Cap and Brokerage Model L Lattanzio  10/14/26  4:48 pm
Service facilitators Anonymous (242393)  10/14/26  4:40 pm
Changes Anonymous (242391)  10/14/26  4:17 pm
Conditional Support for the Support Broker Model: Accountability, Transparency, and Enforcement Anonymous Services Facilitator  10/14/26  4:16 pm
Changes to cccplus facilitators Anonymous (242387)  10/14/26  3:15 pm
EVV Exemption for Live in caregivers Mark, Live in caregiver of son  10/14/26  3:02 pm
STRONGLY opposed to the proposed Support Brokerage model Amy Dellinger, Harrisonburg-Rockingham Community Services Board  10/14/26  1:33 pm
Recommendation to Add Home-Delivered Meals to Virginia’s CCC+, CL, and FIS Waivers Mom's Meals  10/14/26  1:32 pm
Facilitators Diana Greenhow  10/14/26  1:24 pm
Do not bully or intimidate our disabled family members and friends Linda Valenti  10/14/26  1:09 pm
Opposition to Transitioning Service Facilitation to Insurance Company-Provided Support Brokers Anonymous (242378)  10/14/26  12:45 pm
Keep Service Facilitators Stacey Nichols  10/14/26  12:43 pm
Subject: Strong Opposition to the Elimination of Service Facilitators Anonymous (242376)  10/14/26  12:33 pm
Opposition to the Proposed 56-Hour Soft Cap for DD Waiver Services kayla Joo  10/14/26  12:27 pm
Stop taking away our rights Anonymous (242374)  10/14/26  12:10 pm
NO TO PROPOSED CHANGES (NO BROKERS) Anonymous (242373)  10/14/26  12:08 pm
Possibe changes to the Medicaid Program Joe Kennedy Parent of a person with a DD Waiver  10/14/26  12:07 pm
Do not change, keep the facilitators Anonymous (242371)  10/14/26  11:55 am
Keep our facilitators Anonymous (242370)  10/14/26  11:38 am
Please do not get rid of our facilitators! Amy W.  10/14/26  11:32 am
Service facilitors Are a bridge Sharonda bullock  10/14/26  11:01 am
Please keep our facilitators Anonymous (242367)  10/14/26  10:55 am
Waiver Changes Sonya Peyton  10/14/26  10:54 am
It's becoming ridiculous. Anonymous (242365)  10/14/26  10:51 am
Comments on Proposed 2026 Medicaid Waiver Policies Zhikun Meng  10/14/26  10:45 am
Everyone deserve a right to care Anonymous (242363)  10/14/26  10:39 am
Comments on Proposed 2026 Medicaid Waiver Policies Chimes  10/14/26  10:24 am
Service facilitators are essential! Anonymous (242361)  10/14/26  10:21 am
Keep our Facilitators Sarita Gramby  10/14/26  10:17 am
VACSB Comments on Proposed 1915(c) Home and Community-Based Services Waiver Amendments Virginia Association of Community Services Boards (VACSB)  10/14/26  10:16 am
Please keep service facillitators Marybeth Clarke  10/14/26  10:13 am
Home Healthcare Workers Jason  10/14/26  10:11 am
Support Brokers remove choices and protections for Individuals with ID/DD Juanita Williams  10/14/26  10:11 am
Keep Service Faciltators V. New  10/14/26  10:03 am
Keep our service facilitators! Shannon Seymour  10/14/26  9:55 am
Please don’t take my rights away and put my health at risk Anonymous (242349)  10/14/26  8:16 am
To Virginia Medicaid (DMAS): Remember the People You Were Called to Serve ONBOARD LLC  10/14/26  7:29 am
I strongly oppose this proposal Mi L Lee  10/13/26  10:40 pm
Please think about our children with disabilities and their right of living with dignity Rolana Mreich  10/13/26  10:35 pm
Unfair Moutieh Tomeh  10/13/26  10:28 pm
Placing Support Brokers Within Fiscal Agencies Will Not Best Serve Virginians with Disabilities Renay Hannon, EOR  10/13/26  4:15 pm
Against brokerage model- keep our service facilitators! ID  10/13/26  3:33 pm
No to Brokers — Do Our Families and Their Choices Still Matter? Ib  10/13/26  3:33 pm
Strong Opposition to 56-Hour Cap: Protect Severely Disabled Families Theresa R  10/13/26  3:25 pm
What is the end goal? Anonymous (242339)  10/13/26  2:11 pm
Petition to oppose brokers Roger Atkinson  10/13/26  1:48 pm
Please Preserve Services Facilitation and Family Choice in Virginia Waiver Services Judy W.  10/13/26  1:47 pm
Formal Opposition to Eliminating Independent Service Facilitators in Virginia Katelynn S.  10/13/26  1:41 pm
Why is this necessary? Brock Dorsey  10/13/26  12:03 pm
Financial Implication of changes Anonymouse  10/13/26  11:50 am
dLCV Comment on Proposed Changes to Medicaid Waivers disAbility Law Center of Virginia  10/13/26  7:56 am
Support Broker vs Services Facilitation Chris Grandle  10/12/26  7:43 pm
Keep the Waiver Anonymous (242327)  10/12/26  6:13 pm
Keep Facilitators- NO BROKERS!!! Brenda Brocki  10/12/26  4:43 pm
NO BROKER keep faciliatators Alyssa Muhlendorf  10/12/26  4:18 pm
Strong Opposition to 56-Hour Cap: Protect Severely Disabled Families Anonymous (242324)  10/12/26  2:58 pm
I don’t want change Anonymous (242323)  10/12/26  2:25 pm
Choice is critical! Tanya Layne  10/12/26  2:05 pm
Oppose to Broker models and changing waivers. Keep Service Facilitators. Gloria Strang  10/12/26  1:51 pm
Please keep Services Facilitation as an option for families Anthony Poindexter Jr  10/12/26  1:46 pm
Support the comments from the Arc of Northern Virginia Sandra Atkins  10/12/26  1:15 pm
Exhausted! Courtney Veerman EOR  10/12/26  11:56 am
EXHAUSTED! EOR  10/12/26  11:42 am
Soft cap 56 hours Anonymous (242316)  10/12/26  11:37 am
PLEASE KEEP OUR FACILITATORS!!!!!!!!!!!!!!!!!!!!!!!! Anonymous (242315)  10/12/26  11:27 am
Service Facilitators vs Brokers / 56 hour cap Patient  10/12/26  11:22 am
Oppose 56 hour cap Anonymous (242312)  10/12/26  7:56 am
WE NEED SERVICE FACILITATORS EOR  10/12/26  7:47 am
Service Facilitators Grandparent to a client  10/11/26  11:10 pm
Grateful, Sad, and Concerned Services Facilitator Lou's Solutions, LLC  10/11/26  9:09 pm
Do NOT end service facilitation Anonymous (242308)  10/11/26  7:54 pm
Protect parents rights Anonymous (242307)  10/11/26  6:24 pm
We are TIRED. Tired of fighting for basic needs…  10/11/26  11:42 am
DMAS/Independent Service Facilitators Anonymous (242305)  10/11/26  11:09 am
Subject: Strongly Oppose the Elimination of Services Facilitation and other changes MARY LLOYD  10/11/26  5:27 am
Public Comment on Notice No. 3470: Live-In Caregiver EVV Exemption Larisa Turkatte  10/10/26  7:08 pm
Oppose to ending SF, 56 hour cap A Concerned Sister and family advocate  10/10/26  6:04 pm
Please NO Brokers! Martha Jones  10/10/26  5:40 pm
Do not take away our facilitators and keep the EVV live in exemption. Anonymous (242300)  10/10/26  1:39 pm
No Change Anonymous (242299)  10/10/26  9:56 am
Service Facilitation Connor B. Land  10/10/26  8:33 am
Public Comment on Proposed 1915(c) HCBS Waiver Amendments — Services Facilitation, Caregiver Hours, Randall Kemp  10/9/26  4:46 pm
OPPOSING THE PROPOSED 56-HOUR PERSONAL ASSISTANCE SOFT CAP Krizia Lopez  10/9/26  2:15 pm
Protect our rights Anonymous (242295)  10/9/26  1:17 pm
NO BROKERS, let us have service facilitators!!! Christina Resch  10/9/26  1:16 pm
protect service facilitators, say no to brokers Metro Sayre  10/9/26  11:27 am
The right to choose Service Facilitation Nyla Spawn  10/9/26  11:25 am
Meaningful Public Notice, Concerns Regarding the Proposed Service Facilitator Changes Larisa Turkatte  10/9/26  11:14 am
Against Broker Model Anonymous (242290)  10/9/26  11:11 am
no to broker Model Anonymous (242289)  10/9/26  10:38 am
Against Broker Model- Protect Our Right to Choose Our Own Service Facilitators Iman  10/9/26  10:37 am
Against Broker Model- we have the right to choose our facilitators IB  10/9/26  10:36 am
Against Broker vs Service Facilitator Lindsay Rapoport Weis  10/9/26  9:07 am
Service Facilitation is much more than just a service! Rochell Kemp  10/9/26  8:52 am
Against Brokerage Model Lillian C Barnhart  10/9/26  8:41 am
Public Comment Regarding Proposed CCC Plus Waiver Amendments (General Notice 3470) Justin Hensley  10/9/26  7:35 am
Service Facilitators are Vital and Soft Caping Hours could be dangerous Anonymous (242282)  10/9/26  4:44 am
Oppose replacing facilitators with brokers, continue to accept EVV exemption for live in caregivers Anonymous (242281)  10/8/26  10:14 pm
Keep service facilitators, the EVV live-in exemption, and an exception to the 56-hour cap Shai Malik  10/8/26  10:01 pm
I oppose ending SF Anonymous (242279)  10/8/26  9:33 pm
Service facilitators- keep them for families! Anonymous (242278)  10/8/26  9:24 pm
Against brokerage model- keep our service facilitators! I.B  10/8/26  9:12 pm
Service Facilitators- Protect Our Right to Choose Our Own Service Facilitators and Preserve Our Ind I.N  10/8/26  9:09 pm
Service facilitators- Freedom and ability to choose for our family ! Anonymous (242275)  10/8/26  9:08 pm
Independent Service Facilitators Shannon Ray  10/8/26  9:04 pm
Please do not cap weekly hours Anonymous (242271)  10/8/26  6:44 pm
Changes to services facilitator Anonymous (242270)  10/8/26  6:24 pm
Service Facilitators Wendy Saunders  10/8/26  6:23 pm
service facilitator Anonymous (242268)  10/8/26  5:57 pm
PLEASE! Do NOT end service facilitators Anonymous (242267)  10/8/26  5:53 pm
Local Services Facilitators are necessary partners for Virginians with disabilities Jennifer Hutcheson  10/8/26  5:19 pm
CHRISTOPHER SERVICES Facilitation Ramona Reitnauer  10/8/26  4:48 pm
Protect Services Facilitation and Family Choice Jessica Gonzalez  10/8/26  4:30 pm
Difficulty creates pain/suffering Anonymous (242263)  10/8/26  4:09 pm
Opposition to Replacing Service Facilitation With a Brokerage Model Kathleen Goolsby  10/8/26  4:05 pm
Service Facilitator vs. Broker Pam Witham  10/8/26  4:03 pm
Please stop this change Anonymous (242260)  10/8/26  4:02 pm
Service Facilitators Are Needed Heather Boseman  10/8/26  3:57 pm
Taking rights away Christina  10/8/26  3:47 pm
No changes!! Imani B  10/8/26  3:45 pm
Will cost more, and result in more suffering! Williamsburg Mom  10/8/26  2:48 pm
Soft-Cap will ultimately cost Virginia tax payers more money Anonymous (242255)  10/8/26  2:42 pm
Protect Service Facilitator Positions Sherry Routh  10/8/26  12:40 pm
No changes T Loving  10/8/26  12:36 pm
Vital support of service facilitators April Hepler  10/8/26  11:14 am
Need for service facilitator Anonymous (242251)  10/8/26  11:01 am
Live-in Attendant Sandra Harris  10/8/26  9:31 am
EVV for Live-In Attendants Anonymous (242249)  10/8/26  9:23 am
the soft 56 hour cap would cause harm Charles Tillapaugh  10/8/26  9:18 am
Children with disabilities need your support Amanda Dietrich  10/8/26  9:16 am
proposed changes Annette Boothe  10/8/26  8:41 am
Live in exemption needed please Anonymous (242245)  10/8/26  8:21 am
The support broker model may be a better fit for newly enrolled waiver recipients Anonymous (242244)  10/8/26  8:09 am
Ready for change Anonymous (242243)  10/8/26  8:02 am
Support Broker transition: verify new authorizations before ending old ones Anonymous (242242)  10/8/26  6:47 am
Conditional Support for Broker Transition Maria McWhirt  10/7/26  10:14 pm
Will replacing Service Facilitators with Service Brokers cause harm? Mark Albert, parent, guardian, and Employer of Record  10/7/26  9:51 pm
big time conflict of interest Anonymous (242237)  10/7/26  7:36 pm
Community Living Must Be Available - This Proposal Hinders The Availability Cynthia Lee  10/7/26  6:39 pm
Town hall Anonymous (242235)  10/7/26  6:12 pm
No to support broker Lindsey O'Quinn  10/7/26  6:10 pm
No to any change Jenn  10/7/26  5:38 pm
SUPPORT BROKER MICHELLE RUNION  10/7/26  5:26 pm
DMAS Services Facilitator 2026 Town Hall on October 7, 2026 Anonymous (242230)  10/7/26  4:24 pm
Keep the service facilitator Angela D Switzer  10/7/26  3:58 pm
Reduce the fraud Anonymous (242228)  10/7/26  3:54 pm
Concerned about proposed changes to Medicaid waiver Anonymous (242227)  10/7/26  3:25 pm
Our service facilitators have been a key support Andrew Harbick  10/7/26  3:18 pm
I strongly oppose replacing Service Facilitation with a Support Brokerage model. Kammi Evans, Support Coordinator HARRISONBURG-ROCKINGHAM CSB  10/7/26  1:35 pm
Strongly oppose the elimination of Service Facilitators Krista King  10/7/26  12:45 pm
With respect, fully support comments submitted by ARC of Northern Virginia Anonymous Parent  10/7/26  12:39 pm
With respect, in full support of comments submitted by ARC of Northern Virginia Anonymous Parent  10/7/26  12:38 pm
No to Brokerage Model Jen Anderson  10/7/26  12:33 pm
Need to better understand the consequences Hugo Bonuccelli  10/7/26  11:59 am
Opposing this change. Barbara Dolan  10/7/26  11:47 am
NO to changes Jaffar Al khudhur  10/7/26  11:26 am
Why I need A live in caregiver Mary Carver  10/7/26  10:53 am
I DO NOT support moving to the proposed "Broker" system for CD Services. Wendy Moyers HRCSB Support Coordinator  10/7/26  10:43 am
No information or reasoning provided; do not take away our service facilitators Peyton Walther  10/7/26  10:20 am
Please do not end service facilitation Katy Jones  10/7/26  10:20 am
new requirements for evv for live in caretakers is wrong !!Don’t take away our facilitators ! Anonymous (242209)  10/7/26  9:40 am
DMAS proposed changes Allen and Susan Clague, Legal Guardians  10/7/26  9:34 am
No to Brokerage Model Jed Miller, HRCSB Support Coordinator  10/7/26  9:31 am
No to "brokers" Sarah Moyers  10/7/26  8:32 am
Elderly care Anonymous (242204)  10/7/26  7:26 am
Why Parent-Provided Care Matters to Our Family Jason Harley  10/6/26  10:37 pm
Caregiver Medicare & Medicaid. Services cut Caregiver  10/6/26  10:20 pm
Proposed Elimination of Services Facilitators and New EVV Requirements Elizabeth Noriega  10/6/26  8:51 pm
A Live-In Caregiver’s True Story: The Real-Life Effects of EVV (512) Anonymous (242200)  10/6/26  8:17 pm
Stop now Greed  10/6/26  7:05 pm
The human cost of Medicaid savings Annie Hawkins, Harrisonburg Rockingham Community Service Board  10/6/26  6:18 pm
We Need our SFs! Anonymous (242196)  10/6/26  6:10 pm
Don’t take away Makenzie Delea  10/6/26  6:06 pm
Service facilities and hours Karin King  10/6/26  6:03 pm
Impact of Proposed Changes on Families Relying on Parent Caregivers Erinn Harley  10/6/26  5:52 pm
Serious Conflict of Interest, Care Disruption, and Regulatory Non-Compliance in the Proposed Support anonymous (242192)  10/6/26  5:09 pm
I agree with the ARC of Northern VA and too many changes - not enough information Anonymous (242191)  10/6/26  5:05 pm
Independent service facilitators specifically Jada Meredith. Karen Robinson  10/6/26  4:34 pm
Eliminating the SF - Are you kidding me ? Anonymous (242189)  10/6/26  3:31 pm
New Changes Krista Hines  10/6/26  3:20 pm
No to placing burden of service facilitation on familie Anonymous (242187)  10/6/26  3:05 pm
?? no changes in SF Anonymous (242186)  10/6/26  2:38 pm
Kudos for our administrator Jack Joyner  10/6/26  1:27 pm
KEEP OUR FACILITATORS! Dorothy  10/6/26  12:49 pm


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