I strongly oppose the proposed amendments to Virginia’s Medicaid waiver programs, particularly any changes that would reduce access to personal care services, restrict authorized hours, or create additional barriers for individuals and families who depend on these services.

As a home care agency provider, I see firsthand how essential these services are for individuals with disabilities, older adults, and those with complex medical conditions. Personal care services are not a luxury; they are a necessity that allows vulnerable individuals to remain safely in their homes and communities rather than being placed in nursing facilities or other institutional settings.

I am deeply concerned that additional restrictions, administrative requirements, or reductions in covered services could negatively affect the health, safety, and independence of waiver recipients. Many individuals already face significant challenges obtaining adequate care, and further limitations would place an unreasonable burden on families, caregivers, and providers.

These amendments could also create additional challenges for home care agencies that are already struggling with caregiver shortages, rising operational costs, and increasingly complex regulatory requirements. Policies that make it more difficult to provide or receive care will ultimately harm the very individuals these waiver programs were designed to protect.

I urge DMAS and state policymakers to carefully consider the real-world consequences of these proposed changes and to prioritize the needs, safety, and dignity of Medicaid waiver recipients. Any amendments should strengthen access to home- and community-based services rather than create barriers that jeopardize continuity of care.

I respectfully request that the proposed amendments be reconsidered and that meaningful input from waiver recipients, families, caregivers, and home care providers be incorporated before any changes are finalized.