One Plan: It is imperative that there be one plan: ISP, one semi-annual, one quarterly and one progress note per individual. Under the current waiver system, as the current provider of In-home, Respite, Group Day and Community Engagement services, we write two to four daily progress notes, quarterlies etc. per individual.  This reporting places an undue and costly adminstrative burden on the agency and requires the individual..........

Community Engagement (CE) Rate Refresh:  Comparing apples to apples (individuals served at the time of waiver redesign), the rate increases for Community Engagement over the old waiver rates equaled 13% while staffing requirements for CE increased by 57%.  In 2018 we provided additional transportation for CE in excess of 65,000 miles. At the 2018 gov rate of 54.5 cents/mile = $354,250.00.  This does not reflect capital outlay for vehicles. Further, CE activity and admission fees for DSPs come out of the agencies budget. Rates are woefully inadequate and have caused the agency to diminish its reserve fund thereby threatening its sustainability. Community engagement is a superior service and a more robust rate would allow for it to be adopted more widely across the commonwealth.