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From YouTube: Developmental Disabilities Committee: Medicaid Waiver Supports for Children and Adults | Feb 7, 2023
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A
B
Oh
wonderful,
okay
and
hello,
everybody,
my
name
is
Sherry
takamoto
I
am
the
chair
of
the
Arlington
County
developmental
disabilities
subcommittee
of
the
Arlington
csb,
we're
delighted
to
have
our
very
first
ever
virtual,
listen
and
learn
event
on
the
Medicaid
waivers
supports
for
children
and
adults
with
developmental
disabilities
Tom,
if
you're
not
recording
this,
yet
you
can
go
ahead
and
start
recording.
Now.
B
Thank
you,
and
this
is
in
collaboration
with
the
Arlington's
developmental
Disability
Services
Program,
that
runs
developmental
services
for
Youth
and
adult
in
Arlington
County
as
part
of
the
Department
of
Human
Services,
the
Arlington
public
school
special
education,
parent
Resource,
Center
that
we
call
the
PRC
and,
of
course,
the
Arc
of
Northern
Virginia
to
begin
I'm
going
to
ask
Emma
from
the
parent
Resource
Center
to
introduce
herself
in
Spanish.
In
case
there
are
folks
who
are
more
familiar
with
Spanish.
B
You
thank
you
and
and
Emma's
here
if
anyone's
speaks
Spanish
and
they'd
like
to
find,
have
questions
in
the
chat,
so
today's
agenda
is
going
to
be
just
the
welcome
that
you
have
here
the
basics
of
the
Medicaid
waiver.
For
those
of
you
who
know
about
the
Medicaid
waiver,
it
is
super
duper,
complicated
and
so
to
begin,
with.
B
B
So
here's
here's,
those
here's,
those
rules.
Okay,
my
name
is
Sherry
takamoto
I
am
the
chair
of
the
developmental
disabilities,
Committee
of
the
Arlington
Community
Services
Board,
the
presenters
aren't
Lucy
bidnell
who's,
the
director
of
advocacy
at
the
Arc
of
Northern
Virginia,
and
the
voice
read
the
bureau
director
for
the
Arlington
Department
of
Human,
Services
or
DHS
clinical
and
developmental
services,
which
is
housed
in
the
Aging
and
Disability
Services
Division.
B
B
D
I'm
so
pleased
to
be
here
thanks
Sherry,
as
Sherry
said,
Medicaid
waivers
are
very
complicated
and
usually,
when
I
give
a
presentation
on
Weavers
I
ask
for
at
least
an
hour
and
we're
going
to
do
this
in
about
20
minutes
so
for
perspective.
I
would
say
walking
away
with
a
sense
of
I
understand
what
a
waiver
is
at
least
kinda
I
understand
whether
or
not
it's
something
we
would
want
and
I
understand
where
to
go
next,
if
that's
to
apply,
if
that's
to
ask
more
questions
whatever
that
is
I
would
say.
D
Those
are
good
goals
for
today
and
we're
happy
to
share
lots
of
resources
for
other
ways
to
learn
so
Sherry.
If
you
can
move
me
ahead,
we'll
talk
a
little
bit
about
what
we
plan
to
discuss
today
talk
a
little
bit
about
like
what
waivers
are.
Why
do
they
exist?
What
are
the?
What
does
that
term
waiver
mean
anyway?
D
Then
we'll
talk
about
how
you
know
if
you're
eligible
for
this
program
and
we'll
talk
about
the
services
that
the
waivers
offer
a
bit
about
how
to
apply
and
because
there
is
a
waiting
list
with
some
waivers
will
have
a
whole
separate
conversation
on
navigating
that
waiting
list,
because
it's
not
a
straightforward
kind
of
number
of
years.
Do
we
sort
of
answer
and
then
my
contact
information
is
at
the
end.
So,
in
addition
to
us,
sharing
information
about
other
ways
to
learn
about
waivers
you're,
welcome
to
follow
up
with
me
directly
anytime.
D
D
Once
someone
receives
a
waiver,
so
there's
no
age
minimum
or
maximum
they're,
so
valuable,
because
they're,
the
only
public,
meaning
free
or
low
cost
way
to
pay
for
ongoing
Support
Services.
There
are
a
few
other
programs
that
can
provide
some
intermittent
help,
but
if
we're
really
talking
about
someone
who's
going
to
need
help
over
the
long
term
at
home
at
work
in
the
community,
Etc
waivers
are
the
place
to
be
now
we'll
talk
a
little
bit
about
types
of
waivers
Sherry.
Can
you
move
us
ahead?
D
Okay,
so
we'll
go
on
and,
as
Sherry
mentioned,
I'm
going
to
talk
about
two
types
of
waivers
and
I'll
explain
why
in
just
a
second
but
first,
let's
look
at
the
left
hand
side
of
our
screen
and
we'll
talk
about
the
DD
waivers
so-called
because
they
require
a
developmental
disability,
diagnosis
and
they've
got
a
big
menu
of
services
for
living
at
home
for
nursing
care.
If
you
need
medical
supports
for
working
or
daytime
care
for
supports
out
in
the
community,
it
can
pay
for
up
to
24
7
a
week
staff
and
supports
or
remote
monitoring.
D
If
you
need
it,
it
comes
with
case
management.
Someone
to
help
you
figure
out.
What
does
this
waiver
offer?
How
do
I
use
it?
What
is
there
beyond
the
waiver?
How
do
I
come
up
with
the
plan
Etc?
So
in
many
ways
it's
a
great
service,
but
it
does
have
a
significant
waiting
list,
we'll
talk
about
navigating
that
waiting
list
and
what
it
looks
like
toward
the
end
of
this
presentation,
but
because
that
waiver,
though,
really
has
a
lot
of
services,
has
a
waiting
list.
I
often
mention
it.
D
Along
with
another
waiver,
the
C
CC
Plus
or
Commonwealth,
like
Commonwealth
of
Virginia
Coordinated
Care
Plus
waiver,
that
waiver
requires
some
kind
of
disability
diagnosis
which
could
be
a
developmental
disability.
It
requires
also
a
medical
need,
though,
so
for
perspective
at
any
given
time
when
we
pulled
the
numbers
about
a
quarter
to
a
third
of
people
on
that
waiting
list
for
the
DD
waiver
also
have
a
medical
need
and
are
able
to
access
the
CCC
plus
waiver.
D
So
it's
not
for
everybody,
but
it's
a
really
significant
minority
of
our
population
that
CCC
plus
waiver
is
aimed
at
keeping
people
out
of
nursing
homes,
though
there's
not
an
age.
Minimum
and
I
say
that
to
explain:
it's
got
a
much
shorter
menu
of
services,
some
Home
Care,
some
nursing
and
respite,
but
not
employment
and
residential
services.
There's
a
56
hour
a
week
cap
so
eight
hours
a
day
on
Personal
Care.
It
doesn't
come
with
a
case
manager,
but
there's
no
waiting
list.
D
So
if
you're
hearing
this
and
you're
thinking,
actually
we
deal
with
a
lot
of
medical
stuff.
I
would
be
thinking
possibly
pursuing
both
of
these
waivers
make
sense.
For
me,
if
you
are
hearing-
oh
you
know
in
our
family
we
really
don't
have
very
much
medical
stuff
going
on.
Maybe
we
take
a
pill.
Maybe
we
see
doctors
on
a
semi-regular
basis,
but
nothing
very
intense.
D
Then
probably
the
DD
Weaver
is
going
to
be
where
your
focus,
but
next
I'll
talk
through
eligibility,
so
you
know
for
sure,
or
at
least
have
a
much
clearer
idea
and
I'll
go
back
and
forth
between
how
you
know
if
you're
eligible
for
the
DD
waiver
and
the
CCC
plus
so
Sherry,
let's
move
on
ahead
here.
Okay,
we
can
keep
on
going
so
eligibility
is
based
on
three
things:
someone's
diagnosis,
what's
called
functional
criteria.
How
much
help
do
they
need?
D
D
So
first
for
diagnosis,
the
DD
waivers,
unsurprisingly,
require
a
DD
diagnosis.
This
slide
is
so
wordy
and
I
promise
you.
You
never
have
to
read
it,
but
it
essentially
is
saying
before
age
22
before
the
end
of
that
brain,
the
frontal
lobe
development
and
that
developmental
period
ending,
we
saw
a
mental
impairment,
a
physical
impairment
or
both
that
are
significantly
impacting
this
person.
Part
4
here
talks
about
the
life
areas
in
which
they're
impacted
taking
care
of
themselves.
D
Communicating
learning,
so
things
like
assessments
that
you
get
from
school
sometimes
meet
the
criteria
here,
but
we're
really
looking
for
is
a
diagnostician
who
gives
a
diagnosis,
for
example,
autism
and
an
IQ
score,
there's
no
IQ
minimum
or
maximum,
but
those
two
pieces
together
are
usually
what's
looked
for
and
then
we're
looking
at
the
demonstration
in
that
assessment
of
these
kinds
of
needs
that
we
see
on
the
screen
here.
That
assessment
is
showing
yes,
here's
the
diagnosis,
yes,
I've,
given
you
an
IQ
score
and
I
can
tell
you
what
these
persons
adaptive
needs
are.
D
What
their
support
needs
are
if
we're
looking
at
a
little
one
who's
under
age.
Nine,
sometimes
we
need
don't
need
something
quite
so
comprehensive.
So
it's
a
great
idea
to
reach
out
to
your
community
services
board
and
we'll
talk
about
them
later.
If
you
want
to
apply
for
this
waiver
with
documentation,
you
have
from
the
pi
program
or
child
find
or
whatnot
I.
I
say
all
this
to
say,
like
don't
get
bogged
down
and
panicked
that
you
feel
like
you,
don't
have
the
exact
right
kind
of
evaluation.
D
The
voice
and
her
team
are
great
about
looking
at
those
for
people
and
I.
Certainly
don't
want
anyone
to
slow
down
applying
for
the
waiver,
because
they're
worried
they
don't
have
the
right
paperwork.
Let's
look
at
it
before
we
do
that.
Okay,
but
the
general
idea
is.
We
want
to
argue
in
a
diagnosis,
okay.
D
That's
a
private
provider
in
the
waiver
World
by
which
I
mean
this
is
nothing
official,
but
they
have
put
out
the
only
free
self-assessment
tool
I've
ever
seen
for
the
CCC
plus
waiver
and
as
a
person
with
a
disability
or
a
parent.
You
will
be
able
to
answer
the
questions
that
they're
asking
and
it's
right
on
their
website,
and
it
doesn't
look
like
it
doesn't
need
your
contact,
information
or
anything.
D
You
would
just
answer
those
questions
to
get
a
sense
of
do
our
medical
needs
likely
qualify
us
or
not,
and
we're
not
talking
about
diagnosis
here,
to
be
clear,
we're
talking
about
some
kind
of
disability
plus
medical
support,
need
what
does
that
mean?
So,
for
example,
if
you
told
me
someone
had
a
seizure
disorder,
I
would
say
that
may
qualify
them.
Do
we
have
a
seizure
protocol
in
place?
Do
we
see
the
neurologist
a
couple
times
a
year?
Does
everyone
who
work
with
them
understand
their
seizure
protocol?
How
to
monitor
for
absent
seizures
right?
D
Are
we
actively
working
on
this
we're
taking
meds
we're
seeing
a
doctor
we're
assessing
we're
providing
care
on
regular
basis?
But
if
you
said
you
know
they
had
a
seizure
when
they
were
four
they're
35.
Now
we
don't
even
see
the
neurologist
anymore,
then
I
would
say:
that's
probably
not
going
to
work
right.
It's
not
that
the
person
has
a
seizure
disorder.
It's
how
much
support
do
we
need
related
to
it,
and
so
with
any
kind
of
medical
support
needs
right.
D
Does
this
person
have
significant
nutritional
support,
needs
or
a
G-tube
or
wound
care
or
all
kinds
of
other
things,
and
do
they
need
a
lot
of
help
taking
care
of?
It
is
what
these
questions
are
really
aimed
at
asking.
So
hopefully
now
we
have
a
little
bit
of
a
sense
of
DD
waiver.
We
need
a
DD
diagnosis,
CCC
plus
waiver.
We
need
some
disability,
diagnosis
and
some
medical
needs.
D
So
now
let's
go
on
and
look
at
how
you
would
know
if
you're
functionally
eligible,
if
you've
got
enough,
support
needs
to
qualify
for
this
waiver
and
it's
done
in
different
ways
depending
upon
the
waiver
you're
applying
for
so
the
DD
waivers.
Do
that
with
a
tool
called
the
vides
and
that's
spelled
out
there
on
the
screen
in
Orange,
the
Virginia
individual
developmental
disabilities,
eligibility
survey,
which
is
actually
a
very
descriptive
title,
but
a
mouthful
to
say
so.
D
You
can
understand
why
it's
often
called
The
Vibes
and
there's
a
version
of
The
Vibes
for
little
ones
from
the
day,
they're
born
until
the
day
they
turn
three
from
third
birthday
till
the
day
before
they
turn
18
and
for
adults.
In
short,
we're
trying
to
compare
with
relatively
similar
developmental
peers
and
we're
looking
at.
How
is
this
person
getting
help
or
needing
help
to
take
care
of
their
medical
needs,
learning
communication
getting
about
money,
management,
Behavior,
Etc,
and
on
that
vides
assessment,
which
you
can
get
to
at
the
Arc
of
Northern
Virginia's
website?
D
And
it's
a
public
document.
I
I
always
encourage
folks.
Look
at
it
ahead
of
time,
because
if
you're
going
to
be
talking
about
personal
things,
it's
great
to
be
prepared.
It'll
tell
you
right
on
the
front
we're
asking
about
these
eight
life
areas
these
categories
on
the
screen.
We
need
you
to
show
that
in
at
least
three
of
those
eight
areas
you
have
significant
needs
and
it'll
tell
you
in
this
section.
For
example,
the
behavior
section
we're
looking
to
see
that
these
things
happen
regularly.
D
D
So
we
want
them
to
know,
what's
going
on
for
them
to
be
prepared
for
these
questions,
and
this
is
a
time
to
really
stress
the
need
and
the
actual
help
and
support
that
that
person
has
to
have
not
a
time
to
say,
oh
on
their
very
best
for
duper,
because
as
a
parent,
that's
our
Instinct,
and
that
is
a
good
Instinct.
It
is
just
not
a
great
way
to
show
that
you're
eligible
for
programs
that
you
need
help
with
so
be
thinking
about.
D
Like
really
truly,
what
does
this
person
need
and
how
are
we
prepared
to
give
those
answers?
And
if
you
have
questions
about
the
vides
I'm
sure
the
csb
is
happy
to
help
I'm
happy
to
help
too.
You
know
if
you
read
it
and
you
say:
I,
don't
know
what
this
means
just
shoot
me.
A
message
for
the
CCC
plus
waiver
assessment
is
done
with
a
different
Tool
It's
called
The
Uniform
assessment
instrument.
There's
a
hyperlink
to
it
there
it's
a
big
focus
on
Hands-On
care
for
things
like
bathing
dressed
room.
D
Excuse
me
bathing
dressing
and
using
the
restroom
for
sure
and
medical
needs.
I
think
it's
kind
of
repetitive,
meaning
you'll
you'll
answer
a
lot
of
questions
about
bathing
dressing
using
the
restroom
medical
needs,
but,
unlike
The
Vibes,
there's
no
scoring
guide.
So
you
can't
just
go
back
to
the
front
page
and
transfer
your
answers
and
see
if
you're
eligible
or
not
but
anytime.
My
theory
is
anytime.
A
teacher
is
going
to
give
you
the
questions
to
a
quiz
beforehand.
Look
at
those
questions
right.
C
D
Here
and
we'll
talk
about
financial
eligibility-
and
this
is
the
same
essentially
for
both
waivers,
and
this
is
only
for
the
person
with
a
disability.
So
if
that
person
is
a
tiny
babe
or
a
teenager
or
an
adult,
if
they're
working
living
at
home
I'm
trying
to
cover
a
lot
of
bases
here,
you
get
it
only.
The
person
with
a
disability,
in
all
circumstances,
we're
looking
at
what
is
their
monthly
income
in
2023
dollars.
D
It
would
have
to
be
less
then
2742
a
month
that
number
increases
with
inflation
each
year,
because
inflation
is
is
pegged
to
the
social
security,
benefit
amount
SSI,
and
that's
what
it's
based
upon.
So
if
the
person
with
a
disability
is
earning
Less
on
their
own
than
two
thousand
four
hundred
forty
two
dollars
a
month,
they
should
be
financially
eligible
in
terms
of
income.
They
may
have
a
co-pay
for
waiver
Services,
though,
if
they're
a
relatively
High
income
earner
for
waiver.
D
So
if
they're
earning
roughly
more
than
fourteen
hundred-ish
dollars
a
month,
they
may
have
a
co-pay
to
buy
into
their
waiver
Services,
just
like
you
would,
with
private
insurance
for
adults
who
are
using
waiver
in
addition
to
having
an
income
limit,
there's
an
asset
limit,
so
all
the
flag.
If
we
added
together
a
checking
account
and
savings
account
and
all
those
kinds
of
things,
we
would
make
sure
that
that's
less
than
two
thousand
dollars
to
be
eligible.
D
D
If
the
person
is
a
child,
been
we're
not
so
much
worried
about
Assets
in
their
name,
because
they're,
a
child
but
that'll
come
into
play
when
they're
18.,
so
I
know
that's
like
so
many
words
to
talk
about
financial
eligibility,
but
so
help
me
when
I
try
and
shorten
it.
Someone
asks
a
particular
question
and
I
don't
want
to
leave
you
hanging.
D
So
what
we're
looking
for
is
no
matter
the
age
of
the
person
with
a
disability
income
under
27.42
a
month
for
adults
resources
either
in
a
Special,
Needs
Trust,
or
an
able
account
if
they've
got
more
than
two
thousand
bucks
for
kiddos.
It
I
would
say
it's
probably
better
to
have
a
discussion,
but
generally
speaking,
assets
like
like
a
checking
account
aren't
going
to
stand
in
their
way
or
savings
account.
Okay.
D
So
after
all
of
this
talk
now,
let's
move
on
to
talk
about
Services,
which
I'll
say,
of
course,
bear
in
mind
the
services
you
get
are
going
to
vary
based
upon
what
you
need
and
an
individual
plan
that
you
sit
down
and
write,
but
I'm
going
to
talk
kind
of
generally
about
the
services
that
the
waivers
offer.
So
you
can
have
a
sense
of
why
on
Earth,
are
we
sitting
through
this
long
presentation
to
learn
about
this
program?
D
Okay,
so
Sherry
will
go
on
to
the
next
slide
and
again
I'll
start
with
DD
waivers
and
then
move
to
CCC
plus
so
for
the
DD
waivers.
There
are
three
types
of
DD
waiver
right
like
just
when
you
think
you're
getting
the
hang
of
it
I'm,
throwing
you
this
curveball,
but
hang
with
me.
So
there
are
three
types
of
DD
waiver
one's
called
the
community
living
waiver.
It's
aimed
at
people
with
the
most
significant
support
needs.
It
can
offer
24
7
a
week
staff
in
a
residential
setting.
D
The
next
waiver
is
the
family
and
individual
supports
waiver
and
I
would
say
this
is
a
good
waiver
for
the
large
majority
of
our
population,
who
at
least
some
part
of
the
day
or
night.
They
don't
need
someone
awake
and
touching
them
or
looking
at
them
right.
This
is
someone
who
maybe
we
can
have
remote
supports.
The
person
could
just
push
a
button
and
get
help
overnight
or
someone
who
needs
supports
there,
the
whole
time
they're
awake,
but
overnight
they're,
mostly
okay,
and
they
know
who
to
call
right.
D
So
all
of
the
waivers
offer
DD
waivers
offer
some
kind
of
residential
support,
but
it
may
not
be
24
7..
It's
based
upon
need
all
of
the
waivers
offer
the
same
relatively
large
menu
of
day
and
employment
services.
So
is
the
person
going
to
go
volunteer
one
day
a
week,
get
paid
employment
in
a
workplace
one
day
a
week?
D
Are
they
going
to
learn
new
skills
another
day
a
week,
or
are
they
going
to
do
the
same
thing
all
five
days
you
can
mix
and
match
here
with
your
waiver
right
all
three
of
the
DD
waivers.
Allow
you
to
kind
of
build
your
Choose
Your
Own
Adventure.
If
you
will,
with
day
and
employment
services,
then
of
course
you
can
change
over
time.
D
All
three
of
the
GD
waivers
offer
support
in
your
home,
by
which
I
mean
the
home
of
the
person
with
a
disability.
So
that
can
be
a
lot
of
hours
of
support.
It
can
be
a
few
hours
of
support
based
upon
the
person's
needs.
It
can
be
a
companion
who's
there
to
make
sure
you're
safe
help.
You
kind
of
navigate
things
or
it
can
be
personal
care.
Someone
who's,
helping
you
make
dinner,
get
dressed
those
kinds
of
things.
It
should
be
relatively
individualized
there.
D
All
of
those
DD
waivers
can
offer
respite
care
if
you've
got
regularly
scheduled
hours
of
Cairo.
Each
week
there
can
be
weeks
when
we
need
more
parents
are
out
of
town
we're
homesick,
it's
spring
break
from
school,
whatever
it
is
respite's
just
in
a
little
extra
pool
of
hours
to
pull
in
some
additional
care.
D
Think
like
Smart
Homes
remote
monitoring
stoves
that
shut
themselves
off
I
can
push
a
button
and
talk
to
someone
to
get
help,
even
if
they're,
not
in
my
unit,
that
kind
of
thing
in
comparison,
the
CCC
plus
waiver
offers
at
a
Max
56
hours
a
week
like
we
talked
about
earlier
of
that
kind
of
one-to-one
personal
care.
You
can
get
nursing,
you
can
get
some
rest
bet.
You
can
get
a
change
to
your
house
or
car
and
some
of
that
portable
technology,
but
note
much
smaller
menu
with
Services,
again
no
employment
in
residential
services.
D
So
a
lot
of
folks
who
use
the
CCC
plus
waiver
is
children
come
to
find
that
as
they
get
older,
the
DD
waiver
is
more
important.
So
now
we'll
go
on
to
how
to
apply
for
both
these
waivers
and
again,
we'll
move
back
and
forth
from
DD
waiver
to
CCC,
plus
so
Sherry.
If
you
can
flip
us
ahead,
one
so
Arlington,
County,
Community,
Services
Board
handles
all
the
folks
who
are
applying
for
a
DD
waiver
in
Arlington
County
you'll
give
them
a
buzz.
You'll,
say:
free,
hosted
this
amazing
presentation.
D
And
use
some
paperwork
to
fill
out
and
you'll
make
sure
you've
got
that
psych
evaluation
handy
with
the
IQ
and
diagnosis
that
we
talked
about.
They'll
sit
with
you
to
do
that,
Vibes
that
we
discussed
that
you've
already
practiced
on
where
you
talk
about
your
support,
needs
you'll,
get
a
letter
saying
you're
on
the
waiting
list
and
then
we'll
talk
about
where
on
the
waiting
list
you
are
and
Sherry.
Can
you
flip
us
to
that
section
too?
D
Oh,
in
fact,
I'll
come
back
to
it.
No
that's
my
fault!
So
then,
let's
talk
about
CCC
plus
waiver.
So
if
you're
applying
for
the
CCC
plus
waiver
you're
calling
the
department
of
social
services
and
saying
I've
heard
great
things
about
the
CCC
plus
waiver,
we
think
we
could
be
eligible
I'd
say
be
prepared
to
answer
a
good
number
of
questions
about
you,
guessed
it
bathing
dressing
using
the
restroom
and
Medical
Care
on
the
phone.
This
is
the
theme
for
this
waiver
right.
D
If
on
the
phone
they
think
yeah,
it
seems
like
you
likely
have
the
relevant
needs.
They'll
send
out
a
nurse
who
asks
very
similar
questions
in
person
and
then
they'll
go
ahead
and
get
you
hooked
up
with
a
care
worker
and
folks
to
start
Services,
because
remember
for
this
waiver,
there
is
no
waiting
list.
Okay,
so
let's
go
back
to
for
our
DD
waivers
if
we
do
have
to
navigate
a
waiting
list.
What
does
that
look
like
if
you're
put
on
the
waiting
list?
D
The
person
with
a
disabilities
needs
aren't
being
met,
we're
having
issues
with
parents
or
caregivers
being
able
to
support
them.
Those
kinds
of
things
like
we're
already
in
a
place
where
things
are
not
going
well
priority.
Two
is
what
I
usually
think
about
we're
doing?
Okay,
it
would
really
be
helpful
to
have
a
waiver
for
these
reasons,
but
mostly
we're
managing
and
priority.
Three
I
would
describe
this
usually
folks
are
doing
well
younger,
healthier,
getting
a
lot
of
services
through
school,
private
pay,
private
insurance
or
parents
are
great
supporters
and
caregivers.
D
Maybe
the
person
has
a
CCC
plus
waiver
that
is
meeting
most
of
their
needs.
For
example,
those
are
sometimes
folks
who
are
on
priority
three
and
you'll
move
between
these
priority
tiers
at
any
time
based
upon
your
needs,
so
you
can
always
call
up
the
community
services
board
and
say
you
know
what
we
were
a
priority
too,
but
we've
got
a
new
disability
diagnosis
in
our
household
and
we're
having
a
lot
of
trouble.
Managing
those
needs.
D
I
think
we
may
need
to
talk
about
moving
up
to
Priority
One
and
the
csb
at
any
time
should
be
able
to
tell
you
where
you
are
so
the
next
slide.
I'll
warn,
you
is
very
wordy,
like
just
know
that
it's
coming,
but
we
will
walk
through
it
together.
Okay,
so
I
mentioned
that
there
are
three
DD
waivers:
Community
Living
people
with
24
7
needs
family
and
individual
support
lesson.
24
7
needs
more
than
drop
in
here
and
there
and
building
Independence
adults
with
roughly
drop
in
here
and
their
kind
of
needs.
D
They
share
a
waiting
list.
Generally
speaking,
if
you
were
over
18
had
relatively
few
needs
and
were
ready
to
move,
you
can
probably
go
ahead
and
get
a
building
Independence
waiver
right
away,
as
you
can
imagine,
because
that
serves
a
smaller
part
of
our
population.
There's
less
demand
for
it,
but
for
the
majority
of
folks
who
are
waiting
for
waivers
waiting
list,
time
is
unpredictable
because
it's
based
upon
urgency
of
need
right.
You
can
be
in
Priority
One
for
many
years
without
rising
to
the
top
and
getting
a
waiver
when
waivers
are
offered.
D
What
will
put
you
in
that
Priority
One
category
things
like
the
parent
has
their
own
disability
or
mental
health
need
that
makes
it
hard
to
provide
the
care
that
you
need.
The
person
has
needs
that
aren't
being
met.
Maybe
we
have
really
challenging
behaviors
or
really
complex
medical
needs
and
no
matter
how
we
try
and
bandage
things
together.
It's
not
working.
D
The
person
is
not
as
safe
and
successful
as
we
want
them
to
be,
or
the
person
is
aging
out
of
school
like
last
year
of
school
time
frame
and
before
their
27th
birthday
and
really
ready
for
those
services.
So
that
kind
of
brief
window
of
time
or
the
usual
reasons
we
see
someone
on
there
and
when
someone
is
on
that
Priority
One
waiting
list,
they
can
be
reviewed
for
a
new
waiver.
They
can
be
offered
waivers
and
there's
a
slot
assignment
committee.
D
That's
make
recommendations
that
are
kind
of
like
matchmaking,
so
they
would
say
based
upon
what
you've
said
you
need
from
the
waiver.
Here's
a
waiver,
that's
available
that
we
think
will
fit
your
needs
right.
So
that's
kind
of
the
idea
there,
so
you
aren't
choosing
the
waiver
and
you
aren't
waiting
for
a
specific
waiver.
It's
a
it's
a
bit
of
a
matchmaking
process
based
upon
needs
at
any
given
time.
D
Now
that
I
have
everyone
thoroughly
confused.
I
will
put
my
contact
information
on
the
screen.
Really,
truly,
you
can
ask
anything.
I
think
Sherry
will
share
this,
but
next
week
I
am
giving
Monday
or
Tuesday
like
a
one
hour
version
of
this
same
discussion.
Where
we'll
talk
about
waivers
in
depth,
we
have
lots
of
recorded
versions
of
this
handout
equivalents
of
this
three
minute
versions
of
parts
of
this
all
those
kinds
of
things
at
the
Arc
of
Northern
Virginia
that
folks
can
Avail
themselves
to
so
by
all
means.
D
A
Now
not
not
any
holes,
you
did
an
excellent
job
overviewing.
The
waivers
which,
as
we
have
all
noted,
is
they're
very
complicated
and
complex
to
understand.
So
thank
you
so
much
Lucy
for
that.
A
couple
of
things
that
I
do
want
to
just
touch
on
And,
to
clarify
specifically
where
Arlington
County
is
concerned,
and
we
don't
do
anything
different.
A
So
the
diagnoses
you
do
need
to
have
a
diagnosis
for
developmental
disability.
As
noted
and
the
level
of
functioning,
we
actually
look
at
the
material
that
is
submitted
for
the
level
of
functioning,
so
that
could
be
the
psychological
evaluation.
It
can
be
a
school
IEP.
It
can
be
information
that
you
receive
from
the
medical
community
a
doctor
to
look
at
level
of
functioning
in
those
particular
areas.
We
look
specifically
at
The
Vibes
for
the
sole
purpose
of
adding
someone
to
the
DD
Medicaid
waiver
wait
list.
A
It
does
not
factor
into
determining
the
diagnoses,
however,
for
us
so
again
to
be
added
to
the
waiver.
Wait
list
you
have
to
have
a
developmental
disability
according
to
the
code
of
Virginia,
and
you
have
to
meet
on
the
Divide,
so
divides
is
definitely
done
to
determine
adding
someone
to
the
wait
list,
but
it
is
not
an
instrument
that
we
use
in
determining
developmental
disability.
A
So
just
adding
some
clarification
for
that,
but
it
is
something
that
we
do
do
it
has
to
be
done
by
a
support
coordinator,
and
we
do
do
it
as
part
of
determining
being
added
eligibility
for
the
wait
list
in
Arlington
County.
That's
important
because,
unlike
most,
if
not
all
other
localities
in
the
state,
we
actually
do
provide
Public
Funding
and
resources.
So
the
waiver
is
not
the
only
public
resource
for
services
here
in
Arlington
County.
A
So
if
someone
is
determined
to
have
a
developmental
disability
again
according
to
the
code
of
Virginia
definition
that
Lucy
shared
with
you
and
they
do
not
meet
on
the
vides,
we
will
actually
still
be
able
to
support
that
individual
with
local
funded
services
for
day
support
and
for
employment
services,
but
Employment
Services.
You
do
still
need
to
go
through
DARS.
A
Another
thing
that
I
did
want
to
mention,
too,
is
where
the
financial
eligibility
is
concerned.
It
is
accurate.
You
do
definitely
need
to
meet
the
Medicaid
criteria
for
being
eligible
for
Medicaid.
However,
at
the
time
that
you
were
added
to
the
wait
list,
you
do
not
need
to
meet
that
Financial
eligibility,
so
someone
could,
for
example,
be
over
resourced.
They
may
have
you
know
a
significant
amount
of
money
and
savings.
A
If
you
don't
already
have
Medicaid
is
to
work
with
you
on
submitting
an
application
for
Medicaid,
and
it's
at
that
time
that
if
you
have
to
spend
down
or
you
are
over
resourced
and
you
need
to
put
funds
into
an
able
account
that
we
would
work
with
you
on
doing
that,
you
certainly
can
do
that
a
lot
sooner.
But
you
don't
have
to
have
that
done
at
the
time
that
you
were
actually
added
to
the
wait
list
and
then,
let's
see.
A
Let
us
know
if
something
has
changed
about
your
situation,
because
that's
what
helps
in
terms
of
reevaluating
you.
So
you
may
be
a
priority
three
and
things
have
changed
and
shifted
to
where
we
need
to
re-assess
and
reevaluate.
If,
if
the
individual
needs
to
be
changed
to
a
priority
two
or
a
priority,
One
our
vice
versa,
maybe
something
has
changed
and
you
no
longer
our
Priority
One
and
needs
to
shift
down
to
a
priority
two
or
three.
A
But
we
don't
have
a
crystal
ball
to
know
what
is
going
on
with
the
individual
and
the
family.
So
it's
really
important
to
have
that
communication
and
reaching
out
to
let
us
know
that
as
well
so
Sherry.
Those
are
the
highlights
that
I
wanted
to
just
sort
of
touch
on
and
like
Lucy
I
am
certainly
available
for
questions
as
I
imagine.
There
will
be
many
following
our
wonderful
panel
that
we
quote
together,
so
I
will
turn
it
over
to
you
to
introduce
the
panel.
D
D
She
is
a
highly
accomplished
athlete
with
Special
Olympics
track
and
Fields
basketball
and
soccer.
She
loves
cats
and
dogs,
singing
karaoke
baking
learning
new
recipes
and
painting
Lisa
receives
the
community
living
waiver
and,
as
a
quick
reminder,
that's
the
waiver.
I
talked
about
where
you
can
get
up
to
24
7
active
supports
if
you
need
them
and
has
for
many
years
and
then
I
know
Sherry's
working
to
get
some
other
folks
on
screen
here,
I'll
go
ahead
and
talk
about
Pete.
Next,
who
I
know
is
going
to
be
joining
us.
D
Pete
lives
in
his
own
apartment
in
Boston
with
Chris
who's
has
been
his
best
friend
since
he
was
in
seventh
grade.
He
attended
the
career
center
in
Arlington
after
graduating,
from
Yorktown
high
school
and
the
Life
program
at
George.
Mason
University
Peters
worked
as
a
courtesy
clerk
at
Safeway
for
18
years
and
now
has
a
job
at
the
assisted
living
facility
nearby,
where
his
grandma
lives
he's
the
engagement
coordinator.
D
And,
lastly,
Juan
gong
is
going
to
be
joining
us
he's
a
25
year
old,
non-speaking
autistic,
whose
spells
to
communicate
on
either
a
letter
board
or
a
keyboard.
He
has
surpassed
expectations,
having
earned
his
high
school
diploma
online
and
an
associate's
degree
at
Northern,
Virginia,
Community
College,
where
he
majored
in
English.
You
would
like
to
be
a
writer
one
day.
Juan
is
currently
receiving
the
family
and
individual
supports
waiver
and
again
as
a
reminder,
that's
what
I
kind
of
all
describe
as
the
middle
tier
waiver
you're
not
super
independent.
We
don't
need
24
7..
D
He
currently
lives
in
an
apartment
with
a
roommate
at
Gilliam
place,
which
is
an
hour
stomping
ground
property,
a
great
kind
of
collaborative
service
and
support
provider.
Here
he
enjoys
the
safety
and
community
life
that
that
property
offers,
and
every
day
he
participates
in
activities
with
his
friends
and
neighbors
like
hour-long
walks,
environmental
club
meetings,
a
social
justice
club
and
a
book
group.
So,
as
you
can
see,
we
have
kind
of
quite
the
Brain
Trust
here
and
I
will
ask
some
questions
of
our
panelists
Sherry
once
you.
D
Let
me
know
it's
a
good
time
to
get
everyone
up
on
screen
here
and
we'll
do
it
in
a
in
a
pretty
casual
format,
so
that,
as
I
ask
a
question
every
panelist
who
wants
to
answer
it
can
and
if
they
don't
we'll,
just
keep
right
on
rolling
so
Sherry
you.
Let
me
know
when
you're
ready
for
us
to
do
questions
and
if
folks
are
able
to
turn
on
cameras
on
our
panel.
That
would
be
great,
so
Lisa,
Juan
and
Pete
we'd
love
to
see
your
beautiful
faces.
C
B
E
C
D
E
D
F
D
D
G
B
D
B
G
D
Thank
you
so
much,
that's
a
great
answer
and
as
a
reminder
in
2008,
the
waiting
list
for
that
program
looked
very
different
and
you
all
were
very
clever
early
adopters
to
have
gotten
a
waiver,
then
kudos
to
you,
okay.
So
the
next
question
has
kind
of
two
parts
to
it:
it's
where
do
you
live
and
who
helps
you
there
who
would
like
to
go
Lisa.
D
D
Those
are
great
answers
and
you've
lived
in
different
apartments,
too.
Is
that
right,
yes,
So
Lisa
is
such
a
great
panelist
today,
because
she
really
has
tried
a
range
of
residential
support
models
and
if
people
aren't
familiar,
the
northern
Virginia
Training
Center
was
the
very
old
style
Institution
for
people
with
disabilities.
It
also
provided
some
crisis
supports,
that's
no
longer
bare
and,
as
Lisa
said,
that
was
not
a
good
fit
for
her
and
a
group
home
wasn't
a
good
fit
for
her,
but
this
model
of
an
apartment
with
staff
is
Pete
or
Juan.
G
One
can
go:
I
live
in
an
apartment
with
a
roommate
at
Gilliam
place,
I
have
attendance
coming
every
day
on
days
that
I
go
to
work.
The
attendant
would
help
me
prepare
lunch
and
take
me
to
work.
The
attendant
also
picks
me
up
front
up
from
work
in
the
afternoon.
They
helped
me
prepare
dinner
service.
Source
also
supports
me
at
work
on
days
that
I
don't
work.
The
attendant
coordinates
walks
with
my
friends
on
the
apartment,
building
our
daily
activities
and
so
on.
D
F
D
B
Lucy,
this
is
Sherry
talking
about
and
I'd
like
to
correct
a
little
bit.
Pete
lives,
mostly
on
his
own
in
his
own
apartment
and
his
friend,
Chris
Is
His
companion
that
lives
there
as
part
of
the
price,
voucher
and
and
Chris
has
his
job
and
things
that
he
does
so
Pete
doesn't
have
24
7..
He
has
maybe
when
Chris
comes
home.
If
Chris
comes
home,
support
from
Chris
but
Bernard
comes
in
from
another
he's.
He
provides
companion
services,
so
he
does
not
have
full-time
care.
D
Sherry
and
Pete.
Thank
you
very,
very
much
for
the
clarification
and
another
good
point
there
about
how
we've
got
someone
who
chose
a
roommate
and
as
someone
who
lives
with
other
people,
we
all
have
our
own
gifts
and
talents
right
and,
if
you're
choosing
a
roommate,
whether
or
not
that
roommate
has
waiver
services
or
is
a
formal
Aid,
we
would
ideally
like
to
see
that
everyone
sharing
their
gifts
and
strengths
with
everybody
and
helping
out
where
they
can,
which
can
be
a
huge
benefit
of
the
kind
of
setup
that
Pete
has.
D
Where
he's
got
a
friend
that
provides
all
kinds
of
natural
friend
benefits
and
peer
mentoring,
benefits
that
we
have.
Can
anybody
tell
us
a
little
bit
about
the
staff
who
work
with
you?
Do
you
like
them?
We
won't
tell
you
if
you
say
we
won't
tell
on
you.
If
you
say
no
and
then
how
did
you
choose
them?
Who
are
these
people
who
are
coming
to
help
you
Lisa
yeah,.
E
E
D
F
D
D
That's
another
great
example
and
I
know
lots
of
families
where
someone
in
the
family
is
so
good
at
navigating
those
care.com
ads
or
those
other
job
postings,
and
they
do
the
initial
screening.
And
then
the
person
with
a
disability
comes
in
and
throws
the
hammer
down
and
says
this
is
who
I
want,
and
this
is
who
I
don't
and
thanks
so
much
for
keeping
me
out
of
all
the
extra
interviews
right.
That's
a
great
example
of
someone
really
being
able
to
help
control
their
services
and
getting
support
to
do
so.
How
about
you
Pete.
B
D
Okay,
so
there
we
can
have
an
agency
right
who
dies
it.
So
that's
the
difference.
Right
Juan
talked
about
his.
His
support
team
helps
him
particularly
select
people
right,
the
firing,
the
hiring
the
training
and
Pete
as
an
agency
to
help
and
sounds
like
Lisa
does
too
sometimes
so,
there's
two
different
ways
to
get
Services
through
all
the
waivers.
D
B
E
E
Every
day
they
they
also
our
staff,
especially
are
helpful
because,
fortunately
we
didn't
go
like
because
the
bus,
probably
I
was
gonna,
say
we
I
was
gonna
fight
for
our
services
like
for
this,
for
the
delegates
and
and
our
staff
needs
raises
like
raises,
because
they
do
they
work
extremely
hard
for
me
for
us.
For
me
with
me,.
D
G
D
D
G
D
D
D
E
C
G
D
So
certainly
showing
more
Tech
savviness
than
probably
most
of
us
here
in
the
room
right
so
we've
got.
We
talked
about
communication
software
to
help
us
with
daily
living.
Excuse
me,
communication
software
to
help
us
communicate
software
to
help
us
with
daily
living,
to
get
things
done
and
learn
new
skills
and
software
to
help
make
sure
that
if
something
goes
wrong,
someone
knows
we've
got
people
to
reach
out
to
at
all
times,
and
so
this
is
what
I'll
say
is
a
big
shift
in
independent
living
for
people
with
disabilities.
D
In
the
last
10
or
15
years,
Where
It
really
used
to
be.
If
you're
going
to
be
home
alone,
you
need
to
be
like
100,
independent
and
able
to
make
an
emergency
call
or
wait
for
staff,
and
now
that
we
have
the
ability
to
push
a
button
and
see
a
staff
person.
We
know
talk
to
us
and
help
us
walk
through
a
difficult
time.
Instead
of
waiting
for
them
to
answer
the
phone
and
drive
to
us
right
like
we
have
amazing
new
options
and
supports
for
people
that
are
really
enabling
cool
Independence.
D
F
D
D
Okay,
so
you
three
really
were
asked
to
join
this
panel
because
you
are
Weber
experts,
you
have
used
a
ton
of
different
services
and
have
really
good
advice.
What
would
you
tell
other
people
who
are
waiting
for
a
waiver?
We
heard
from
you,
while
most
of
you
waited
some
time
before
you
could
get
a
waiver
and
what
advice
would
you
give
to
someone
else?
Who's
waiting.
F
D
E
G
Having
the
waiver
has
much
improved
my
life,
it
has
provided
attendance
to
help
me
with
daily
living
skills.
To
keep
me
safe.
It
has
given
me
housing,
so
I
can
live
independently
to
have
a
place
to
call
my
own.
It
has
helped
me
find
jobs
and
provided
support
for
me
at
work.
It
has
given
me
a
richer
life
full
of
daily
activities.
G
D
That's
awesome:
you're,
like
the
poster
child
for
waiver
users.
That's
the
best
answer,
I
think
I've
ever
heard.
Okay,
so
one
more
question:
we
had
sent
our
panelists
and
that's
what
would
you
tell
someone
if
they
have
a
waiver
but
they're
still
struggling
they're,
somehow
not
able
to
get
quite
what
they
need
and
sometimes
that's.
We
can't
find
the
right
staff
or
we
can't
find
the
right
home
and
what
would
you
tell
them?
Lisa
I
saw
your
hand
there.
D
E
G
Okay,
one
says
they
should
sign
up
for
our
stomping
ground
ground.org.
It
is
a
network
of
people
with
disabilities
with
their
caring
parents
and
family
members.
It
is
building
the
network
wider
and
wider
for
more
people
to
get
to
know
each
other
and
help
each
other.
My
disability,
specialist,
from
Arlington
County,
is
also
very
helpful.
She
cares
and
wants
me
to
do
well,
if
I
present
a
problem
to
her,
she
will
help
me
solve
it.
I
would
also
tell
them
to
reach
out
to
friends
family
religious
communities
in
their
own
communities.
D
Fantastic,
yes,
we
are
never
alone
and
I
love
that
plug
for
our
stomping
ground,
which
is
a
fantastic
resources.
Folks
are
looking
toward
more
independent
living
and
are
looking
for,
by
which
I
just
mean
living
away
from
Mom
and
Dad.
That's
all
I
mean
by
independent
living.
It
could
be
with
all
kinds
of
supports
day
and
night,
but
just
an
amazing
way
to
get
connected.
Get
community
get
a
true
feeling
of
inclusion
and
belonging
and
Arlington
is
such
a
great
place
to
live
for
those
options.
F
D
E
D
B
A
A
Ahead,
my
voice
I
just
wanted
to
just
to
highlight
a
few
things
before
we
jump
into
into
the
Q
a
one
about
the
building,
Independence
waiver
and-
and
you
may
want
to
elaborate
on
your
experience
with
getting
the
building
Independence
waiver-
you
do
not
need
to
be
Priority
One
to
get
the
building
Independence
waiver
and,
like
Lucy,
said
they're.
Typically,
there
is
not
a
wait
list.
It
still
does
depend
on
the
availability
of
waivers
for
building
Independence,
but
there
typically
are
waivers
that
are
available
so
Sherry.
A
If
you
don't
mind,
your
son
was
on
the
wait
list
and
looking
at
what
his
needs
were
at
the
time
we
determined
that
we
would
actually
proceed
with
the
building
Independence
waiver,
and
we
also
discussed
that
if
his
needs
were
to
change
over
time
across
his
lifespan,
we
could
look
at
adding
him
to
what's
called
The.
Reserve
waiver
wait
list.
A
So
someone
in
one
of
those
lower
tier
waivers
that
might
have
a
building
Independence
and
later
across
the
lifespan,
their
needs
may
change
and
they
need
a
family
and
individual
supports
waiver
or
they
need
a
community
living
waiver.
There
is
a
process
in
dbhds,
developmental
Department
of
Behavioral,
Health
and
developmental
services,
for
which
someone
can
be
added
to
the
reserve
waiver
wait
list
for
a
higher
tier
waiver.
A
That's
you
know
again
it's
driven
by
what
their
needs
are
at
the
time
so
really
evaluating.
Consider,
because
it
is
a
lot
easier
to
get
a
building
Independence
waiver,
particularly
if
you're
not
a
priority
one
because
to
get
the
family
individual
support
and
the
keep
in
the
community
living.
You
need
to
be
a
priority
one.
You
can
be
a
priority
two
or
a
priority,
three
for
the
building,
Independence
waiver
and
then
the
second
thing
that
I
just
wanted
to
clarify
a
little
bit
is
the
Medicaid.
A
Eligibility
is
not
determined
based
on
the
parents,
income
or
the
family's
income.
So
for
where
waiver
is
concerned,
so
I
don't
want
you
to
be.
You
know
just
to
keep
in
mind
that
you
might
think
that
you
don't
meet
eligibility
for
Medicaid
individuals
that
have
the
Medicaid
waiver
are
found
eligible
under,
what's
called
Medicaid
long-term
care,
and
that
is
determined
based
on
their
income
at
the
time
if
they
get
a
waiver,
and
so
that
is
also
for
children.
A
So
we
support
a
number
of
children
that
have
a
DD
Medicaid
waiver
and
again
the
eligibility
goes
according
to
the
child
and
then
looking
at
the
long-term
Medicaid.
So
it's
not.
When
you
get
the
waiver,
your
eligibility
is
tied
to
long-term
care,
and
that
is
independent
of
your
age
at
the
time
of
getting
the
waiver
foreign.
B
B
But
but
many
in
Arlington
and
I
think
Juan
talked
about
book
club,
Pete's
and
book
club.
They
like
to
go
to
dinner,
Club
Lisa's
in
that
group.
So
it's
a
it's
a
nice
way
of
providing
free
services
for
folks
and
and
I
think
they've
done
presentations,
but
I
go
to
our
stompingground.org,
which
Josue
has
put
in
the
chat.
So
at
that
I'm
going
to
see.
B
If
there
are
any
questions,
go
ahead
and
type
your
questions
in,
and
there
is,
was
one
that
one
question
that
I
believe
was
answered
by
by
Lucia
and
and
Donna,
and
it
comes
from
Doris
and
that
had
to
do
with
I
wanted
to
know.
If
there's
occupational
group
therapy
for
children,
12
and
up
programs
or
parent
for
parents
with
disabilities,
I
could
connect
with
for
kids
with
autism
to
help
get
together
for
socialization
skills.
B
Lucy
you're,
aware
of
a
lot
of
the
services
and
supports
in
the
community
and
I'm,
not
sure
whether
the
how
the
waiver
might
support
us.
I
also
know
from
Donna
budway
that
there
was
some
some
volunteer
occupational
therapists
coming
around.
Also
so
Donna.
You
can
go
ahead
and
unmute
if
you
want
and
Lucy
go
ahead
and
talk
about
occupational
therapy
and
the
Medicaid
waiver.
D
Oh
sure,
then,
I'll
give
a
super
short
answer.
Just
to
say,
one
of
the
great
benefits
of
getting
a
Medicaid
waiver
is
that
it
comes
with
Medicaid.
That's
why
there
are
those
financial
eligibility
pieces,
and
so
even
though
someone
may
not
usually
qualify
for
Medicaid,
it
entitles
entitles
them
to
all
the
regular
Medicaid
health
benefits
and
we
often
see
people
who
need
things
like
OTP
speech.
Behavior
supports,
who
can
get
very
little
of
those
through
their
private
insurance,
be
able
to
access
a
lot
more
of
those
through
Medicaid
Doris.
D
If
you
want
to
go
I,
think
Sherry
has
my
email
or
is
on
the
screen
too,
or
send
me
a
message
anytime,
I'm
happy
to
send
you
a
list
of
folks.
We
know
who
do
a
lot
of
pediatric
OT
in
the
area
and
sometimes
it's
a
matter
of
you
know
like
you're,
getting
on
a
couple
of
waiting
lists
and
matching
up
service
hours
and
those
kinds
of
things
or
other
kinds
of
social
skill
groups.
D
H
We
do
have
a
really
exciting
opportunity
right
now,
at
our
stomping
ground
we
have
a
an
amazing
partnership
with
George
Washington
University.
So
we
have
an
art,
therapist
and
we've
got
occupational
therapists
and
we're
doing
a
lot
of
programming
this
winter
with
them,
and
it
is
just
an
amazing
opportunities.
We're
going
to
have
these
open
Labs,
where
they're
going
to
be
opportunities
where,
where
we
have
this
staff
support
there,
so
please
shoot
us
an
email
and
also
for
families
with
younger
children.
H
B
B
Okay
and
then
I'm
gonna
just
go
ahead
and
share
I'll,
come
back
to
questions
but
I'm
going
to
go
ahead
and
share
a
few
resources
that
we
got
from
the
Arc
of
Northern
Virginia,
also
I'm,
sending
out
a
newsletter
I'm.
Just
it's
not
even
newsletter,
it's
just
an
email
to
members
of
the
developmental
disabilities
committee
and
the
mailing
list.
So
if
you'd
like
to
be
put
on
that
mailing
list
go
ahead
and
just
put
your
email
in
the
chat
and
I
will
find
it
afterwards
and
put
you
on
my
list.
B
D
I
would
love
so
every
year.
The
reason
there's
a
waiting
list
for
waivers
is
because
the
way
our
state
has
written
the
contract
to
provide
them.
It's
a
it's
a
state
and
federal
government
partnership
and
the
way
we
wrote
that
contract
says
we're
allowed
to
have
a
waiting
list
so
each
year
we're
sort
of
beholden
to
state
government
to
fund
new
waivers
for
people
who
are
on
that
waiting
list
and
right
now.
The
waiting
list
for
the
whole
state
of
Virginia
is
about
14
000
people
waiting
for
GD
waiversity,
a.
B
E
D
D
So,
as
Sherry
was
saying,
you
know,
this
is
a
great
time
to
Advocate
to
talk
about
why
we
need
more
waivers
so
on
our
legislative
agenda
this
year.
We're
tackling
that
in
a
couple
of
different
ways.
One
is
making
sure
the
waivers
that
have
been
put
in
the
budget
stay
in
the
budget
and
get
funded,
which
seems
like
common
sense,
otherwise
making
sure
that
we
are
looking
at
people
who
are
on
priorities.
Two
and
three
of
that
waiting
list.
D
Remember
we
talked
about
people
who
were
doing
okay-ish
at
least
and
likely
to
wait
longer
and
getting
them
what's
called
core
services,
so
that
would
be
Medicaid
a
case
manager.
A
few
hours
of
weekly
support
some
respite.
It's
not
going
to
be
a
big
bundle
of
services,
but
enough
both
to
help
people
be
connected
to
the
system.
You've
got
a
person
to
help
you
navigate
all
that.
There
is
out
there
to
help
us
plan
for
the
future
and
to
give
families
a
little
bit
of
a
Lifeline.
D
So
if
you
can
imagine
now,
they've
got
to
go
behind
closed
doors
and
kind
of
negotiate
that
out
and
then
we're
also
advocating
for
people
who
do
have
waivers
to
make
sure
that
we
are
offering
a
full
array
of
well-funded
services,
because
it
certainly
is
no
good
to
offer
people
waivers
and
tell
them
to
wait
and
wait
and
wait
for
them
and
then
them
to
find
that
the
waiver
doesn't
actually
do
what
they
needed
to
do
so.
I'm
going
to
put
a
link
in
the
chat.
C
E
B
B
B
There
are
also
a
number
of
waiver
resources
on
the
arc,
I
believe.
So,
if
you
can
put
the
links
that
are
on
that
are
on
the
slide.
But
there's
some
frequently
asked
questions
in
a
long
and
short
version,
there's
something
on
understanding
how
to
manage
your
personal
care
hours,
the
benefits
of
the
Medicaid
waiver
and
then,
as
Lisa
as
Lucy
said,
there
are
links
to
that.
B
Whatever
Vibe
stands
for
assessment
that
she
highly
encourages
people
to
go
through
with
your
person
with
a
disability
before
you
do
it
with
with
your
CSP
case
manager
and
Lucy
alluded
to
this,
but
I
just
want
to
say
something
about
the
vides
and
the
assessments
is
that
it.
It
can
be
pretty
tough
for
a
person
with
a
disability
to
to
listen
to
all
the
things
that
they
are
not
able
to
do.
B
And
and
yet,
if
you
say
oh
yeah,
he
can
make
a
sandwich.
Is
he
going
to
eat
a
sandwich
for
the
rest
of
his
life,
or
does
he
have
to?
Does
he
have
to
learn
how
to
do
other
things
in
order
to
care
for
himself?
So
so
it's
difficult
and
and
it's
very
different
than
what
you
do
in
special
education,
which
is
talk
about
what
someone
does
well
and
build
on
those.
So
it's
just
something
that
I
that
I
hope
people
consider
but
also
consider
respecting
the
person
with
a
disability.
B
And
then,
just
a
little
bit
more
from
us,
everyone's
welcome
to
join
the
developmental
disabilities
committee.
We
meet
the
second
Tuesday
of
the
month
between
four
and
six
o'clock
and
every
other
month
we're
going
to
have
a
listen
and
learn
event
instead
of
a
regular
meeting.
The
upcoming
tentative
dates
and
topics
for
these
would
be
on
April
7th
employment
service
options,
including
employment
in
Arlington,
and
on
June
June
6.
It
will
be
some
day
service
options.
B
B
Oh
I'm,
sorry
lavois,
thank
you
and
I'll
correct
that
on
the
slides
that
will
go
out
to
everybody
after
this
meeting,
I
I
us
I'm,
not
quite
sure,
I
I
believe
that
the
parent
Resource
Center
will
share
this
with
folks
who
signed
up
The
Voice.
You
will
be
producing
this
in
YouTube,
so
there'll
be
a
link
to
that
in
the
slides,
correct,
correct,
thank
you.
Does
anyone
else
have
anything
that
they
any
questions?