Category: Medicaid waiver services for individuals with intellectual disability
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Clown Show
by James C. Sherlock Statutory powers and responsibilities do not bestow competence. The General Assembly created the Office of the State Inspector General (OSIG) within the Office of the Governor in 2011. The powers and duties of that office are defined in Code of Virginia § 2.2-309. The role focuses on detecting fraud, waste, and abuse…
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The Bravest Democrat in the 2026 General Assembly took on Louise Lucas
by James C. Sherlock You know how sometimes you try to do the right thing for the right reason, and it blows up in your face? One of the newest members of the General Assembly is freshman Delegate Garrett McGuire, D-Fairfax. He is either the bravest of the Democrats or one who committed a…
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The Virginia Senate’s Louise Lucas Dilemma
by James C. Sherlock Scandals can have real victims. This one certainly does. The victims are poor people with intellectual and developmental disabilities, people who citizens think and hope are cared for by our Medicaid dollars under the Americans with Disabilities Act. A politically powerful member of the Virginia Senate has failed them in her…
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Betrayal 4 – Portsmouth
by James C. Sherlock DD/ID (Intellectual and Developmental Disabilities) refers to services, supports, and classifications for individuals with cognitive, physical, or emotional impairments. The author’s first three articles on this subject provided background on Virginia’s broken system of services to that population. In many instances, it doesn’t work well due to combinations of oversight failures…
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Betrayal 3 – Out-of-Control Programs
by James C. Sherlock Medicaid and Medicare are established under the Social Security Act. They creates federal and state organizations to set rules, monitor compliance, provide funding, sanction, and ultimately exclude those who misuse funds or fail to follow the rules. Federal and state governments have proven better at spending than at oversight. Virginia’s…
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Betrayal 2 – The Virginia General Assembly
by James C. Sherlock People, including our elected representatives in the General Assembly of Virginia, might not know that the Commonwealth is subject to a permanent federal court injunction requiring compliance with the Americans with Disabilities Act (ADA). The “Commonwealth of Virginia” is enjoined, not just the executive branch. The author herein informs the…
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Betrayal
by James C. Sherlock This will be the first of a series of reports on the scandalous failures of the Virginia Department of Behavioral Health and Developmental Services (DBHDS) in its stewardship of Virginia’s compliance with the Americans with Disabilities Act (ADA) in matters affecting the safety and health of people with intellectual and developmental…