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From: "nurses@hopeinhomecare.org" <nurses@hopeinhomecare.org>
To: Debbie Mitchell <glorn@hopeinhomecare.us>
Subject: Fw: SIS-A Region 5 for And Cla In Person @ 390 Virginia St Urbana, VA
 23175
Thread-Topic: SIS-A Region 5 for And Cla In Person @ 390 Virginia St Urbana,
 VA 23175
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Katrina Wainwright
Intake Coordinator
Hope In Home Care
757-873-0030 option 1
________________________________
From: Weldon, Tracie <TWeldon@pcgus.com>
Sent: Monday, November 10, 2025 3:05 PM
To: jisaksen@mpnn.state.va.us <jisaksen@mpnn.state.va.us>; noemail@noemail.=
com <noemail@noemail.com>
Cc: nurses@hopeinhomecare.org <nurses@hopeinhomecare.org>
Subject: RE: SIS-A Region 5 for And Cla In Person @ 390 Virginia St Urbana,=
 VA 23175


Hello,

This is confirmation of the scheduled SIS assessment for AndCla on Thursday=
, November 13, 2025, at 1pm, to take place in person at 390 Virginia Street=
, Urbana, VA.



The assessor may arrive up to 15 minutes early to prepare and will begin pr=
omptly at the scheduled start time.



Please reply to confirm that all respondents have been notified and will at=
tend.



Please review the following reminders:

  *   The SIS interview must include at least two respondents who have know=
n and supported the individual for 90+ days and can attend the full session=
.
  *   Respondents should represent different areas of the person=92s life (=
home, work, community).
  *   AndCla should be available for at least 5 minutes at the start so I c=
an meet them in person.
  *   The SIS may take up to three hours to complete.
  *   If the assessment will occur in a home setting, please let me know if=
 there are any health, safety, or allergy concerns prior to the visit.
  *   Please plan to begin promptly at the scheduled time to ensure an effi=
cient session.



For more information, please refer to the attached SIS Information & Resour=
ces document.



After the session, we invite you to complete a brief satisfaction survey:
?? SIS Satisfaction Survey<https://www.surveymonkey.com/r/VASIS>



I look forward to meeting with you!
Best,
Tracie Weldon







Tracie Weldon
Case Management Specialist



publicconsultinggroup.com





This message (including any attachments) contains confidential information =
intended for a specific individual and purpose and is protected by law.  If=
 you are not the intended recipient, you should delete this message and are=
 hereby notified that any disclosure, copying, or distribution of this mess=
age, or the taking of any action based on it, is strictly prohibited.



-----Original Appointment-----
From: VA DBHDS SIS <VADBHDSSISSupport@pcgus.com>
Sent: Wednesday, September 24, 2025 1:58 PM
To: VA DBHDS SIS; VA DBHDS SIS; jisaksen@mpnn.state.va.us; noemail@noemail.=
com; Weldon, Tracie
Cc: nurses@hopeinhomecare.org
Subject: SIS-A Region 5 for And Cla In Person @ 390 Virginia St Urbana, VA =
23175
When: Thursday, November 13, 2025 1:00 PM-4:00 PM (UTC-05:00) Eastern Time =
(US & Canada).
Where: 390 Virginia St Urbana, VA 23175





SIS ID#: 1831422

Assigned Assessor: Tracie Weldon (346) 437-9572

**PERSON TO CONTACT DAY OF ASSESSMENT: Julee Isaksen (804)824-5240



The Supports Intensity Scale (SIS), developed by the American Association o=
n Intellectual and Developmental Disabilities (AAIDD), is used in Virginia =
by DBHDS and PCG. AAIDD offers video resources to help participants prepare=
 for the SIS assessment and understand the SIS report. These videos are ava=
ilable in English, Spanish, and French with closed captioning. View them he=
re:

?? SIS-A Resources<https://www.aaidd.org/sis/sis-a/sis-a-resources>

?? SIS-A 2nd Edition<https://www.aaidd.org/>



Hybrid Assessments:

Hybrid assessments (some respondents attending in-person, others virtually)=
 are generally not allowed but may be approved for extenuating circumstance=
s (e.g., out-of-state legal guardians or telehealth service providers). DBH=
DS approval is required in advance.



PCG's SIS Scheduling and Information Line:

?? Call: 276-230-0056

?? Email: VADBHDSSISSupport@pcgus.com<mailto:VADBHDSSISSupport@pcgus.com>



Zoom Assessments:

If a Zoom assessment was requested, the Assessor will provide the meeting l=
ink before the scheduled session.



Confidentiality Notice:

Sensitive information may be shared during the assessment. Please do not en=
able third-party transcription or recording tools (including AI tools).



Preparation:

Please review the attached SIS resources PDF before your assessment.

?? Supports Intensity Scale (SIS) Assessment - PCG | Public Consulting Grou=
p<https://www.publicconsultinggroup.com/health/for-state-health-medicaid-ag=
encies/provider-management-and-program-integrity/supports-intensity-scale-s=
is-assessment/>



To complete the SIS-A Satisfaction Survey after the assessment, simply clic=
k on the provided link and follow the instructions on the survey page=94 ht=
tps://www.surveymonkey.com/r/VASIS



--_000_MW5PR03MB6907B409A52353D84F836485A3CEAMW5PR03MB6907namp_
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<html>
<head>
<meta http-equiv=3D"Content-Type" content=3D"text/html; charset=3DWindows-1=
252">
<style type=3D"text/css" style=3D"display:none;"> P {margin-top:0;margin-bo=
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<br>
</div>
<div style=3D"font-family: &quot;Lucida Calligraphy&quot;; font-size: 12pt;=
 color: rgb(0, 0, 0);">
Katrina Wainwright</div>
<div style=3D"font-family: &quot;Lucida Calligraphy&quot;; font-size: 12pt;=
 color: rgb(0, 0, 0);">
Intake Coordinator</div>
<div style=3D"font-family: &quot;Lucida Calligraphy&quot;; font-size: 12pt;=
 color: rgb(0, 0, 0);">
Hope In Home Care</div>
<div style=3D"font-family: &quot;Lucida Calligraphy&quot;; font-size: 12pt;=
 color: rgb(0, 0, 0);">
757-873-0030 option 1</div>
</div>
<div id=3D"appendonsend"></div>
<hr style=3D"display:inline-block;width:98%" tabindex=3D"-1">
<div id=3D"divRplyFwdMsg" dir=3D"ltr"><font face=3D"Calibri, sans-serif" st=
yle=3D"font-size:11pt" color=3D"#000000"><b>From:</b> Weldon, Tracie &lt;TW=
eldon@pcgus.com&gt;<br>
<b>Sent:</b> Monday, November 10, 2025 3:05 PM<br>
<b>To:</b> jisaksen@mpnn.state.va.us &lt;jisaksen@mpnn.state.va.us&gt;; noe=
mail@noemail.com &lt;noemail@noemail.com&gt;<br>
<b>Cc:</b> nurses@hopeinhomecare.org &lt;nurses@hopeinhomecare.org&gt;<br>
<b>Subject:</b> RE: SIS-A Region 5 for And Cla In Person @ 390 Virginia St =
Urbana, VA 23175</font>
<div>&nbsp;</div>
</div>
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<div class=3D"x_WordSection1">
<p class=3D"x_MsoNormal">Hello,</p>
<p class=3D"x_MsoNormal">This is confirmation of the scheduled <b>SIS asses=
sment for AndCla
</b>on<b> Thursday, November 13, 2025, at 1pm</b>, to take place <b>in pers=
on at 390 Virginia Street, Urbana, VA</b>.</p>
<p class=3D"x_MsoNormal">&nbsp;</p>
<p class=3D"x_MsoNormal">The assessor may arrive up to <b>15 minutes early<=
/b> to prepare and will begin promptly at the scheduled start time.</p>
<p class=3D"x_MsoNormal">&nbsp;</p>
<p class=3D"x_MsoNormal"><b>Please reply to confirm that all respondents ha=
ve been notified and will attend.</b></p>
<p class=3D"x_MsoNormal"><b>&nbsp;</b></p>
<p class=3D"x_MsoNormal"><b>Please review the following reminders:</b></p>
<ul type=3D"disc" style=3D"margin-top:0in">
<li class=3D"x_MsoNormal" style=3D"">The SIS interview must include <b>at l=
east two respondents</b> who have known and supported the individual for
<b>90+ days</b> and can attend the full session.</li><li class=3D"x_MsoNorm=
al" style=3D"">Respondents should represent <b>different areas of the perso=
n=92s life</b> (home, work, community).</li><li class=3D"x_MsoNormal" style=
=3D"">AndCla should be available for <b>at least 5 minutes at the start</b>=
 so I can meet them in person.</li><li class=3D"x_MsoNormal" style=3D"">The=
 SIS may take <b>up to three hours</b> to complete.</li><li class=3D"x_MsoN=
ormal" style=3D"">If the assessment will occur in a <b>home setting</b>, pl=
ease let me know if there are any
<b>health, safety, or allergy concerns</b> prior to the visit.</li><li clas=
s=3D"x_MsoNormal" style=3D"">Please plan to begin promptly at the scheduled=
 time to ensure an efficient session.</li></ul>
<p class=3D"x_MsoNormal" style=3D"margin-left:.5in">&nbsp;</p>
<p class=3D"x_MsoNormal">For more information, please refer to the attached=
 <i>SIS Information &amp; Resources</i> document.</p>
<p class=3D"x_MsoNormal">&nbsp;</p>
<p class=3D"x_MsoNormal">After the session, we invite you to complete a bri=
ef satisfaction survey:<br>
<span style=3D"font-family:&quot;Segoe UI Emoji&quot;,sans-serif">&#128073;=
</span> <a href=3D"https://www.surveymonkey.com/r/VASIS" target=3D"_new">
SIS Satisfaction Survey</a></p>
<p class=3D"x_MsoNormal">&nbsp;</p>
<p class=3D"x_MsoNormal">I look forward to meeting with you!<br>
Best,<br>
Tracie Weldon</p>
<p class=3D"x_MsoNormal">&nbsp;</p>
<p class=3D"x_MsoNormal">&nbsp;</p>
<p class=3D"x_MsoNormal">&nbsp;</p>
<div>
<p class=3D"x_MsoNormal"><b><span style=3D"font-size:11.0pt; font-family:&q=
uot;Arial&quot;,sans-serif; color:#007FE8">Tracie Weldon</span></b><b><span=
 style=3D"font-size:9.0pt; font-family:&quot;Arial&quot;,sans-serif; color:=
#007FE8"><br>
</span></b><span style=3D"font-size:9.0pt; font-family:&quot;Arial&quot;,sa=
ns-serif; color:#3A3A3A">Case Management Specialist</span></p>
<p class=3D"x_MsoNormal"><span style=3D"font-size:9.0pt; font-family:&quot;=
Arial&quot;,sans-serif; color:#3A3A3A">&nbsp;</span></p>
<p class=3D"x_MsoNormal"><span style=3D"font-size:9.0pt; font-family:&quot;=
Arial&quot;,sans-serif; color:#3A3A3A">publicconsultinggroup.com
</span></p>
<p class=3D"x_MsoNormal"><span style=3D"font-size:9.0pt; font-family:&quot;=
Arial&quot;,sans-serif; color:#747474">&nbsp;</span></p>
<p class=3D"x_MsoNormal"><span style=3D"font-size:9.0pt; font-family:&quot;=
Arial&quot;,sans-serif; color:#7F7F7F">&nbsp;</span></p>
<p class=3D"x_MsoNormal"><span style=3D"font-size:8.0pt; font-family:&quot;=
Arial&quot;,sans-serif; color:#ADADAD">This message (including any attachme=
nts) contains confidential information intended for a specific individual a=
nd purpose and is protected by law.&nbsp; If you are
 not the intended recipient, you should delete this message and are hereby =
notified that any disclosure, copying, or distribution of this message, or =
the taking of any action based on it, is
<a name=3D"x__Int_CLFA5ITu">strictly prohibited</a>. </span></p>
</div>
<p class=3D"x_MsoNormal">&nbsp;</p>
<div>
<p class=3D"x_MsoNormal"><span style=3D"font-size:11.0pt; font-family:&quot=
;Calibri&quot;,sans-serif">-----Original Appointment-----<br>
<b>From:</b> VA DBHDS SIS &lt;VADBHDSSISSupport@pcgus.com&gt; <br>
<b>Sent:</b> Wednesday, September 24, 2025 1:58 PM<br>
<b>To:</b> VA DBHDS SIS; VA DBHDS SIS; jisaksen@mpnn.state.va.us; noemail@n=
oemail.com; Weldon, Tracie<br>
<b>Cc:</b> nurses@hopeinhomecare.org<br>
<b>Subject:</b> SIS-A Region 5 for And Cla In Person @ 390 Virginia St Urba=
na, VA 23175<br>
<b>When:</b> Thursday, November 13, 2025 1:00 PM-4:00 PM (UTC-05:00) Easter=
n Time (US &amp; Canada).<br>
<b>Where:</b> 390 Virginia St Urbana, VA 23175</span></p>
</div>
<p class=3D"x_MsoNormal">&nbsp;</p>
<div>
<p class=3D"x_MsoNormal" style=3D"margin-bottom:8.0pt"><b>&nbsp;</b></p>
<p class=3D"x_MsoNormal" style=3D"margin-bottom:8.0pt"><b><span style=3D"co=
lor:red">SIS ID#: 1831422</span></b></p>
<p class=3D"x_MsoNormal" style=3D"margin-bottom:8.0pt"><b>Assigned Assessor=
:</b> Tracie Weldon (346) 437-9572</p>
<p class=3D"x_MsoNormal"><span style=3D"font-size:11.0pt; font-family:&quot=
;Calibri&quot;,sans-serif; color:black; background:yellow">**PERSON TO CONT=
ACT DAY OF ASSESSMENT:</span><span style=3D"color:black; background:yellow"=
>
</span><span style=3D"font-size:11.0pt; font-family:&quot;Calibri&quot;,san=
s-serif; color:black; background:yellow">Julee Isaksen (804)824-5240</span>=
</p>
<p class=3D"x_MsoNormal"><span style=3D"font-family:&quot;Calibri&quot;,san=
s-serif">&nbsp;</span></p>
<p class=3D"x_MsoNormal">The <b>Supports Intensity Scale (SIS)</b>, develop=
ed by the
<b>American Association on Intellectual and Developmental Disabilities (AAI=
DD)</b>, is used in Virginia by
<b>DBHDS</b> and <b>PCG</b>. AAIDD offers video resources to help participa=
nts prepare for the SIS assessment and understand the SIS report. These vid=
eos are available in
<b>English, Spanish, and French</b> with closed captioning. View them here:=
&nbsp;</p>
<p class=3D"x_MsoNormal"><span style=3D"font-family:&quot;Segoe UI Emoji&qu=
ot;,sans-serif">&#128279;</span><span style=3D"font-family:&quot;Segoe UI E=
moji&quot;,sans-serif">
</span><span style=3D"font-family:&quot;Calibri&quot;,sans-serif"><a href=
=3D"https://www.aaidd.org/sis/sis-a/sis-a-resources"><span style=3D"font-fa=
mily:&quot;Aptos&quot;,sans-serif; color:blue">SIS-A Resources</span></a></=
span>&nbsp;</p>
<p class=3D"x_MsoNormal"><span style=3D"font-family:&quot;Segoe UI Emoji&qu=
ot;,sans-serif">&#128279;</span><span style=3D"font-family:&quot;Segoe UI E=
moji&quot;,sans-serif">
</span><span style=3D"font-family:&quot;Calibri&quot;,sans-serif"><a href=
=3D"https://www.aaidd.org/"><span style=3D"font-family:&quot;Aptos&quot;,sa=
ns-serif; color:blue">SIS-A 2nd Edition</span></a></span>&nbsp;</p>
<p class=3D"x_MsoNormal">&nbsp;</p>
<p class=3D"x_MsoNormal"><b>Hybrid Assessments:</b>&nbsp;</p>
<p class=3D"x_MsoNormal">Hybrid assessments (some respondents attending in-=
person, others virtually) are generally
<b>not allowed</b> but may be approved for <b>extenuating circumstances</b>=
 (e.g., out-of-state legal guardians or telehealth service providers).
<b>DBHDS approval is required in advance.</b>&nbsp;</p>
<p class=3D"x_MsoNormal">&nbsp;</p>
<p class=3D"x_MsoNormal"><b><span style=3D"color:black">PCG's SIS Schedulin=
g and Information Line:</span></b>&nbsp;</p>
<p class=3D"x_MsoNormal"><span style=3D"font-family:&quot;Segoe UI Emoji&qu=
ot;,sans-serif">&#128222;</span> Call:
<b>276-230-0056</b>&nbsp;</p>
<p class=3D"x_MsoNormal"><span style=3D"font-family:&quot;Segoe UI Emoji&qu=
ot;,sans-serif">&#128231;</span> Email:
<span style=3D"font-family:&quot;Calibri&quot;,sans-serif"><a href=3D"mailt=
o:VADBHDSSISSupport@pcgus.com"><b><span style=3D"font-family:&quot;Aptos&qu=
ot;,sans-serif; color:blue">VADBHDSSISSupport@pcgus.com</span></b></a></spa=
n>&nbsp;</p>
<p class=3D"x_MsoNormal">&nbsp;</p>
<p class=3D"x_MsoNormal"><b>Zoom Assessments:</b>&nbsp;</p>
<p class=3D"x_MsoNormal">If a Zoom assessment was requested, the Assessor w=
ill provide the meeting link before the scheduled session.&nbsp;</p>
<p class=3D"x_MsoNormal">&nbsp;</p>
<p class=3D"x_MsoNormal"><b>Confidentiality Notice:</b>&nbsp;</p>
<p class=3D"x_MsoNormal">Sensitive information may be shared during the ass=
essment.
<b>Please do not enable third-party transcription or recording tools (inclu=
ding AI tools).</b>&nbsp;</p>
<p class=3D"x_MsoNormal">&nbsp;</p>
<p class=3D"x_MsoNormal"><b>Preparation:</b>&nbsp;</p>
<p class=3D"x_MsoNormal">Please review the attached <b>SIS resources PDF</b=
> before your assessment.&nbsp;</p>
<p class=3D"x_MsoNormal"><span style=3D"font-family:&quot;Segoe UI Emoji&qu=
ot;,sans-serif">&#128204;</span><span style=3D"font-family:&quot;Segoe UI E=
moji&quot;,sans-serif">
</span><span style=3D"font-family:&quot;Calibri&quot;,sans-serif"><a href=
=3D"https://www.publicconsultinggroup.com/health/for-state-health-medicaid-=
agencies/provider-management-and-program-integrity/supports-intensity-scale=
-sis-assessment/"><b><span style=3D"font-family:&quot;Aptos&quot;,sans-seri=
f; color:blue">Supports
 Intensity Scale (SIS) Assessment - PCG | Public Consulting Group</span></b=
></a></span>&nbsp;</p>
<p class=3D"x_MsoNormal">&nbsp;</p>
<p class=3D"x_MsoNormal"><i>To complete the SIS-A Satisfaction Survey after=
 the assessment, simply click on the provided link and follow the instructi=
ons on the survey page=94
</i><a href=3D"https://www.surveymonkey.com/r/VASIS"><i><span style=3D"colo=
r:blue">https://www.surveymonkey.com/r/VASIS</span></i></a></p>
<p class=3D"x_MsoNormal">&nbsp;</p>
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