Without Medicaid-funded Home and Community Based Services providing daily life skills, nursing and medication management, basic hygiene support, and community engagement activities, adults with developmental disabilities would have few options.
Ray Ratke
Ray Ratke is CEO of enCircle, a nonprofit organization founded in 1888 in Salem which served more than 1,500 Virginia children, adults, and families last year. He’s the former Chief Deputy Commissioner of VA Department of Behavioral Health and Developmental Services. He can be reached at rratke@enCircleAll.org.

