Reverting to the previous process, where DMAS considered CMS requirements for defining extraordinary care and addressing conflicts of interest, would place an unnecessary burden on families already struggling to provide the best possible care for their loved ones. The current system recognizes that legally responsible individuals, such as parents or spouses, are often the most qualified and committed caregivers, uniquely positioned to provide consistent, expert care. Forcing families to prove that their care is "extraordinary" and free of conflicts introduces a layer of bureaucratic red tape that detracts from the actual care being provided. Additionally, this process fails to account for the emotional and psychological bonds that enhance the quality of care, bonds that no outside caregiver can replicate. It also risks undervaluing the irreplaceable insight and experience that only a close family member can offer. Reinstating these requirements would not serve the waiver individual’s best interests but rather complicate and potentially disrupt the care they rely on.