Reverting to the old process, where DMAS required legally responsible individuals to navigate CMS-defined criteria for extraordinary care, conflict of interest, and service adequacy, would be a significant misstep. The existing system appropriately acknowledges that family members are often best equipped to provide personalized, compassionate care that meets the unique needs of their loved ones without the need for burdensome administrative barriers. By constantly forcing caregivers to justify their qualifications and intentions, the previous process created an environment of suspicion and doubt that is unnecessary for those already dedicating their lives to their loved ones' care. Moreover, the time and energy spent meeting these requirements detract from the caregiver's ability to focus on the immediate and ongoing needs of the waiver individual. This reversion would reintroduce stress and uncertainty, ultimately reducing the quality of care provided. It is crucial that the current system, which streamlines and prioritizes care, remains in place to truly serve the best interests of the individuals under the waiver.