Considering a reversion to the process where legally responsible individuals must align with CMS requirements for defining extraordinary care, addressing potential conflicts of interest, and proving service adequacy reflects a misunderstanding of the realities faced by these caregivers. The current regulations rightly remove these barriers, recognizing that family members are often capable of providing the continuous, specialized care their loved ones require, and requiring these caregivers to prove their worth and intentions through exhaustive documentation constantly is inefficient and disheartening, as it implies a lack of trust in those most committed to the waiver individual’s well-being. The administrative burden of complying with these outdated requirements would likely lead to delays in care, increased stress, and potential gaps in service, all of which are detrimental to the individual’s health. Preserving the current system, which focuses on facilitating effective care rather than obstructing it with red tape, is essential to ensuring that waiver individuals receive the best possible support.