Pg. 174-176 of 333 regarding parents of minors/ spouses as paid caregivers.

• Families deserve the opportunity for provider choice to include Consumer-Direction as an option.
• What about the families that do not have access to Agencies in their areas?  It is prohibitive towards individuals that live in rural areas that already have difficulties obtaining services for lack of providers.
• 40 hour cap on parents/spouse as PCAs - some families have plans of care above and beyond 40hrs because plans of care are based on level of care need.
• Losing respite - just because 1 parent is a paid PCA does not mean that the unpaid PCG DOES NOT need relief.
• Application is unclear since the application is only for FIS/BI.  The language found within the application impacts CCC+ and CL.  When will those be updated and providers/members advised of those changes?