Medicaid waivers are essentially a parent waving the rights to nursing home care, to provide such care in our own homes. This already provides a significant discount for the state. The definition, and what we have agreed to in waiving said rights, are not compatible with the regulations you are proposing. Many of these children require round the specialized care. Care that cannot be found at $12-16 dollars an hour. People can work at Aldi for $18 an hour and not have any of the extreme demands placed on them that are children require. Allowing a parent to provide paid caregiver services is a compromise in the agreement we have mad. If you are not able to raise the wage to match the demand for specialized care then you will have to pay the parents to do it themselves. Someone has to. These children aren’t going away.