I still believe these two programs are written in an overly restrictive manner and do not provide the individual with the waiver adequate flexibility and self-direction to meet their needs.  There are many restrictions for a part of the waiver that is a small fraction of the nursing costs, and as a result, there are limited options and even fewer providers. These programs are critical for successful, safe, independent living and the patient should have a better voice in making the determination of how best to spend this resource.