If attendants are trying to follow the rules but can't and they work without pay for weeks/months, then the fiscal agent should have a fund to pay the attendants so that people don't lose their homes.  The apps do not work often which leads to someone not being paid.  According to labor law, if a person works, they should get paid according to the contract.  Medicaid and fiscal agents are breaking the contract by not paying attendants who have worked.  Medicaid needs to have the manpower, tech, support, policies, and staffing to hold up their end of the contract.