After the inital 6 month PA expires, our clients are receiving subsequent PAs covering only a 3 month period. Given the amount of paperwork involved in the reauthorization process (both for providers and Medicaid agencies), we feel that it would be beneficial to all involved to extend the period of time for these PAs to 4-6 months instead. It is also difficult to show significant progress in skills and programs with clients in such a short amount of time.