I have provided details directly to DMAS to edit for spelling, duplications, and general lack of clarity.  Substantive issues include:

Lack of consistency - eg. the description, approval and use of semi-predictable or "flexible" hours, references to when "family" can or cannot provide services, etc.

The formatting is very difficult and makes reading the document challenging

The taxonomy codes and specialty codes for each service should be included - it would be a useful reference