Consumers should be able to hire their own attendants Need to individualize dollars needed for care to each consumer. You shouldn't tell me what I will get and when I will get it. Separate PCS from ADL eligibility for assistance. Explore option of medicaid buy-in for people who want to work. Shifts versus hours - rates require nurses to do shifts on some cases.
Public transportation is a big issue especially in small towns and rural areas.
Build in tax incentives so that consumers are supported in community living.