Need to be consistent. There is not enough concern about quality. Reimbursement rates are not high enough especially in rural areas where it is harder to find staff and they have to travel longer distances with their own transportation. Need to streamline rules and Focus on quality. Welfare requirements are a barrier to keeping children at home for those who have more than one child with a disability and have a single parent family.
Systems are ion place but they are under-funded.
There are too many regulations to allow seamless service delivery. Options for Elders should not have been terminated. Not enough money for care givers - more money going to nursing homes instead. Cost cap - if workers get more money then fewer services can be provided within the cost cap. Too many variations in provider reimbursement rates.