First and foremost, if all those covered by the technology waiver have not received notification of these proposed rules and their ability to comment then they should be notified and the comment period extended for 30 days from their notification.

My specific comments below are predominately focused on four major concerns. 1) That the respite program be more accountable to and for the individual and that the hours be increased to 480 as in other waiver programs. 2) that there be provisions to make up missed hours of skilled PDN. 3) that there be a combined maximum of skilled PDN and PC of 20 hours per day. and 4) that AT be defined as equipment to meet specialized medical needs, perform ADLs and/or improve their function not necessarily be specialized medical equipment.