When the hours are authorized and nobody shows up A denial you can appeal. An unfilled shift is not a denial, so most families have no idea it is actionable...
What Maine’s billion dollar hole teaches Michigan Community based support costs roughly a third of institutional care, generates more economic activity per dollar than most state spending, and is the...
What Direct Support Professionals Wish Families Knew (And Vice Versa) The DSP workforce crisis gets discussed constantly in policy terms, wages, turnover rates, funding formulas. What almost never gets discussed...
How caregivers become unpaid DSPs Nobody hands you a job offer. The direct support shift just goes uncovered long enough that you pick it up yourself, and then it never...
Hiring and vetting direct support staff Self-directing your family member’s care means you are now, unofficially, a hiring manager, an HR department, and a scheduler, with none of the training...
Respite care for high-support adults: finding and training providers The worker who lasts is the one you train slowly, pay fairly, and trust with a hard week. Here is how...
