Employees are underpaid (for instance, in-home res...

Employees are underpaid (for instance, in-home respite care workers get only 13 cents above minimum wage, even though Medicaid is billed $28/hour), thus they are constantly understaffed, and cannot provide families of special needs children the services they are contracted to provide. On a positive note, the employees they do have are high caliber, in spite of working for slave wages (the only reason I'm giving 3 stars instead of 2). When we applied for free-standing respite care, they asked us to fill out numerous forms, have several home visits, get a new physical and tuberculosis check,have the pediatrician fill out various forms, and after we spent hours doing all that, they denied our family the respite care due to his medical needs and behavioral issues (of which they were aware before putting us through all that, but told us it wouldn't matter).