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A change that was meant to streamline the system that pays care workers who assist people with disabilities, has caused headaches and worries for some direct care workers and families.

United statesAli kronelyLarry spencerBrandon cwalinaOffice of longService employees international unionhealthcare pennsylvaniaPennsylvania department of human servicesDepartment of human servicesCommunity health choicesTempus unlimitedPennsylvania departmentHuman servicesLong term living