Brett Ballengee obtained a simply call past week he normally welcomes: a household obtained approval from his point out of West Virginia to fork out for at-residence care for their disabled youngster.

Ballengee, who works at a nonprofit that provides assistance solutions for folks with a range of disabilities, anxieties he does not have the workers to assist this spouse and children. Based on their requires, he reported, the spending plan made available by means of the state’s Medicaid application might not go significantly ample.

“When we consider on a family we’re making a promise to choose treatment of them,” Ballengee stated. “It’s really hard when you have to say ‘we’re …