In response to our 2006 report, the Agency for Persons with Disabilities has taken steps to address communication problems in its prior service authorization process. The agency revised the notices provided to clients and their guardians to better inform them about the quasi-judicial nature of the process used to appeal service determinations. To reduce state costs, the agency recently consolidated prior service authorization with a single provider. The agency also modified the role of waiver support coordinators and transferred some of their responsibilities to agency staff. Given that the prior service authorization process has been in transition, it is too soon to determine how consolidating contracts, changing the role of waiver support coordinators, and dividing their responsibilities among different staff will affect communication, how long it takes to identify client needs and approve services, and the cost of these processes.