My boyfriend's mom is on the waiver program. Currently she gets 28 hours of home care health and 14 hours of self determination weekly. She cannot be left by herself due to falls, dementia and incontinence issues. His father is also very I'll and has a bath aid once a week. We live with them and provide care 24 hours a day. We asked for an extra 2 hours a day and was told by the waiver program that we were not providing enough informal care. Does anyone know what informal care is and is there any way to appeal the decision?