This situation was further complicated as the definition of the need of support was not synonymous with the agency’s definition. While the person’s CSSP required 24/7 supervision, it did not require “direct line of sight” supervision in the community. Agencies are given flexibility in determining what level of supervision is required when the CSSP is not specific. Both the provider and case manager noted that “direct line of sight” supervision would require 1:1 staffing, which was not supported in the person’s CSSP or 6790 rate form. 