Medicaid Waivers are crucial to the community life of individuals with significant disabilities and their families. In a nutshell, Medicaid Waivers prevent institutionalization by providing the support individuals with significant disabilities need to live in the communities of their choice. These supports include Personal Care services and training services that support the individual in learning functional community activities. In many state waivers, Respite is a service offered that provides relief to the family. Despite the importance and necessity of these services, in most places, the waivers are the best-kept secret. Medicaid Waivers are not advertised; there are no fliers at pediatrician offices or public schools. And when families finally receive information needed to access waiver services, they are faced with flow charts that do not flow. In this article, the author shares what she has learned about Medicaid Waivers during the past 24 years of fighting diligently to obtain services for her son, especially as relates to income and age restraints.