[michsm]

My fd has a lot of appointments also, some in home some out of home. We get reimbursed for mileage when the appointments are out of county.

Have you inquired about using service providers closer to your home? Just because she is from a neighboring county shouldn't mean the appointments should have to be in that county.

Can they offer you help for transport? I do transport when I need to be at the appointment also or when no one seems to be available.

Can they offer some of the services in home?

I would inquire about all of those things. They may not let you know exactly what is available. Also, if you have a local FPA check with them see what services are being provided to others. If they know will do it and have been doing it they will allow you to continue because you are saving them a whole lot of money.