Don't forget the (potential) cost of future daycare, even if there is a SAHP now. Also, will the care likely need to be specialized? Include that additional cost as well. One of the things that qualified our bio ds for SSI many years ago (we had to appeal numerous times and he was finally approved when we went in front of a judge) was that we could not get specialized day care for his medical needs at the time, requiring a SAHP, plus the time spent doing the at home portions of his therapy and appts. My loss of wages (and potential future loss of wages) was considered a factor. Umm, special foods, equipment, therapies, longer than average diaper use, mental/behavioral health counseling, travel expenses for therapies/dr. appts, specialists, housing/vehicle modification (like a wheelchair ramp, or a wheelchair van), special carseats for older/larger children who need additional support, legal costs (such as for longterm care, trusts, etc), savings account for care after turning 18. That's all I can come up with right now.