Thank you for your question.
First, 500,000 people in Quebec have been approved to receive services. That's huge. There are 1.2 million people enrolled in the program.
Second, in the vast majority of cases, pre-approval is not required. In those cases, there is no problem.
Cases that require pre-approval are rarer, but they led to problems in the first two weeks. However, I'm sure it will be restored very soon.