1E Requiring the commissioner of human services (DHS) to manage home and community-based waiver allocations to fully use available waiver funding and requiring remaining balance to be contributed to the allowed reserve account; requiring the commissioner to issue annual reports on county and state use of available resources for the home and community-based waiver services for persons with developmental disabilities; requiring the commissioner to consider exiguous spending when evaluating a corrective action plan; making county and tribal agencies responsible for spending commissioner allocations; establishing a home and community-based waiver services reserve account for county and tribal agencies and providing for contributions, distributions, reporting, non-cancellation, and transfer; modifying rate stabilization adjustment by defining and adding a rate adjustment moratorium period; requiring the commissioner to train county personnel; modifying staffing policy; changing day program payments and payments for unit-based services with programming and values for the facility use rate in day services; requiring the commissioner to develop person-centered staffing environments; modifying the exception request process; modifying the budget neutrality adjustments
(rt)