This amendment provides funding to increase rates for in-home residential services, day services, therapeutic consultation services, congregate residential services, and skilled nursing services effective July 1, 2015. These increases are based on the analysis from the recent rate study of Medicaid waiver rates, which indicates that the rates are inadequate to build the appropriate community capacity to move individuals out of state training centers. The Intellectual Disability, Developmental Disability and Day Support waivers are currently being redesigned and will likely change in fiscal year 2017. The funding in this amendment provides an investment in the new rates to move the Commonwealth forward to a community-based system for individuals with intellectual or developmental disabilities Language is also added to require the Department of Medical Assistance Services and the Department of Behavioral Health and Developmental Services to report on plans to redesign the Medicaid comprehensive Intellectual and Developmental Disability waivers prior to a submission of a request to the Centers for Medicare and Medicaid Services to amend the waivers. The report is required to be submitted by November 1, 2015.