This amendment adds funding and modifies language for the proposed rate changes and new services as part of the redesign of the Individual and Family Developmental Disabilities Support (DD), Day Support (DS), and Intellectual Disability (ID) Waivers. The language clarifies that the rate change for skilled nursing shall be a 25 percent increase and that private duty nursing rates shall be equal to the rates in the Assistive Technology and Early and Periodic Screening, Diagnostic, Treatment program. Funding is reduced by $200,000 from the general fund and $200,000 from nongeneral funds the first year to defer some of the proposed less critical new services for the intellectual and developmental disability (I/DD) waiver redesign until the second year. This deferral will ensure that the agencies are able to implement three new I/DD waiver programs efficiently and effectively, providing the most critical new services first while continuing to increase the number of waiver slots required pursuant to the U.S. Department of Justice Settlement Agreement and the additional waiver slots provided during the 2016 Session of the General Assembly. In addition, this amendment provides $328,452 the first year and $656,903 the second year from the general fund and a corresponding increase in federal Medicaid matching funds for providing a rate differential in the family home payment for Northern Virginia providers of Sponsored Residential services. As part of the redesign of the Intellectual and Developmental Disability waivers the rate increases proposed by the consultant did not take into account such a differential for this service.