H.F. No. 3906 - Disability Waiver Rates

• Increases competitive workforce factor from 6.7% to 16.76% across all disability waiver service types (community residential, family residential, integrated community supports, adult day services, day support services, prevocational services, and unit-based services).

• Modifies base wage index calculations for supervisory staff to use 60% of social and community service manager wages plus 40% of community and social services specialist wages, with exceptions for positive supports professionals.

• Establishes detailed wage index formulas for 17 different staff categories including registered nurses, licensed practical nurses, direct care staff, and various support services personnel using specific SOC codes and percentage weightings.

• Makes all changes effective January 1, 2025, or upon federal approval (whichever is later), with the commissioner of human services required to notify the revisor of statutes when federal approval is obtained.