Requires the division of disability and rehabilitative services (division) to establish and maintain a direct support professional registry. Requires a direct support professional to register with the division in order to provide direct support services. Requires the division to consult with stakeholders and establish a tiered training certification program for direct support professionals. Requires the division to issue a request for proposals before October 1, 2023, to operate the training program and select a vendor. Allows the division to use any federal dollars available for the registry and training. Requires the division to apply to the federal government for approval of Medicaid reimbursement for services provided by a direct support professional during training.