In the Medicaid-based, fee-for-service(FFS) system eligible individuals access support services, including employment services, through enrollment on one of two Medicaid waivers: the Supports Program or the Community Care Waiver.
Through a person-centered planning process, individuals explore their interests, skills, dreams and goals. Working with their Support Coordinator and other members of the service planning team (family members, service provider professionals, etc.), individuals use this information to identify services and service providers to assist them in working toward their goals, including employment goals.
DDD-funded employment services are available to eligible individuals based on their assessed needs, and include:
- A person-centered comprehensive employment planning and support service that provides assistance for program participants to obtain, maintain or advance in competitive employment or self-employment.
- A focused, time-limited service that engages a participant in identifying a career direction and developing a plan for achieving competitive, integrated employment at or above the state's minimum wage.
- If a participant is employed and receiving supported employment services, Career Planning may be used to find other competitive employment more consistent with the participant's skills and interests, or to explore advancement opportunitites in his/her chosen career.
- Provides learning and work experiences, including volunteer work, where the individual can develop general, non-job-task-specific strengths and skills that contribute to employability in paid employment in integrated community settings.
- May include training in effective communication with supervisors, co-workers and customers; generally accepted community workplace conduct and dress; ability to follow directions; ability to attend to tasks; workplace problem solving skills and strategies; and general workplace safety and mobility training.
- Intended to be a service that participants receive over a defined period of time and with specific outcomes to be achieved in preparation for securing competitive, integrated employment at or above the state's minimum wage, but not less than the customary wage and level of benefits paid by the employer for the same or similar work performed by individuals without disabilities.
- Service is delivered in a face-to-face setting, either one-on-one with the participant or in a group of 2-8 participants, and cannot be delivered in a sheltered workshop.
Supported Employment - Individual Employment Support
- Activities needed to help a participant obtain and maintain an individual job in competitive or customized employment, or self-employment, in an integrated setting in the general workforce for which the participant is compensated at or above the state's minimum wage, but not less than the customary wage and level of benefits paid by the employer for the same or similar work performed by individuals without disabilities.
- The service may be delivered for an intensive period upon the participant's initial employment to support the participant who, because of their disability, would not be able to sustain employment without supports.
- The service may also be delivered on a less intensive, ongoing basis ("follow along") where supports are delivered either face-to-face or by phone with the participant and/or his/her employer.
- Services are individualized and may include but re not limited to: training and systematic instruction, job coaching, benefit support, travel training, and other workplace support services including services not specifically related to job-skill training that enable the participant to be successful in integrating into the job setting.
Supported Employment - Small Group Employment Support
- Services and training activities provided to participants in regular business, industry and community settings for groups of 2-8 workers with disabilities.
- Services may include mobile crews and other business-based workgroups employing small groups of workers with disabilities in employment in the community.
- Services must be provided in a manner that promotes integration into the workplace and interaction between participants and people without disabilities.
- Services may include but are not limited to: job placement, job development, negotiation with prospective employers, job analysis, training and systematic instruction, job coaching, benefit support, travel training and planning.