2018 Pennsylvania Rehabilitation & Community Providers Association Conference Employment Services Office of Long-Term Living, Department of Human Services Edward M. Butler, Employment Specialist - OLTL 9/13/2018 1
Executive Order 2016-03 On June 19, 2018, Governor Tom Wolf signed and codified the Employment First Law and established Employment First Law for people with disabilities. On March 10, 2016, Governor Tom Wolf signed Executive Order 2016-03 establishing the Employment First Policy. Under that Employment First Law, the first consideration and preferred outcome of publicly funded long-term services and supports for Pennsylvanians with a disability, among other things, shall be competitive integrated employment. 2 9/13/2018
OLTL’s Employment Initiative • A focus on employment is a priority across the Department of Human Services. • Consistent with the Employment First Law, OLTL is committed to increasing employment opportunities and outcomes for participants interested in competitive, integrated employment. • The Employment First Law applies to all Home and Community-Based Service Waivers, Community HealthChoices and Act 150. 3 9/13/2018
OLTL Bulletin 59-16-07 Employment and Employment Related Services Bulletin • The purpose of this bulletin is to communicate the Commonwealth of Pennsylvania’s recently established Employment First Policy to Service Coordination Entities • Identify both the obligations of and the resources available to the Service Coordination Entities under this policy. 4 9/13/2018
OLTL Goals To assist OLTL participants, who have identified an interest in competitive integrated employment, in pursuing their goal in the competitive open labor market. To ensure competitive integrated employment is discussed with all OLTL participants. 5 9/13/2018
Competitive Integrated Employment • A job is defined as earning minimum wage or better, and working in a setting where the majority of the workers don’t have a disability. • The individual is paid directly by the employer and not by the service provider. • Transitional work or pre-vocational work where the individual is paid minimum wage or above minimum wage, is not considered competitive, integrated employment. 6 9/13/2018
Employment and Employment Related Services • Job Finding - Identifies and/or develops potential jobs and assists the participant in securing a job that fits the participants skills and preferences an employer needs in competitive integrated employment. • Job Coaching - Individualized services providing support to a participant, who needs ongoing support to learn a new job and maintain a job that meets the definition of competitive, integrated employment. (Replaces Supported Employment) 7 9/13/2018
Employment and Employment Related Services • Employment Skills Development - Services that provide learning and work experience including volunteer work, where the participant can develop strength and skills that contribute to employability in paid employment in integrated community settings. Services are aimed at furthering habilitation goals that will lead to greater opportunities for competitive and integrated employment and career advancement at or above minimum wage. (Replaces Prevocational Services) 8 9/13/2018
Employment and Employment Related Services • Career Assessment - an individualized assessment used to assist in the identification of potential career options based on the interest of participant. • Benefits Counseling - a service designed to inform and answer questions from a participant about competitive, integrated employment and how and whether it will result in increased economic self-sufficiency and/or meet financial benefit through the use of various work incentives. This service provides information to the individual regarding the full array of available work incentives for essential benefits programs. 9 9/13/2018
Training and Resources • OLTL Bulletin 59-16-07 provides procedures, and tools – the Guidance on Conversations about Employment, HCSIS and the Participant Review Tool. • It identified, non-waiver funded resources such as OVR, Work Incentive Planning and Assistance- Certified Work Incentive Counselors, and Medical Assistance for Workers with Disabilities (MAWD). • Basic Service Coordination Entity Training and the Comprehensive Employment Training Module - http://deringconsulting.com/employment/. 10 9/13/2018
Training and Resources • Available OLTL Webinars: o OVR 101, OVR Online Application o Benefits Counseling o Medical Assistance for Workers with Disabilities o PA ABLE o Transportation, Housing o Increasing Employment Opportunities o Employment Services o Hiram G Andrews Center/Commonwealth Technical Institute and Lending Library o Pennsylvania Assistive Technology Foundation - Cents and Sensibility o Basic Opioid Education o Aging- Senior Community Service Employment Program. o Certified Employment Support Credentialing Process/Exam 11 9/13/2018
Training and Resources, Cont … • OLTL Training Webpage: http://www.dhs.pa.gov/provider/training/index.htm • OVR: http://www.dli.pa.gov/Individuals/Disability- Services/ovr/Pages/OVR-Office-Directory.aspx • Online Application: https://www.jobgateway.pa.gov/ • HCBS Waivers: http://www.dhs.pa.gov/citizens/healthcaremedicalassistance/sup portserviceswaivers/ • HCBS Rates (Effective 2/1/2017) http://www.dhs.pa.gov/cs/groups/webcontent/documents/docum ent/c_220889.pdf • Community HealthChoices http://www.healthchoices.pa.gov/info/about/community/ 12 9/13/2018
CMS Final Rule Home and Community-Based Setting Requirements, OLTL Bulletin 59-16-14. • The setting is integrated in and supports full access of individuals receiving Medicaid Home and Community- Based Services to the greater community, including opportunities to seek employment and work in competitive, integrated settings, engage in community life, control personal resources and receive services in the community to the same degree of access as individuals not receiving Medicaid Home and Community-Based Services. • OLTL started monitoring on January 2, 2017. • OLTL is in compliance with the CMS Final Rule. 13 9/13/2018
Providers Employment and Employment Related Services Providers Presently, OLTL has 44 Providers. 14 9/13/2018
Credentials/Certification • Pennsylvania leads in the number of CESP certified individuals nationwide – 476, and has had 28 exam sites. 135 individuals applied since January 2018, 127 individuals were certified. There was a 92.5% pass rate. • Presently the CESP examination is assessed 6 times per year (every other month) nationwide. Information can be obtained by contacting the National Association of People Supporting Employment. https://vimeo.com/226478025 15 9/13/2018
Initiatives • Employment Champion Pilot Project • Focus Group • PA Office of Vocational Rehabilitation Collaboration • Outreach to individuals 18-21 years of age (Transition/Employment) • Outreach and collaboration with other Commonwealth Agencies and Departments • Survey of Service Coordination Entities, Direct Service Providers and Managed Care Organizations • Development of an OLTL Employment Webpage • Pennsylvania Disability Employment and Empowerment Summit • Ongoing support by OLTL regarding employment. 16 9/13/2018
Conclusion • Other • Summation • Questions 17 9/13/2018
Thank You 18 9/13/2018
What is the Office of Developmental Program’s (ODP’s) role within the context of being an “Employment First State”? “Everyday Lives”, Interagency Collaboration 9/13/2018 19
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Everyday Lives EMPLOYMENT/MEANINGFUL CONTRIBUTION: I want to work and/or have other ways to contribute to my community. My family, supporters, and community support me to find and keep a real job that I like with good wages and benefits or start and run my own business, and/or volunteer the way I want in my community. 21 9/13/2018
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Number of ODP-Enrolled Individuals Reporting Competitive, Integrated Employment Quarterly Average = 4,435, 14% 5000 14% 14% 13% 13% 4500 4000 3500 3000 2500 2000 16% 15% 16% 15% 14% 13% 13% 13% 1500 14% 13% 13% 13% 1000 12% 12% 12% 11% 500 0 Central Northeast Southeast West Statewide Central Northeast Southeast West Statewide Central Northeast Southeast West Statewide Central Northeast Southeast West Statewide Quarter 1 Quarter 2 Quarter 3 Quarter 4 Timeframe: Calendar Year 2017. Source: Enterprise Data Warehouse, Individual Monitoring Employment Question #1 – “Is the individual working in a competitive - integrated job?” All counts are duplicated to capture changes in employment status over time. 9/13/2018 23
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