2018 Pennsylvania Rehabilitation & Community Providers - - PowerPoint PPT Presentation

2018 Pennsylvania Rehabilitation & Community Providers Association Conference Employment Services

Office of Long-Term Living, Department of Human Services

Edward M. Butler, Employment Specialist - OLTL

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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.

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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

• utcomes 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.

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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.

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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.

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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.

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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)

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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

• pportunities for competitive and integrated employment

and career advancement at or above minimum wage. (Replaces Prevocational Services)

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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.

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Training and Resources

• OLTL Bulletin 59-16-07 provides procedures, and tools – the Guidance
• n 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/.

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Training and Resources

• Available OLTL Webinars:
• OVR 101, OVR Online Application
• Benefits Counseling
• Medical Assistance for Workers with Disabilities
• PA ABLE
• Transportation, Housing
• Increasing Employment Opportunities
• Employment Services
• Hiram G Andrews Center/Commonwealth Technical Institute and

Lending Library

• Pennsylvania Assistive Technology Foundation - Cents and Sensibility
• Basic Opioid Education
• Aging- Senior Community Service Employment Program.
• Certified Employment Support Credentialing Process/Exam

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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/

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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

• pportunities 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.

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Providers

Employment and Employment Related Services Providers Presently, OLTL has 44 Providers.

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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

• btained by contacting the National Association of People

Supporting Employment. https://vimeo.com/226478025

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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.

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Conclusion

• Other
• Summation
• Questions

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Thank You

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What is the Office of Developmental Program’s (ODP’s) role within the context

• f being an “Employment First State”?

“Everyday Lives”, Interagency Collaboration

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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.

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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. 13% 12% 15% 13% 13% 13% 11% 15% 13% 13% 13% 12% 16% 13% 14% 14% 12% 16% 14% 14% 500 1000 1500 2000 2500 3000 3500 4000 4500 5000 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

Number of ODP-Enrolled Individuals Reporting Competitive, Integrated Employment Quarterly Average = 4,435, 14%

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528 506 509 496 257 341 370 365 369 375 383 384 290 282 255 227

106 90 89 85

100 200 300 400 500 600 Quarter 1 Quarter 2 Quarter 3 Quarter 4

Top 5 Most Utilized Job Types Among ODP-Enrolled Individuals Reporting Competitive-Integrated Employment (Southeast Region)

Food Preparation and Serving Related Building and Grounds Cleaning and Maintenance Sales and Related Production Installation, Maintenance, and Repair

Timeframe: Calendar Year 2017. Source: Enterprise Data Warehouse, Individual Monitoring Employment Question #5 – “Job Type: If the individual is working more than one job, select the job type with the most hours worked” All counts are duplicated to capture changes in employment status over time.

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• All working-age people with disabilities who want to work should be given every
• pportunity to work.
• Competitive employment in the general workforce is the first and preferred post-

education outcome.

• Paid work is an essential part of having control over the life you want.
• Everyone deserves to establish career goals and aspirations and earn a living wage.
• Employment leads to new competencies and opens doors to new relationships and

social opportunities.

• Achieving employment and community inclusive outcomes are cornerstones of ODP

policies, principles and practices.

ODP’s Employment Principles

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Executive Order 2016-03 - Recommendations

12 recommendations – 69 priorities

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Priority #1 - Review, Identify, And Change Policy To Align With Executive Order 2016-03.

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Intellectual Disability/Autism (ID/A Waivers)

Advanced Supported Employment (New) Supported Employment Small Group Employment (Formerly Transitional Work) Benefits Counseling - New

Employment Services

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On The Job Companion Support

Advanced Supported Employment Supported Employment Small Group Employment On The Job Companion Support Companion services may be provided at the same time as these services to support the individual with personal care needs. Support with personal care needs is included as part of the Small Group Employment service. Companion services may not be authorized for this.

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Adult Autism Waiver (AAW)

• Career Planning
• Supported Employment
• Transitional Work Services

Employment Services

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Provider Qualifications

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Advanced Supported Employment Supported Employment Small Group Employment

Who: Staff who work directly with the participant to provide the service. Staff who work directly with the participant to provide the service. Staff who work directly with the participant to provide the service. When and What: July 1, 2017 Education and/or experience; AND Advanced Supported Employment certification

January 1, 2019 - Certified Employment Support Professional (CESP) or ACRE Basic Employment Services Certificate of Achievement. Within 6 months of hire if hired after July 1, 2018. Effective January 1, 2019, newly-hired staff who do not have the required certification when hired must work under the supervision

• f someone who is certified (for maximum of 6 months.)

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Priority #2 - Raise The Expectations Of Employment Goals For Children With A Disability At An Early Age. Work With Parents And Publicly Funded Programs To Shift Expectations Towards This Goal.

Supporting Families Initiative/Regional Collaboratives

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Priority #4 - Transition Students From Secondary Education To Adult Life. Given The Significant Investment Of Public Resources Preparing Young People With A Disability To Be Productive Adults, All State Agencies Must Be Committed To Employment Outcomes, Innovation, And Seamlessness When Students With A Disability Transition From School To Work.

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Employment Coalitions

Interagency Groups that meet regularly to help individuals obtain competitive-integrated employment.

• Western Region – 12
• Northeast Region – 6
• Central Region – 5
• SE Region – 2

Employer Engagement

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Priority #5 – Assist Adults with a Disabilities in Obtaining and Maintaining Employment

Community Life Engagement and Employment

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Change of Service

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COMMUNITY PARTICIPATION SUPPORTS

The service should result in the person: ▪ Increasing potential for employment; ▪ Developing and sustaining a range of valued social roles and relationships; ▪ Building natural supports; ▪ Increasing independence; and ▪ Experiencing meaningful community participation and inclusion.

HCBS Settings Rule

▪ Provides opportunities to seek employment and work in competitive integrated settings, engage in community life, and control personal resources ▪ Is selected by the individual from among setting options, including non-disability specific settings ▪ Ensures the individual receives services in the community to the same degree of access as individuals not receiving Medicaid HCBS

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The purpose of the Community Participation Support service is to broaden the types of life-long learning experiences available to individuals receiving services. Providers must be prepared to

• ffer community activities no

less than 25% of the person’s time in the program.

HCBS Settings Rule

▪ Maximize opportunities for individuals to have access to the benefits of community living and the opportunity to receive services in the most integrated setting ▪ Is integrated in and supports access to the greater community;

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The choice whether to participate in community activity, the amount and frequency will remain with the person.

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The Community Participation Support service broadens the types of life-long learning experiences available to individuals receiving services.

   

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Southeast Region: Marguerite Peashock - mpeashock@pa.gov Central Region: Randy Evertts – revertts@pa.gov Northeast Region: Eric O’Neill – erioneill@pa.gov Western Region: Brian Dengler – brdengler@pa.gov Statewide Employment Lead – Kelly Arnold – kelarnold@pa.gov

We are here to support you!

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What questions do you have?

“Teamwork is the ability to work together toward a common vision.” – Andrew Carnegie Thank You.

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