The Pennsylvania Office of Developmental Programs (ODP)€¦ · The Pennsylvania Office of Developmental Programs (ODP) - Making Everyday Lives Possible through “Employment First”

12/3/2018 1

The Pennsylvania Office of Developmental Programs (ODP) -

Making Everyday Lives Possible through “Employment First” Efforts

Philadelphia Autism Project – November 30, 2018

PA Office of Developmental Programs

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1. Audience members will learn about ODP’s “Employment First” efforts” related to

recommendations taken from the Employment First Executive Order Recommendations

document, specifically, those related to transition and family engagement.

2. Audience members will learn about ODP’s employment and subsidiary services offered

through the three Intellectual Disability/Autism (ID/A) Waivers and the Adult Autism Waiver.

3. Audience members will receive a brief overview of the 2018 amendments to the ID/A

Waivers.

*Intellectual Disability/Autism (ID/A) Waivers include the Consolidated, Person/Family Directed Support

(P/FDS), and Community Living Waivers. “ID/A” is the shorthand way of addressing all three of these

waivers through a single phrase.

Presentation Objectives

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Everyday Lives: Values in Action

My Life, My Way

VALUES STATEMENTS

WHAT IS IMPORTANT TO PEOPLE WITH DISABILITIES?

EVERYDAY LIVES IN ACTION: My Life, My Way

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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Values in Action: Recommendations

Executive Order 2016-03

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Priority 11: Collect and Coordinate Data

62. Human Services: DHS should collect and publish data on

all program participants enrolled in any program that provides

home and community-based services and:

a.Have employment as a goal in their service plan

b.Are receiving employment services,

c. Are employed, and

d.Determine other important data that should be published, such

as hours worked, type of job, full or part time, etc.

Where Does PA Stand Nationally?

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Source: ICI National Survey of State IDD Agencies 2016

NCI PA Adult Consumer Survey Data

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How Many People are Working?

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July 2017: 5,112 – 12% September 2018: 6,150 – 15%

Adult Autism Wavier - #/% Employed

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July 2017: 235, 36% September 2018: 275, 39%

Receiving ODP Employment Services and Working

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AAW and P/FDS hovered around 11% in August 2018.

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Priority #1

Priority #1 - Review, Identify, And Change Policy To

Align With Executive Order 2016-03.

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Employment Services

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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.

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.

On-The-Job Companion Support

Transportation

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Beginning 1/1/18, participants authorized to receive

Residential Habilitation, Life Sharing, or Supported Living

services, may only be authorized for Transportation

services as a discrete service when the participant needs

transportation to or from a job that meets the definition of

competitive integrated employment.

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Employment Services: Adult Autism Waiver

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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.

Priority #4

Graduate Wait List Initiative

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ODP’s Fiscal Year ‘18’19 Budget allows for 800 2018 school graduates on the wait list through the Community Living and P/FDS waivers (beginning Sept. 1, 2018) and 800 2019 school graduates in the Community Living and P/FDS waivers (beginning June 1, 2019).

Education Support Services

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Education and related services as defined in Sections (22) and (25) of the Individuals

with Disabilities Education Act (IDEA) to an extent they are not available under a

program funded by IDEA of available for funding by the Office of Vocational

Rehabilitation (OVR).

• Tuition

• General fees

• On-campus peer support

• Classes to teach participants who are deal American Sign Language, Visual

Gestural Communication or another form of communication

• Adult education or tutoring program for reading or math instruction

In Fiscal Year 2017/2018 65 people received education support services to support them in

post-secondary education programs.

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Interagency Groups that meet regularly to help individuals obtain

competitive-integrated employment.

• Western Region – 13

• Northeast Region – 6

• Central Region – 5

• SE Region – 2

School Involvement

Employer Engagement

Employment Coalitions

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Priority #2

5.16.18

22

Charting the LifeCourse

5.16.18

23

What is My Life Trajectory?

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Personal

strengths, assets and

interests

Technology Relationships

CommunitySystems of

support

5.16.18

The Integrated Stars Approach

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Regional Collaboratives

Amendments to the Consolidated,

Person/Family Directed Support

(P/FDS), and Community Living

Waivers

Effective November 1, 2018

Waiver Amendments

October 17, 2018 & October 23, 2018

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ODP’s Waivers – People Served

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Waiver Consolidated P/FDS Community

Living

Adult

Autism

Waiver

Population

Served

Intellectual

Disability

(any age)

Intellectual

Disability

(any age)

Intellectual

Disability

(any age)

Autism

(any age)

Autism

(any age)

Autism

(any age)

Autism

(21 and

older)

Developmental

Disability

(age 0 to 8)

Developmental

Disability

(age 0 to 8)

Developmental

Disability

(age 0 to 8)

Unduplicated

People

served in

2018/2019

18,881 15,490 2,650 754

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ODP’s Waivers – Annual Limits

28

Waiver Consolidated P/FDS Community

Living

Adult

Autism

Waiver

Annual Limit

on Services

None $33,000 $70,000 None

Supports

Coordination and

Supports Broker

Excluded from the

Limit

Supports

Coordination

Excluded from

the Limit

Additional $15,000

for Supported

Employment or

Advanced

Supported

Employment

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Service Settings

Community Locations

Community Hubs

Prevocational Facilities

Day Habilitation

Facilities

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Prevocational Component

“All people receiving prevocational services must have

a competitive integrated employment outcome

included in their service plan. There must be

documentation in the ISP regarding how and when the

provision of prevocational services is expected to lead

to competitive integrated employment.”

*Community Participation Support

3. Increase

Employment

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Prevocational Component

“Participants who are under the age of 25 may not receive prevocational

services that pay subminimum wage unless they have been referred to OVR

and OVR has closed the case or the participant has been determined ineligible

for OVR services.”


3. Increase

Employment

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“Participants who are under the age of 25 are not required to be referred

to OVR when they will be working on skill development and/or

participating in activities for which they will not receive subminimum

wage. It is not allowable, however, for these prevocational activities to

occur in a licensed vocational facility unless OVR has closed their case

or they have been determined ineligible for OVR services.”


3. Increase

Employment

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Prevocational training provided - program specialists and supervisors of direct service professionals must have one of the following by 1/1/19 7/1/19 or within six months of hire if hired after 7/1/18 1/1/19:

Hold a Certified Employment Support Professional (CESP) credential from the Association of People Supporting Employment First (APSE), or

Have been awarded a Basic Employment Services Certificate of Achievement or a Professional Certificate of Achievement in Employment Services from an Association of Community Rehabilitation Educators (ACRE) organizational member that has ACRE-approved training.

CPS Qualification Requirements

7. Develop and

Support Qualified

Staff

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All direct service professionals, program specialists, and supervisors of direct service professionals who provide Community Participation Support must complete the Department approved training on Community Participation Support by 7/1/18. After 7/1/18, all new hires must complete the Department approved training on Community Participation Support within 60 days of hire and during that time they must be supervised by someone who has completed the training.

CPS Qualification Requirements (continued)

7. Develop and

Support Qualified

Staff

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Career assessment may include discovery activities and

may be provided within a variety of settings including

residential habilitation settings when identified as a need

in the service plan, or vocational facilities and adult

training facilities when these facilities are where the

participant’s employment or volunteer experience

occurred that is being assessed and when identified

as a need in the service plan.

*Supported Employment

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Job finding or development may be provided in a variety of settings including residential habilitation settings when identified as a need in the service plan. The direct portion of job finding or development may not be provided in avocational facility or adult training facility…


Everyday

Lives

3. Increase

Employment

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Job coaching and support may not be provided in a vocational facility,

adult training facility, Child Residential and Day Treatment Facilities (55

Pa. Code Chapter 3800), Community Residential Rehabilitation Services

for the Mentally Ill residential programs (55 Pa. Code Chapter 5310) or

any licensed or unlicensed home that provides residential habilitation

services funded by ODP.


Everyday

Lives

3. Increase

Employment

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Support Service Professionals/individuals/staff

working directly with the participant must have

one of the following by 1/1/19 7/1/19 or within six

months of hire if hired after 7/1/18 1/1/19:

• Hold a Certified Employment Support Professional

(CESP) credential; or

• Have been awarded a Basic Employment Services

Certificate of Achievement or a Professional

Certificate of Achievement in Employment Services

Provider Qualifications

7. Develop and

Support Qualified

Staff

Applies to Supported Employment and Small Group

Employment

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Change from cost-based service to fee schedule service

effective 1/1/19 7/1/19.

Changes to zones to align with the rate setting methodology:

• Zone 1 - greater than 0 and up to 10 miles;

• Zone 2 - greater than 10 and up to 30 miles; and

• Zone 3 – greater than 30 miles.

Changes to allow relatives and OHCDS to render

Transportation Trip. Changes also allow Transportation Trip to

be a self-directed service.

Transportation Trip

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For people with transportation needs that can be met

by either Transportation Trip or Transportation Mile,

the individual and the ISP team should make a

determination which type of transportation best meets

the individual’s needs. Individuals are highly

encouraged to pick one type of transportation to be

authorized on the ISP. In circumstances where an

individual’s Transportation needs can only be met by

having both services authorized, the ISP should

clearly indicate the services or community activities

associated with each type of Transportation.

*Transportation

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• Transportation Mile is used to reimburse the owner of the vehicle for the

wear and tear on the vehicle. There are no assumptions related to a wage

for the driver of the vehicle.

• Transportation Trip has assumptions related to a wage for the driver of the

vehicle. The driver will be required to claim these wages in accordance with

applicable tax laws.

Mile Versus Trip

What does employment mean?

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Opportunity

Confidence

An Everyday Life

43

Southeast Region: Marguerite Peashock - [email protected]

Central Region: Randy Evertts – [email protected]

Northeast Region: Eric O’Neill – [email protected]

Western Region: Brian Dengler – [email protected]

Bureau of Autism Services: Stephanie Maldonado – [email protected]

Statewide Employment Lead – Kelly Arnold – [email protected]

We are here to support you!

ODP’s Employment Team

mailto:[email protected]






Link to MHID Offices

http://pafamiliesinc.org/understanding-systems/intellectual-disabilities/intellectual-developmental-

disabilities-county-contact-information-for-pennsylvania

ISSUE DATE 11/26/2018 ODP Announcement 102-18 Page 1 of 3

ODP Announcement Delay in Transportation Trip Changes and Employment Credentials and Certificates

ODP Communication Number 102-18

The mission of the Office of Developmental Programs is to support Pennsylvanians with developmental disabilities to achieve greater independence, choice and opportunity in their lives.

AUDIENCE: Individuals and Families; Providers of Transportation Trip, Community Participation Support, Supported Employment or Small Group Employment; Organized Health Care Delivery Systems; All parties involved in the delivery of participant-directed services; Administrative Entities; Supports Coordination Organizations

PURPOSE: The purpose of this communication is to inform all impacted parties that there will be a delay in the implementation of some changes approved in the Consolidated, Person/Family Directed Support (P/FDS) and Community Living Waivers.

DISCUSSION: Amendments to the Consolidated, P/FDS and Community Living Waivers

were recently approved by the Centers for Medicare and Medicaid Services (CMS) effective November 1, 2018. This communication is regarding the following two changes in the amendments that were scheduled to take effect on January 1, 2019:

1. Transportation Trip was to transition from a cost-based rate to a fee schedule rate; and

2. As part of qualification requirements, staff were to complete the Certified Employment

Support Professional (CESP) credential, Basic Employment Services Certificate of

Achievement or a Professional Certificate of Achievement in Employment Services

certification for certain employment services and components of Community

Participation Support.


Transportation Trip Changes Implementation of the changes to Transportation Trip will be delayed until July 1, 2019. This delay includes all of the following changes associated with transitioning Transportation Trip from a cost-based service to a fee schedule service:

Changes to the number of miles covered in each zone designation;

Expanding the service to be provided by relatives, legal guardians and Organized Health

Care Delivery Systems; and

Expanding the service to be self-directed through the Agency With Choice or Vendor

Fiscal/Employer Agent participant-directed services models.

These changes are not to be included in a person’s Individual Support Plan effective January 1, 2019.

As part of the amendment process, the Office of Developmental Programs (ODP) released the proposed fee schedule rates for public comment and made adjustments to the rates based on comments received. ODP then released the adjusted rates and recently heard that the rates have the potential to create an access issue for the Transportation Trip service. As a result, more time is needed to implement all changes to the Transportation Trip service to make further adjustments to the fee schedule rates.

ODP has submitted an amendment to CMS to maintain the Transportation Trip service definition and cost-based rate methodology in its current approved state with no changes effective January 1, 2019. This means that until July 1, 2019, there will be no changes to the miles covered under each zone designation, no changes to rates, nor will there be changes to the providers that can render trip services. Please see the attached side-by-side for changes made to the waivers to maintain Transportation Trip in its current state until July 1, 2019.

ACRE and CESP Certifications for Employment Providers

ODP has received feedback that providers are struggling to have all required staff complete the Basic Employment Services Certificate of Achievement or Professional Certificate of Achievement in Employment Services prior to the pending January 1, 2019 deadline. This is a criterion in the current approved Consolidated, P/FDS and Community Living Waivers for providers to be qualified to render Supported Employment, Small Group Employment and prevocational skill development in Community Participation Support effective January 1, 2019. The requirement for staff to have one of the following will be delayed until July 1, 2019:

Hold a Certified Employment Support Professional (CESP) credential from the Association of People Supporting Employment First (APSE), or

Have been awarded a Basic Employment Services Certificate of Achievement or a Professional Certificate of Achievement in Employment Services from an Association of


Community Rehabilitation Educators (ACRE) organizational member that has ACRE-approved training.

It is imperative that all impacted providers and common law employers that have staff who are required to have one of these employment credentials or certificates start the process now if they have not already done so. There will be no further delays granted in implementation of this qualification criteria.

ODP is drafting another set of amendments to the Consolidated, P/FDS and Community Living Waivers that will be effective July 1, 2019. Both the changes to transition Transportation Trip to a fee schedule rate and the delay of the qualification criteria regarding employment credentials and certificates discussed in this communication will be included in those amendments with other proposed changes. ODP anticipates that the proposed amendments will be released for public comment in February or March of 2019.

All other changes contained in the waiver amendments effective November 1, 2018 remain effective and must be followed. The current approved waivers can be accessed here.

CONTACT: Questions about this communication should be directed to the appropriate Office of Developmental Programs Regional Office.

http://dhs.pa.gov/provider/developmentalprograms/waiveramendment2018/index.htm

The Pennsylvania Office of Developmental Programs (ODP)€¦ · The Pennsylvania Office of Developmental Programs (ODP) - Making Everyday Lives Possible through “Employment First”

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