2018 Pennsylvania Rehabilitation & Community Providers Association Conference Employment Services - Edward M. Butler, Employment Specialist - OLTL ...
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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. 9/13/2018 2
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. 9/13/2018 3
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. 9/13/2018 4
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. 9/13/2018 5
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. 9/13/2018 6
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) 9/13/2018 7
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) 9/13/2018 8
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. 9/13/2018 9
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/.
9/13/2018 10Training 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
9/13/2018 11Training 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/ 9/13/2018 12
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. 9/13/2018 13
Providers Employment and Employment Related Services Providers Presently, OLTL has 44 Providers. 9/13/2018 14
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 9/13/2018 15
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.
9/13/2018 16Conclusion • Other • Summation • Questions 9/13/2018 17
Thank You 9/13/2018 18
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 199/13/2018 20
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. 9/13/2018 21
9/13/2018 22
Number of ODP-Enrolled Individuals Reporting Competitive, Integrated
Employment
Quarterly Average = 4,435, 14%
5000
14% 14%
4500 13% 13%
4000
3500
3000
2500
2000
15% 15% 16% 16%
13% 14%
1500 13% 13%
13% 13% 13% 14%
1000 12% 11% 12% 12%
500
0
Statewide
Statewide
Statewide
Statewide
West
West
West
West
Southeast
Southeast
Southeast
Southeast
Central
Central
Central
Central
Northeast
Northeast
Northeast
Northeast
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 23Top 5 Most Utilized Job Types Among ODP-Enrolled
Individuals Reporting Competitive-Integrated Employment
(Southeast Region)
600 528 506 509 496
500
400 369
341
375 370 383 365 384
290 282
300 257 255
227
200
106 90 89 85
100
0
Quarter 1 Quarter 2 Quarter 3 Quarter 4
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.
9/13/2018 249/13/2018 25
ODP’s Employment Principles
• All working-age people with disabilities who want to work should be given every
opportunity 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.
9/13/2018 26Executive Order 2016-03 -
Recommendations
12 recommendations – 69 priorities
9/13/2018 27Priority #1 - Review, Identify, And Change
Policy To Align With Executive Order
2016-03.
9/13/2018 28Employment Services
Intellectual Disability/Autism (ID/A
Waivers)
Advanced Supported Employment (New)
Supported Employment
Small Group Employment (Formerly Transitional Work)
Benefits Counseling - New
9/13/2018 29On The Job Companion Support
Advanced Supported Small Group
Supported Employment Employment
Employment
On The Job Companion services may be Support with
Companion provided at the same time as these personal care
Support services to support the individual needs is included
with personal care needs. as part of the
Small Group
Employment
service.
Companion
services may not
be authorized for
this.
9/13/2018 30Employment Services
Adult Autism Waiver (AAW)
• Career Planning
• Supported Employment
• Transitional Work Services
9/13/2018 31Provider Qualifications
Advanced Supported Supported Employment Small Group
Employment Employment
Who: Staff who work directly with Staff who work directly with the Staff who work directly
the participant to provide participant to provide the with the participant to
the service. service. provide the service.
When July 1, 2017 January 1, 2019 - Certified Employment Support Professional
and Education and/or (CESP) or ACRE Basic Employment Services Certificate of
Achievement.
What: experience; AND
Within 6 months of hire if hired after July 1, 2018.
Advanced Supported
Employment certification Effective January 1, 2019, newly-hired staff who do not have the
required certification when hired must work under the supervision
of someone who is certified (for maximum of 6 months.)
9/13/2018 32Priority #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
9/13/2018 339/13/2018 34
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.
9/13/2018 35Employment 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 9/13/2018 36
Priority #5 – Assist Adults with a
Disabilities in Obtaining and Maintaining
Employment
Community Life Engagement and
Employment
9/13/2018 37Change of Service 9/13/2018 38
COMMUNITY PARTICIPATION
HCBS Settings Rule
SUPPORTS
▪ Provides opportunities to seek
The service should result in the employment and work in
person:
competitive integrated settings,
▪ Increasing potential for engage in community life, and
employment;
control personal resources
▪ Developing and sustaining a ▪ Is selected by the individual
range of valued social roles from among setting options,
and relationships;
including non-disability specific
▪ Building natural supports; settings
▪ Increasing independence; and ▪ Ensures the individual receives
services in the community to
▪ Experiencing meaningful
community participation and the same degree of access as
inclusion. individuals not receiving
Medicaid HCBS
9/13/2018 39The purpose of the Community
HCBS Settings Rule
Participation Support service is
to broaden the types of life-long ▪ Maximize opportunities for
learning experiences available to individuals to have access to
individuals receiving services. the benefits of community
Providers must be prepared to living and the opportunity to
receive services in the most
offer community activities no
integrated setting
less than 25% of the person’s
▪ Is integrated in and supports
time in the program.
access to the greater
community;
The choice whether to participate in community activity, the
amount and frequency will remain with the person.
9/13/2018 40The Community
Participation Support
service broadens the
types of life-long learning
experiences available to
individuals receiving
services.
9/13/2018 41Southeast 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!
9/13/2018 42Thank You.
What questions do you have?
“Teamwork is the ability to work together
toward a common vision.” – Andrew Carnegie
9/13/2018 43You can also read
