Past to Present 1980’s started moving people and services to community settings out of institutional settings. Developed County Guidelines promoting the basic interdependent benefits of quality living: Power and Choice; Relationships; Status Contribution; Integration; Competence; Health and Safety. 1997 to 2003 A stakeholder workgroup comprised of 94 members worked on developing for the Future Long Range Plan”, the outcome reports Phase I and II . ”Strategies Workgroup recommendations, within the report, included persons of working age (21 thru 61 years of age) should be gainfully employed, participating, and contributing to community life using a variety of strategies to reach this status in the community. Specifically, the report states, to Employment: Each individual will be supported to pursue his or “Pathways her own unique path to work, a career, or his or her contribution to/participation in community life. All individuals, regardless of the challenge of their disability, will be afforded an opportunity to pursue competitive employment.” 2004 Working Age policy was issued and established employment supports as the first use of employment and day program funds for working age adults (people age 21 thru 61). The policy is intended to promote gainful employment in integrated settings in the community. Counties were given a timeline of July 2006 for full implementation. 2008 CMS releases Instructions, Technical guide and Review Criteria for the Home and Community Based (HCBS) Waiver. Pages 131-132 state, funding is not available “Waiver for the provision of vocational services (e.g. sheltered work performed in a facility) where individuals are supervised in producing goods or performing services under contract to third parties.” 2011 CMS updates the HCBS Waiver Technical and Review Criteria page 5 states, services should be designed to create a path to integrated community “Pre-Vocational based employment for which an individual is compensated at or above the 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.” 2014 CMS Final Rule Home and Community Based Setting requirements states, “Provides opportunities to seek employment and work in competitive integrated settings; ensures the individual receives services in the community to the same degree of access as individuals not receiving HCBS Waiver.” Between 2011 and 2014 there has been a decrease of 311or 49% in the number of people in Pre-Vocational services (PVS).
Past to Present 1980’s started moving people and services to community settings out of institutional settings. Developed County Guidelines promoting the basic interdependent benefits of quality living: Power and Choice; Relationships; Status Contribution; Integration; Competence; Health and Safety. 1997 to 2003 A stakeholder workgroup comprised of 94 members worked on developing ”Strategies for the Future Long Range Plan”, the outcome reports Phase I and II . Workgroup recommendations, within the report, included persons of working age (21 thru 61 years of age) should be gainfully employed, participating, and contributing to community life using a variety of strategies to reach this status in the community. Specifically, the report states, “Pathways to Employment: Each individual will be supported to pursue his or her own unique path to work, a career, or his or her contribution to/participation in community life. All individuals, regardless of the challenge of their disability, will be afforded an opportunity to pursue competitive employment.” 2004 Working Age policy was issued and established employment supports as the first use of employment and day program funds for working age adults (people age 21 thru 61). The policy is intended to promote gainful employment in integrated settings in the community. Counties were given a timeline of July 2006 for full implementation. 2008 CMS releases Instructions, Technical guide and Review Criteria for the Home and Community Based (HCBS) Waiver. Pages 131-132 state, “Waiver funding is not available for the provision of vocational services (e.g. sheltered work performed in a facility) where individuals are supervised in producing goods or performing services under contract to third parties.” 2011 CMS updates the HCBS Waiver Technical and Review Criteria page 5 states, “Pre-Vocational services should be designed to create a path to integrated community based employment for which an individual is compensated at or above the 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.” 2014 CMS Final Rule Home and Community Based Setting requirements states, “Provides opportunities to seek employment and work in competitive integrated settings; ensures the individual receives services in the community to the same degree of access as individuals not receiving HCBS Waiver.” Between 2011 and 2014 there has been a decrease of 311or 49% in the number of people in Pre-Vocational services (PVS).
DDA_fact_sheet_Pathway_to_Employment_History_final.docx