U.S. flag

An official website of the United States government

Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Https

Secure .gov websites use HTTPS
A lock () or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

Located in:

d. 2. F. Arrangements and Cooperative Agreements for the Provision of Supported Employment Services

(Formerly known as Attachment 4.8(b)(4)). Describe the designated State agency’s efforts to identify and make arrangements, including entering into cooperative agreements, with other State agencies and other appropriate entities in order to provide supported employment services and extended employment services, as applicable, to individuals with the most significant disabilities, including youth with the most significant disabilities.

Current Narrative:

Indiana receives approximately $475,000/year of Title VI B funds to provide supported employment (SE) services. VR has made a commitment to serve people with the most significant disabilities and also utilizes Title I dollars to serve this population. VR spent approximately $6.2 million on SE services, and provided services under an IPE to approximately 5300 consumers with most significant disabilities (MSD) in FFY17.

For consumers with developmental disabilities who qualify for services under the Bureau of Developmental Disabilities Services (BDDS), VR works collaboratively with BDDS to provide SE services and seamless transition to extended services. BDDS defines extended services as ongoing employment support services which enable an individual to maintain integrated competitive employment in a community setting. Individuals must be employed in a community-based, competitive job that pays at or above minimum wage in order to access this service.

The initial job placement, training, stabilization may be provided through Indiana Vocational Rehabilitation Services. Extended Services provide the additional work related supports needed by the individual to continue to be as independent as possible in competitive, integrated employment. Ongoing employment support services are identified in the participants’ Individualized Support Plan and must be related to the participants’ limitations in functional areas (i.e. self-care, understanding and use of language, learning, mobility, self-direction, capacity for independent living, economic self-sufficiency), as are necessary to maintain employment. Extended Services are provided in competitive, integrated settings where persons without disabilities are also employed. Extended Services do not include sheltered work or other similar types of vocational services furnished in specialized facilities or volunteer endeavors.

Reimbursable Activities • Ensuring that natural supports at the work site are secured through interaction with supervisors and staff. A tangible outcome of this activity would be a decrease in the number of hours of Extended Services an individual accessed over time. • Training for the participant, and/or the participant’s employer, supervisor or coworkers, to increase the participant’s inclusion at the worksite. • Regular observation or supervision of the participant to reinforce and stabilize the job placement. • Job-specific or job-related safety training. • Job-specific or job-related self-advocacy skills training. • Reinforcement of work-related personal care and social skills. • Training on use of public transportation and/or acquisition of appropriate transportation. • Facilitating, but not funding, driver’s education training. • Coaching and training on job-related tasks such as computer skills or other job-specific tasks.

BDDS may provide long-term employment support services through Medicaid Waiver. VR counselors initiate transfer to extended services at the time of job placement. This ensures that BDDS eligible consumers move directly into extended services after case closure without a gap in services.

In July 2015, VR implemented a new employment service model that increases access to VR-funded SE services to ensure that individuals with the most significant disabilities who require SE services receive the supports they need to achieve stabilization on the job prior to transferring to extended services as appropriate. This procedural change was designed to ensure more accountability from both VR and employment service providers in determining that individuals are stable in their jobs prior to VR closure and transfer to extended services. Additional evaluation and training is necessary to ensure that this shift in practice is achieving the desired outcome of consumers receiving increased access to SE services from VR to better ensure stabilization, prior to transitioning to extended services.