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  • Program-Specific Requirements for Vocational Rehabilitation (Combined or General)

    The Vocational Rehabilitation (VR) Services Portion of the Unified or Combined State Plan [13] must include the following descriptions and estimates, as required by section 101(a) of the Rehabilitation Act of 1973, as amended by title IV of WIOA:


    [13] Sec. 102(b)(2)(D)(iii) of WIOA

    • h. Interagency Cooperation

      Describe how the designated State unit will collaborate with the State agency responsible for administering each of the following programs to develop opportunities for competitive integrated employment, to the greatest extent practicable:

h. 1. The State Medicaid plan under title XIX of the Social Security Act;

Current Narrative:

The Idaho Department of Health and Welfare (H&W) maintains all related programs in the state including the state Medicaid program, the state Developmental Disabilities Program, and the state Mental Health program. Under Medicaid H&W operates the Idaho Home and Community Based Services project.

IDVR has collaboratively developed an agreement with H&W as it relates to Title XIX of the Social Security Act.  This agreement was implemented July 1, 2020.

Collaboration with H&W has been significant in the area of supported employment.  We have a process that easily and conveniently identifies what services customers are eligible for through approved Medicaid Waivers.  This occurs through an individual release of information, but the process is agreed upon by both agencies and is very timely.  This provides IDVR with timely understanding of services that can assist an individual with the VR process, employment needs and a funding source if extended services are necessary to maintain employment.  Additionally, IDVR has participated over the past 2 years with a Health and Welfare driven “Community Now” engagement with all stakeholders and individuals that access services through Health and Welfare.   The focus was on expansion of services through Medicaid that supports living and working in their community.  IDVR has been able to provide significant input to ensure that the two programs complement each other and support successful employment services and outcomes.   IDVR and H&W have also had trainings to support the VR staff on Medicaid services and benefits.  This training assist IDVR VR staff to assist customers and families identify how those services can support success in an employment outcome. 

The agreement outlines joint responsibilities, eligibility criteria, referrals, financial responsibilities, confidentiality provisions, and accountability and controls for IDH&W and IDVR.