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Examples of transition to the new waiver employment services

Andrew

  • 42 years old, on the CADI waiver
  • Works competitively as an office support specialist
  • Receives check-ins through supported employment services (SES)
  • Wants to keep everything exactly the way it is

Andrew works 30 hours a week doing clerical and meeting set-up work at an office building for Medtronica, a local company. He has worked there for five years. Medtronica hired him directly. Andrew benefits from periodic check-ins from a job coach to help with managing his workspace and planning weekly responsibilities. He also receives transportation assistance on Wednesdays and Thursdays through waiver transportation (on the other days, he gets a ride from a co-worker).

Andrew receives four hours of SES per week. He receives transportation support through waiver transportation four times weekly (twice on Wednesday and twice on Thursday).

In discussing employment and day services with his case manager, Andrew said he is happy with his job and wants to keep everything exactly the way it is. With this information, Andrew’s case manager makes the following authorizations as part of Andrew’s annual review:

  • Authorizes 16 15-minute units of support (1:1) to replace the current SES
  • Authorizes four waiver transportation trips to provide transport to and from work on Wednesdays and Thursdays

Look at the charts below to see a mock weekly schedule for Andrew under his current and new service arrangements.

For more information, see Andrew’s completed Employment and Day Services Individual Planning Tool (XLS).

Current weekly services - Andrew

Current-weekly-services-Andrew

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New weekly services – Andrew

New-weekly-services-Andrew

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Betsy

  • 30 years old, on the DD waiver
  • Works in day training and habilitation (DT&H) sheltered employment
  • Participates in an enclave two days a week
  • Wants to get her own job, but also wants to keep existing services
  • Is unsure what will happen to her benefits if she changes work situation

Betsy participates in five days of full-day DT&H services with a local service provider. On Mondays, Wednesdays and Fridays, Betsy participates in center-based work, constructing information packets as well as other center-based day activities. On Tuesday and Thursday afternoons, Betsy participates in a work crew that provides building-maintenance assistance for a fitness center.

In discussing employment with her case manager, supports and service provider, Betsy has said she would like to continue participating in building maintenance at the fitness center and participate in center-based activities at her DT&H, but she would also like to get an independent job in the community. Betsy loves to bake and would like to find a job in a bakery.

With this information, Betsy’s case manager makes the following authorizations for Betsy’s annual review:

  • Authorizes 13 15-minute units of development (1:1) activities for Tuesday and Thursday mornings to help Betsy with her competitive employment search and to understand what will happen to her benefits when she changes her work. Betsy, her case manager and her provider have worked together and determined that the development service will occur at Betsy’s home and will include some indirect employer outreach.
  • Authorizes 34 15-minute units of group support (1:6) in the afternoon on Tuesdays and Thursdays so Betsy can participate in the building-maintenance crew
  • Authorizes four units of waiver transportation to provide transport to and from the building-maintenance crew at the fitness center
  • Authorizes three full day DT&H units for Monday, Wednesday and Friday to keep everything the same on those days.

Look at the charts below to see a mock weekly schedule for Betsy under both her current and new service arrangements.

For more information, see Betsy’s completed Employment and Day Services Individual Planning Tool (XLS).

Current daily activities - Betsy

Current-daily-activities-Betsy

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New daily activities - Betsy

New-daily-activities-Betsy

Note: Monday, Wednesday and Friday are full day DT&H units because no employment services are provided. Remember: When you provide employment services and DT&H on the same day, you must bill DT&H in 15-minute units. Days when you provide six or more hours of DT&H and no employment services, use full-day DT&H.

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Carl

  • 26 years old, on the DD waiver
  • Works two days a week in sheltered employment at a DT&H center
  • Participates two days a week in community integration and classes at a DT&H center
  • Participates in an enclave on Fridays
  • Wants to explore competitive, integrated employment, but is not sure it is right for him
  • Afraid of what will happen to his benefits if he moves to a competitive, integrated job

Carl receives five daily units of DT&H services a week. On Monday and Wednesday, Carl works in sheltered employment doing a variety of work tasks, depending on available contract work. On Tuesdays and Thursdays, Carl participates in community-integration activities and daily living classes through the DT&H center. Carl also participates in an enclave on Fridays where he sorts and delivers mail with three other people. Carl has a difficult transportation situation and relies on the DT&H center for transportation.

Carl has never worked in competitive, integrated employment. In discussing employment with his case manager, Carl has said he is not sure about working at his own job in the community. He (as well as his parents/guardians) has concerns. His parents are afraid he will lose his health care and Supplemental Security Income (SSI) benefits. Carl is not sure what type of job he wants. Carl also really likes working in his enclave and enjoys community-integration activities, but does not typically like the contract work that the DT&H receives. Carl has also said he gets tired at the end of the week and wishes he had more free time.

With this information, Carl’s case manager makes the following average weekly authorizations for Carl’s annual review:

  • Authorizes two full-day DT&H units on Tuesday and Thursdays
  • Authorizes group support (1:3), 15-minute units of DT&H and waiver transportation to and from the DT&H center for Friday
  • Authorizes 15-minute units of DT&H for the DT&H services Carl receives on Mondays
  • Authorizes units of exploration for Mondays and Wednesdays so that Carl can learn about working in competitive, integrated employment and understand the effect it would have on his benefits so he can make an informed decision

Look at the charts below to see a mock weekly schedule for Carl under both his current and new service arrangements.

For more information, see Carl’s completed Employment and Day Services Individual Planning Tool (XLS).

Current weekly services - Carl

Current-weekly-services-Carl

If you are using a screenreader and would like to hear a detailed description of the graphic above, visit Current weekly services - Carl

New weekly services - Carl

New Weekly Services-Carl

If you are using a screenreader and would like to hear a detailed description of the graphic above, visit New weekly services - Carl

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