Wednesday, July 1, 2015

New FS and CIH Waiver Service: Extended Services

On June 26, 2015, the Division of Disability and Rehabilitative Services (DDRS) received approval from the Centers for Medicare and Medicaid Services (CMS) of the Family Supports Waiver (FSW) renewal. 
This followed the earlier approval of the division’s request to amend the Community Integration and Habilitation (CIH) Waiver. Both of the waiver documents are posted on the BDDS’ webpage. 

For both waivers, as well as the Money Follows the Person-CIH grant (MFP-CIH), Extended Services has been added as a new service replacing Supported Employment Follow Along (SEFA), effective July 1, 2015. SEFA will no longer be offered on FSW, CIH or MFP-CIH effective June, 30, 2015. 

Only those waiver participants engaged in competitive community employment and actively utilizing a combination of Supported Employment Follow-Along (SEFA) and prevocational services as of June 30, 2015 (as reflected in their ISP, approved CCB and NOA) may utilize the combination of Extended Services and prevocational services on or after July 1, 2015.

Extended Services - Service Definition 

Extended Services are 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 community employment. If an employed individual has obtained community based competitive employment and stabilization without Vocational Rehabilitation’s services, the participant is still eligible to receive Extended Services, as long as the participant meets the qualifications below. 

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. 

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. • Individual (one-on-one) services can be billed in 15 minute increments. 

Supported employment services continue to be available under the Rehabilitation Act of 1973 through the Vocational Rehabilitation Services (VRS) program within FSSA/DDRS’s Bureau of Rehabilitation Services (BRS)

You can read the entire announcement here: http://www.in.gov/fssa/files/Extended_Services_for_FSW_and_CIH.pdf

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