Managing OPWDD Supported Employment Changes

APSE Lake Placid May 4, 2015

Lynne Thibdeau Julia Kelly Sarah Gallagher

Overview

• • • • • • What’s New in OPWDD Current and Historical Employment Data SEMP Regulations and Fees effective July 1, 2015 Quality Services Business Model Changes Questions 2

What’s New In OPWDD?

• • • • • Pathway to Employment Community Pre-Voc HCBS Waiver Integration Requirements SEMP Regulations Effective July 1, 2015 Letter of Agreement with ACCES-VR 3

Current and Historical Employment Data

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OPWDD Numbers of Individuals

126,000 Eligibility Established 40,000 Day Hab Enrolled 8,100 Work Centers 7,500 Competitively Employed (Numbers are Rounded)

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OPWDD SUPPORTED EMPLOYMENT

MONTH

April 1, 2013

NUMBER EMPLOYED*

7,112 December 31, 2014 7,444 NET GAIN 332

*Employed in Integrated Setting at or above Minimum Wage 5/1/2020

Lack of Transportation 13% Dissatisfaction with Job 8% Layoff/Budget 8% Financial Disincentive 12% REASONS INDIVIDUALS LEAVE JOBS Other 8% Behavior Challenges 15% Cannot Master Skills 18% No Longer Wanted to Work 16% Medical 2%

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How Does SEMP Change with New Regulations?

1. Two Phases – Intensive and Extended 2. Hourly Fees 3. Individual and Group Hourly Fee 4. Allowable Services are Listed 5. 200 Hours for Extended, 250 Intensive 6. Self-Employment 7. Self Direction 8. Training Requirement 9

Day Habilitation, Work Centers, Other ACCES-VR Commu nity Pre Voc Pathway To Employment Employment Training Program Intensive Supported Employment OPWDD Extended Supported Employment 10

Pathway To Employment ACCES-VR 1. ACCES Acceptance – Completed Services 2. ACCES Refers to OPWDD 3. OPWDD Billing Authorization 4. No Placement Achieved Employment Training Program Acceptance in ETP Required OPWDD Extended Supported Employment Intensive Supported Employment Loss of Job and OPWDD Billing Authorization 11

WHAT IS AUTHORIZATION TO BILL IN SEMP?

To Bill for INTENSIVE SEMP SERVICES an agency MUST have a SIGNED AUTHORIZATION FORM FROM OPWDD.

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Day Habilitation, Work Centers, Other Community Pre-Voc ACCES-VR Employment Training Program Intensive Supported Employment Pathway To Employment

Does the Person have A Job in Integrated Setting at Minimum Wage and Waiver?

YES

OPWDD Extended Supported Employment 13

NEW HOURLY SEMP FEES

Individual Region 1 (New York,Bronx,Richmond,Kings,Queens) $67.88

Region 2 $62.19

(Nassau,Suffolk,Westchester,Putnam,Rockland) Region 3 (The Rest of State) $54.98

Group (2-8) $27.15

$24.88

$21.99

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ALLOWABLE SEMP SERVICES

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SEMP consists of the following allowable activities provided to and/or on behalf of an individual: • vocational assessment; • Person-centered employment planning; • job-related discovery; • job development, analysis, customization, and carving; • training and systematic instruction prior to employment; • job placement; • job coaching, training, and planning within the work environment; • development and review of a business plan (for individuals who are pursuing self-employment or are self-employed); • transportation between activities; • travel training; • development of soft skills and job retention strategies (e.g., social interaction, maintaining relationships with co-workers and supervisory personnel); • benefits support and asset development; • career advancement services; • other workplace support services including services that enable the individual to be successfully integrated into the job setting (e.g., development of natural supports in the work environment); • negotiating potential jobs with prospective employers on behalf of an individual; • communication with an existing employer to review the individual's progress in meeting workforce expectations and to discuss and address any challenges the individual may have in the work environment; • communication with family or other members of the individual's circle of support to discuss and address employment-related • issues, such as management of benefits or challenges the individual may have in the work environment; and/or meetings and communications with staff providing other OPWDD approved services that impact an individual’s ability to successfully achieve employment goals; • documentation of the delivery of SEMP services; and • other activities previously approved by OPWDD.

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QUALITY SUPPORTED EMPLOYMENT SERVICES

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Informed Choice in New York State

• Exposure and Exploration of integrated employment options • Utilizing person-centered planning and not predetermining employment outcomes

What is Integrated Employment?

Work settings where workers with developmental disabilities have opportunities to interact with, and work alongside, co-workers who do not have disabilities are considered integrated.

If supervisors, job coaches and other staff are the only people without disabilities that workers interact with, then the setting does not meet the definition of integrated.

Quality Employment Support Services

• Discovery • Job Development • Job Coaching (Intensive) • Job Coaching (Maintenance of Job) 20

PATHWAY TO EMPLOYMENT COMMUNITY PRE-VOC DAY HABILITATION

PERSON

SUPPORTED EMPLOYMENT COMMUNITY HABILITATION RESIDENTIAL SERVICES

Career Development, Continual Skill Development and Periodic Work Performance Evaluation Person -Centered Planning with the Person and their Support Team Implementing Discovery, Creating Community Experiences, Building Independence and Skill Development Job Coaching, Building Independence, Facilitating Relationships & Building Natural Supports in Community Employment Job Development, Job Matching, and Negotiating Training & Performance Agreements with Businesses 22

NEED TO FIND EMBRACING EMPLOYMENT

Opportunity to Achieve Employment

Day Hab, Work Centers, Community Pre-Voc

(Volunteering, Community Experiences, Basic Life Skills, Career Exploration, Preparation for Employment)

Pathway to Employment-278 Hours

(Discovery, Volunteer Experience, Social Skills, Preparation for Employment, Career Planning)

Self Employment

NEED TO FIND EMBRACING EMPLOYMENT

The Road to Employment

Day Hab Work Centers Pathway to Employment ACCES-VR

Self Employment OPWDD Intensive SEMP

Community Pre Voc Employment Training Program (ETP) Self Employment

INNOVATIONS IN EMPLOYMENT SUPPORTS

New York State OPWDD is pleased to offer the Innovations in Employment Supports training series at locations across the state. The series is designed to give staff an opportunity to enhance their skills to better support individuals with developmental disabilities through person-centered plans that focus on meaningful activities and employment opportunities.

Calendar and Registration Online at: http://humanservicesed.org

For questions you can email: [email protected]

Innovations Trainings

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Embracing Employment Creating the Path Discovery: Assessment and Planning Creating Connections: Developing Opportunities Job Coaching, Learning, Teaching and Facilitating Integration Advanced Discovery Skills Advanced Connection Skills Advanced Job Coaching Skills Pathway to Employment (Mandated Training) MSC and Broker Employment Training

Pathway = Discovery

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Pathway to Employment is a person centered, comprehensive employment planning and support service that engages individuals in identifying a career direction, provides instruction and training in pre-employment skills, and develops a plan for achieving competitive, integrated employment at or above minimum wage.

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Why is Pathway to Employment Needed?

Improve Job Retention Develop the Skills Employers Demand Fill the Experience Gap

Achieve Full Integration Meet Employment Targets

Pathway to Employment Process STEP 1 • Enroll the Person in Pathway to Employment Services STEP 2 • Gather Information about the Person and their Interests, Skills, Experience and Supports STEP 3 STEP 4 • Implement the Action Plan for Pathway to Employment Services STEP 5 • Supported Employment Staff Complete the Initial Pathway to Employment Discovery Report STEP 6 • Create the Action Plan for Pathway to Employment Services • Request Recommendations from ACCES-VR STEP 7 • Prepare the Final Discovery Report and Career/Vocational Plan STEP 8 • Enroll the Person in the Services and Supports Recommended in the Career/Vocational Plan

How Might the Pathway Discovery Report Improve Job Development Efforts?

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Comparing the Old and the New SEMP AND Structuring Your SEMP for the Future

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CURRENT SEMP BILLING EXAMPLE

50 OPWDD SEMP Enrollments Billing 50 X $600 per month Total Revenue $360,000 per year Job Coaches How many job coaches does this Agency have?

5?? $360,000/5 = $72,000 reimbursement per coach 33

NEW SEMP BILLING EXAMPLE

Region 1 hour of Service = one hour of billing Annual Revenue 30 Hrs Weekly Billable 25 Hrs Weekly Billable

1 $105,892 2 $ 97,000 3 $ 85,768 $ 88,244 $ 80,847 $ 71,474 34

What is the Direct Cost for the Employment Specialist

2,040 (40 hour work week) X $15 per hour = $30,600 Fringe Benefits $30,600 X 40% = 12,240

TOTAL $42,840

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What is Left after Direct Cost Assuming 25 Hours of Billable Time

Region

1 $ 88,244 2 $ 80,847 3 $ 71,474 $42,840 = $45,404 $42,840 = $38,007 $42,840 = $28,634 36

How Many Hours are Left of a Job Coaches Time for Non Billable Hours with 25 Billable Weekly Hours?

2040 Hours - 1300 = 740 Hours 1820 Hours - 1300 = 520 Hours

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How Would Those Non Billable Hours be Used? And Are They Needed?

Traveling Training Vacation/Time Off

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How Can A SEMP Structure Be Designed?

Step 1

Determine Each Individual’s Need

Step 2

Quantify needed hours

Step 3

Assign Job Coaches

Step 4

Continually reassess 39

Determining the Individual’s Need

SEMP ENROLLED AND AUTHORIZED Name John Smith Temesha Anderson Mary Jones Jonathan Jones Location Green Street Albany Street Lark Street Central Avenue Anne Gifford Maria Lopez Allen Harding Linda Smith Western Avenue Lark Street Crossgates Mall Colonie Center TOTAL Mon 0 3 6 2 Tue 4 4 3 2 Wed 4 4 4 0 Thurs 4 2 Friday 0 1 Coaching Travel Time Documentat ion/Phone 3 4 2 1 2 2 6 1 6 2 3 1 TOTAL 17 19 30 10 1 0 13 4 6 2 0 1 0 0 0 2 2 1 13 1 1 2 0 1 4 3 3 4 2 3 1 1 16 11 30 14 29 22 14 27 12 29 14 147 40

Sample Job Coaching Schedule

Monday Job Coach Name Anne Gifford Mary Smith Anderson Jones Bradley Cooper Pierce Brosnan Sting LL Cool J AVAILABLE TIMES Time 8 am - 4 pm 8 am - 11 am On-Site Hours Location 3 Green St Individual M. Smith Travel Time to Next Time 0.5 11:30-2:30 On-Site Hours Location 3 Midland Individual K. Jones Travel Time to Next Docmenta tion Training/M eeting 1 0.5

0 OTHER 8 am - 4 pm 9am - 2pm 8 am - 4 pm 9 am -10 am 5 Dupont Crc. A. Jones 1 Ave Americas 1 7 3 TOTAL 8 9 8 VACATION 8 am - 4 pm 11 am - 4:00 8 am - 4 pm 9 AM - 5PM 8 am - 4 pm 8:30 - 10:30 5 Time Sq 8 2 J. Kelly 2 9 am - 11:00 2.00 Time Squ 0.5

6 0 9.5

8 8 George Clooney 8 am - 4 pm 8:30am 4:00pm 7.5 Restaurant L.Thibdeau

0.5

8 TOTAL 31.5

58.5

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Questions

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Additional Information SEMP ReDesign Dates

June 2 12:30 – 4:00 Hauppauge June 8 12:30 – 4:00 Tarrytown June 9 12:30 – 4:00 Manhattan June 19 9:30 – 12:30 Schenectady June 22 12:30 – 4:00 Buffalo June 23 12:30 – 4:00 Rochester June 24 12:30 – 4:00 Syracuse REGISTRATION REQUIRED http://humanservicesed.org

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Thank YOU!

Lynne Thibdeau Assistant Director Employment and Meaningful Community Activities [email protected]

Julia Kelly Julia.a.Kelly @opwdd.ny.gov

Sarah Gallagher [email protected]

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