An official website of the United States government
          Here’s how you know
        Here’s how you know**Official websites use .gov**A
              **.gov** website belongs to an official government
              organization in the United States.
        **Secure .gov websites use HTTPS**A
              **lock** (
              Locked padlock icon) or **https://** means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites. Skip to contentSkip to navigation **Get help with up-to-date COVID-19 vaccines**ACL's Eldercare Locator and DIAL can connect you to tests and vaccines Announcements A - Z Browse For the Network Search
  Program and Policy AreasColumn 1 - Programs*** COVID-19 ***ACL A to Z: Programs, Networks, & Focus AreasOverviewAging and Disability NetworksAging and Disability Resource CentersAmericans with Disabilities Act National NetworkArea Agencies on AgingAssistive Technology NetworkCenters for Independent LivingProtection and Advocacy SystemsSenior Centers and Supportive Services for Older AdultsState Councils on Developmental DisabilitiesState Units on AgingUniversity Centers for Excellence in Developmental DisabilitiesAlzheimer’s Disease and DementiaConnecting People to ServicesAging and Disability Resource Centers Program/No Wrong Door SystemMedicare Improvements for Patients and Providers ActState Health Insurance Assistance ProgramConsumer Choice and ControlPerson-Centered PlanningSupported Decision MakingTransportation Research and Demonstration ProgramVeteran Directed Care ProgramData ProjectsEmpowering AdvocacyThe President’s Committee for People with Intellectual DisabilitiesEmploymentFor American Indians, Alaska Natives, and Native HawaiiansHealth & WellnessBehavioral HealthBrain HealthChronic Disease Self-ManagementFalls PreventionHealth PromotionI Can Do It! (ICDI)HIV/AIDSNutritionOral HealthOpioid CrisisProgram Evaluations and ReportsProtecting Rights and Preventing AbuseElder Abuse PreventionElder Justice Coordinating CouncilHelp America Vote Act ProgramsLegal AssistanceLong-Term Care OmbudsmanFor People with DisabilitiesSenior Medicare PatrolSupporting Adult Protective ServicesResearch and DevelopmentAdvanced Rehabilitation Research and Training (ARRT) ProgramDisability and Rehabilitation Research ProgramField-Initiated Projects Program Rehabilitation ResearchModel Systems ProgramNIDILRR Annual ReportNIDILRR External EvaluationNIDILRR Performance and EvaluationRehabilitation Engineering Research Center ProgramRehabilitation Research and Training Center (RRTC) ProgramSmall Business Innovation Research ProgramSwitzer Research Fellowship ProgramRetirement Planning and Pension SupportSupport to CaregiversLifespan Respite Care ProgramNational Family Caregiver Support ProgramRAISE Family Caregiving Advisory CouncilSupporting Grandparents Raising GrandchildrenSupport for People with Limb Loss, Paralysis and TBILimb Loss Resource CenterParalysis Resource CenterTraumatic Brain InjuryStrengthening the Aging and Disability NetworksAging and Disability Evidence-Based Programs and PracticesDiversity & Cultural CompetencyDuals Demonstration Ombudsman Program Technical AssistanceImproving Business PracticesImproving Quality of ServicesNational Resource CentersProjects of National SignificancePerson-Centered, Trauma-Informed ServiceSuccess StoriesVolunteer Opportunities and Civic EngagementGrantsColumn 1 - GrantsACL’s Grants ProcessApplying for GrantsApplication TipsHow to ApplyFunding OpportunitiesClosed OpportunitiesGrant LifecycleManaging a GrantData, Research & IssuesColumn 1 - AgingOverviewData and ResearchACL DataThe State of the States in Developmental DisabilitiesNIDILRR Publications and ResourcesProfile of Older AmericansIssue Briefings and Other ReadingNewsroomColumn 1 - NewsLatest NewsAnnouncementsACL BlogEvents and ObservancesSpeeches and TestimonyColumn 2 - NewsACL UpdatesReady-to-publish materialsACL LogosArticles, Infographics, and Fact SheetsVideosFor ReportersStory IdeasCommunicating with Older AdultsFOIAAbout ACLColumn 1 - About ACLAbout Community LivingAbout the Aging and Disability NetworksMission & VisionOrganizationOrganizational ChartLeadershipRegional OfficesHistoryBudgetPolicy and RegulationsPublic InputReports to Congress               and the PresidentColumn 2 - About ACLAuthorizing StatutesDevelopmental Disabilities ActOlder Americans ActWorkforce Innovation and Opportunity ActElder Justice ActHealth Insurance Portability and Accountability Act (HIPAA)Help America Vote ActMedicare Improvements for Patients & Providers ActPublic Health Service ActRehabilitation ActWorking at ACLContact Us
 Home
          Program and Policy Areas
          ACL Profiles in Integrated Employment Blog Series ACL Profiles in Integrated Employment Blog Series
 Program and Policy Areas
  

        - Left Nav -

    *** COVID-19 ***
                          ACL A to Z: Programs, Networks, & Focus Areas
                          Overview
                                
                
        Aging and Disability Networks
          
                                  Aging and Disability Resource Centers
                          Americans with Disabilities Act National Network
                          Area Agencies on Aging
                          Assistive Technology Network
                          Centers for Independent Living
                          Protection and Advocacy Systems
                          Senior Centers and Supportive Services for Older Adults
                          State Councils on Developmental Disabilities
                          State Units on Aging
                          University Centers for Excellence in Developmental Disabilities
                                Alzheimer’s Disease and Dementia
                                
                
        Connecting People to Services
          
                                  Aging and Disability Resource Centers Program/No Wrong Door System
                          Medicare Improvements for Patients and Providers Act
                          State Health Insurance Assistance Program
                                      
                
        Consumer Choice and Control
          
                                  Person-Centered Planning
                          Supported Decision Making
                          Transportation Research and Demonstration Program
                          Veteran Directed Care Program
                                Data Projects
                                
                
        Empowering Advocacy
          
                                  The President’s Committee for People with Intellectual Disabilities
          
                                  President’s Committee for People with Intellectual Disabilities releases 2015 Report to the President
                                Employment
                          For American Indians, Alaska Natives, and Native Hawaiians
                                
                
        Health & Wellness
          
                                  Behavioral Health
                          Brain Health
                          Chronic Disease Self-Management
                          Falls Prevention
                          Health Promotion
                          I Can Do It! (ICDI)
                          HIV/AIDS
                          Nutrition
                          Oral Health
                                Opioid Crisis
                          Program Evaluations and Reports
                                
                
        Protecting Rights and Preventing Abuse
          
                                  Elder Abuse Prevention
          
                                  Draft Voluntary Consensus Guidelines for State APS Systems
                          Elder Abuse Prevention Intervention
                          Late Life Domestic Violence
                          National Adult Maltreatment Reporting System (NAMRS)
                          National Center on Elder Abuse (Title II)
                          National Elder Abuse Incidence Study (1998)
                          Prevention of Elder Abuse, Neglect, and Exploitation (Title VII-A3)
                          State Grants to Enhance Adult Protective Services
                          The National Adult Protective Services Technical Assistance Resource Center
                                Elder Justice Coordinating Council
                          Help America Vote Act Programs
                          Legal Assistance
                                Long-Term Care Ombudsman
          
                                  LTC Ombudsman National and State Data
                                For People with Disabilities
                          Senior Medicare Patrol
                          Supporting Adult Protective Services
                                      
                
        Research and Development
          
                                  Advanced Rehabilitation Research and Training (ARRT) Program
                                Disability and Rehabilitation Research Program
          
                                  Knowledge Translation Program
                                Field-Initiated Projects Program Rehabilitation Research
                          Model Systems Program
                          NIDILRR Annual Report
                          NIDILRR External Evaluation
                          NIDILRR Performance and Evaluation
                          Rehabilitation Engineering Research Center Program
                          Rehabilitation Research and Training Center (RRTC) Program
                          Small Business Innovation Research Program
                          Switzer Research Fellowship Program
                                Retirement Planning and Pension Support
                                
                
        Support to Caregivers
          
                                  Lifespan Respite Care Program
                          National Family Caregiver Support Program
                          RAISE Family Caregiving Advisory Council
                          Supporting Grandparents Raising Grandchildren
                                      
                
        Support for People with Limb Loss, Paralysis and TBI
          
                                  Limb Loss Resource Center
                          Paralysis Resource Center
                          Traumatic Brain Injury
                                      
                
        Strengthening the Aging and Disability Networks
          
                                  Aging and Disability Evidence-Based Programs and Practices
                          Diversity & Cultural Competency
                          Duals Demonstration Ombudsman Program Technical Assistance
                          Improving Business Practices
                          Improving Quality of Services
                          National Resource Centers
                          Projects of National Significance
                          Person-Centered, Trauma-Informed Service
                                Success Stories
                          Volunteer Opportunities and Civic Engagement ACL Profiles in Integrated Employment Blog Series
Home and community-based services (HCBS) provide opportunities for individuals with disabilities and older adults to receive services in their own home or community. On January 16, 2014, the Centers for Medicare & Medicaid Services published a final rule that sets forth new requirements for states using Medicaid funds to pay for HCBS, supports enhanced quality in HCBS programs, and adds protections for individuals receiving these services. In addition, the rule reflects the intent of CMS to ensure that individuals receiving services and supports through Medicaid’s HCBS programs have full access to the benefits of community living and are able to receive services in the most integrated setting.
ACL is highlighting examples of promising practices for employment benefits designed to meet the needs of individuals, promote integrated employment, and comply with requirements of the HCBS settings rule and the Supreme Court’s Olmstead v. L.C. ruling. With regard to Medicaid-funded employment services it is the state’s responsibility to ensure that 1915(c) HCBS supported employment waiver services are furnished to a waiver participant to the extent that they are not available as vocational rehabilitation services funded under section 110 of the Rehabilitation Act of 1973.
Learn about agencies and states leading the way towards integrated employment for people with disabilities:
**SRVS in Tennessee:**From Workshop to Workforce
**EBI in California:**Aligning Services and Funding to Promote Integrated Employment in the Bay Area
**LIFEDesigns in Indiana:**Increasing Opportunities for Community Living and Integrated Employment
**Community Link in Colorado:** Lessons on the Path to Integrated Employment
**The ARC of Washington County in Maryland:**Taking the Leap for Integrated Employment
**Able South Carolina:** A Center for Independent Living Leads the Way on EmploymentMany of the providers we heard from described their experiences transitioning from a sheltered workshop to more integrated community-based models. For National Disability Employment Awareness Month 2016, we compiled the many tips, strategies, and leverage points that providers identified as critical to their success. These include tips for planning, cultivating partners and funding, staffing, and supporting beneficiaries.
*ACL is interested in hearing from states, providers, and advocates working on integrated employment. Share your successes, challenges, and questions by sending an email to aclinfo@acl.gov.*

                    *Last modified on 03/27/2018*
 Back to Top    What We Do and Why We Do It
ACL was created around the fundamental principle that all people, regardless of age or disability, should be able to live independently and fully participate fully in their communities. Learn more about community living.

FacebookYouTubeTwitter x logo  XLinkedInShare on Other PlatformsSite Support
  

        
      Home
                      Accessibility
                      Disclaimers
                      Contact Us
                      Freedom of Information Act (FOIA)
                      Privacy Policy
                      Site Map
                      Viewers & Players
                      Vulnerability Disclosure PolicyOther ACL Sites
  

        
      Disability Assistance and Information Line
                      Eldercare Locator
                      ElderJustice.acl.gov
                      LongTermCare.gov
                      OlderIndians.govRelated Sites
  

        
      Grants.gov
                      HHS.gov
                      No Fear Act
                      Plain Writing (on HHS.gov)
                      USA.gov
                      WhiteHouse.gov
                      Vote.govSign up for ACL updates
Receive important announcements, events, and resources via email.
Subscribe
    An official website of the Administration for Community Living, an operating division of the U.S. Department of Health and Human Services.