Virginia Administrative Code › Title 12 - HEALTH › Agency 30 - DEPARTMENT OF MEDICAL ASSISTANCE SERVICES › Chapter 122 - COMMUNITY WAIVER SRVICES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES › Section 12VAC30-122-400 - Group and individual supported employment service

Current through Register Vol. 40, No. 24, July 15, 2024
A. Service description. Group and individual
				supported employment service may be performed for a single individual (as in
				individual supported employment (ISE)) or in small groups (as in group
				supported employment) of individuals (two to eight individuals). This service
				shall consist of ongoing supports provided by a job coach that enable
				individuals to be employed in an integrated work setting and may include
				assisting the individual, either as a sole individual or in small groups, to
				locate a job or develop a job on behalf of the individual, as well as
				activities needed by the individual to sustain paid work. Group and individual
				supported employment service shall be covered in the FIS, CL, and BI waivers.
1. Group and individual supported employment
				service shall be provided in work settings where persons without disabilities
				are employed. Group and individual supported employment service shall be
				designed especially for individuals with developmental disabilities who face
				impediments to employment due to the nature and complexity of their
				disabilities, irrespective of age or vocational potential, that is, the
				individual's ability to perform work.
2. Group and individual supported employment
				service shall be available to individuals for whom competitive integrated
				employment at or above the minimum wage is unlikely without ongoing supports
				and who because of their disabilities need ongoing support to perform in a work
				setting. The individual's assessment and ISP shall clearly reflect the
				individual's need for employment-related skill-building.
3. Group and individual supported employment
				service shall be provided in one of two models: individual or group.
a. Individual supported employment service
				shall be one-on-one ongoing support that enables individuals to work in an
				integrated setting. The outcome of this service shall be sustained paid
				employment at or above minimum wage in an integrated setting in the general
				workforce in a job that meets personal and career goals. For this service,
				reimbursement of supported employment shall be limited to actual documented
				interventions or collateral contacts by the provider as required by the
				individual receiving waiver services. Reimbursement shall not be provided for
				the supervisory activities rendered as a normal part of the regular business
				setting and not for the amount of time the individual enrolled in the waiver is
				in the supported employment situation.
b. Group supported employment service shall
				be continuous support provided by staff in a naturally occurring place of
				employment to groups of two to eight individuals with disabilities and involves
				interactions with the public and coworkers who do not have disabilities. This
				service shall be provided in a community setting that promotes integration into
				the workplace and interaction in the workplace between participants and people
				without disabilities. Examples include mobile crews and other business-based
				workgroups employing small groups of workers with disabilities in the
				community. Group supported employment settings shall comply with the HCBS
				setting requirements per 42 CFR 441.301.