Power Point Template 2

Report
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
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What’s New In OPWDD?
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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
4
OPWDD
Numbers of Individuals
126,000
40,000
8,100
7,500
Eligibility Established
Day Hab Enrolled
Work Centers
Competitively Employed
(Numbers are Rounded)
5
6
OPWDD SUPPORTED EMPLOYMENT
MONTH
NUMBER EMPLOYED*
April 1, 2013
7,112
December 31, 2014
7,444
NET GAIN
332
*Employed in Integrated Setting at or above Minimum Wage
7/21/2015
REASONS INDIVIDUALS LEAVE JOBS
Lack of
Transportation
13%
Behavior
Challenges
15%
Other
8%
Cannot Master
Skills
18%
Dissatisfaction
with Job
8%
Layoff/Budget
8%
No Longer
Wanted to Work
16%
Financial
Disincentive
12%
Medical
2%
8
How Does SEMP Change
with New Regulations?
1.
2.
3.
4.
5.
6.
7.
8.
Two Phases – Intensive and Extended
Hourly Fees
Individual and Group Hourly Fee
Allowable Services are Listed
200 Hours for Extended, 250 Intensive
Self-Employment
Self Direction
Training Requirement
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Day Habilitation, Work
Centers, Other
Commu
nity PreVoc
Pathway
To
Employment
ACCES-VR
Employment
Training
Program
Intensive
Supported
Employment
OPWDD
Extended
Supported
Employment
10
Pathway
To
Employment
Employment
Training
Program
OPWDD
Extended
Supported
Employment
ACCES-VR
Acceptance in ETP Required
1. ACCES Acceptance –
Completed Services
2. ACCES Refers to OPWDD
3. OPWDD Billing Authorization
4. No Placement Achieved
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.
12
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
$67.88
Group (2-8)
$27.15
(New York,Bronx,Richmond,Kings,Queens)
Region 2
$62.19
$24.88
(Nassau,Suffolk,Westchester,Putnam,Rockland)
Region 3
$54.98
$21.99
(The Rest of State)
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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:
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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.
16
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
DAY
HABILITATION
COMMUNITY
PRE-VOC
PERSON
COMMUNITY
HABILITATION
SUPPORTED
EMPLOYMENT
RESIDENTIAL
SERVICES
Person -Centered Planning
with the Person and their
Support Team
Career Development,
Continual Skill Development
and Periodic Work
Performance Evaluation
Job Coaching, Building
Independence, Facilitating
Relationships & Building Natural
Supports in Community
Employment
Implementing Discovery,
Creating Community
Experiences, Building
Independence and Skill
Development
Job Development, Job Matching,
and Negotiating Training &
Performance Agreements with
Businesses
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NEED TO FIND EMBRACING EMPLOYMENT
Opportunity to Achieve Employment
MATERIALS
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
MATERIALS
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
• Embracing Employment Creating the Path
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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 personcentered, 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
STEP
2
STEP
3
STEP
4
STEP
5
STEP
6
STEP
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STEP
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• Enroll the Person in Pathway to Employment Services
• Gather Information about the Person and their Interests, Skills, Experience and Supports
• Create the Action Plan for Pathway to Employment Services
• Implement the Action Plan for Pathway to Employment Services
• Supported Employment Staff Complete the Initial Pathway to Employment Discovery Report
• Request Recommendations from ACCES-VR
• Prepare the Final Discovery Report and Career/Vocational Plan
• 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
Total Revenue
$360,000 per year
Job Coaches
5??
X $600 per month
How many job coaches does this
Agency have?
$360,000/5 = $72,000 reimbursement per coach
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NEW SEMP BILLING
EXAMPLE
1 hour of Service = one hour of billing
Annual Revenue
Region
30 Hrs Weekly Billable
25 Hrs Weekly Billable
1
2
3
$105,892
$ 97,000
$ 85,768
$ 88,244
$ 80,847
$ 71,474
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What is the Direct Cost for
the Employment Specialist
2,040 (40 hour work week) X $15 per hour
Fringe Benefits
$30,600 X 40%
TOTAL
= $30,600
=
12,240
$42,840
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What is Left after Direct
Cost Assuming 25 Hours of
Billable Time
Region
1
2
3
$ 88,244
$ 80,847
$ 71,474
-
$42,840
$42,840
$42,840
=
=
=
$45,404
$38,007
$28,634
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How Many Hours are Left of a
Job Coaches Time for NonBillable Hours with 25 Billable
Weekly Hours?
2040 Hours - 1300
1820 Hours - 1300
=
=
740 Hours
520 Hours
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How Would Those NonBillable 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
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Determining the Individual’s Need
SEMP ENROLLED AND
AUTHORIZED Name
Location
Mon
Tue
Wed
Thurs
Coaching
Travel Documentat
Time
ion/Phone
Friday
TOTAL
John Smith
Green Street
0
4
4
4
0
3
2
17
Temesha Anderson
Albany Street
3
4
4
2
1
4
1
19
Mary Jones
Lark Street
6
3
4
2
6
6
3
30
Jonathan Jones
Central Avenue
2
2
0
2
1
2
1
10
Anne Gifford
Western Avenue
1
6
0
2
1
4
2
16
Maria Lopez
Lark Street
0
2
0
1
2
3
3
11
Allen Harding
Crossgates Mall
13
0
0
13
0
3
1
30
Linda Smith
Colonie Center
4
1
2
1
1
4
1
14
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22
14
27
12
29
14
147
TOTAL
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Sample Job Coaching Schedule
Monday
Job Coach Name
AVAILABLE
TIMES
Time
On-Site
Hours
Location
Individual
Anne Gifford
8 am - 4 pm 8 am - 11 am
3 Green St
Mary Smith
8 am - 4 pm 9am - 2pm
5 Dupont Crc. A. Jones
Anderson Jones
8 am - 4 pm 9 am -10 am
1 Ave Americas
Bradley Cooper
Time
0.5 11:30-2:30
On-Site
Hours
Location
3 Midland
Travel
Time to Docmenta Training/M
Individual
Next
tion
eeting
K. Jones
1
0.5
1
OTHER
TOTAL
0
8
3
9
7
8
VACATION
0
Pierce Brosnan
8 am - 4 pm 11 am - 4:00
5 Time Sq
Sting
8 am - 4 pm 9 AM - 5PM
8
LL Cool J
8 am - 4 pm 8:30 - 10:30
2
George Clooney
8:30am8 am - 4 pm 4:00pm
TOTAL
M. Smith
Travel
Time to
Next
J. Kelly
7.5 Restaurant L.Thibdeau
31.5
2 9 am - 11:00
2.00 Time Squ
0.5
9.5
8
6
8
0.5
8
58.5
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Questions
42
Additional Information SEMP
ReDesign Dates
June 2 12:30 – 4:00
June 8 12:30 – 4:00
June 9 12:30 – 4:00
June 19 9:30 – 12:30
June 22 12:30 – 4:00
June 23 12:30 – 4:00
June 24 12:30 – 4:00
Hauppauge
Tarrytown
Manhattan
Schenectady
Buffalo
Rochester
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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