Common use of Program Outcomes Clause in Contracts

Program Outcomes. The Contractor shall provide qualified Employment Program Service for consumer support services that include the following program outcomes: a. Clients in an employment program will be supported to work towards a living wage. A living wage is the amount needed to enable an individual to meet or exceed his/her living expenses. Clients should average twenty (20) hours of community work per week or eighty-six (86) hours per month. The amount of service a Client receives will be based on his/her demonstrated need, acuity level and work history per WAC 388-828. b. Prior to beginning service or prior to an expected change in service, the Contractor will clearly communicate to the Client and the County the maximum service hours per month the Client can expect to receive. Service changes will not occur until the Client has received proper notification from DDA. i. The Client’s DDA PCSP is the driver for service. The County Service Authorization and updated Planned Rates information will not exceed the Client’s DDA PCSP, as applicable. ii. The amount of service the Client receives should match with the County Service Authorization and updated Planned Rates information. c. All Clients will have an individualized plan to identify Client’s preferences. Minimum plan elements are outlined in the reference document “Criteria for Evaluation.” A copy of the Client’s individualized plan will be provided to their CRM, guardian and others as appropriate. d. Semi-annual progress reports that describe the outcomes of activities will be provided by the Contractor to the County and CRM, guardian, and others as appropriate. The report will summarize the progress made towards the Client’s individualized goals and/or the progress as a result of Individualized Technical Assistance. e. All Clients will be contacted according to Client need and at least once per month. f. Employment services must adhere to the Home and Community based settings (HCBS) requirements of 42CFR 441 530(a)(1), including that: i. The setting is integrated in the greater community and supports individuals to have full access to the greater community; ii. Ensure the individual received services in the community to the same degree of access as individuals not receiving Medicaid HCBS; iii. The setting provides opportunities to seek employment and work in competitive integrated settings; and iv. The setting facilities individual choice regarding services and supports, and who provides them.

Program Outcomes. The Contractor shall provide qualified Employment Program Service for consumer support services that include the following program outcomes: a. Monthly Community Inclusion service support hours will be based on the Client’s CI service level per WAC ▇▇▇-▇▇▇-▇▇▇▇ for all Clients who began receiving CI services July 1, 2011 and forward. i. To ensure health and safety, promote positive image and relationships in the community, increase competence and individualized skill-building, and achieve other expected benefits of CI, services will occur individually or in a group of no more than two (2) or three (3) individuals with similar interests and needs. ii. CI services will focus on activities that are typically experienced by the general public. Support to participate in segregated activities and/or specialized activities will not be reimbursed. iii. A Client receiving CI services will not receive employment support simultaneously. iv. A Client receiving CI services may at any time choose to leave CI to pursue work and received employment support. b. Clients in an employment program will be supported to work towards a living wage. A living wage is the amount needed to enable an individual to meet or exceed his/her living expenses. Clients should average twenty (20) hours of community work per week or eighty-six (86) hours per month; however, each person’s preferred hours of employment should be taken into consideration. The amount of service a Client receives will be based on his/her demonstrated need, acuity level and work history per WAC 388-828. b. c. Prior to beginning service or prior to an expected change in service, the Contractor will clearly communicate to the Client and the County the maximum service hours per month the Client can expect to receive. Service changes will not occur until the Client has received proper notification from DDA. i. The Client’s DDA PCSP is the driver for service. The County Service Authorization and updated Planned Rates information will not exceed the Client’s DDA PCSP, as applicable. ii. The amount of service the Client receives should match with the County Service Authorization and updated Planned Rates information. c. d. All Clients will have an individualized Individualized Employment or Community Inclusion plan to identify Client’s preferences. Minimum plan elements are outlined in the reference document “Criteria for Evaluation.” A copy of the Client’s individualized plan will be provided to their CRM, guardian and others as appropriate. d. e. Semi-annual progress reports that describe the outcomes of activities will be provided by the Contractor to the County and client, the County, CRM, guardian, and others as appropriate. The report will summarize the progress made towards the Client’s individualized goals and/or the progress as a result of Individualized Technical Assistancegoals. e. f. All Clients will be contacted according to Client need and at least once per month. f. g. If Clients in Individualized Employment have not obtained paid employment at minimum wage or better within six (6) months, the Contractor will assure the following steps are taken: i. Review the progress toward employment goals; ii. Provide evidence of consultation with the Client/guardian; and iii. Develop additional strategies with the Client/guardian, County Staff, employment support staff, case manager, and others identified by the Client. Strategies may include providing technical assistance, changing to a new provider, and/or providing additional resources as needed to support the individual’s pursuit of employment. The additional strategies will be documented for each Client and kept in the Client’s file(s). h. If after twelve (12) months the Client remains unemployed, an additional review will be conducted. The Contractor will address steps outlined in the previous six month progress report in the next six month progress report. The Client may request to participate in Community Inclusion activities or the Client may choose to remain in an employment program. When requesting to participate in CI, the Client shall communicate directly with his or her DDA Case Manager. The DDA Case Manager is responsible for authorizing CI services. i. For Individual Employment where the service provider is also the Client’s employer, long term funding will remain available to the service provider employer for six months after the employee DDA Client’s date of hire. At the end of the six month period, if the DDA Client continues to need support on the job, another service provider who is not the employer of record must provide the support unless the County and/or DDA issues prior written approval for the service provider to continue to provide long-term supports if needed. If the County and/or DDA approves the continuation of long-term supports where the Contractor is also the Client’s employer, the County and/or DDA will regularly monitor these positions to assure fading efforts occur when appropriate and any potential conflict of interest is addressed. j. Individual Employment staff hours must be attributed to the “Individual Employment and Billable Activity Phase(s)”. k. Employment services must adhere to the Home and Community based settings (HCBS) requirements of 42CFR 441 530(a)(1), including that: i. The setting is integrated in the greater community and supports individuals individual s to have full access to the greater community; ii. Ensure Ensures the individual received receives services in the community to the same degree of access as individuals not receiving Medicaid HCBS; iii. The setting provides opportunities to seek employment and work in competitive integrated settings; and iv. The setting facilities individual choice regarding services and supports, and who provides them.

Program Outcomes. The Contractor shall provide qualified Employment Program Service for consumer support services that include the following program outcomes: a. Monthly Community Inclusion service support hours will be based on the Client’s CI service level per WAC ▇▇▇-▇▇▇-▇▇▇▇ for all Clients who began receiving CI services July 1, 2011 and forward. i. To ensure health and safety, promote positive image and relationships in the community, increase competence and individualized skill-building, and achieve other expected benefits of CI, services will occur individually or in a group of no more than two (2) or three (3) individuals with similar interests and needs. ii. CI services will focus on activities that are typically experienced by the general public. Support to participate in segregated activities and/or specialized activities will not be reimbursed. iii. A Client receiving CI services will not receive employment support simultaneously. iv. A Client receiving CI services may at any time choose to leave CI to pursue work and receive employment support. b. Clients in an employment program will be supported to work towards a living wage. A living wage is the amount needed to enable an individual to meet or exceed his/her living expenses. Clients should average twenty (20) hours of community work per week or eighty-six (86) hours per month; however, each person’s preferred hours of employment should be taken into consideration. The amount of service a Client receives will be based on his/her demonstrated need, acuity level and work history per WAC 388-828. b. c. Prior to beginning service or prior to an expected change in service, the Contractor will clearly communicate to the Client and the County the maximum service servi ce hours per month the Client can expect to receive. Service changes will not occur until the Client has received proper notification from DDA. i. The Client’s DDA PCSP is the driver for service. The County Service Authorization and updated Planned Rates information will not exceed the Client’s DDA PCSP, as applicable. ii. The amount of service the Client receives should match with the County Service Authorization and updated Planned Rates information. c. d. All Clients will have an individualized Individualized Employment or Community Inclusion plan to identify Client’s preferences. Minimum plan elements are outlined in the reference document “Criteria for Evaluation.” A copy of the Client’s individualized plan will be provided to their CRM, guardian and others as appropriate. d. e. Semi-annual progress reports that describe the outcomes of activities will be provided by the Contractor to the County and client, the County, CRM, guardian, and others as appropriate. The report will summarize the progress made towards the Client’s individualized goals and/or the progress as a result of Individualized Technical Assistancegoals. e. f. All Clients will be contacted according to Client need and at least once per month. f. g. If Clients in Individualized Employment have not obtained paid employment at minimum wage or better within six (6) months, the Contractor will assure the following steps are taken: i. Review the progress toward employment goals; ii. Provide evidence of consultation with the Client/guardian; and iii. Develop additional strategies with the Client/guardian, County Staff, employment support staff, case manager, and others identified by the Client. Strategies may include providing technical assistance, changing to a new provider, and/or providing additional resources as needed to support the individual’s pursuit of employment. The additional strategies will be documented for each Client and kept in the Client’s file(s). h. If after twelve (12) months the Client remains unemployed, an additional review will be conducted. The Contractor will address steps outlined in the previous six month progress report in the next six month progress report. The Client may request to participate in Community Inclusion activities or the Client may choose to remain in an employment program. When requesting to participate in CI, the Client shall communicate directly with his or her DDA Case Manager. The DDA Case Manager is responsible for authorizing CI services. i. For Individual Employment where the service provider is also the Client’s employer, long term funding will remain available to the service provider employer for six months after the employee DDA Client’s date of hire. At the end of the six month period, if the DDA Client continues to need support on the job, another service provider who is not the employer of record must provide the support unless the County and/or DDA issues prior written approval for the service provider to continue to provide long-term supports if needed. If the County and/or DDA approves the continuation of long-term supports where the Contractor is also the Client’s employer, the County and/or DDA will regularly monitor these positions to assure fading efforts occur when appropriate and any potential conflict of interest is addressed. j. Individual Employment staff hours must be attributed to the “Individual Employment and Billable Activity Phase(s)”. k. Employment services must adhere to the Home and Community based settings (HCBS) requirements of 42CFR 441 530(a)(1), including that: i. The setting is integrated in the greater community and supports individuals to have full access to the greater community; ii. Ensure Ensures the individual received receives services in the community to the same degree of access as individuals not receiving Medicaid HCBS; iii. The setting provides opportunities to seek employment and work in competitive integrated settings; and iv. The setting facilities individual choice regarding services and supports, and who provides them. l. Job Foundations Partnership Project i. A Job Foundation document will be completed per guidelines for eligible students. Eligible students are DDA clients who were born between 9/1/00 through 8/31/01, currently attending school and have completed an application to participate in this Value Based Payment project. The VBP project application will include the following minimum criteria identified in the sample application found at: ii. The Contractor will collaborate with School District staff to complete the Job Foundation document and then provide a copy to the County. To be a qualified provider for the Partnership Project the Contractor must have a current contract with the Division of Vocational Rehabilitation; a contract in good standing with the County and cannot be in provisional status; a minimum of two years’ experience providing Individual Employment with demonstrated job placement skills. If the Job Foundation recommendation is for subminimum wage work/group work, service provider may not continue support.

Program Outcomes. The Contractor shall provide qualified Employment Program Service for consumer support services that include the following program outcomes: a. Monthly Community Inclusion service support hours will be based on the Client’s CI service level per WAC ▇▇▇-▇▇▇-▇▇▇▇ for all Clients who began receiving CI services July 1, 2011 and forward. i. To ensure health and safety, promote positive image and relationships in the community, increase competence and individualized skill-building, and achieve other expected benefits of CI, services will occur individually or in a group of no more than two (2) or three (3) individuals with similar interests and needs. ii. CI services will focus on activities that are typically experienced by the general public. Support to participate in segregated activities and/or specialized activities will not be reimbursed. iii. A Client receiving CI services will not receive employment support simultaneously. iv. A Client receiving CI services may at any time choose to leave CI to pursue work and received employment support. b. Clients in an employment program will be supported to work towards a living wage. A living wage is the amount needed to enable an individual to meet or exceed his/her living expenses. Clients should average twenty (20) hours of community work per week or eighty-six (86) hours per month; however, each person’s preferred hours of employment should be taken into consideration. The amount of service a Client receives will be based on his/her demonstrated need, acuity level and work history per WAC 388-828. b. c. Prior to beginning service or prior to an expected change in service, the Contractor will clearly communicate to the Client and the County the maximum service hours per month the Client can expect to receive. Service changes will not occur until the Client has received proper notification from DDA. i. The Client’s DDA PCSP is the driver for service. The County Service Authorization and updated Planned Rates information will not exceed the Client’s DDA PCSP, as applicable. ii. The amount of service the Client receives should match with the County Service Authorization and updated Planned Rates information. c. d. All Clients will have an individualized Individualized Employment or Community Inclusion plan to identify Client’s preferences. Minimum plan elements are outlined in the reference document “Criteria for Evaluation.” A copy of the Client’s individualized plan will be provided to their CRM, guardian and others as appropriate. d. e. Semi-annual progress reports that describe the outcomes of activities will be provided by the Contractor to the County and client, the County, CRM, guardian, and others as appropriate. The report will summarize the progress made towards the Client’s individualized goals and/or the progress as a result of Individualized Technical Assistancegoals. e. f. All Clients will be contacted according to Client need and at least once per month. f. g. If Clients in Individualized Employment have not obtained paid employment at minimum wage or better within six (6) months, the Contractor will assure the following steps are taken: i. Review the progress toward employment goals; ii. Provide evidence of consultation with the Client/guardian; and iii. Develop additional strategies with the Client/guardian, County Staff, employment support staff, case manager, and others identified by the Client. Strategies may include providing technical assistance, changing to a new provider, and/or providing additional resources as needed to support the individual’s pursuit of employment. The additional strategies will be documented for each Client and kept in the Client’s file(s). h. If after twelve (12) months the Client remains unemployed, an additional review will be conducted. The Contractor will address steps outlined in the previous six month progress report in the next six month progress report. The Client may request to participate in Community Inclusion activities or the Client may choose to remain in an employment program. When requesting to participate in CI, the Client shall communicate directly with his or her DDA Case Manager. The DDA Case Manager is responsible for authorizing CI services. i. For Individual Employment where the service provider is also the Client’s employer, long term funding will remain available to the service provider employer for six months after the employee DDA Client’s date of hire. At the end of the six month period, if the DDA Client continues to need support on the job, another service provider who is not the employer of record must provide the support unless the County and/or DDA issues prior written approval for the service provider to continue to provide long-term supports if needed. If the County and/or DDA approves the continuation of long-term supports where the Contractor is also the Client’s employer, the County and/or DDA will regularly monitor these positions to assure fading efforts occur when appropriate and any potential conflict of interest is addressed. j. Individual Employment staff hours must be attributed to the “Individual Employment and Billable Activity Phase(s)”. k. Employment services must adhere to the Home and Community based settings (HCBS) requirements of 42CFR 441 530(a)(1), including that: i. The setting is integrated in the greater community and supports individuals to have full access to the greater community; ii. Ensure Ensures the individual received receives services in the community to the same degree of access as individuals not receiving Medicaid HCBS; iii. The setting provides opportunities to seek employment and work in competitive integrated settings; and iv. The setting facilities individual choice regarding services and supports, and who provides them.

Program Outcomes. The Contractor shall provide qualified Employment Program Service for consumer support services that include the following program outcomes: a. Clients in an employment program will be supported to work towards a living wage. A living wage is the amount needed to enable an individual to meet or exceed his/her living expenses. Clients should average twenty (20) hours of community work per week or eighty-six (86) hours per month; however, each person’s preferred hours of employment should be taken into consideration. The amount of service a Client receives will be based on his/her demonstrated need, acuity level and work history per WAC 388-828. b. Prior to beginning service or prior to an expected change in service, the Contractor will clearly communicate to the Client and the County the maximum service hours per month the Client can expect to receive. Service changes will not occur until the Client has received proper notification from DDA. i. The Client’s DDA PCSP is the driver for service. The County Service Authorization and updated Planned Rates information will not exceed the Client’s DDA PCSP, as applicable. ii. The amount of service the Client receives should match with the County Service Authorization and updated Planned Rates information. c. All Clients will have an individualized Individualized Employment or Community Inclusion plan to identify Client’s preferences. Minimum plan elements are outlined in the reference document “Criteria for Evaluation.” A copy of the Client’s individualized plan will be provided to their CRM, guardian and others as appropriate. d. Semi-annual progress reports that describe the outcomes of activities will be provided by the Contractor to the County and client, the County, CRM, guardian, and others as appropriate. The report will summarize the progress made towards the Client’s individualized goals and/or the progress as a result of Individualized Technical Assistancegoals. e. All Clients will be contacted according to Client need and at least once per month. f. If Clients in Individualized Employment have not obtained paid employment at minimum wage or better within six (6) months, the Contractor will assure the following steps are taken: i. Review the progress toward employment goals; ii. Provide evidence of consultation with the Client/guardian; and iii. Develop additional strategies with the Client/guardian, County Staff, employment support staff, case manager, and others identified by the Client. Strategies may include providing technical assistance, changing to a new provider, and/or providing additional resources as needed to support the individual’s pursuit of employment. The additional strategies will be documented for each Client and kept in the Client’s file(s). g. If after twelve (12) months the Client remains unemployed, an additional review will be conducted. The Contractor will address steps outlined in the previous six month progress report in the next six month progress report. The Client may request to participate in Community Inclusion activities or the Client may choose to remain in an employment program. When requesting to participate in CI, the Client shall communicate directly with his or her DDA Case Manager. The DDA Case Manager is responsible for authorizing CI services. h. For Individual Employment where the service provider is also the Client’s employer, long term funding will remain available to the service provider employer for six months after the employee DDA Client’s date of hire. At the end of the six month period, if the DDA Client continues to need support on the job, another service provider who is not the employer of record must provide the support unless the County and/or DDA issues prior written approval for the service provider to continue to provide long-term supports if needed. If the County and/or DDA approves the continuation of long-term supports where the Contractor is also the Client’s employer, the County and/or DDA will regularly monitor these positions to assure fading efforts occur when appropriate and any potential conflict of interest is addressed. i. Individual Employment staff hours must be attributed to the “Individual Employment and Billable Activity Phase(s)”. j. Employment services must adhere to the Home and Community based settings (HCBS) requirements of 42CFR 441 530(a)(1), including that: i. The setting is integrated in the greater community and supports individuals to have full access to the greater community; ii. Ensure Ensures the individual received receives services in the community to the same degree of access as individuals not receiving Medicaid HCBS; iii. The setting provides opportunities to seek employment and work in competitive integrated settings; and iv. The setting facilities individual choice regarding services and supports, and who provides them. k. Job Foundations Partnership Project i. A Job Foundation document will be completed per guidelines for eligible students. Eligible students are DDA clients who were born between 9/1/00 through 8/31/01, currently attending school and have completed an application to participate in this Value Based Payment project. The VBP project application will include the following minimum criteria identified in the sample application found at: ii. The Contractor will collaborate with School District staff to complete the Job Foundation document and then provide a copy to the County. To be a qualified provider for the Partnership Project the Contractor must have a current contract with the Division of Vocational Rehabilitation; a contract in good standing with the County and cannot be in provisional status; a minimum of two years’ experience providing Individual Employment with demonstrated job placement skills. If the Job Foundation recommendation is for subminimum wage work/group work, service provider may not continue support.