Iowa

States - Big Screen

The motto of the state of Iowa is, "Our Liberties We Prize and Our Rights We Will Maintain." For Iowans with disabilities, this includes the liberties that come with having a job, and equal rights to real work for real pay.

State VR Rates and Services

A list of services offered by this state’s Vocational Rehabilitation agency, along with the standard rates paid for the performance of those services.

PDF icon Iowa’s VR Rates and Services

2015 State Population.
0.54%
Change from
2014 to 2015
3,123,899
2015 Number of people with disabilities (all disabilities, ages 18-64).
1.98%
Change from
2014 to 2015
180,139
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
1.53%
Change from
2014 to 2015
83,391
2015 Percentage of working age people who are employed (all disabilities).
-0.45%
Change from
2014 to 2015
46.29%
2015 Percentage of working age people who are employed (NO disabilities).
0.24%
Change from
2014 to 2015
82.37%

General

2013 2014 2015
Population. 3,090,416 3,107,126 3,123,899
Number of people with disabilities (all disabilities, ages 18-64). 181,561 176,576 180,139
Number of people with disabilities who are employed (all disabilities, ages 18-64). 81,421 82,111 83,391
Number of people without disabilities who are employed (ages 18-64). 1,384,715 1,393,306 1,397,255
Percentage of working age people who are employed (all disabilities). 44.84% 46.50% 46.29%
Percentage of working age people who are employed (NO disabilities). 82.07% 82.17% 82.37%
Overall unemployment rate. 4.80% 4.40% 3.80%
Poverty Rate (all disabilities). 20.50% 18.90% 19.10%
Poverty Rate (NO disabilities). 11.60% 11.40% 11.20%
Number of males with disabilities (all ages). 176,497 179,117 184,113
Number of females with disabilities (all ages). 181,233 174,313 183,923
Number of Caucasians with disabilities (all ages). 333,343 328,026 343,674
Number of African Americans with disabilities (all ages). 10,687 12,318 10,934
Number of Hispanic/Latinos with disabilities (all ages). 12,702 11,345 12,119
Number of American Indians/Alaska Natives with disabilities (all ages). 1,382 1,904 1,743
Number of Asians with disabilities (all ages). 3,248 2,990 2,912
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A N/A
Number of with multiple races disabilities (all ages). 5,674 6,318 6,031
Number of others with disabilities (all ages). 3,378 1,874 2,405

 

SSA OUTCOMES

2013 2014 2015
Number of SSI recipients with disabilities who work. 6,219 6,289 6,432
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 12.70% 12.70% 13.10%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 77,493 78,016 78,222

 

MENTAL HEALTH OUTCOMES

2013 2014 2015
Number of mental health services consumers who are employed. 9,446 6,262 3,407
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 17,145 11,689 6,500
Number of adults served who have a known employment status. 22,202 17,083 11,312
Percentage of all state mental health agency consumers served in the community who are employed. 42.50% 36.70% 30.10%
Percentage of supported employment services evidence based practices (EBP). N/A N/A N/A
Percentage of supported housing services evidence based practices (EBP). N/A N/A N/A
Percentage of assertive community treatment services evidence based practices (EBP). 0.60% 0.50% N/A
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. N/A N/A N/A
Number of evidence based practices (EBP) supported housing services. N/A N/A N/A
Number of evidence based practices (EBP) assertive community treatment services. 357 333 N/A
Number of evidence based practices (EBP) medications management. N/A N/A N/A

 

WAGNER PEYSER OUTCOMES

2013 2014 2015
Number of registered job seekers with a disability. 4,499 4,688 3,776
Proportion of registered job seekers with a disability. 0.03 0.03 0.03

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2012 2013 2014
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 499 1,200 1,842
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 205 409 625
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 41.00% 34.00% 34.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 6.67 13.23 20.01

 

VR OUTCOMES

2014 2015 2016
Total Number of people served under VR.
3,696
4,047
N/A
Number of people with visual impairments served under VR. 24 22 N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 225 217 N/A
Number of people with physical impairments served under VR. 873 841 N/A
Number of people cognitive impairments served under VR. 1,492 1,664 N/A
Number of people psychosocial impairments served under VR. 1,037 1,266 N/A
Number of people with mental impairments served under VR. 45 37 N/A
Percentage of overall closures into employment under VR. 39.00% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 3,346 4,083 4,820
Number of eligible ticket to work beneficiaries. 113,438 114,890 115,302
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A N/A N/A
Total number of ID competitive labor market closures. 311 N/A N/A

 

IDD OUTCOMES

2012 2013 2014
Dollars spent on day/employment services for integrated employment funding. $7,712,000 $7,727,000 $9,051,000
Dollars spent on day/employment services for facility-based work funding. $27,222,000 $22,569,000 $22,135,000
Dollars spent on day/employment services for facility-based non-work funding. $29,587,000 $32,911,000 $48,932,000
Dollars spent on day/employment services for community based non-work funding. $8,062,000 $5,248,000 $0
Percentage of people served in integrated employment. 21.00% 17.00% 16.00%
Number of people served in community based non-work. 0 0 0
Number of people served in facility based work. 2,461 3,208 3,603
Number of people served in facility based non-work. 5,106 7,603 8,713
Number supported in integrated employment per 100,000 individuals in the general state population. 65.50 70.80 77.50

 

EDUCATION OUTCOMES

2012 2013 2014
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 64.03% 64.51% 64.92%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 8.37% 8.38% 8.60%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.33% 1.83% 1.80%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 68.21% 85.21% 87.56%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 39.95% 33.51% 30.71%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 66.26% 59.15% 58.57%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 93.17% 78.74% 83.14%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 26.31% 25.64% 27.86%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 630,402
Number of overall total blind and SD workers. 532
Number of AbilityOne blind and SD hours (products). 9
Number of AbilityOne blind and SD hours (services). 63,088
Number of AbilityOne blind and SD hours (combined). 63,097
Number of AbilityOne blind and SD workers (products). 4
Number of AbilityOne blind and SD workers (services). 108
Number of AbilityOne blind and SD workers (combined). 112
AbilityOne wages (products). $26
AbilityOne wages (services). $785,430

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2014 2015 2016
Number of 14(c) certificate-holding businesses. 0 0 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 68 54 61
Number of 14(c) certificate holding patient workers. N/A 3 4
Total Number of 14(c) certificate holding entities. N/A 57 65
Reported number of people with disabilities working under 14(c) certificate-holding businesses. N/A 0 0
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 0 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 4,817 5,668
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 303 410
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 5,120 6,078

 


Iowa HF 572, Concerning who Consitatue the Membership of the State WIB - 07/01/2017

~~“An Iowa workforce development board is created,….” the law describes who will make up the 33 voting members and 13 non-voting of the board including the governor, a state senator, a state representative, the director of the Departments of Workforce Development, Education, the Blind, and Vocational Rehabilitation or their designees, and a number of members drawn from the business community, groups who work with persons with disabilities and other departments.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Employer Engagement
  • WIOA

Iowa SF 505 - 07/02/2015

"An Iowa ABLE savings plan trust is created…The general assembly finds that the general welfare and well-being of the state are directly related to the health, maintenance, independence, and quality of life of its disabled residents,and that a vital and valid public purpose is served by the creation and implementation of programs that encourage and make possible savings to secure funding for disability-related expenses on behalf of individuals with disabilities …"

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Iowa Employer Tax Incentive - 10/24/2012

For tax years beginning on or after January 1, 1984...a taxpayer who operates a business which is considered to be a small business…is allowed an additional deduction for 50 percent of the first 12 months of wages paid or accrued during the tax years for work done in Iowa by employees first hired on or after January 1, 1984…where the taxpayer first qualifies as a small business….and meets one of the following criteria: A handicapped individual domiciled in this state at the time of hiring. An individual domiciled in this state at the tie of hiring…  
Systems
  • Other
Topics
  • Asset Development / Financial Capability
  • Employer Engagement

Iowa Assistive Device Tax Credit

  The taxes imposed under this division shall be reduced by an assistive device tax credit.  A small business purchasing, renting, or modifying an assistive device or making workplace  modifications for an individual with a disability who is employed or will be employed by the small business is eligible, subject to availability of credits, to receive this assistive device tax credit which is equal to fifty percent of the first five thousand dollars paid during the tax year for the purchase, rental, or modification of the assistive device or for making the workplace modifications.  Any credit in excess of the tax liability shall be refunded with interest computed under section 422.25…

Systems
  • Other
Topics
  • Asset Development / Financial Capability
  • Employer Engagement

Iowa Executive Order 27 - 02/04/2003

“Recognizing that the breadth and complexity of the issues required a coordinated inter-agency response, in 2003 Governor Vilsack issued Executive Order 27 calling upon state agencies to identify the barriers to community living posed by their policies and programs and to develop plans to remove them. Executive Order 27 also created the current Olmstead Consumer Taskforce to advise the Governor’s Office on strategies to promote community integration, including changes in policies or programs.”

NOTE: While Executive Order 27 mentioned employment only in general terms, the Olmstead Plan developed with assistance from the Taskforce specifically supports integrated, competitive employment.

 
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Vocational Rehabilitation Services - 08/01/2016

“Under WIOA regulations, IVRS is required to spend 15% of our federal grant resources towards Pre-Employment Transition Services. We have a number of initiatives that are being designed and implemented for this effort. For example, programs and initiatives such as: TAP (Transition Alliance Programs)’ Project Search, Youth Leadership Forum, Intermediary Network, Work-Based Learning, Construction Simulator, zSpace, and our Summer Camp activities are all examples of PETS initiatives.”

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition

Limitations on the Use of Subminimum Wage - 07/22/2016

“The addition of Section 511 demonstrates the intent that individuals with disabilities, especially youth with disabilities, must be afforded a full opportunity to prepare for, obtain, maintain, advance in, or reenter competitive integrated employment. Section 511 imposes limitations on employers who hold special wage certificates, commonly known as 14(c) certificates, under the Fair Labor Standards Act (FLSA) that must be satisfied before the employers may hire youth with disabilities at subminimum wage or continue to employ individuals with disabilities of any age at the subminimum wage level. (the link opens a Word Document) “

Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • 14(c)/Income Security

IA Department of Human Services Report of Joint Protocols and Program Models - 12/15/2014

“IVRS and DHS are key collaborators in EFSLMP.  “IVRS is the lead agency, but DHS has committed to staff and management resources and time. … Iowa has a “grassroots Employment First (E1st) initiative that influences the state’s employment service delivery system and involves a broad range of collaborators.   …“Iowa’s E1st Vision is that “‘Iowans with disabilities are employed at the same rate as other Iowans and receiving equal benefits.’”  The Mission of E1st is to ‘Change beliefs, practices, systems and funding so that employment in the general workforce is the first and preferred outcome in the provision of publically funded services for all working age Iowans with disabilities, regardless of level of disability.’”  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Vocational Rehabilitation Services and Department of Human Services Agreement - 10/01/2014

“The purpose of this agreement is to establish a statewide system of coordinated, cost efficient vocational/employment services for people with developmental disabilities with minimal overlap of responsibility and maximum utilization of resources between the Iowa Vocational Rehabilitation Services, hereinafter referred to as IVRS, and the Iowa Department of Human Services, hereinafter referred to as DHS. This agreement will serve to clarify roles and responsibilities of IVRS and DHS in regard to common consumers.  This agreement is effective October 1, 2014, or the latest date of signature, through September 30, 2016.”

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Olmstead Plan for Mental Health and Disability Services: State plan framework (2011 - 2015) - 01/06/2011

“The Department of Human Service’s priorities for Olmstead Plan implementation include establishing the leadership, necessary partnerships and infrastructure for a service system expanding opportunities for competitive employment.”

The goals include: “Conducting targeted outreach to families and guardians of individuals with mental illness, brain injury and other disabilities to raise awareness of opportunities for community living, including competitive employment, by accessing available supports and services; … Analyzing current policies and practice regarding transition, and determine, with the engagement of the Department of Education, how these can be strengthened to support integrated employment as a preferred outcome for students moving into the adult service system".

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging
  • Data Sharing

Iowa Workforce Development Annual Report 2016

~~“…through our partnership with the DirectEmployers Association, we provide 10 microsites, which offer the opportunity to provide job information on mobile and hand-held devices. These sites are also search-engine optimized, and were developed at no cost to the state. The 10 microsites include:WORKINIOWA-DISABILITY.JOBSHelps employers reach the disability community. Helps employerscomply with Affirmative Action and Equal Employment OpportunityCommission efforts.” 

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement

Iowa Department of Education “Secondary Transition

“The ultimate goal of secondary transition planning is to make the adjustment from high school as easy, successful and as short as possible. Successful transition planning should begin early and be based on specific knowledge and experiences of targeted future environments and activities. It includes the commitment of resources, collaboration among people and agencies, and decision making to develop an IEP for the student.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Iowa Vocational Rehabilitation Services “Iowa Self-Employment” Brochure

IOWA SELF-EMPLOYMENT (ISE) PROGRAM

Iowa Self-Employment (ISE) is a program designed for clients of Iowa Vocational Rehabilitation Services (IVRS) or Iowa Department for the Blind (IDB), whose vocational goal is self-employment. This program is administered by IVRS and works in partnership with IDB. Following eligibility and self-employment assessment, a referral may be sent to ISE personnel. 

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • Cross-Agency Collaboration / Partnerships

Iowa Department on Aging “Senior Community Services Employment Program (SCSEP)

SCSEP participants are paid minimum wage while they gain marketable job skills working part-time in non-profit and public organizations, including senior centers, schools and libraries. The program provides a win-win for participants and their communities: Participants help community organizations extend their capabilities, while developing their own job skills, self-confidence and a restored sense of self-worth.

To participate in this employment program for older Iowans, a person must be:

Age 55 or older; Currently unemployed; Legally eligible to work in the United States; and Living in a household with income no more than 125 percent of the current federal poverty level. All disability payments, including Social Security Disability (SSDI), are excluded from SCSEP income eligibility determinations 25% of Social Security payment is excluded, which includes social security retirement and survivors benefits All Unemployment Compensation is excluded SSI & public assistance are excluded Veterans Benefits are excluded
Systems
  • Other
Topics
  • Customized Employment

Iowa Department of Human Services “Home- and Community-Based Services (HCBS) Transition Settings

The Centers for Medicare & Medicaid Services (CMS) have issued regulations that define the settings in which it is permissible for states to pay for Medicaid Home- and Community-Based Services (HCBS).  The purpose of these regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree as individuals who do not receive HCBS.

Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Department of Education “Secondary Transition – Guidance to Quality IEPs”

In Iowa, secondary transition planning should begin no later than the first IEP to be in effect when the child turns 14, or younger if determined appropriate by the IEP team.

The ultimate goal of transition planning is to make the adjustment from high school as easy and successful as possible.  It should be based on specific knowledge and experiences of targeted future environments and activities, as well as transition assessment information.

The transition of youth with disabilities from high school to learning, living and working in the community is a process that involves ongoing planning, preparation, and revision. It is not a single event or a series of isolated events

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Iowa Vocational Rehabilitation Services 2015-2018 Strategic Plan

“The State Plan is required to be submitted annually for approval by RSA in order for IVRS to receive Title 1 and Title VI Part B grant funds. The State Plan describes the administrative and operational activities of IVRS, in addition to specific areas that involve public input, waiting list information, an analysis of data, goal planning, and an evaluation of reported progress. Significant legislative changes occurred in July 2014, with the approval of the Workforce Innovation Opportunities Act (WIOA). This federal legislation will create opportunities for changes in service delivery, with a clear focus on increased accountability resulting in employment outcomes. Collaborative partnerships, dynamic service delivery focused on meeting the needs of our business customers, improved transition outcomes and services facilitating the transition into competitive community integrated employment settings for individuals with the most significant disabilities are just a few of the key points in the legislation.”

Systems
  • Department of Rehabilitation Services
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

IA Department for the Blind: Vocational Rehabilitation Services

“The Department's employment services are delivered through its Vocational Rehabilitation (VR) program. Our VR program helps blind or visually impaired Iowans prepare for, obtain and retain employment in a variety of occupations. Applicants are eligible for services based upon their visual disability, their need for employment services and their intent to work. You will work with a VR Counselor to jointly identify an employment goal and the services you need to achieve it.”

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Employer Engagement
  • Provider Transformation

Iowa DHS Disability Employment Vision and Initiatives

"Employment in the general workforce is the first priority and the expected and preferred outcome in the provision of publically funded services for all working age Iowan's with disabilities...By employment we mean: regular or customized employment in the general workforce, where employees with disabilities are earning at least minimum or prevailing wages and benefits. The Department of Human Services (DHS) is involved with a number of initiatives intended to increase the number of people with disabilities competitively employed."

Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
  • Other
Topics
  • Customized Employment
  • 14(c)/Income Security

“Increasing Employment for People with Disabilities” - 07/01/2017

~~“The Department of Human Services (DHS) is involved with a number of initiatives intended to increase the number of people with disabilities competitively employed including:

•State Employment Leadership Network (SELN): SELN's mission is to bring states together to improve employment outcomes for individuals with disabilities. SELN consultants help Iowa recognize the systemic barriers to employment for persons with disabilities and ways to overcome them.•Medicaid Infrastructure (MIG) Grant: This program ended in 2013. The purpose of MIG was to assist states with making improvements to their Medicaid programs that support the competitive employment of people with disabilities.•Employment First ("E1st"): Iowa is one of three states awarded an Office of Disability Employment Policy (ODEP) grant to promote systems change around improving employment outcomes and one of 26 States with an APSE sponsored initiative emphasizing integrated employment. Iowa E1st includes individuals with disabilities, family members, service providers, state human services and vocational staff, business leaders, and others. Iowa's Employment First Leadership State Mentor Program (EFLSMP) brings together Iowa Vocational Rehabilitation Services (IVRS) with DHS, IowaWORKS, the DD Council, the Iowa Association of Community Providers, and a family member, under the mentorship of the State of Washington.•Iowa Coalition for Integrated Employment: The Administration on Developmental Disabilities Grant awarded a $358,000 per year five year grant to the Developmental Disabilities Council. The grant will which brings together the DD Council, the Iowa Department of Education (DE), Iowa Vocational Rehabilitation Services (IVRS), and DHS to improve systems so that Iowa youth with a developmental disability have fully integrated, and competitive work opportunities. The grant will contract for 6 demonstration projects in an education environment and at least 3 demonstration projects with community rehabilitation providers. This project is called the Iowa Coalition for Integrated Employment (ICIE).•Iowa's Money follows the Person Grant (MFP): The Partnership for Community Integration Project is a federal Medicaid demonstration grant to assist with the transition of persons currently residing in ICFs/ID to communities of their choice. Employment plays an integral part in community inclusion and the goals of the project.”

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Workforce Development “Employment and Disability” - 08/24/2016

“Under the Workforce Investment Act of 1998, Regional Workforce Partners joined forces to create and operate a Regional Workforce Development System. The goal of this system is to provide high quality employment services to all individuals. This system is designed to be able to improve accessibility for job seekers with or without disabilities. Each IowaWORKS Center offers accommodations and assistive technology to increase or improve the functional capabilities of individuals with disabilities. Iowa Workforce Partners Iowa Workforce Development Iowa Department for the Blind Iowa Vocational Rehabilitation Services Iowa Department of Human Services Iowa Department of Human Rights/ Division of Persons with Disabilities Iowa Department of Education Iowa Developmental Disability Council Iowa Department on Aging”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other

Agreement between Iowa Vocational Rehabilitation Services and the Iowa Department of Education - 10/13/2015

“The purpose of this agreement is to facilitate the integration and coordination of transition services from school to post-secondary education and/or employment, for individuals with disabilities who are enrolled in secondary education and are eligible, or potentially eligible, to receive vocational rehabilitation services.” 

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa DHS: Stakeholder Brief by SELN - 03/15/2013

“Iowa Department of Human Services (DHS) has been keenly focused on improving opportunities for Iowans with disabilities to become employed in quality jobs in Iowa communities since 2000 when first awarded a Medicaid Infrastructure Grant (MIG), a federal program providing financial assistance to states to facilitate the competitive employment of people with disabilities. Iowa’s Mental Health and Disability Services (MHDS) and Iowa’s Medicaid Enterprise (IME), both divisions of DHS, have been working together along with their stakeholders, to improve employment outcomes for individuals with disabilities with a particular focus on individuals with intellectual and developmental disabilities (I/DD) in Iowa.”

 
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Olmstead Consumer Taskforce Position Statement on Employment - 01/11/2013

“The State of Iowa has been working for over a decade to support employment outcomes by raising awareness of federal work incentives for people concerned about losing Social Security, Medicare or Medicaid benefits, and by focusing attention on the transition of young people with disabilities from school to work and independent living. In the last three years this work has been accelerated and enhanced under the Employment First, State Employment Leadership Network, the Iowa Coalition for Integrated Employment, and other initiatives.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa Disability Employment Interagency Memorandum of Agreement - 10/01/2012

“An updated Interagency Memorandum of Agreement (MOA) to Strengthen Employment Services for Iowans with Disabilities focused on competitive, community-based, integrated employment was signed in October, 2012 by eight State agencies and updated in January, 2015. Updates reflect changes in the federal regulations related to WIOA. “

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Memorandum of Agreement between the Iowa Vocational Rehabilitation Services and the The Iowa Department of Human Services

The purpose of this agreement is to establish a statewide system of coordinated, cost efficient vocational/employment services for people with developmental disabilities with minimal overlap of responsibility and maximum utilization of resources between the Iowa Vocational Rehabilitation Services, hereinafter referred to as IVRS, and the Iowa Department of Human Services, hereinafter referred to as DHS. This agreement will serve to clarify roles and responsibilities of IVRS and DHS in regard to common consumers.  This agreement is effective October 1, 2014, or the latest date of signature, through September 30, 2016.

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa Transition Alliance Program

 “The Transition Alliance Program (TAP) is a partnership between Community School Districts and Iowa Vocational Rehabilitation Services (IVRS).  Participants of TAP receive assistance in the areas of vocational training, independent living, and post-secondary education.  Our goal is for young adults to develop positive work skills in order to obtain and maintain community employment.  TAP participants will receive follow-up services to assure long-term job success!”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa State Rehabilitation Council

“The State Rehabilitation Council (SRC), with members appointed by the Governor, has been in operation since January 1993, providing advice and direction to the Department of Education's Iowa Vocational Rehabilitation Services (IVRS) on the quality and effectiveness of programs and services. The SRC, which is comprised of a majority of individuals with disabilities, is a vital link to the constituency groups which IVRS serves or through which it procures its goods and services. The Council's goal is to seek and improve the quality of employment outcomes and community participation. The SRC is mandated by the Rehabilitation Act to have at least 15 voting members.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Vocational Rehabilitation Services (IVRS) Partners Page

The IVRS Partners Page presents a list, with links, to the various partnerships in which IVRS takes part to achieve its mission of serving persons with disabilities. Some of the partnerships include the Community Rehabilitation Program (CRP), the MOA between IVRS and DHS, the Rehabilitation Services Administration, the State Rehabilitation Council, and the Transition Alliance Program, among others.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Iowa Employment First Initiative

“In 2009 representatives of Community Rehabilitation Providers (CRP), Iowa Disability Navigator Program (DPN), the Governor’s Developmental Disability Council, the Iowa Chapter of APSE: The Employment Network (IA-APSE), Iowa Vocational Rehabilitation Services (IVRS), and the Medicaid Infrastructure Grant (MIG) began planning for the Iowa Employment First Initiative.”   The goals for the Initiative include:  “Goal 1. Policies and funding are aligned with Employment First and strong partnerships remove barriers. Goal 2. Individuals with disabilities and family members advocate for Employment First and participate in the design of employment services and supports. Goal 3: Businesses influence businesses to create employment opportunities for people with disabilities Goal 4: Best practices drive transition outcomes for living, working and learning.”    
Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Iowa Coalition for Integrated Employment

“The Iowa Coalition for Integrated Employment’s consortium includes representatives from the Iowa DD Council, Iowa Department of Education, Iowa VR and the Department of Human Services. The partners have a history of routinely working together on employment and transition issues and projects for youth with disabilities. Other partners include representatives from Iowa APSE, individuals with developmental disabilities and family members.”
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa VR: SSA Ticket to Work Program

“The Ticket to Work program is a federal program for Social Security disability beneficiaries age 18 through 64 who receive SSDI or SSI benefits based on a disability and would like to work. It is designed to provide help and support for those beneficiaries who desire to regain financial independence through employment. The program is free; it is voluntary and offers work incentives that allow benefits to continue during the transition to employment. IVRS partners with other Employment Networks (ENs) to ensure our job candidates receive ongoing services once on the job.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Medicaid Agencies
  • Other
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Iowa Disability Employment Initiative (Round 6) - 11/01/2016

IADEI will hire five Disability Resource Coordinators and will link a variety of initiatives to make the vision of the Workforce Innovation and Opportunity Act real for all Iowans. IADEI will increase access to and participation in local Career Pathway models in the current five local workforce regions through a  partnership between eight state agencies and the Department of Labor. State Leadership Agencies will work with local WDBs to strengthen disability integration in service through the implementation of three DEI strategies currently being implemented under its Round 3 DEI project  
Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Iowa Disability Employment Initiative (Round 3) - 10/01/2012

The Disability Employment Initiative (DEI) is a three-year federal grant-funded program that improves education, training, employment opportunities, and employment outcomes for people who are unemployed, underemployed, and/or receiving Social Security disability benefits. In 2012, Iowa was awarded a Round 3 DEI grant from the U.S. Department of Labor’s Employment Training Administration. 

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Medicaid Agencies
Topics
  • Asset Development / Financial Capability
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Iowa Balancing Incentive Program - 07/01/2012

“The Balancing Incentive Program (BIP) is a provision of the Patient Protection and Affordable Care Act that is designed to ‘balance’ states’ spending on long term supports and services (LTSS). Iowa began participation in the BIP program in 2012 with an anticipated $61 million in enhanced Federal Medical Assistance Percentages (FMAP) for Medicaid to provide persons with greater access to home and community based services (HCBS) and reduces unnecessary reliance on institutional services. To accomplish this objective, the program has three major structural reforms for the current LTSS system: No Wrong Door (NWD): This implements specific steps to streamline access to services; Core Standardized Assessments (CSA): This [improves] efficiency, consistency and fairness in eligibility determination and assessments for LTSS; [and] Conflict-Free Case Management (CFCM): This ensures conflict-free case management throughout LTSS systems.”

 
Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Employment First Initiative: Statement of FIndings - 10/01/2011

“In 2009 representatives of Community Rehabilitation Providers (CRP), Iowa Disability Navigator Program (DPN), the Governor’s Developmental Disability Council, the Iowa Chapter of APSE: The Employment Network (IA-APSE), Iowa Vocational Rehabilitation Services (IVRS), and the Medicaid Infrastructure Grant (MIG) began planning for the Iowa Employment First Initiative...The goals for the Initiative include:

Goal 1. Policies and funding are aligned with Employment First and strong partnerships remove barriers.

Goal 2. Individuals with disabilities and family members advocate for Employment First and participate in the design of employment services and supports.

Goal 3: Businesses influence businesses to create employment opportunities for people with disabilities

Goal 4: Best practices drive transition outcomes for living, working and learning.”

 
Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Iowa SAMHSA Employment Development Initiative

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI)”. In 2012, Iowa was awarded an EDI grant for self-employment initiatives. 

Systems
  • Department of Mental Health
  • Other
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

ODEP Employment First State Leadership Mentor Program

“Each state will receive funding to assist them to develop and implement their strategic plan and will have access to on-site, customized technical assistance from national subject-matter experts to help them achieve their goals. In addition the states will be able to discuss their progress with other states who are working in this area through regularly scheduled Community-of-Practice teleconference calls.” “Iowa intends to build on its current Employment First Initiative in order to move state policies and funding structures with the explicit intent to increase integrated employment outcomes for people with significant disabilities. Participation in the EFSLMP will enable Iowa to study, and consider adopting, policies and funding mechanisms that emphasize interagency collaboration that result in service delivery that prioritizes integrated employment. Iowa Vocational Rehabilitation Services will lead its EFSLMP.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Customized Employment
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Iowa Money Follows the Person

“Money Follows the Person (MFP) Partnership for Community Integration Project is a $51 million grant from the Centers for Medicareid and Medicaid Services. It will provide opportunities for individuals in Iowa to move out of Intermediate Care Facilities for Persons with Intellectual Disability (ICF/ID) and into their own homes in the community of their choice. Individuals living in Nursing Facilities may also qualify. Grant funds provide funding for the transition services and enhanced supports needed for the first year after they transition into the community. MFP assistance is available to individuals with a diagnosis of an Intellectual Disability or Brain Injury who has lived in an ICF/ID or a Nursing Facility for at least three months. The individual must express an interest moving from the ICF/ID or Nursing Facility into the community.” 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Iowa AIDD Partnerships in Employment Systems Change Grant

The Iowa Coalition for Integrated Employment’s consortium includes representatives from various government and advocacy agencies and organizations. The objections of the coalition  are: “Develop a  Readiness for Change Plan  for systems change related to integrated, competitive employment for youth with DD; develop an outcome measurement system to measure employment success; increase the placement and support services early in high school that result in uninterrupted transition to employment; develop the capacity of service providers to promote integrated competitive employment for youth with DD; increase expectations and demands for fully integrated, competitive employment opportunities for youth with DD; and align policies, practices, and funding with employment expectations.”
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Data Sharing

Benefits Planning (Webinar links) - 02/14/2017

~~“The Iowa Community of Practice archived webinars are now on the ICIE YouTube channel and available to anyone any time! Eventually, IACP will be adding the webinars to their global lessons (available for any provider to use) on the DirectCourse system.  Each lesson will be paired with a generic test to confirm that the content was reviewed, and be tracked on their professional training transcript.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Iowa Employment First Guidebook - 01/01/2017

“This Guidebook was created to provide case managers, care managers, service coordinators and integrated health home coordinators with critical information, resources and tools to help them do the best possible job of assisting transition-age youth and working-age adults with disabilities they support to work.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • School-to-Work Transition
  • Mental Health
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Iowa Self Employment Program Success Stories - 07/29/2014

“This publication will introduce you to a fascinating collection of Iowa entrepreneurs who have found creative ways to leverage their skills, talents, abilities, resources, and social connections into their perfect job – not by finding employment, but by creating it.”

Systems
  • Department of Mental Health
Topics
  • Self-Employment

Iowa Employment First Summit - 10/04/2012

“The IA-APSE Employment Summit was designed for individuals with disabilities, family members, Community Rehabilitation Provider staff, state agency personnel, case managers and other community members committed to improving employment outcomes for Iowans with disabilities.  It features national, as well as local speakers sharing progressive and innovative best practice information and strategies to move the agenda of inclusive employment forward.”   
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa's Integrated Employment Funding System Supplemental Report - 09/17/2012

This report is looking at building the capacity and expertise of employment specialists to support individual, integrated employment outcomes. MHDS is encouraged to consider what to include in an Employment Supports Core Training, how to provide ongoing professional development, and ideas for offering provider-level training and technical assistance.

 
Systems
  • Department of Mental Health
Topics
  • Self-Employment
  • Mental Health
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Iowa VR Services Forms - The Discovery Staging Record - 09/10/2011

“This form is used to stage, structure, capture and record the major events of Discovery. The recorder(s) should pay particular attention to how the tasks are typically performed, any accommodations, technology, supports, or specialized training strategies that should be employed.” Discovery is a key tool in finding community-based, integrated employment through the customized employment process.

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Provider Transformation

Iowa Community of Practice Training Sessions for 2017

~~This document gives information on the training sessions that will be done in 2017 including benefits planning, employer engagement, and school to work transition

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability

Employment First Initiatives

~~“Increasing economic self-sufficiency is a major goal of working. Several years ago CDD published a compressive report on self-sufficiency and asset development strategies and helpful hints about employment related supports. This information, while several years old in still applicable today.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

REM Iowa

~~“Since 1979, REM Iowa has provided quality services to adults and children with intellectual and developmental disabilities and other complex challenges. We also offer services for adults with brain injuries and provide a range of programs, including residential services and day and vocational programs. Our personalized approach maximizes each person’s unique efforts to learn, grow and thrive in the communities they call home. REM Iowa is a partner of The MENTOR Network, a national network of local health and human services providers offering an array of quality, community-based services across the country .”

Systems
  • Department of Rehabilitation Services
Citations

Iowa WIOA Webinar

“This webinar covers the basics of the Workforce Innovation and Opportunity Act (WIOA) in regards to high school students, including Section 511 and highlights from the Memorandum of Agreement between Iowa Vocational Rehabilitation Services and the Iowa Department of Education.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Employment First Website

“Through the efforts of the Iowa Employment First Leadership Team, which has benefited from consultation, technical assistance and financial assistance by participating in the Office of Disability and Employment Policy's Employment First Program, competitive community-integrated employment is moving forward in Iowa. Collaboration has occurred with the Iowa Coalition of Integrated Employment and the Disability Employment Initiative, resulting in increased attention and partnering across the state with employment efforts. Please enjoy the resources on this site and we hope it will provide value in the discussion of Employment First Opportunities!”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • School-to-Work Transition
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Iowa VR Services Forms - Referral Action Plan

This worksheet helps job seekers plan their employer engagement approach by encouraging them to list 10 specific actions that they will take to build their referral business.

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement

Iowa VR Services Forms - Negotiation Model

This worksheet serves as a guide and overview of the stages and components in strategic job negotiation. Job negotiation is a core component to customized employment and assists employers in understanding how an employee with disabilities can most effectively serve their business while gaining fulfillment from their job.

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Employer Engagement

Iowa Employment First Webinars

Iowa receives technical assistance through the Employment First initiative.  Trainings include webinars on different aspects of Customized Employment, parental involvement, and employment best practices for people with disabilities.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Education
Topics
  • Customized Employment

No Enforcement have been entered for this state.


Money Follows the Person (MFP) Update - 01/01/2017

~~“The Money Follows the Person (MFP) demonstration program is a collaborative partnership between DHS’s Iowa Medicaid Enterprise (IME) and the Center for Disabilities and Development (CDD). This program, funded through the Centers for Medicare and Medicaid Services (CMS) provides opportunities for individuals with intellectual disabilities, or other related disabilities, to move out of intermediate care facilities for individuals with intellectual disabilities and into their own homes or apartments in the community of their choice. Individuals living in nursing homes may also qualify. MFP grant funding (which CDD worked with the IME to obtain) provides for transition services and enhanced supports needed for the first year after an individual moves into the community. Under a contract with IME, nine Transition Specialists from CDD are deployed throughout the state to provide transition planning services, community options awareness, training, and ongoing support and care coordination to individuals with disabilities, their families and facility-based and community-based providers. In addition CDD has employed an Employment Specialist to address employment barriers faced by MFP participants.  CDD also employs a MFP Project Coordinator stationed at IME. This position provides oversight for the statewide project and coordinates the grant related activities. CDD also employs a Behavioral Specialist to provide training and consultation to providers, consumers and families who are assisting a person that may be experiencing challenging behaviors.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Iowa Department of Human Services “HCBS Prevocational and Supported Employment Service - 09/01/2016

“This letter is to serve as notification that in order to comply with the federal correct coding guidelines the IME will be introducing Level II Healthcare Common Procedure Coding System (HCPCS) codes for Tier 1 Long Term Job Coaching and for Individual Supported Employment and to provide clarification regarding a unit of service for Individual Supported Employment…. For services with a date of service beginning September 1, 2016, or after, the service must be authorized and billed using the HCPCS procedure code and the HCP CS Level II modifieras follows :• H2025 U4 for Tier 1 of Long Term Job Coaching • T2018 UC for Individual Supported Employment.”

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa HCBS Statewide Transition Plan - 01/29/2016

“Federal regulations that became effective on March 17, 2014 define the settings in which it is permissible for states to pay for Medicaid Home and Community-Based Services (HCBS). The purpose of these regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree as individuals who do not receive HCBS.” 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Approval of the HCBS Waiver Settings Statewide Transition Plan (STP) - 09/14/2014

“The state is responsible for the development and implementation of a Statewide Transition Plan (STP) to ensure full compliance with the CMS regulations. A proposed STP was posted for public comment in February 2016. The IME reviewed and responded to the public comments in March and on April 1, 2016, submitted a draft STP to CMS that incorporated the public comments and feedback received. Over the past several months the IME has been working with CMS to make technical corrections and clarifications to the submitted transition plan. On August 10, 2016, the IME received notice from CMS of the initial approval of the STP. The approved STP and the CMS initial approval letter are available on the DHS web page, Waiver Draft Transition Plans and the Statewide Transition Plan.”

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Brain Injury Waiver - 09/15/2009

“BI Waiver services are individualized to meet the needs of each member. The following services are available: • Adult Day Care • Behavioral Programming • Case Management • Consumer Directed Attendant Care • Family Counseling and Training • Home and Vehicle Modifications • Interim Medical Monitoring and Treatment • Personal Emergency Response System • Prevocational Services • Respite • Specialized Medical Equipment • Supported Community Living • Supported Employment • Transportation • Consumer Choices Option”  

 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Iowa HCBS Intellectual Disability Waiver - 09/15/2009

“ID Waiver services are individualized to meet the needs of each member. The following services are available:

• Adult Day Care

• Consumer Directed Attendant Care (CDAC)

• Day Habilitation

• Home and Vehicle Modifications

• Home Health Aide

• Interim Medical Monitoring and Treatment

• Nursing

• Personal Emergency Response System

• Prevocational

• Respite

• Supported Community Living

• Supported Community Living-Residential Based

• Supported Employment

• Transportation

• Consumer Choices Option”

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

HCBS Prevocational and Supported Employment Services “Prevocational–Career Exploration”

“Prevocational –Career Exploration ….The outcome of this service is documentation of the participant’s stated career objective and a career plan used to guide individual employment support. ‘“Supported employment’” means the ongoing supports to participants who, because of their disabilities, need intensive ongoing support to obtain and maintain an individual job in competitive or customized employment, or self-employment, in an integrated work setting in the general workforce at or above the state’s minimum wage or at or above the customary wage and level of benefits paid by the employer for the same or similar work performed by individuals without disabilities. The outcome of this service is sustained paid employment at or above the minimum wage in an integrated setting in the general workforce in a job that meets personal and career goals. Supported employment services can be provided through many different service models.

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

HCBS Waivers and Amendments

Effective May 04, 2016 the department intends to begin using the InterRAI standardized assessment tool for the purposes of level of care determination and service planning for the HCBS Brain Injury, Children’s Mental Health, Elderly, Health and Disability, Physical Disability and AIDS/HIV waivers. The department also intends to implement the InterRAI for the purposes of needs based eligibility determination and service planning for the HCBS Habilitation program.

Effective May 04, 2016 the department intends to implement changes to the Prevocational and Supported Employment services provider qualifications, service scope and definitions and reimbursement methodologies. Prevocational and Supported Employment services are currently covered as a benefit under two of the seven waivers. Prevocational and Supported Employment services are available under the following HCBS waivers; Brain Injury (BI), and Intellectual Disability (ID).

Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Department of Human Services “Home- and Community-Based Services (HCBS) Transition Settings

The Centers for Medicare & Medicaid Services (CMS) have issued regulations that define the settings in which it is permissible for states to pay for Medicaid Home- and Community-Based Services (HCBS).  The purpose of these regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree as individuals who do not receive HCBS.

Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Money Follows the Person Partnership for Community Integration Project

“Money Follows the Person (MFP) Partnership for Community Integration Project is a $51 million grant from the Centers for Medicare and Medicaid Services (CMS). It will provide opportunities for individuals in Iowa to move out of Intermediate Care Facilities for Persons with Intellectual Disabilities (ICF/ID) and into their own homes in the community of their choice. Individuals living in Nursing Facilities may also qualify. Grant funds provide funding for the transition services and enhanced supports needed for the first year after they transition into the community. MFP assistance is available to individuals with a diagnosis of an Intellectual Disability or Brain Injury who has lived in an ICF/ID or a Nursing Facility for at least three months. The individual must express an interest moving from the ICF/ID or Nursing Facility into the community.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Iowa Medicaid State Plan

A State Plan is a contract between a state and the Federal Government describing how that state administers its Medicaid program. It gives an assurance that a state abides by Federal rules and may claim Federal matching funds for its Medicaid program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative requirements that States must meet to participate. States frequently send a state plan amendment, otherwise referred to as a SPA, to the Centers for Medicare and Medicaid Services (CMS) for review and approval. There are many reasons why a state might want to amend their state plan.

Systems
  • Medicaid Agencies
  • Other

Iowa Medicaid Balancing Incentive Payments Program

“The Balancing Incentive Program (BIPP) is a provision of the Patient Protection and Affordable Care Act that is designed to ‘balance’ states’ spending on long term supports and services (LTSS). Iowa began participation in the BIP program in 2012 with an anticipated $61 million in enhanced Federal Medical Assistance Percentages (FMAP) for Medicaid to provide persons with greater access to home and community based services (HCBS) and reduces unnecessary reliance on institutional services. To accomplish this objective, the program has three major structural reforms for the current LTSS system: No Wrong Door (NWD): This implements specific steps to streamline access to services; Core Standardized Assessments (CSA): This [improves] efficiency, consistency and fairness in eligibility determination and assessments for LTSS; [and] Conflict-Free Case Management (CFCM): This ensures conflict-free case management throughout LTSS systems.”

Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

States - Large Tablet

Snapshot

The motto of the state of Iowa is, "Our Liberties We Prize and Our Rights We Will Maintain." For Iowans with disabilities, this includes the liberties that come with having a job, and equal rights to real work for real pay.

State VR Rates and Services

A list of services offered by this state’s Vocational Rehabilitation agency, along with the standard rates paid for the performance of those services.

PDF icon Iowa’s VR Rates and Services

2015 State Population.
0.54%
Change from
2014 to 2015
3,123,899
2015 Number of people with disabilities (all disabilities, ages 18-64).
1.98%
Change from
2014 to 2015
180,139
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
1.53%
Change from
2014 to 2015
83,391
2015 Percentage of working age people who are employed (all disabilities).
-0.45%
Change from
2014 to 2015
46.29%
2015 Percentage of working age people who are employed (NO disabilities).
0.24%
Change from
2014 to 2015
82.37%

State Data

General

2013 2014 2015
Population. 3,090,416 3,107,126 3,123,899
Number of people with disabilities (all disabilities, ages 18-64). 181,561 176,576 180,139
Number of people with disabilities who are employed (all disabilities, ages 18-64). 81,421 82,111 83,391
Number of people without disabilities who are employed (ages 18-64). 1,384,715 1,393,306 1,397,255
Percentage of working age people who are employed (all disabilities). 44.84% 46.50% 46.29%
Percentage of working age people who are employed (NO disabilities). 82.07% 82.17% 82.37%
Overall unemployment rate. 4.80% 4.40% 3.80%
Poverty Rate (all disabilities). 20.50% 18.90% 19.10%
Poverty Rate (NO disabilities). 11.60% 11.40% 11.20%
Number of males with disabilities (all ages). 176,497 179,117 184,113
Number of females with disabilities (all ages). 181,233 174,313 183,923
Number of Caucasians with disabilities (all ages). 333,343 328,026 343,674
Number of African Americans with disabilities (all ages). 10,687 12,318 10,934
Number of Hispanic/Latinos with disabilities (all ages). 12,702 11,345 12,119
Number of American Indians/Alaska Natives with disabilities (all ages). 1,382 1,904 1,743
Number of Asians with disabilities (all ages). 3,248 2,990 2,912
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A N/A
Number of with multiple races disabilities (all ages). 5,674 6,318 6,031
Number of others with disabilities (all ages). 3,378 1,874 2,405

 

SSA OUTCOMES

2013 2014 2015
Number of SSI recipients with disabilities who work. 6,219 6,289 6,432
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 12.70% 12.70% 13.10%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 77,493 78,016 78,222

 

MENTAL HEALTH OUTCOMES

2013 2014 2015
Number of mental health services consumers who are employed. 9,446 6,262 3,407
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 17,145 11,689 6,500
Number of adults served who have a known employment status. 22,202 17,083 11,312
Percentage of all state mental health agency consumers served in the community who are employed. 42.50% 36.70% 30.10%
Percentage of supported employment services evidence based practices (EBP). N/A N/A N/A
Percentage of supported housing services evidence based practices (EBP). N/A N/A N/A
Percentage of assertive community treatment services evidence based practices (EBP). 0.60% 0.50% N/A
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. N/A N/A N/A
Number of evidence based practices (EBP) supported housing services. N/A N/A N/A
Number of evidence based practices (EBP) assertive community treatment services. 357 333 N/A
Number of evidence based practices (EBP) medications management. N/A N/A N/A

 

WAGNER PEYSER OUTCOMES

2013 2014 2015
Number of registered job seekers with a disability. 4,499 4,688 3,776
Proportion of registered job seekers with a disability. 0.03 0.03 0.03

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2012 2013 2014
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 499 1,200 1,842
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 205 409 625
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 41.00% 34.00% 34.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 6.67 13.23 20.01

 

VR OUTCOMES

2014 2015 2016
Total Number of people served under VR.
3,696
4,047
N/A
Number of people with visual impairments served under VR. 24 22 N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 225 217 N/A
Number of people with physical impairments served under VR. 873 841 N/A
Number of people cognitive impairments served under VR. 1,492 1,664 N/A
Number of people psychosocial impairments served under VR. 1,037 1,266 N/A
Number of people with mental impairments served under VR. 45 37 N/A
Percentage of overall closures into employment under VR. 39.00% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 3,346 4,083 4,820
Number of eligible ticket to work beneficiaries. 113,438 114,890 115,302
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A N/A N/A
Total number of ID competitive labor market closures. 311 N/A N/A

 

IDD OUTCOMES

2012 2013 2014
Dollars spent on day/employment services for integrated employment funding. $7,712,000 $7,727,000 $9,051,000
Dollars spent on day/employment services for facility-based work funding. $27,222,000 $22,569,000 $22,135,000
Dollars spent on day/employment services for facility-based non-work funding. $29,587,000 $32,911,000 $48,932,000
Dollars spent on day/employment services for community based non-work funding. $8,062,000 $5,248,000 $0
Percentage of people served in integrated employment. 21.00% 17.00% 16.00%
Number of people served in community based non-work. 0 0 0
Number of people served in facility based work. 2,461 3,208 3,603
Number of people served in facility based non-work. 5,106 7,603 8,713
Number supported in integrated employment per 100,000 individuals in the general state population. 65.50 70.80 77.50

 

EDUCATION OUTCOMES

2012 2013 2014
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 64.03% 64.51% 64.92%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 8.37% 8.38% 8.60%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.33% 1.83% 1.80%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 68.21% 85.21% 87.56%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 39.95% 33.51% 30.71%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 66.26% 59.15% 58.57%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 93.17% 78.74% 83.14%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 26.31% 25.64% 27.86%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 630,402
Number of overall total blind and SD workers. 532
Number of AbilityOne blind and SD hours (products). 9
Number of AbilityOne blind and SD hours (services). 63,088
Number of AbilityOne blind and SD hours (combined). 63,097
Number of AbilityOne blind and SD workers (products). 4
Number of AbilityOne blind and SD workers (services). 108
Number of AbilityOne blind and SD workers (combined). 112
AbilityOne wages (products). $26
AbilityOne wages (services). $785,430

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2014 2015 2016
Number of 14(c) certificate-holding businesses. 0 0 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 68 54 61
Number of 14(c) certificate holding patient workers. N/A 3 4
Total Number of 14(c) certificate holding entities. N/A 57 65
Reported number of people with disabilities working under 14(c) certificate-holding businesses. N/A 0 0
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 0 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 4,817 5,668
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 303 410
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 5,120 6,078

 

Legislation


Iowa HF 572, Concerning who Consitatue the Membership of the State WIB - 07/01/2017

~~“An Iowa workforce development board is created,….” the law describes who will make up the 33 voting members and 13 non-voting of the board including the governor, a state senator, a state representative, the director of the Departments of Workforce Development, Education, the Blind, and Vocational Rehabilitation or their designees, and a number of members drawn from the business community, groups who work with persons with disabilities and other departments.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Employer Engagement
  • WIOA

Iowa SF 505 - 07/02/2015

"An Iowa ABLE savings plan trust is created…The general assembly finds that the general welfare and well-being of the state are directly related to the health, maintenance, independence, and quality of life of its disabled residents,and that a vital and valid public purpose is served by the creation and implementation of programs that encourage and make possible savings to secure funding for disability-related expenses on behalf of individuals with disabilities …"

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Iowa Employer Tax Incentive - 10/24/2012

For tax years beginning on or after January 1, 1984...a taxpayer who operates a business which is considered to be a small business…is allowed an additional deduction for 50 percent of the first 12 months of wages paid or accrued during the tax years for work done in Iowa by employees first hired on or after January 1, 1984…where the taxpayer first qualifies as a small business….and meets one of the following criteria: A handicapped individual domiciled in this state at the time of hiring. An individual domiciled in this state at the tie of hiring…  
Systems
  • Other
Topics
  • Asset Development / Financial Capability
  • Employer Engagement

Iowa Assistive Device Tax Credit

  The taxes imposed under this division shall be reduced by an assistive device tax credit.  A small business purchasing, renting, or modifying an assistive device or making workplace  modifications for an individual with a disability who is employed or will be employed by the small business is eligible, subject to availability of credits, to receive this assistive device tax credit which is equal to fifty percent of the first five thousand dollars paid during the tax year for the purchase, rental, or modification of the assistive device or for making the workplace modifications.  Any credit in excess of the tax liability shall be refunded with interest computed under section 422.25…

Systems
  • Other
Topics
  • Asset Development / Financial Capability
  • Employer Engagement

Executive Orders


Iowa Executive Order 27 - 02/04/2003

“Recognizing that the breadth and complexity of the issues required a coordinated inter-agency response, in 2003 Governor Vilsack issued Executive Order 27 calling upon state agencies to identify the barriers to community living posed by their policies and programs and to develop plans to remove them. Executive Order 27 also created the current Olmstead Consumer Taskforce to advise the Governor’s Office on strategies to promote community integration, including changes in policies or programs.”

NOTE: While Executive Order 27 mentioned employment only in general terms, the Olmstead Plan developed with assistance from the Taskforce specifically supports integrated, competitive employment.

 
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Policy


Iowa Vocational Rehabilitation Services - 08/01/2016

“Under WIOA regulations, IVRS is required to spend 15% of our federal grant resources towards Pre-Employment Transition Services. We have a number of initiatives that are being designed and implemented for this effort. For example, programs and initiatives such as: TAP (Transition Alliance Programs)’ Project Search, Youth Leadership Forum, Intermediary Network, Work-Based Learning, Construction Simulator, zSpace, and our Summer Camp activities are all examples of PETS initiatives.”

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition

Limitations on the Use of Subminimum Wage - 07/22/2016

“The addition of Section 511 demonstrates the intent that individuals with disabilities, especially youth with disabilities, must be afforded a full opportunity to prepare for, obtain, maintain, advance in, or reenter competitive integrated employment. Section 511 imposes limitations on employers who hold special wage certificates, commonly known as 14(c) certificates, under the Fair Labor Standards Act (FLSA) that must be satisfied before the employers may hire youth with disabilities at subminimum wage or continue to employ individuals with disabilities of any age at the subminimum wage level. (the link opens a Word Document) “

Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • 14(c)/Income Security

IA Department of Human Services Report of Joint Protocols and Program Models - 12/15/2014

“IVRS and DHS are key collaborators in EFSLMP.  “IVRS is the lead agency, but DHS has committed to staff and management resources and time. … Iowa has a “grassroots Employment First (E1st) initiative that influences the state’s employment service delivery system and involves a broad range of collaborators.   …“Iowa’s E1st Vision is that “‘Iowans with disabilities are employed at the same rate as other Iowans and receiving equal benefits.’”  The Mission of E1st is to ‘Change beliefs, practices, systems and funding so that employment in the general workforce is the first and preferred outcome in the provision of publically funded services for all working age Iowans with disabilities, regardless of level of disability.’”  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Vocational Rehabilitation Services and Department of Human Services Agreement - 10/01/2014

“The purpose of this agreement is to establish a statewide system of coordinated, cost efficient vocational/employment services for people with developmental disabilities with minimal overlap of responsibility and maximum utilization of resources between the Iowa Vocational Rehabilitation Services, hereinafter referred to as IVRS, and the Iowa Department of Human Services, hereinafter referred to as DHS. This agreement will serve to clarify roles and responsibilities of IVRS and DHS in regard to common consumers.  This agreement is effective October 1, 2014, or the latest date of signature, through September 30, 2016.”

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Olmstead Plan for Mental Health and Disability Services: State plan framework (2011 - 2015) - 01/06/2011

“The Department of Human Service’s priorities for Olmstead Plan implementation include establishing the leadership, necessary partnerships and infrastructure for a service system expanding opportunities for competitive employment.”

The goals include: “Conducting targeted outreach to families and guardians of individuals with mental illness, brain injury and other disabilities to raise awareness of opportunities for community living, including competitive employment, by accessing available supports and services; … Analyzing current policies and practice regarding transition, and determine, with the engagement of the Department of Education, how these can be strengthened to support integrated employment as a preferred outcome for students moving into the adult service system".

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging
  • Data Sharing

Iowa Workforce Development Annual Report 2016

~~“…through our partnership with the DirectEmployers Association, we provide 10 microsites, which offer the opportunity to provide job information on mobile and hand-held devices. These sites are also search-engine optimized, and were developed at no cost to the state. The 10 microsites include:WORKINIOWA-DISABILITY.JOBSHelps employers reach the disability community. Helps employerscomply with Affirmative Action and Equal Employment OpportunityCommission efforts.” 

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement

Iowa Department of Education “Secondary Transition

“The ultimate goal of secondary transition planning is to make the adjustment from high school as easy, successful and as short as possible. Successful transition planning should begin early and be based on specific knowledge and experiences of targeted future environments and activities. It includes the commitment of resources, collaboration among people and agencies, and decision making to develop an IEP for the student.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Iowa Vocational Rehabilitation Services “Iowa Self-Employment” Brochure

IOWA SELF-EMPLOYMENT (ISE) PROGRAM

Iowa Self-Employment (ISE) is a program designed for clients of Iowa Vocational Rehabilitation Services (IVRS) or Iowa Department for the Blind (IDB), whose vocational goal is self-employment. This program is administered by IVRS and works in partnership with IDB. Following eligibility and self-employment assessment, a referral may be sent to ISE personnel. 

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • Cross-Agency Collaboration / Partnerships

Iowa Department on Aging “Senior Community Services Employment Program (SCSEP)

SCSEP participants are paid minimum wage while they gain marketable job skills working part-time in non-profit and public organizations, including senior centers, schools and libraries. The program provides a win-win for participants and their communities: Participants help community organizations extend their capabilities, while developing their own job skills, self-confidence and a restored sense of self-worth.

To participate in this employment program for older Iowans, a person must be:

Age 55 or older; Currently unemployed; Legally eligible to work in the United States; and Living in a household with income no more than 125 percent of the current federal poverty level. All disability payments, including Social Security Disability (SSDI), are excluded from SCSEP income eligibility determinations 25% of Social Security payment is excluded, which includes social security retirement and survivors benefits All Unemployment Compensation is excluded SSI & public assistance are excluded Veterans Benefits are excluded
Systems
  • Other
Topics
  • Customized Employment

Iowa Department of Human Services “Home- and Community-Based Services (HCBS) Transition Settings

The Centers for Medicare & Medicaid Services (CMS) have issued regulations that define the settings in which it is permissible for states to pay for Medicaid Home- and Community-Based Services (HCBS).  The purpose of these regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree as individuals who do not receive HCBS.

Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Department of Education “Secondary Transition – Guidance to Quality IEPs”

In Iowa, secondary transition planning should begin no later than the first IEP to be in effect when the child turns 14, or younger if determined appropriate by the IEP team.

The ultimate goal of transition planning is to make the adjustment from high school as easy and successful as possible.  It should be based on specific knowledge and experiences of targeted future environments and activities, as well as transition assessment information.

The transition of youth with disabilities from high school to learning, living and working in the community is a process that involves ongoing planning, preparation, and revision. It is not a single event or a series of isolated events

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Iowa Vocational Rehabilitation Services 2015-2018 Strategic Plan

“The State Plan is required to be submitted annually for approval by RSA in order for IVRS to receive Title 1 and Title VI Part B grant funds. The State Plan describes the administrative and operational activities of IVRS, in addition to specific areas that involve public input, waiting list information, an analysis of data, goal planning, and an evaluation of reported progress. Significant legislative changes occurred in July 2014, with the approval of the Workforce Innovation Opportunities Act (WIOA). This federal legislation will create opportunities for changes in service delivery, with a clear focus on increased accountability resulting in employment outcomes. Collaborative partnerships, dynamic service delivery focused on meeting the needs of our business customers, improved transition outcomes and services facilitating the transition into competitive community integrated employment settings for individuals with the most significant disabilities are just a few of the key points in the legislation.”

Systems
  • Department of Rehabilitation Services
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

IA Department for the Blind: Vocational Rehabilitation Services

“The Department's employment services are delivered through its Vocational Rehabilitation (VR) program. Our VR program helps blind or visually impaired Iowans prepare for, obtain and retain employment in a variety of occupations. Applicants are eligible for services based upon their visual disability, their need for employment services and their intent to work. You will work with a VR Counselor to jointly identify an employment goal and the services you need to achieve it.”

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Employer Engagement
  • Provider Transformation

Iowa DHS Disability Employment Vision and Initiatives

"Employment in the general workforce is the first priority and the expected and preferred outcome in the provision of publically funded services for all working age Iowan's with disabilities...By employment we mean: regular or customized employment in the general workforce, where employees with disabilities are earning at least minimum or prevailing wages and benefits. The Department of Human Services (DHS) is involved with a number of initiatives intended to increase the number of people with disabilities competitively employed."

Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
  • Other
Topics
  • Customized Employment
  • 14(c)/Income Security

Partnerships


“Increasing Employment for People with Disabilities” - 07/01/2017

~~“The Department of Human Services (DHS) is involved with a number of initiatives intended to increase the number of people with disabilities competitively employed including:

•State Employment Leadership Network (SELN): SELN's mission is to bring states together to improve employment outcomes for individuals with disabilities. SELN consultants help Iowa recognize the systemic barriers to employment for persons with disabilities and ways to overcome them.•Medicaid Infrastructure (MIG) Grant: This program ended in 2013. The purpose of MIG was to assist states with making improvements to their Medicaid programs that support the competitive employment of people with disabilities.•Employment First ("E1st"): Iowa is one of three states awarded an Office of Disability Employment Policy (ODEP) grant to promote systems change around improving employment outcomes and one of 26 States with an APSE sponsored initiative emphasizing integrated employment. Iowa E1st includes individuals with disabilities, family members, service providers, state human services and vocational staff, business leaders, and others. Iowa's Employment First Leadership State Mentor Program (EFLSMP) brings together Iowa Vocational Rehabilitation Services (IVRS) with DHS, IowaWORKS, the DD Council, the Iowa Association of Community Providers, and a family member, under the mentorship of the State of Washington.•Iowa Coalition for Integrated Employment: The Administration on Developmental Disabilities Grant awarded a $358,000 per year five year grant to the Developmental Disabilities Council. The grant will which brings together the DD Council, the Iowa Department of Education (DE), Iowa Vocational Rehabilitation Services (IVRS), and DHS to improve systems so that Iowa youth with a developmental disability have fully integrated, and competitive work opportunities. The grant will contract for 6 demonstration projects in an education environment and at least 3 demonstration projects with community rehabilitation providers. This project is called the Iowa Coalition for Integrated Employment (ICIE).•Iowa's Money follows the Person Grant (MFP): The Partnership for Community Integration Project is a federal Medicaid demonstration grant to assist with the transition of persons currently residing in ICFs/ID to communities of their choice. Employment plays an integral part in community inclusion and the goals of the project.”

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Workforce Development “Employment and Disability” - 08/24/2016

“Under the Workforce Investment Act of 1998, Regional Workforce Partners joined forces to create and operate a Regional Workforce Development System. The goal of this system is to provide high quality employment services to all individuals. This system is designed to be able to improve accessibility for job seekers with or without disabilities. Each IowaWORKS Center offers accommodations and assistive technology to increase or improve the functional capabilities of individuals with disabilities. Iowa Workforce Partners Iowa Workforce Development Iowa Department for the Blind Iowa Vocational Rehabilitation Services Iowa Department of Human Services Iowa Department of Human Rights/ Division of Persons with Disabilities Iowa Department of Education Iowa Developmental Disability Council Iowa Department on Aging”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other

Agreement between Iowa Vocational Rehabilitation Services and the Iowa Department of Education - 10/13/2015

“The purpose of this agreement is to facilitate the integration and coordination of transition services from school to post-secondary education and/or employment, for individuals with disabilities who are enrolled in secondary education and are eligible, or potentially eligible, to receive vocational rehabilitation services.” 

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa DHS: Stakeholder Brief by SELN - 03/15/2013

“Iowa Department of Human Services (DHS) has been keenly focused on improving opportunities for Iowans with disabilities to become employed in quality jobs in Iowa communities since 2000 when first awarded a Medicaid Infrastructure Grant (MIG), a federal program providing financial assistance to states to facilitate the competitive employment of people with disabilities. Iowa’s Mental Health and Disability Services (MHDS) and Iowa’s Medicaid Enterprise (IME), both divisions of DHS, have been working together along with their stakeholders, to improve employment outcomes for individuals with disabilities with a particular focus on individuals with intellectual and developmental disabilities (I/DD) in Iowa.”

 
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Olmstead Consumer Taskforce Position Statement on Employment - 01/11/2013

“The State of Iowa has been working for over a decade to support employment outcomes by raising awareness of federal work incentives for people concerned about losing Social Security, Medicare or Medicaid benefits, and by focusing attention on the transition of young people with disabilities from school to work and independent living. In the last three years this work has been accelerated and enhanced under the Employment First, State Employment Leadership Network, the Iowa Coalition for Integrated Employment, and other initiatives.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa Disability Employment Interagency Memorandum of Agreement - 10/01/2012

“An updated Interagency Memorandum of Agreement (MOA) to Strengthen Employment Services for Iowans with Disabilities focused on competitive, community-based, integrated employment was signed in October, 2012 by eight State agencies and updated in January, 2015. Updates reflect changes in the federal regulations related to WIOA. “

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Memorandum of Agreement between the Iowa Vocational Rehabilitation Services and the The Iowa Department of Human Services

The purpose of this agreement is to establish a statewide system of coordinated, cost efficient vocational/employment services for people with developmental disabilities with minimal overlap of responsibility and maximum utilization of resources between the Iowa Vocational Rehabilitation Services, hereinafter referred to as IVRS, and the Iowa Department of Human Services, hereinafter referred to as DHS. This agreement will serve to clarify roles and responsibilities of IVRS and DHS in regard to common consumers.  This agreement is effective October 1, 2014, or the latest date of signature, through September 30, 2016.

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa Transition Alliance Program

 “The Transition Alliance Program (TAP) is a partnership between Community School Districts and Iowa Vocational Rehabilitation Services (IVRS).  Participants of TAP receive assistance in the areas of vocational training, independent living, and post-secondary education.  Our goal is for young adults to develop positive work skills in order to obtain and maintain community employment.  TAP participants will receive follow-up services to assure long-term job success!”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa State Rehabilitation Council

“The State Rehabilitation Council (SRC), with members appointed by the Governor, has been in operation since January 1993, providing advice and direction to the Department of Education's Iowa Vocational Rehabilitation Services (IVRS) on the quality and effectiveness of programs and services. The SRC, which is comprised of a majority of individuals with disabilities, is a vital link to the constituency groups which IVRS serves or through which it procures its goods and services. The Council's goal is to seek and improve the quality of employment outcomes and community participation. The SRC is mandated by the Rehabilitation Act to have at least 15 voting members.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Vocational Rehabilitation Services (IVRS) Partners Page

The IVRS Partners Page presents a list, with links, to the various partnerships in which IVRS takes part to achieve its mission of serving persons with disabilities. Some of the partnerships include the Community Rehabilitation Program (CRP), the MOA between IVRS and DHS, the Rehabilitation Services Administration, the State Rehabilitation Council, and the Transition Alliance Program, among others.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Iowa Employment First Initiative

“In 2009 representatives of Community Rehabilitation Providers (CRP), Iowa Disability Navigator Program (DPN), the Governor’s Developmental Disability Council, the Iowa Chapter of APSE: The Employment Network (IA-APSE), Iowa Vocational Rehabilitation Services (IVRS), and the Medicaid Infrastructure Grant (MIG) began planning for the Iowa Employment First Initiative.”   The goals for the Initiative include:  “Goal 1. Policies and funding are aligned with Employment First and strong partnerships remove barriers. Goal 2. Individuals with disabilities and family members advocate for Employment First and participate in the design of employment services and supports. Goal 3: Businesses influence businesses to create employment opportunities for people with disabilities Goal 4: Best practices drive transition outcomes for living, working and learning.”    
Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Iowa Coalition for Integrated Employment

“The Iowa Coalition for Integrated Employment’s consortium includes representatives from the Iowa DD Council, Iowa Department of Education, Iowa VR and the Department of Human Services. The partners have a history of routinely working together on employment and transition issues and projects for youth with disabilities. Other partners include representatives from Iowa APSE, individuals with developmental disabilities and family members.”
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa VR: SSA Ticket to Work Program

“The Ticket to Work program is a federal program for Social Security disability beneficiaries age 18 through 64 who receive SSDI or SSI benefits based on a disability and would like to work. It is designed to provide help and support for those beneficiaries who desire to regain financial independence through employment. The program is free; it is voluntary and offers work incentives that allow benefits to continue during the transition to employment. IVRS partners with other Employment Networks (ENs) to ensure our job candidates receive ongoing services once on the job.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Medicaid Agencies
  • Other
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


Iowa Disability Employment Initiative (Round 6) - 11/01/2016

IADEI will hire five Disability Resource Coordinators and will link a variety of initiatives to make the vision of the Workforce Innovation and Opportunity Act real for all Iowans. IADEI will increase access to and participation in local Career Pathway models in the current five local workforce regions through a  partnership between eight state agencies and the Department of Labor. State Leadership Agencies will work with local WDBs to strengthen disability integration in service through the implementation of three DEI strategies currently being implemented under its Round 3 DEI project  
Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Iowa Disability Employment Initiative (Round 3) - 10/01/2012

The Disability Employment Initiative (DEI) is a three-year federal grant-funded program that improves education, training, employment opportunities, and employment outcomes for people who are unemployed, underemployed, and/or receiving Social Security disability benefits. In 2012, Iowa was awarded a Round 3 DEI grant from the U.S. Department of Labor’s Employment Training Administration. 

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Medicaid Agencies
Topics
  • Asset Development / Financial Capability
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Iowa Balancing Incentive Program - 07/01/2012

“The Balancing Incentive Program (BIP) is a provision of the Patient Protection and Affordable Care Act that is designed to ‘balance’ states’ spending on long term supports and services (LTSS). Iowa began participation in the BIP program in 2012 with an anticipated $61 million in enhanced Federal Medical Assistance Percentages (FMAP) for Medicaid to provide persons with greater access to home and community based services (HCBS) and reduces unnecessary reliance on institutional services. To accomplish this objective, the program has three major structural reforms for the current LTSS system: No Wrong Door (NWD): This implements specific steps to streamline access to services; Core Standardized Assessments (CSA): This [improves] efficiency, consistency and fairness in eligibility determination and assessments for LTSS; [and] Conflict-Free Case Management (CFCM): This ensures conflict-free case management throughout LTSS systems.”

 
Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Employment First Initiative: Statement of FIndings - 10/01/2011

“In 2009 representatives of Community Rehabilitation Providers (CRP), Iowa Disability Navigator Program (DPN), the Governor’s Developmental Disability Council, the Iowa Chapter of APSE: The Employment Network (IA-APSE), Iowa Vocational Rehabilitation Services (IVRS), and the Medicaid Infrastructure Grant (MIG) began planning for the Iowa Employment First Initiative...The goals for the Initiative include:

Goal 1. Policies and funding are aligned with Employment First and strong partnerships remove barriers.

Goal 2. Individuals with disabilities and family members advocate for Employment First and participate in the design of employment services and supports.

Goal 3: Businesses influence businesses to create employment opportunities for people with disabilities

Goal 4: Best practices drive transition outcomes for living, working and learning.”

 
Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Iowa SAMHSA Employment Development Initiative

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI)”. In 2012, Iowa was awarded an EDI grant for self-employment initiatives. 

Systems
  • Department of Mental Health
  • Other
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

ODEP Employment First State Leadership Mentor Program

“Each state will receive funding to assist them to develop and implement their strategic plan and will have access to on-site, customized technical assistance from national subject-matter experts to help them achieve their goals. In addition the states will be able to discuss their progress with other states who are working in this area through regularly scheduled Community-of-Practice teleconference calls.” “Iowa intends to build on its current Employment First Initiative in order to move state policies and funding structures with the explicit intent to increase integrated employment outcomes for people with significant disabilities. Participation in the EFSLMP will enable Iowa to study, and consider adopting, policies and funding mechanisms that emphasize interagency collaboration that result in service delivery that prioritizes integrated employment. Iowa Vocational Rehabilitation Services will lead its EFSLMP.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Customized Employment
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Iowa Money Follows the Person

“Money Follows the Person (MFP) Partnership for Community Integration Project is a $51 million grant from the Centers for Medicareid and Medicaid Services. It will provide opportunities for individuals in Iowa to move out of Intermediate Care Facilities for Persons with Intellectual Disability (ICF/ID) and into their own homes in the community of their choice. Individuals living in Nursing Facilities may also qualify. Grant funds provide funding for the transition services and enhanced supports needed for the first year after they transition into the community. MFP assistance is available to individuals with a diagnosis of an Intellectual Disability or Brain Injury who has lived in an ICF/ID or a Nursing Facility for at least three months. The individual must express an interest moving from the ICF/ID or Nursing Facility into the community.” 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Iowa AIDD Partnerships in Employment Systems Change Grant

The Iowa Coalition for Integrated Employment’s consortium includes representatives from various government and advocacy agencies and organizations. The objections of the coalition  are: “Develop a  Readiness for Change Plan  for systems change related to integrated, competitive employment for youth with DD; develop an outcome measurement system to measure employment success; increase the placement and support services early in high school that result in uninterrupted transition to employment; develop the capacity of service providers to promote integrated competitive employment for youth with DD; increase expectations and demands for fully integrated, competitive employment opportunities for youth with DD; and align policies, practices, and funding with employment expectations.”
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Data Sharing

Training/Capacity Building


Benefits Planning (Webinar links) - 02/14/2017

~~“The Iowa Community of Practice archived webinars are now on the ICIE YouTube channel and available to anyone any time! Eventually, IACP will be adding the webinars to their global lessons (available for any provider to use) on the DirectCourse system.  Each lesson will be paired with a generic test to confirm that the content was reviewed, and be tracked on their professional training transcript.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Iowa Employment First Guidebook - 01/01/2017

“This Guidebook was created to provide case managers, care managers, service coordinators and integrated health home coordinators with critical information, resources and tools to help them do the best possible job of assisting transition-age youth and working-age adults with disabilities they support to work.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • School-to-Work Transition
  • Mental Health
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Iowa Self Employment Program Success Stories - 07/29/2014

“This publication will introduce you to a fascinating collection of Iowa entrepreneurs who have found creative ways to leverage their skills, talents, abilities, resources, and social connections into their perfect job – not by finding employment, but by creating it.”

Systems
  • Department of Mental Health
Topics
  • Self-Employment

Iowa Employment First Summit - 10/04/2012

“The IA-APSE Employment Summit was designed for individuals with disabilities, family members, Community Rehabilitation Provider staff, state agency personnel, case managers and other community members committed to improving employment outcomes for Iowans with disabilities.  It features national, as well as local speakers sharing progressive and innovative best practice information and strategies to move the agenda of inclusive employment forward.”   
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa's Integrated Employment Funding System Supplemental Report - 09/17/2012

This report is looking at building the capacity and expertise of employment specialists to support individual, integrated employment outcomes. MHDS is encouraged to consider what to include in an Employment Supports Core Training, how to provide ongoing professional development, and ideas for offering provider-level training and technical assistance.

 
Systems
  • Department of Mental Health
Topics
  • Self-Employment
  • Mental Health
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Iowa VR Services Forms - The Discovery Staging Record - 09/10/2011

“This form is used to stage, structure, capture and record the major events of Discovery. The recorder(s) should pay particular attention to how the tasks are typically performed, any accommodations, technology, supports, or specialized training strategies that should be employed.” Discovery is a key tool in finding community-based, integrated employment through the customized employment process.

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Provider Transformation

Iowa Community of Practice Training Sessions for 2017

~~This document gives information on the training sessions that will be done in 2017 including benefits planning, employer engagement, and school to work transition

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability

Employment First Initiatives

~~“Increasing economic self-sufficiency is a major goal of working. Several years ago CDD published a compressive report on self-sufficiency and asset development strategies and helpful hints about employment related supports. This information, while several years old in still applicable today.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

REM Iowa

~~“Since 1979, REM Iowa has provided quality services to adults and children with intellectual and developmental disabilities and other complex challenges. We also offer services for adults with brain injuries and provide a range of programs, including residential services and day and vocational programs. Our personalized approach maximizes each person’s unique efforts to learn, grow and thrive in the communities they call home. REM Iowa is a partner of The MENTOR Network, a national network of local health and human services providers offering an array of quality, community-based services across the country .”

Systems
  • Department of Rehabilitation Services
Citations

Iowa WIOA Webinar

“This webinar covers the basics of the Workforce Innovation and Opportunity Act (WIOA) in regards to high school students, including Section 511 and highlights from the Memorandum of Agreement between Iowa Vocational Rehabilitation Services and the Iowa Department of Education.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Employment First Website

“Through the efforts of the Iowa Employment First Leadership Team, which has benefited from consultation, technical assistance and financial assistance by participating in the Office of Disability and Employment Policy's Employment First Program, competitive community-integrated employment is moving forward in Iowa. Collaboration has occurred with the Iowa Coalition of Integrated Employment and the Disability Employment Initiative, resulting in increased attention and partnering across the state with employment efforts. Please enjoy the resources on this site and we hope it will provide value in the discussion of Employment First Opportunities!”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • School-to-Work Transition
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Iowa VR Services Forms - Referral Action Plan

This worksheet helps job seekers plan their employer engagement approach by encouraging them to list 10 specific actions that they will take to build their referral business.

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement

Iowa VR Services Forms - Negotiation Model

This worksheet serves as a guide and overview of the stages and components in strategic job negotiation. Job negotiation is a core component to customized employment and assists employers in understanding how an employee with disabilities can most effectively serve their business while gaining fulfillment from their job.

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Employer Engagement

Iowa Employment First Webinars

Iowa receives technical assistance through the Employment First initiative.  Trainings include webinars on different aspects of Customized Employment, parental involvement, and employment best practices for people with disabilities.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Education
Topics
  • Customized Employment

Enforcement

No Enforcement have been entered for this state.

Medicaid & Employment


Money Follows the Person (MFP) Update - 01/01/2017

~~“The Money Follows the Person (MFP) demonstration program is a collaborative partnership between DHS’s Iowa Medicaid Enterprise (IME) and the Center for Disabilities and Development (CDD). This program, funded through the Centers for Medicare and Medicaid Services (CMS) provides opportunities for individuals with intellectual disabilities, or other related disabilities, to move out of intermediate care facilities for individuals with intellectual disabilities and into their own homes or apartments in the community of their choice. Individuals living in nursing homes may also qualify. MFP grant funding (which CDD worked with the IME to obtain) provides for transition services and enhanced supports needed for the first year after an individual moves into the community. Under a contract with IME, nine Transition Specialists from CDD are deployed throughout the state to provide transition planning services, community options awareness, training, and ongoing support and care coordination to individuals with disabilities, their families and facility-based and community-based providers. In addition CDD has employed an Employment Specialist to address employment barriers faced by MFP participants.  CDD also employs a MFP Project Coordinator stationed at IME. This position provides oversight for the statewide project and coordinates the grant related activities. CDD also employs a Behavioral Specialist to provide training and consultation to providers, consumers and families who are assisting a person that may be experiencing challenging behaviors.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Iowa Department of Human Services “HCBS Prevocational and Supported Employment Service - 09/01/2016

“This letter is to serve as notification that in order to comply with the federal correct coding guidelines the IME will be introducing Level II Healthcare Common Procedure Coding System (HCPCS) codes for Tier 1 Long Term Job Coaching and for Individual Supported Employment and to provide clarification regarding a unit of service for Individual Supported Employment…. For services with a date of service beginning September 1, 2016, or after, the service must be authorized and billed using the HCPCS procedure code and the HCP CS Level II modifieras follows :• H2025 U4 for Tier 1 of Long Term Job Coaching • T2018 UC for Individual Supported Employment.”

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa HCBS Statewide Transition Plan - 01/29/2016

“Federal regulations that became effective on March 17, 2014 define the settings in which it is permissible for states to pay for Medicaid Home and Community-Based Services (HCBS). The purpose of these regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree as individuals who do not receive HCBS.” 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Approval of the HCBS Waiver Settings Statewide Transition Plan (STP) - 09/14/2014

“The state is responsible for the development and implementation of a Statewide Transition Plan (STP) to ensure full compliance with the CMS regulations. A proposed STP was posted for public comment in February 2016. The IME reviewed and responded to the public comments in March and on April 1, 2016, submitted a draft STP to CMS that incorporated the public comments and feedback received. Over the past several months the IME has been working with CMS to make technical corrections and clarifications to the submitted transition plan. On August 10, 2016, the IME received notice from CMS of the initial approval of the STP. The approved STP and the CMS initial approval letter are available on the DHS web page, Waiver Draft Transition Plans and the Statewide Transition Plan.”

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Brain Injury Waiver - 09/15/2009

“BI Waiver services are individualized to meet the needs of each member. The following services are available: • Adult Day Care • Behavioral Programming • Case Management • Consumer Directed Attendant Care • Family Counseling and Training • Home and Vehicle Modifications • Interim Medical Monitoring and Treatment • Personal Emergency Response System • Prevocational Services • Respite • Specialized Medical Equipment • Supported Community Living • Supported Employment • Transportation • Consumer Choices Option”  

 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Iowa HCBS Intellectual Disability Waiver - 09/15/2009

“ID Waiver services are individualized to meet the needs of each member. The following services are available:

• Adult Day Care

• Consumer Directed Attendant Care (CDAC)

• Day Habilitation

• Home and Vehicle Modifications

• Home Health Aide

• Interim Medical Monitoring and Treatment

• Nursing

• Personal Emergency Response System

• Prevocational

• Respite

• Supported Community Living

• Supported Community Living-Residential Based

• Supported Employment

• Transportation

• Consumer Choices Option”

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

HCBS Prevocational and Supported Employment Services “Prevocational–Career Exploration”

“Prevocational –Career Exploration ….The outcome of this service is documentation of the participant’s stated career objective and a career plan used to guide individual employment support. ‘“Supported employment’” means the ongoing supports to participants who, because of their disabilities, need intensive ongoing support to obtain and maintain an individual job in competitive or customized employment, or self-employment, in an integrated work setting in the general workforce at or above the state’s minimum wage or at or above the customary wage and level of benefits paid by the employer for the same or similar work performed by individuals without disabilities. The outcome of this service is sustained paid employment at or above the minimum wage in an integrated setting in the general workforce in a job that meets personal and career goals. Supported employment services can be provided through many different service models.

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

HCBS Waivers and Amendments

Effective May 04, 2016 the department intends to begin using the InterRAI standardized assessment tool for the purposes of level of care determination and service planning for the HCBS Brain Injury, Children’s Mental Health, Elderly, Health and Disability, Physical Disability and AIDS/HIV waivers. The department also intends to implement the InterRAI for the purposes of needs based eligibility determination and service planning for the HCBS Habilitation program.

Effective May 04, 2016 the department intends to implement changes to the Prevocational and Supported Employment services provider qualifications, service scope and definitions and reimbursement methodologies. Prevocational and Supported Employment services are currently covered as a benefit under two of the seven waivers. Prevocational and Supported Employment services are available under the following HCBS waivers; Brain Injury (BI), and Intellectual Disability (ID).

Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Department of Human Services “Home- and Community-Based Services (HCBS) Transition Settings

The Centers for Medicare & Medicaid Services (CMS) have issued regulations that define the settings in which it is permissible for states to pay for Medicaid Home- and Community-Based Services (HCBS).  The purpose of these regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree as individuals who do not receive HCBS.

Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Money Follows the Person Partnership for Community Integration Project

“Money Follows the Person (MFP) Partnership for Community Integration Project is a $51 million grant from the Centers for Medicare and Medicaid Services (CMS). It will provide opportunities for individuals in Iowa to move out of Intermediate Care Facilities for Persons with Intellectual Disabilities (ICF/ID) and into their own homes in the community of their choice. Individuals living in Nursing Facilities may also qualify. Grant funds provide funding for the transition services and enhanced supports needed for the first year after they transition into the community. MFP assistance is available to individuals with a diagnosis of an Intellectual Disability or Brain Injury who has lived in an ICF/ID or a Nursing Facility for at least three months. The individual must express an interest moving from the ICF/ID or Nursing Facility into the community.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Iowa Medicaid State Plan

A State Plan is a contract between a state and the Federal Government describing how that state administers its Medicaid program. It gives an assurance that a state abides by Federal rules and may claim Federal matching funds for its Medicaid program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative requirements that States must meet to participate. States frequently send a state plan amendment, otherwise referred to as a SPA, to the Centers for Medicare and Medicaid Services (CMS) for review and approval. There are many reasons why a state might want to amend their state plan.

Systems
  • Medicaid Agencies
  • Other

Iowa Medicaid Balancing Incentive Payments Program

“The Balancing Incentive Program (BIPP) is a provision of the Patient Protection and Affordable Care Act that is designed to ‘balance’ states’ spending on long term supports and services (LTSS). Iowa began participation in the BIP program in 2012 with an anticipated $61 million in enhanced Federal Medical Assistance Percentages (FMAP) for Medicaid to provide persons with greater access to home and community based services (HCBS) and reduces unnecessary reliance on institutional services. To accomplish this objective, the program has three major structural reforms for the current LTSS system: No Wrong Door (NWD): This implements specific steps to streamline access to services; Core Standardized Assessments (CSA): This [improves] efficiency, consistency and fairness in eligibility determination and assessments for LTSS; [and] Conflict-Free Case Management (CFCM): This ensures conflict-free case management throughout LTSS systems.”

Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

States - Small Tablet

Snapshot

The motto of the state of Iowa is, "Our Liberties We Prize and Our Rights We Will Maintain." For Iowans with disabilities, this includes the liberties that come with having a job, and equal rights to real work for real pay.

State VR Rates and Services

A list of services offered by this state’s Vocational Rehabilitation agency, along with the standard rates paid for the performance of those services.

PDF icon Iowa’s VR Rates and Services

2015 State Population.
0.54%
Change from
2014 to 2015
3,123,899
2015 Number of people with disabilities (all disabilities, ages 18-64).
1.98%
Change from
2014 to 2015
180,139
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
1.53%
Change from
2014 to 2015
83,391
2015 Percentage of working age people who are employed (all disabilities).
-0.45%
Change from
2014 to 2015
46.29%
2015 Percentage of working age people who are employed (NO disabilities).
0.24%
Change from
2014 to 2015
82.37%

State Data

General

2013 2014 2015
Population. 3,090,416 3,107,126 3,123,899
Number of people with disabilities (all disabilities, ages 18-64). 181,561 176,576 180,139
Number of people with disabilities who are employed (all disabilities, ages 18-64). 81,421 82,111 83,391
Number of people without disabilities who are employed (ages 18-64). 1,384,715 1,393,306 1,397,255
Percentage of working age people who are employed (all disabilities). 44.84% 46.50% 46.29%
Percentage of working age people who are employed (NO disabilities). 82.07% 82.17% 82.37%
Overall unemployment rate. 4.80% 4.40% 3.80%
Poverty Rate (all disabilities). 20.50% 18.90% 19.10%
Poverty Rate (NO disabilities). 11.60% 11.40% 11.20%
Number of males with disabilities (all ages). 176,497 179,117 184,113
Number of females with disabilities (all ages). 181,233 174,313 183,923
Number of Caucasians with disabilities (all ages). 333,343 328,026 343,674
Number of African Americans with disabilities (all ages). 10,687 12,318 10,934
Number of Hispanic/Latinos with disabilities (all ages). 12,702 11,345 12,119
Number of American Indians/Alaska Natives with disabilities (all ages). 1,382 1,904 1,743
Number of Asians with disabilities (all ages). 3,248 2,990 2,912
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A N/A
Number of with multiple races disabilities (all ages). 5,674 6,318 6,031
Number of others with disabilities (all ages). 3,378 1,874 2,405

 

SSA OUTCOMES

2013 2014 2015
Number of SSI recipients with disabilities who work. 6,219 6,289 6,432
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 12.70% 12.70% 13.10%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 77,493 78,016 78,222

 

MENTAL HEALTH OUTCOMES

2013 2014 2015
Number of mental health services consumers who are employed. 9,446 6,262 3,407
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 17,145 11,689 6,500
Number of adults served who have a known employment status. 22,202 17,083 11,312
Percentage of all state mental health agency consumers served in the community who are employed. 42.50% 36.70% 30.10%
Percentage of supported employment services evidence based practices (EBP). N/A N/A N/A
Percentage of supported housing services evidence based practices (EBP). N/A N/A N/A
Percentage of assertive community treatment services evidence based practices (EBP). 0.60% 0.50% N/A
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. N/A N/A N/A
Number of evidence based practices (EBP) supported housing services. N/A N/A N/A
Number of evidence based practices (EBP) assertive community treatment services. 357 333 N/A
Number of evidence based practices (EBP) medications management. N/A N/A N/A

 

WAGNER PEYSER OUTCOMES

2013 2014 2015
Number of registered job seekers with a disability. 4,499 4,688 3,776
Proportion of registered job seekers with a disability. 0.03 0.03 0.03

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2012 2013 2014
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 499 1,200 1,842
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 205 409 625
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 41.00% 34.00% 34.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 6.67 13.23 20.01

 

VR OUTCOMES

2014 2015 2016
Total Number of people served under VR.
3,696
4,047
N/A
Number of people with visual impairments served under VR. 24 22 N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 225 217 N/A
Number of people with physical impairments served under VR. 873 841 N/A
Number of people cognitive impairments served under VR. 1,492 1,664 N/A
Number of people psychosocial impairments served under VR. 1,037 1,266 N/A
Number of people with mental impairments served under VR. 45 37 N/A
Percentage of overall closures into employment under VR. 39.00% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 3,346 4,083 4,820
Number of eligible ticket to work beneficiaries. 113,438 114,890 115,302
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A N/A N/A
Total number of ID competitive labor market closures. 311 N/A N/A

 

IDD OUTCOMES

2012 2013 2014
Dollars spent on day/employment services for integrated employment funding. $7,712,000 $7,727,000 $9,051,000
Dollars spent on day/employment services for facility-based work funding. $27,222,000 $22,569,000 $22,135,000
Dollars spent on day/employment services for facility-based non-work funding. $29,587,000 $32,911,000 $48,932,000
Dollars spent on day/employment services for community based non-work funding. $8,062,000 $5,248,000 $0
Percentage of people served in integrated employment. 21.00% 17.00% 16.00%
Number of people served in community based non-work. 0 0 0
Number of people served in facility based work. 2,461 3,208 3,603
Number of people served in facility based non-work. 5,106 7,603 8,713
Number supported in integrated employment per 100,000 individuals in the general state population. 65.50 70.80 77.50

 

EDUCATION OUTCOMES

2012 2013 2014
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 64.03% 64.51% 64.92%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 8.37% 8.38% 8.60%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.33% 1.83% 1.80%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 68.21% 85.21% 87.56%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 39.95% 33.51% 30.71%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 66.26% 59.15% 58.57%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 93.17% 78.74% 83.14%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 26.31% 25.64% 27.86%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 630,402
Number of overall total blind and SD workers. 532
Number of AbilityOne blind and SD hours (products). 9
Number of AbilityOne blind and SD hours (services). 63,088
Number of AbilityOne blind and SD hours (combined). 63,097
Number of AbilityOne blind and SD workers (products). 4
Number of AbilityOne blind and SD workers (services). 108
Number of AbilityOne blind and SD workers (combined). 112
AbilityOne wages (products). $26
AbilityOne wages (services). $785,430

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2014 2015 2016
Number of 14(c) certificate-holding businesses. 0 0 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 68 54 61
Number of 14(c) certificate holding patient workers. N/A 3 4
Total Number of 14(c) certificate holding entities. N/A 57 65
Reported number of people with disabilities working under 14(c) certificate-holding businesses. N/A 0 0
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 0 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 4,817 5,668
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 303 410
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 5,120 6,078

 

Legislation


Iowa HF 572, Concerning who Consitatue the Membership of the State WIB - 07/01/2017

~~“An Iowa workforce development board is created,….” the law describes who will make up the 33 voting members and 13 non-voting of the board including the governor, a state senator, a state representative, the director of the Departments of Workforce Development, Education, the Blind, and Vocational Rehabilitation or their designees, and a number of members drawn from the business community, groups who work with persons with disabilities and other departments.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Employer Engagement
  • WIOA

Iowa SF 505 - 07/02/2015

"An Iowa ABLE savings plan trust is created…The general assembly finds that the general welfare and well-being of the state are directly related to the health, maintenance, independence, and quality of life of its disabled residents,and that a vital and valid public purpose is served by the creation and implementation of programs that encourage and make possible savings to secure funding for disability-related expenses on behalf of individuals with disabilities …"

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Iowa Employer Tax Incentive - 10/24/2012

For tax years beginning on or after January 1, 1984...a taxpayer who operates a business which is considered to be a small business…is allowed an additional deduction for 50 percent of the first 12 months of wages paid or accrued during the tax years for work done in Iowa by employees first hired on or after January 1, 1984…where the taxpayer first qualifies as a small business….and meets one of the following criteria: A handicapped individual domiciled in this state at the time of hiring. An individual domiciled in this state at the tie of hiring…  
Systems
  • Other
Topics
  • Asset Development / Financial Capability
  • Employer Engagement

Iowa Assistive Device Tax Credit

  The taxes imposed under this division shall be reduced by an assistive device tax credit.  A small business purchasing, renting, or modifying an assistive device or making workplace  modifications for an individual with a disability who is employed or will be employed by the small business is eligible, subject to availability of credits, to receive this assistive device tax credit which is equal to fifty percent of the first five thousand dollars paid during the tax year for the purchase, rental, or modification of the assistive device or for making the workplace modifications.  Any credit in excess of the tax liability shall be refunded with interest computed under section 422.25…

Systems
  • Other
Topics
  • Asset Development / Financial Capability
  • Employer Engagement

Executive Orders


Iowa Executive Order 27 - 02/04/2003

“Recognizing that the breadth and complexity of the issues required a coordinated inter-agency response, in 2003 Governor Vilsack issued Executive Order 27 calling upon state agencies to identify the barriers to community living posed by their policies and programs and to develop plans to remove them. Executive Order 27 also created the current Olmstead Consumer Taskforce to advise the Governor’s Office on strategies to promote community integration, including changes in policies or programs.”

NOTE: While Executive Order 27 mentioned employment only in general terms, the Olmstead Plan developed with assistance from the Taskforce specifically supports integrated, competitive employment.

 
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Policy


Iowa Vocational Rehabilitation Services - 08/01/2016

“Under WIOA regulations, IVRS is required to spend 15% of our federal grant resources towards Pre-Employment Transition Services. We have a number of initiatives that are being designed and implemented for this effort. For example, programs and initiatives such as: TAP (Transition Alliance Programs)’ Project Search, Youth Leadership Forum, Intermediary Network, Work-Based Learning, Construction Simulator, zSpace, and our Summer Camp activities are all examples of PETS initiatives.”

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition

Limitations on the Use of Subminimum Wage - 07/22/2016

“The addition of Section 511 demonstrates the intent that individuals with disabilities, especially youth with disabilities, must be afforded a full opportunity to prepare for, obtain, maintain, advance in, or reenter competitive integrated employment. Section 511 imposes limitations on employers who hold special wage certificates, commonly known as 14(c) certificates, under the Fair Labor Standards Act (FLSA) that must be satisfied before the employers may hire youth with disabilities at subminimum wage or continue to employ individuals with disabilities of any age at the subminimum wage level. (the link opens a Word Document) “

Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • 14(c)/Income Security

IA Department of Human Services Report of Joint Protocols and Program Models - 12/15/2014

“IVRS and DHS are key collaborators in EFSLMP.  “IVRS is the lead agency, but DHS has committed to staff and management resources and time. … Iowa has a “grassroots Employment First (E1st) initiative that influences the state’s employment service delivery system and involves a broad range of collaborators.   …“Iowa’s E1st Vision is that “‘Iowans with disabilities are employed at the same rate as other Iowans and receiving equal benefits.’”  The Mission of E1st is to ‘Change beliefs, practices, systems and funding so that employment in the general workforce is the first and preferred outcome in the provision of publically funded services for all working age Iowans with disabilities, regardless of level of disability.’”  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Vocational Rehabilitation Services and Department of Human Services Agreement - 10/01/2014

“The purpose of this agreement is to establish a statewide system of coordinated, cost efficient vocational/employment services for people with developmental disabilities with minimal overlap of responsibility and maximum utilization of resources between the Iowa Vocational Rehabilitation Services, hereinafter referred to as IVRS, and the Iowa Department of Human Services, hereinafter referred to as DHS. This agreement will serve to clarify roles and responsibilities of IVRS and DHS in regard to common consumers.  This agreement is effective October 1, 2014, or the latest date of signature, through September 30, 2016.”

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Olmstead Plan for Mental Health and Disability Services: State plan framework (2011 - 2015) - 01/06/2011

“The Department of Human Service’s priorities for Olmstead Plan implementation include establishing the leadership, necessary partnerships and infrastructure for a service system expanding opportunities for competitive employment.”

The goals include: “Conducting targeted outreach to families and guardians of individuals with mental illness, brain injury and other disabilities to raise awareness of opportunities for community living, including competitive employment, by accessing available supports and services; … Analyzing current policies and practice regarding transition, and determine, with the engagement of the Department of Education, how these can be strengthened to support integrated employment as a preferred outcome for students moving into the adult service system".

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging
  • Data Sharing

Iowa Workforce Development Annual Report 2016

~~“…through our partnership with the DirectEmployers Association, we provide 10 microsites, which offer the opportunity to provide job information on mobile and hand-held devices. These sites are also search-engine optimized, and were developed at no cost to the state. The 10 microsites include:WORKINIOWA-DISABILITY.JOBSHelps employers reach the disability community. Helps employerscomply with Affirmative Action and Equal Employment OpportunityCommission efforts.” 

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement

Iowa Department of Education “Secondary Transition

“The ultimate goal of secondary transition planning is to make the adjustment from high school as easy, successful and as short as possible. Successful transition planning should begin early and be based on specific knowledge and experiences of targeted future environments and activities. It includes the commitment of resources, collaboration among people and agencies, and decision making to develop an IEP for the student.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Iowa Vocational Rehabilitation Services “Iowa Self-Employment” Brochure

IOWA SELF-EMPLOYMENT (ISE) PROGRAM

Iowa Self-Employment (ISE) is a program designed for clients of Iowa Vocational Rehabilitation Services (IVRS) or Iowa Department for the Blind (IDB), whose vocational goal is self-employment. This program is administered by IVRS and works in partnership with IDB. Following eligibility and self-employment assessment, a referral may be sent to ISE personnel. 

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • Cross-Agency Collaboration / Partnerships

Iowa Department on Aging “Senior Community Services Employment Program (SCSEP)

SCSEP participants are paid minimum wage while they gain marketable job skills working part-time in non-profit and public organizations, including senior centers, schools and libraries. The program provides a win-win for participants and their communities: Participants help community organizations extend their capabilities, while developing their own job skills, self-confidence and a restored sense of self-worth.

To participate in this employment program for older Iowans, a person must be:

Age 55 or older; Currently unemployed; Legally eligible to work in the United States; and Living in a household with income no more than 125 percent of the current federal poverty level. All disability payments, including Social Security Disability (SSDI), are excluded from SCSEP income eligibility determinations 25% of Social Security payment is excluded, which includes social security retirement and survivors benefits All Unemployment Compensation is excluded SSI & public assistance are excluded Veterans Benefits are excluded
Systems
  • Other
Topics
  • Customized Employment

Iowa Department of Human Services “Home- and Community-Based Services (HCBS) Transition Settings

The Centers for Medicare & Medicaid Services (CMS) have issued regulations that define the settings in which it is permissible for states to pay for Medicaid Home- and Community-Based Services (HCBS).  The purpose of these regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree as individuals who do not receive HCBS.

Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Department of Education “Secondary Transition – Guidance to Quality IEPs”

In Iowa, secondary transition planning should begin no later than the first IEP to be in effect when the child turns 14, or younger if determined appropriate by the IEP team.

The ultimate goal of transition planning is to make the adjustment from high school as easy and successful as possible.  It should be based on specific knowledge and experiences of targeted future environments and activities, as well as transition assessment information.

The transition of youth with disabilities from high school to learning, living and working in the community is a process that involves ongoing planning, preparation, and revision. It is not a single event or a series of isolated events

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Iowa Vocational Rehabilitation Services 2015-2018 Strategic Plan

“The State Plan is required to be submitted annually for approval by RSA in order for IVRS to receive Title 1 and Title VI Part B grant funds. The State Plan describes the administrative and operational activities of IVRS, in addition to specific areas that involve public input, waiting list information, an analysis of data, goal planning, and an evaluation of reported progress. Significant legislative changes occurred in July 2014, with the approval of the Workforce Innovation Opportunities Act (WIOA). This federal legislation will create opportunities for changes in service delivery, with a clear focus on increased accountability resulting in employment outcomes. Collaborative partnerships, dynamic service delivery focused on meeting the needs of our business customers, improved transition outcomes and services facilitating the transition into competitive community integrated employment settings for individuals with the most significant disabilities are just a few of the key points in the legislation.”

Systems
  • Department of Rehabilitation Services
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

IA Department for the Blind: Vocational Rehabilitation Services

“The Department's employment services are delivered through its Vocational Rehabilitation (VR) program. Our VR program helps blind or visually impaired Iowans prepare for, obtain and retain employment in a variety of occupations. Applicants are eligible for services based upon their visual disability, their need for employment services and their intent to work. You will work with a VR Counselor to jointly identify an employment goal and the services you need to achieve it.”

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Employer Engagement
  • Provider Transformation

Iowa DHS Disability Employment Vision and Initiatives

"Employment in the general workforce is the first priority and the expected and preferred outcome in the provision of publically funded services for all working age Iowan's with disabilities...By employment we mean: regular or customized employment in the general workforce, where employees with disabilities are earning at least minimum or prevailing wages and benefits. The Department of Human Services (DHS) is involved with a number of initiatives intended to increase the number of people with disabilities competitively employed."

Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
  • Other
Topics
  • Customized Employment
  • 14(c)/Income Security

Partnerships


“Increasing Employment for People with Disabilities” - 07/01/2017

~~“The Department of Human Services (DHS) is involved with a number of initiatives intended to increase the number of people with disabilities competitively employed including:

•State Employment Leadership Network (SELN): SELN's mission is to bring states together to improve employment outcomes for individuals with disabilities. SELN consultants help Iowa recognize the systemic barriers to employment for persons with disabilities and ways to overcome them.•Medicaid Infrastructure (MIG) Grant: This program ended in 2013. The purpose of MIG was to assist states with making improvements to their Medicaid programs that support the competitive employment of people with disabilities.•Employment First ("E1st"): Iowa is one of three states awarded an Office of Disability Employment Policy (ODEP) grant to promote systems change around improving employment outcomes and one of 26 States with an APSE sponsored initiative emphasizing integrated employment. Iowa E1st includes individuals with disabilities, family members, service providers, state human services and vocational staff, business leaders, and others. Iowa's Employment First Leadership State Mentor Program (EFLSMP) brings together Iowa Vocational Rehabilitation Services (IVRS) with DHS, IowaWORKS, the DD Council, the Iowa Association of Community Providers, and a family member, under the mentorship of the State of Washington.•Iowa Coalition for Integrated Employment: The Administration on Developmental Disabilities Grant awarded a $358,000 per year five year grant to the Developmental Disabilities Council. The grant will which brings together the DD Council, the Iowa Department of Education (DE), Iowa Vocational Rehabilitation Services (IVRS), and DHS to improve systems so that Iowa youth with a developmental disability have fully integrated, and competitive work opportunities. The grant will contract for 6 demonstration projects in an education environment and at least 3 demonstration projects with community rehabilitation providers. This project is called the Iowa Coalition for Integrated Employment (ICIE).•Iowa's Money follows the Person Grant (MFP): The Partnership for Community Integration Project is a federal Medicaid demonstration grant to assist with the transition of persons currently residing in ICFs/ID to communities of their choice. Employment plays an integral part in community inclusion and the goals of the project.”

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Workforce Development “Employment and Disability” - 08/24/2016

“Under the Workforce Investment Act of 1998, Regional Workforce Partners joined forces to create and operate a Regional Workforce Development System. The goal of this system is to provide high quality employment services to all individuals. This system is designed to be able to improve accessibility for job seekers with or without disabilities. Each IowaWORKS Center offers accommodations and assistive technology to increase or improve the functional capabilities of individuals with disabilities. Iowa Workforce Partners Iowa Workforce Development Iowa Department for the Blind Iowa Vocational Rehabilitation Services Iowa Department of Human Services Iowa Department of Human Rights/ Division of Persons with Disabilities Iowa Department of Education Iowa Developmental Disability Council Iowa Department on Aging”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other

Agreement between Iowa Vocational Rehabilitation Services and the Iowa Department of Education - 10/13/2015

“The purpose of this agreement is to facilitate the integration and coordination of transition services from school to post-secondary education and/or employment, for individuals with disabilities who are enrolled in secondary education and are eligible, or potentially eligible, to receive vocational rehabilitation services.” 

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa DHS: Stakeholder Brief by SELN - 03/15/2013

“Iowa Department of Human Services (DHS) has been keenly focused on improving opportunities for Iowans with disabilities to become employed in quality jobs in Iowa communities since 2000 when first awarded a Medicaid Infrastructure Grant (MIG), a federal program providing financial assistance to states to facilitate the competitive employment of people with disabilities. Iowa’s Mental Health and Disability Services (MHDS) and Iowa’s Medicaid Enterprise (IME), both divisions of DHS, have been working together along with their stakeholders, to improve employment outcomes for individuals with disabilities with a particular focus on individuals with intellectual and developmental disabilities (I/DD) in Iowa.”

 
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Olmstead Consumer Taskforce Position Statement on Employment - 01/11/2013

“The State of Iowa has been working for over a decade to support employment outcomes by raising awareness of federal work incentives for people concerned about losing Social Security, Medicare or Medicaid benefits, and by focusing attention on the transition of young people with disabilities from school to work and independent living. In the last three years this work has been accelerated and enhanced under the Employment First, State Employment Leadership Network, the Iowa Coalition for Integrated Employment, and other initiatives.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa Disability Employment Interagency Memorandum of Agreement - 10/01/2012

“An updated Interagency Memorandum of Agreement (MOA) to Strengthen Employment Services for Iowans with Disabilities focused on competitive, community-based, integrated employment was signed in October, 2012 by eight State agencies and updated in January, 2015. Updates reflect changes in the federal regulations related to WIOA. “

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Memorandum of Agreement between the Iowa Vocational Rehabilitation Services and the The Iowa Department of Human Services

The purpose of this agreement is to establish a statewide system of coordinated, cost efficient vocational/employment services for people with developmental disabilities with minimal overlap of responsibility and maximum utilization of resources between the Iowa Vocational Rehabilitation Services, hereinafter referred to as IVRS, and the Iowa Department of Human Services, hereinafter referred to as DHS. This agreement will serve to clarify roles and responsibilities of IVRS and DHS in regard to common consumers.  This agreement is effective October 1, 2014, or the latest date of signature, through September 30, 2016.

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa Transition Alliance Program

 “The Transition Alliance Program (TAP) is a partnership between Community School Districts and Iowa Vocational Rehabilitation Services (IVRS).  Participants of TAP receive assistance in the areas of vocational training, independent living, and post-secondary education.  Our goal is for young adults to develop positive work skills in order to obtain and maintain community employment.  TAP participants will receive follow-up services to assure long-term job success!”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa State Rehabilitation Council

“The State Rehabilitation Council (SRC), with members appointed by the Governor, has been in operation since January 1993, providing advice and direction to the Department of Education's Iowa Vocational Rehabilitation Services (IVRS) on the quality and effectiveness of programs and services. The SRC, which is comprised of a majority of individuals with disabilities, is a vital link to the constituency groups which IVRS serves or through which it procures its goods and services. The Council's goal is to seek and improve the quality of employment outcomes and community participation. The SRC is mandated by the Rehabilitation Act to have at least 15 voting members.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Vocational Rehabilitation Services (IVRS) Partners Page

The IVRS Partners Page presents a list, with links, to the various partnerships in which IVRS takes part to achieve its mission of serving persons with disabilities. Some of the partnerships include the Community Rehabilitation Program (CRP), the MOA between IVRS and DHS, the Rehabilitation Services Administration, the State Rehabilitation Council, and the Transition Alliance Program, among others.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Iowa Employment First Initiative

“In 2009 representatives of Community Rehabilitation Providers (CRP), Iowa Disability Navigator Program (DPN), the Governor’s Developmental Disability Council, the Iowa Chapter of APSE: The Employment Network (IA-APSE), Iowa Vocational Rehabilitation Services (IVRS), and the Medicaid Infrastructure Grant (MIG) began planning for the Iowa Employment First Initiative.”   The goals for the Initiative include:  “Goal 1. Policies and funding are aligned with Employment First and strong partnerships remove barriers. Goal 2. Individuals with disabilities and family members advocate for Employment First and participate in the design of employment services and supports. Goal 3: Businesses influence businesses to create employment opportunities for people with disabilities Goal 4: Best practices drive transition outcomes for living, working and learning.”    
Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Iowa Coalition for Integrated Employment

“The Iowa Coalition for Integrated Employment’s consortium includes representatives from the Iowa DD Council, Iowa Department of Education, Iowa VR and the Department of Human Services. The partners have a history of routinely working together on employment and transition issues and projects for youth with disabilities. Other partners include representatives from Iowa APSE, individuals with developmental disabilities and family members.”
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa VR: SSA Ticket to Work Program

“The Ticket to Work program is a federal program for Social Security disability beneficiaries age 18 through 64 who receive SSDI or SSI benefits based on a disability and would like to work. It is designed to provide help and support for those beneficiaries who desire to regain financial independence through employment. The program is free; it is voluntary and offers work incentives that allow benefits to continue during the transition to employment. IVRS partners with other Employment Networks (ENs) to ensure our job candidates receive ongoing services once on the job.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Medicaid Agencies
  • Other
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


Iowa Disability Employment Initiative (Round 6) - 11/01/2016

IADEI will hire five Disability Resource Coordinators and will link a variety of initiatives to make the vision of the Workforce Innovation and Opportunity Act real for all Iowans. IADEI will increase access to and participation in local Career Pathway models in the current five local workforce regions through a  partnership between eight state agencies and the Department of Labor. State Leadership Agencies will work with local WDBs to strengthen disability integration in service through the implementation of three DEI strategies currently being implemented under its Round 3 DEI project  
Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Iowa Disability Employment Initiative (Round 3) - 10/01/2012

The Disability Employment Initiative (DEI) is a three-year federal grant-funded program that improves education, training, employment opportunities, and employment outcomes for people who are unemployed, underemployed, and/or receiving Social Security disability benefits. In 2012, Iowa was awarded a Round 3 DEI grant from the U.S. Department of Labor’s Employment Training Administration. 

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Medicaid Agencies
Topics
  • Asset Development / Financial Capability
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Iowa Balancing Incentive Program - 07/01/2012

“The Balancing Incentive Program (BIP) is a provision of the Patient Protection and Affordable Care Act that is designed to ‘balance’ states’ spending on long term supports and services (LTSS). Iowa began participation in the BIP program in 2012 with an anticipated $61 million in enhanced Federal Medical Assistance Percentages (FMAP) for Medicaid to provide persons with greater access to home and community based services (HCBS) and reduces unnecessary reliance on institutional services. To accomplish this objective, the program has three major structural reforms for the current LTSS system: No Wrong Door (NWD): This implements specific steps to streamline access to services; Core Standardized Assessments (CSA): This [improves] efficiency, consistency and fairness in eligibility determination and assessments for LTSS; [and] Conflict-Free Case Management (CFCM): This ensures conflict-free case management throughout LTSS systems.”

 
Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Employment First Initiative: Statement of FIndings - 10/01/2011

“In 2009 representatives of Community Rehabilitation Providers (CRP), Iowa Disability Navigator Program (DPN), the Governor’s Developmental Disability Council, the Iowa Chapter of APSE: The Employment Network (IA-APSE), Iowa Vocational Rehabilitation Services (IVRS), and the Medicaid Infrastructure Grant (MIG) began planning for the Iowa Employment First Initiative...The goals for the Initiative include:

Goal 1. Policies and funding are aligned with Employment First and strong partnerships remove barriers.

Goal 2. Individuals with disabilities and family members advocate for Employment First and participate in the design of employment services and supports.

Goal 3: Businesses influence businesses to create employment opportunities for people with disabilities

Goal 4: Best practices drive transition outcomes for living, working and learning.”

 
Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Iowa SAMHSA Employment Development Initiative

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI)”. In 2012, Iowa was awarded an EDI grant for self-employment initiatives. 

Systems
  • Department of Mental Health
  • Other
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

ODEP Employment First State Leadership Mentor Program

“Each state will receive funding to assist them to develop and implement their strategic plan and will have access to on-site, customized technical assistance from national subject-matter experts to help them achieve their goals. In addition the states will be able to discuss their progress with other states who are working in this area through regularly scheduled Community-of-Practice teleconference calls.” “Iowa intends to build on its current Employment First Initiative in order to move state policies and funding structures with the explicit intent to increase integrated employment outcomes for people with significant disabilities. Participation in the EFSLMP will enable Iowa to study, and consider adopting, policies and funding mechanisms that emphasize interagency collaboration that result in service delivery that prioritizes integrated employment. Iowa Vocational Rehabilitation Services will lead its EFSLMP.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Customized Employment
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Iowa Money Follows the Person

“Money Follows the Person (MFP) Partnership for Community Integration Project is a $51 million grant from the Centers for Medicareid and Medicaid Services. It will provide opportunities for individuals in Iowa to move out of Intermediate Care Facilities for Persons with Intellectual Disability (ICF/ID) and into their own homes in the community of their choice. Individuals living in Nursing Facilities may also qualify. Grant funds provide funding for the transition services and enhanced supports needed for the first year after they transition into the community. MFP assistance is available to individuals with a diagnosis of an Intellectual Disability or Brain Injury who has lived in an ICF/ID or a Nursing Facility for at least three months. The individual must express an interest moving from the ICF/ID or Nursing Facility into the community.” 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Iowa AIDD Partnerships in Employment Systems Change Grant

The Iowa Coalition for Integrated Employment’s consortium includes representatives from various government and advocacy agencies and organizations. The objections of the coalition  are: “Develop a  Readiness for Change Plan  for systems change related to integrated, competitive employment for youth with DD; develop an outcome measurement system to measure employment success; increase the placement and support services early in high school that result in uninterrupted transition to employment; develop the capacity of service providers to promote integrated competitive employment for youth with DD; increase expectations and demands for fully integrated, competitive employment opportunities for youth with DD; and align policies, practices, and funding with employment expectations.”
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Data Sharing

Training/Capacity Building


Benefits Planning (Webinar links) - 02/14/2017

~~“The Iowa Community of Practice archived webinars are now on the ICIE YouTube channel and available to anyone any time! Eventually, IACP will be adding the webinars to their global lessons (available for any provider to use) on the DirectCourse system.  Each lesson will be paired with a generic test to confirm that the content was reviewed, and be tracked on their professional training transcript.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Iowa Employment First Guidebook - 01/01/2017

“This Guidebook was created to provide case managers, care managers, service coordinators and integrated health home coordinators with critical information, resources and tools to help them do the best possible job of assisting transition-age youth and working-age adults with disabilities they support to work.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • School-to-Work Transition
  • Mental Health
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Iowa Self Employment Program Success Stories - 07/29/2014

“This publication will introduce you to a fascinating collection of Iowa entrepreneurs who have found creative ways to leverage their skills, talents, abilities, resources, and social connections into their perfect job – not by finding employment, but by creating it.”

Systems
  • Department of Mental Health
Topics
  • Self-Employment

Iowa Employment First Summit - 10/04/2012

“The IA-APSE Employment Summit was designed for individuals with disabilities, family members, Community Rehabilitation Provider staff, state agency personnel, case managers and other community members committed to improving employment outcomes for Iowans with disabilities.  It features national, as well as local speakers sharing progressive and innovative best practice information and strategies to move the agenda of inclusive employment forward.”   
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa's Integrated Employment Funding System Supplemental Report - 09/17/2012

This report is looking at building the capacity and expertise of employment specialists to support individual, integrated employment outcomes. MHDS is encouraged to consider what to include in an Employment Supports Core Training, how to provide ongoing professional development, and ideas for offering provider-level training and technical assistance.

 
Systems
  • Department of Mental Health
Topics
  • Self-Employment
  • Mental Health
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Iowa VR Services Forms - The Discovery Staging Record - 09/10/2011

“This form is used to stage, structure, capture and record the major events of Discovery. The recorder(s) should pay particular attention to how the tasks are typically performed, any accommodations, technology, supports, or specialized training strategies that should be employed.” Discovery is a key tool in finding community-based, integrated employment through the customized employment process.

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Provider Transformation

Iowa Community of Practice Training Sessions for 2017

~~This document gives information on the training sessions that will be done in 2017 including benefits planning, employer engagement, and school to work transition

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability

Employment First Initiatives

~~“Increasing economic self-sufficiency is a major goal of working. Several years ago CDD published a compressive report on self-sufficiency and asset development strategies and helpful hints about employment related supports. This information, while several years old in still applicable today.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

REM Iowa

~~“Since 1979, REM Iowa has provided quality services to adults and children with intellectual and developmental disabilities and other complex challenges. We also offer services for adults with brain injuries and provide a range of programs, including residential services and day and vocational programs. Our personalized approach maximizes each person’s unique efforts to learn, grow and thrive in the communities they call home. REM Iowa is a partner of The MENTOR Network, a national network of local health and human services providers offering an array of quality, community-based services across the country .”

Systems
  • Department of Rehabilitation Services
Citations

Iowa WIOA Webinar

“This webinar covers the basics of the Workforce Innovation and Opportunity Act (WIOA) in regards to high school students, including Section 511 and highlights from the Memorandum of Agreement between Iowa Vocational Rehabilitation Services and the Iowa Department of Education.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Employment First Website

“Through the efforts of the Iowa Employment First Leadership Team, which has benefited from consultation, technical assistance and financial assistance by participating in the Office of Disability and Employment Policy's Employment First Program, competitive community-integrated employment is moving forward in Iowa. Collaboration has occurred with the Iowa Coalition of Integrated Employment and the Disability Employment Initiative, resulting in increased attention and partnering across the state with employment efforts. Please enjoy the resources on this site and we hope it will provide value in the discussion of Employment First Opportunities!”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • School-to-Work Transition
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Iowa VR Services Forms - Referral Action Plan

This worksheet helps job seekers plan their employer engagement approach by encouraging them to list 10 specific actions that they will take to build their referral business.

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement

Iowa VR Services Forms - Negotiation Model

This worksheet serves as a guide and overview of the stages and components in strategic job negotiation. Job negotiation is a core component to customized employment and assists employers in understanding how an employee with disabilities can most effectively serve their business while gaining fulfillment from their job.

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Employer Engagement

Iowa Employment First Webinars

Iowa receives technical assistance through the Employment First initiative.  Trainings include webinars on different aspects of Customized Employment, parental involvement, and employment best practices for people with disabilities.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Education
Topics
  • Customized Employment

Enforcement

No Enforcement have been entered for this state.

Medicaid & Employment


Money Follows the Person (MFP) Update - 01/01/2017

~~“The Money Follows the Person (MFP) demonstration program is a collaborative partnership between DHS’s Iowa Medicaid Enterprise (IME) and the Center for Disabilities and Development (CDD). This program, funded through the Centers for Medicare and Medicaid Services (CMS) provides opportunities for individuals with intellectual disabilities, or other related disabilities, to move out of intermediate care facilities for individuals with intellectual disabilities and into their own homes or apartments in the community of their choice. Individuals living in nursing homes may also qualify. MFP grant funding (which CDD worked with the IME to obtain) provides for transition services and enhanced supports needed for the first year after an individual moves into the community. Under a contract with IME, nine Transition Specialists from CDD are deployed throughout the state to provide transition planning services, community options awareness, training, and ongoing support and care coordination to individuals with disabilities, their families and facility-based and community-based providers. In addition CDD has employed an Employment Specialist to address employment barriers faced by MFP participants.  CDD also employs a MFP Project Coordinator stationed at IME. This position provides oversight for the statewide project and coordinates the grant related activities. CDD also employs a Behavioral Specialist to provide training and consultation to providers, consumers and families who are assisting a person that may be experiencing challenging behaviors.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Iowa Department of Human Services “HCBS Prevocational and Supported Employment Service - 09/01/2016

“This letter is to serve as notification that in order to comply with the federal correct coding guidelines the IME will be introducing Level II Healthcare Common Procedure Coding System (HCPCS) codes for Tier 1 Long Term Job Coaching and for Individual Supported Employment and to provide clarification regarding a unit of service for Individual Supported Employment…. For services with a date of service beginning September 1, 2016, or after, the service must be authorized and billed using the HCPCS procedure code and the HCP CS Level II modifieras follows :• H2025 U4 for Tier 1 of Long Term Job Coaching • T2018 UC for Individual Supported Employment.”

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa HCBS Statewide Transition Plan - 01/29/2016

“Federal regulations that became effective on March 17, 2014 define the settings in which it is permissible for states to pay for Medicaid Home and Community-Based Services (HCBS). The purpose of these regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree as individuals who do not receive HCBS.” 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Approval of the HCBS Waiver Settings Statewide Transition Plan (STP) - 09/14/2014

“The state is responsible for the development and implementation of a Statewide Transition Plan (STP) to ensure full compliance with the CMS regulations. A proposed STP was posted for public comment in February 2016. The IME reviewed and responded to the public comments in March and on April 1, 2016, submitted a draft STP to CMS that incorporated the public comments and feedback received. Over the past several months the IME has been working with CMS to make technical corrections and clarifications to the submitted transition plan. On August 10, 2016, the IME received notice from CMS of the initial approval of the STP. The approved STP and the CMS initial approval letter are available on the DHS web page, Waiver Draft Transition Plans and the Statewide Transition Plan.”

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Brain Injury Waiver - 09/15/2009

“BI Waiver services are individualized to meet the needs of each member. The following services are available: • Adult Day Care • Behavioral Programming • Case Management • Consumer Directed Attendant Care • Family Counseling and Training • Home and Vehicle Modifications • Interim Medical Monitoring and Treatment • Personal Emergency Response System • Prevocational Services • Respite • Specialized Medical Equipment • Supported Community Living • Supported Employment • Transportation • Consumer Choices Option”  

 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Iowa HCBS Intellectual Disability Waiver - 09/15/2009

“ID Waiver services are individualized to meet the needs of each member. The following services are available:

• Adult Day Care

• Consumer Directed Attendant Care (CDAC)

• Day Habilitation

• Home and Vehicle Modifications

• Home Health Aide

• Interim Medical Monitoring and Treatment

• Nursing

• Personal Emergency Response System

• Prevocational

• Respite

• Supported Community Living

• Supported Community Living-Residential Based

• Supported Employment

• Transportation

• Consumer Choices Option”

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

HCBS Prevocational and Supported Employment Services “Prevocational–Career Exploration”

“Prevocational –Career Exploration ….The outcome of this service is documentation of the participant’s stated career objective and a career plan used to guide individual employment support. ‘“Supported employment’” means the ongoing supports to participants who, because of their disabilities, need intensive ongoing support to obtain and maintain an individual job in competitive or customized employment, or self-employment, in an integrated work setting in the general workforce at or above the state’s minimum wage or at or above the customary wage and level of benefits paid by the employer for the same or similar work performed by individuals without disabilities. The outcome of this service is sustained paid employment at or above the minimum wage in an integrated setting in the general workforce in a job that meets personal and career goals. Supported employment services can be provided through many different service models.

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

HCBS Waivers and Amendments

Effective May 04, 2016 the department intends to begin using the InterRAI standardized assessment tool for the purposes of level of care determination and service planning for the HCBS Brain Injury, Children’s Mental Health, Elderly, Health and Disability, Physical Disability and AIDS/HIV waivers. The department also intends to implement the InterRAI for the purposes of needs based eligibility determination and service planning for the HCBS Habilitation program.

Effective May 04, 2016 the department intends to implement changes to the Prevocational and Supported Employment services provider qualifications, service scope and definitions and reimbursement methodologies. Prevocational and Supported Employment services are currently covered as a benefit under two of the seven waivers. Prevocational and Supported Employment services are available under the following HCBS waivers; Brain Injury (BI), and Intellectual Disability (ID).

Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Department of Human Services “Home- and Community-Based Services (HCBS) Transition Settings

The Centers for Medicare & Medicaid Services (CMS) have issued regulations that define the settings in which it is permissible for states to pay for Medicaid Home- and Community-Based Services (HCBS).  The purpose of these regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree as individuals who do not receive HCBS.

Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Money Follows the Person Partnership for Community Integration Project

“Money Follows the Person (MFP) Partnership for Community Integration Project is a $51 million grant from the Centers for Medicare and Medicaid Services (CMS). It will provide opportunities for individuals in Iowa to move out of Intermediate Care Facilities for Persons with Intellectual Disabilities (ICF/ID) and into their own homes in the community of their choice. Individuals living in Nursing Facilities may also qualify. Grant funds provide funding for the transition services and enhanced supports needed for the first year after they transition into the community. MFP assistance is available to individuals with a diagnosis of an Intellectual Disability or Brain Injury who has lived in an ICF/ID or a Nursing Facility for at least three months. The individual must express an interest moving from the ICF/ID or Nursing Facility into the community.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Iowa Medicaid State Plan

A State Plan is a contract between a state and the Federal Government describing how that state administers its Medicaid program. It gives an assurance that a state abides by Federal rules and may claim Federal matching funds for its Medicaid program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative requirements that States must meet to participate. States frequently send a state plan amendment, otherwise referred to as a SPA, to the Centers for Medicare and Medicaid Services (CMS) for review and approval. There are many reasons why a state might want to amend their state plan.

Systems
  • Medicaid Agencies
  • Other

Iowa Medicaid Balancing Incentive Payments Program

“The Balancing Incentive Program (BIPP) is a provision of the Patient Protection and Affordable Care Act that is designed to ‘balance’ states’ spending on long term supports and services (LTSS). Iowa began participation in the BIP program in 2012 with an anticipated $61 million in enhanced Federal Medical Assistance Percentages (FMAP) for Medicaid to provide persons with greater access to home and community based services (HCBS) and reduces unnecessary reliance on institutional services. To accomplish this objective, the program has three major structural reforms for the current LTSS system: No Wrong Door (NWD): This implements specific steps to streamline access to services; Core Standardized Assessments (CSA): This [improves] efficiency, consistency and fairness in eligibility determination and assessments for LTSS; [and] Conflict-Free Case Management (CFCM): This ensures conflict-free case management throughout LTSS systems.”

Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

States - Phablet

Snapshot

The motto of the state of Iowa is, "Our Liberties We Prize and Our Rights We Will Maintain." For Iowans with disabilities, this includes the liberties that come with having a job, and equal rights to real work for real pay.

State VR Rates and Services

A list of services offered by this state’s Vocational Rehabilitation agency, along with the standard rates paid for the performance of those services.

PDF icon Iowa’s VR Rates and Services

2015 State Population.
0.54%
Change from
2014 to 2015
3,123,899
2015 Number of people with disabilities (all disabilities, ages 18-64).
1.98%
Change from
2014 to 2015
180,139
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
1.53%
Change from
2014 to 2015
83,391
2015 Percentage of working age people who are employed (all disabilities).
-0.45%
Change from
2014 to 2015
46.29%
2015 Percentage of working age people who are employed (NO disabilities).
0.24%
Change from
2014 to 2015
82.37%

State Data

General

2015
Population. 3,123,899
Number of people with disabilities (all disabilities, ages 18-64). 180,139
Number of people with disabilities who are employed (all disabilities, ages 18-64). 83,391
Number of people without disabilities who are employed (ages 18-64). 1,397,255
Percentage of working age people who are employed (all disabilities). 46.29%
Percentage of working age people who are employed (NO disabilities). 82.37%
Overall unemployment rate. 3.80%
Poverty Rate (all disabilities). 19.10%
Poverty Rate (NO disabilities). 11.20%
Number of males with disabilities (all ages). 184,113
Number of females with disabilities (all ages). 183,923
Number of Caucasians with disabilities (all ages). 343,674
Number of African Americans with disabilities (all ages). 10,934
Number of Hispanic/Latinos with disabilities (all ages). 12,119
Number of American Indians/Alaska Natives with disabilities (all ages). 1,743
Number of Asians with disabilities (all ages). 2,912
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A
Number of with multiple races disabilities (all ages). 6,031
Number of others with disabilities (all ages). 2,405

 

SSA OUTCOMES

2015
Number of SSI recipients with disabilities who work. 6,432
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 13.10%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 78,222

 

MENTAL HEALTH OUTCOMES

2015
Number of mental health services consumers who are employed. 3,407
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 6,500
Number of adults served who have a known employment status. 11,312
Percentage of all state mental health agency consumers served in the community who are employed. 30.10%
Percentage of supported employment services evidence based practices (EBP). N/A
Percentage of supported housing services evidence based practices (EBP). N/A
Percentage of assertive community treatment services evidence based practices (EBP). N/A
Percentage of medications management evidence based practices (EBP). N/A
Number of evidence based practices (EBP) supported employment services. N/A
Number of evidence based practices (EBP) supported housing services. N/A
Number of evidence based practices (EBP) assertive community treatment services. N/A
Number of evidence based practices (EBP) medications management. N/A

 

WAGNER PEYSER OUTCOMES

2015
Number of registered job seekers with a disability. 3,776
Proportion of registered job seekers with a disability. 0.03

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2014
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 1,842
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 625
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 34.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 20.01

 

VR OUTCOMES

2016
Total Number of people served under VR.
N/A
Number of people with visual impairments served under VR. N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. N/A
Number of people with physical impairments served under VR. N/A
Number of people cognitive impairments served under VR. N/A
Number of people psychosocial impairments served under VR. N/A
Number of people with mental impairments served under VR. N/A
Percentage of overall closures into employment under VR. N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 4,820
Number of eligible ticket to work beneficiaries. 115,302
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A
Total number of ID competitive labor market closures. N/A

 

IDD OUTCOMES

2014
Dollars spent on day/employment services for integrated employment funding. $9,051,000
Dollars spent on day/employment services for facility-based work funding. $22,135,000
Dollars spent on day/employment services for facility-based non-work funding. $48,932,000
Dollars spent on day/employment services for community based non-work funding. $0
Percentage of people served in integrated employment. 16.00%
Number of people served in community based non-work. 0
Number of people served in facility based work. 3,603
Number of people served in facility based non-work. 8,713
Number supported in integrated employment per 100,000 individuals in the general state population. 77.50

 

EDUCATION OUTCOMES

2014
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 64.92%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 8.60%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.80%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 87.56%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 30.71%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 58.57%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 83.14%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 27.86%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 630,402
Number of overall total blind and SD workers. 532
Number of AbilityOne blind and SD hours (products). 9
Number of AbilityOne blind and SD hours (services). 63,088
Number of AbilityOne blind and SD hours (combined). 63,097
Number of AbilityOne blind and SD workers (products). 4
Number of AbilityOne blind and SD workers (services). 108
Number of AbilityOne blind and SD workers (combined). 112
AbilityOne wages (products). $26
AbilityOne wages (services). $785,430

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2016
Number of 14(c) certificate-holding businesses. 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 61
Number of 14(c) certificate holding patient workers. 4
Total Number of 14(c) certificate holding entities. 65
Reported number of people with disabilities working under 14(c) certificate-holding businesses. 0
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). 5,668
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 410
Total reported number of people with disabilities working under 14(c) certificate holding entities. 6,078

 

Legislation


Iowa HF 572, Concerning who Consitatue the Membership of the State WIB - 07/01/2017

~~“An Iowa workforce development board is created,….” the law describes who will make up the 33 voting members and 13 non-voting of the board including the governor, a state senator, a state representative, the director of the Departments of Workforce Development, Education, the Blind, and Vocational Rehabilitation or their designees, and a number of members drawn from the business community, groups who work with persons with disabilities and other departments.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Employer Engagement
  • WIOA

Iowa SF 505 - 07/02/2015

"An Iowa ABLE savings plan trust is created…The general assembly finds that the general welfare and well-being of the state are directly related to the health, maintenance, independence, and quality of life of its disabled residents,and that a vital and valid public purpose is served by the creation and implementation of programs that encourage and make possible savings to secure funding for disability-related expenses on behalf of individuals with disabilities …"

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Iowa Employer Tax Incentive - 10/24/2012

For tax years beginning on or after January 1, 1984...a taxpayer who operates a business which is considered to be a small business…is allowed an additional deduction for 50 percent of the first 12 months of wages paid or accrued during the tax years for work done in Iowa by employees first hired on or after January 1, 1984…where the taxpayer first qualifies as a small business….and meets one of the following criteria: A handicapped individual domiciled in this state at the time of hiring. An individual domiciled in this state at the tie of hiring…  
Systems
  • Other
Topics
  • Asset Development / Financial Capability
  • Employer Engagement

Iowa Assistive Device Tax Credit

  The taxes imposed under this division shall be reduced by an assistive device tax credit.  A small business purchasing, renting, or modifying an assistive device or making workplace  modifications for an individual with a disability who is employed or will be employed by the small business is eligible, subject to availability of credits, to receive this assistive device tax credit which is equal to fifty percent of the first five thousand dollars paid during the tax year for the purchase, rental, or modification of the assistive device or for making the workplace modifications.  Any credit in excess of the tax liability shall be refunded with interest computed under section 422.25…

Systems
  • Other
Topics
  • Asset Development / Financial Capability
  • Employer Engagement

Executive Orders


Iowa Executive Order 27 - 02/04/2003

“Recognizing that the breadth and complexity of the issues required a coordinated inter-agency response, in 2003 Governor Vilsack issued Executive Order 27 calling upon state agencies to identify the barriers to community living posed by their policies and programs and to develop plans to remove them. Executive Order 27 also created the current Olmstead Consumer Taskforce to advise the Governor’s Office on strategies to promote community integration, including changes in policies or programs.”

NOTE: While Executive Order 27 mentioned employment only in general terms, the Olmstead Plan developed with assistance from the Taskforce specifically supports integrated, competitive employment.

 
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Policy


Iowa Vocational Rehabilitation Services - 08/01/2016

“Under WIOA regulations, IVRS is required to spend 15% of our federal grant resources towards Pre-Employment Transition Services. We have a number of initiatives that are being designed and implemented for this effort. For example, programs and initiatives such as: TAP (Transition Alliance Programs)’ Project Search, Youth Leadership Forum, Intermediary Network, Work-Based Learning, Construction Simulator, zSpace, and our Summer Camp activities are all examples of PETS initiatives.”

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition

Limitations on the Use of Subminimum Wage - 07/22/2016

“The addition of Section 511 demonstrates the intent that individuals with disabilities, especially youth with disabilities, must be afforded a full opportunity to prepare for, obtain, maintain, advance in, or reenter competitive integrated employment. Section 511 imposes limitations on employers who hold special wage certificates, commonly known as 14(c) certificates, under the Fair Labor Standards Act (FLSA) that must be satisfied before the employers may hire youth with disabilities at subminimum wage or continue to employ individuals with disabilities of any age at the subminimum wage level. (the link opens a Word Document) “

Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • 14(c)/Income Security

IA Department of Human Services Report of Joint Protocols and Program Models - 12/15/2014

“IVRS and DHS are key collaborators in EFSLMP.  “IVRS is the lead agency, but DHS has committed to staff and management resources and time. … Iowa has a “grassroots Employment First (E1st) initiative that influences the state’s employment service delivery system and involves a broad range of collaborators.   …“Iowa’s E1st Vision is that “‘Iowans with disabilities are employed at the same rate as other Iowans and receiving equal benefits.’”  The Mission of E1st is to ‘Change beliefs, practices, systems and funding so that employment in the general workforce is the first and preferred outcome in the provision of publically funded services for all working age Iowans with disabilities, regardless of level of disability.’”  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Vocational Rehabilitation Services and Department of Human Services Agreement - 10/01/2014

“The purpose of this agreement is to establish a statewide system of coordinated, cost efficient vocational/employment services for people with developmental disabilities with minimal overlap of responsibility and maximum utilization of resources between the Iowa Vocational Rehabilitation Services, hereinafter referred to as IVRS, and the Iowa Department of Human Services, hereinafter referred to as DHS. This agreement will serve to clarify roles and responsibilities of IVRS and DHS in regard to common consumers.  This agreement is effective October 1, 2014, or the latest date of signature, through September 30, 2016.”

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Olmstead Plan for Mental Health and Disability Services: State plan framework (2011 - 2015) - 01/06/2011

“The Department of Human Service’s priorities for Olmstead Plan implementation include establishing the leadership, necessary partnerships and infrastructure for a service system expanding opportunities for competitive employment.”

The goals include: “Conducting targeted outreach to families and guardians of individuals with mental illness, brain injury and other disabilities to raise awareness of opportunities for community living, including competitive employment, by accessing available supports and services; … Analyzing current policies and practice regarding transition, and determine, with the engagement of the Department of Education, how these can be strengthened to support integrated employment as a preferred outcome for students moving into the adult service system".

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging
  • Data Sharing

Iowa Workforce Development Annual Report 2016

~~“…through our partnership with the DirectEmployers Association, we provide 10 microsites, which offer the opportunity to provide job information on mobile and hand-held devices. These sites are also search-engine optimized, and were developed at no cost to the state. The 10 microsites include:WORKINIOWA-DISABILITY.JOBSHelps employers reach the disability community. Helps employerscomply with Affirmative Action and Equal Employment OpportunityCommission efforts.” 

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement

Iowa Department of Education “Secondary Transition

“The ultimate goal of secondary transition planning is to make the adjustment from high school as easy, successful and as short as possible. Successful transition planning should begin early and be based on specific knowledge and experiences of targeted future environments and activities. It includes the commitment of resources, collaboration among people and agencies, and decision making to develop an IEP for the student.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Iowa Vocational Rehabilitation Services “Iowa Self-Employment” Brochure

IOWA SELF-EMPLOYMENT (ISE) PROGRAM

Iowa Self-Employment (ISE) is a program designed for clients of Iowa Vocational Rehabilitation Services (IVRS) or Iowa Department for the Blind (IDB), whose vocational goal is self-employment. This program is administered by IVRS and works in partnership with IDB. Following eligibility and self-employment assessment, a referral may be sent to ISE personnel. 

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • Cross-Agency Collaboration / Partnerships

Iowa Department on Aging “Senior Community Services Employment Program (SCSEP)

SCSEP participants are paid minimum wage while they gain marketable job skills working part-time in non-profit and public organizations, including senior centers, schools and libraries. The program provides a win-win for participants and their communities: Participants help community organizations extend their capabilities, while developing their own job skills, self-confidence and a restored sense of self-worth.

To participate in this employment program for older Iowans, a person must be:

Age 55 or older; Currently unemployed; Legally eligible to work in the United States; and Living in a household with income no more than 125 percent of the current federal poverty level. All disability payments, including Social Security Disability (SSDI), are excluded from SCSEP income eligibility determinations 25% of Social Security payment is excluded, which includes social security retirement and survivors benefits All Unemployment Compensation is excluded SSI & public assistance are excluded Veterans Benefits are excluded
Systems
  • Other
Topics
  • Customized Employment

Iowa Department of Human Services “Home- and Community-Based Services (HCBS) Transition Settings

The Centers for Medicare & Medicaid Services (CMS) have issued regulations that define the settings in which it is permissible for states to pay for Medicaid Home- and Community-Based Services (HCBS).  The purpose of these regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree as individuals who do not receive HCBS.

Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Department of Education “Secondary Transition – Guidance to Quality IEPs”

In Iowa, secondary transition planning should begin no later than the first IEP to be in effect when the child turns 14, or younger if determined appropriate by the IEP team.

The ultimate goal of transition planning is to make the adjustment from high school as easy and successful as possible.  It should be based on specific knowledge and experiences of targeted future environments and activities, as well as transition assessment information.

The transition of youth with disabilities from high school to learning, living and working in the community is a process that involves ongoing planning, preparation, and revision. It is not a single event or a series of isolated events

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Iowa Vocational Rehabilitation Services 2015-2018 Strategic Plan

“The State Plan is required to be submitted annually for approval by RSA in order for IVRS to receive Title 1 and Title VI Part B grant funds. The State Plan describes the administrative and operational activities of IVRS, in addition to specific areas that involve public input, waiting list information, an analysis of data, goal planning, and an evaluation of reported progress. Significant legislative changes occurred in July 2014, with the approval of the Workforce Innovation Opportunities Act (WIOA). This federal legislation will create opportunities for changes in service delivery, with a clear focus on increased accountability resulting in employment outcomes. Collaborative partnerships, dynamic service delivery focused on meeting the needs of our business customers, improved transition outcomes and services facilitating the transition into competitive community integrated employment settings for individuals with the most significant disabilities are just a few of the key points in the legislation.”

Systems
  • Department of Rehabilitation Services
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

IA Department for the Blind: Vocational Rehabilitation Services

“The Department's employment services are delivered through its Vocational Rehabilitation (VR) program. Our VR program helps blind or visually impaired Iowans prepare for, obtain and retain employment in a variety of occupations. Applicants are eligible for services based upon their visual disability, their need for employment services and their intent to work. You will work with a VR Counselor to jointly identify an employment goal and the services you need to achieve it.”

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Employer Engagement
  • Provider Transformation

Iowa DHS Disability Employment Vision and Initiatives

"Employment in the general workforce is the first priority and the expected and preferred outcome in the provision of publically funded services for all working age Iowan's with disabilities...By employment we mean: regular or customized employment in the general workforce, where employees with disabilities are earning at least minimum or prevailing wages and benefits. The Department of Human Services (DHS) is involved with a number of initiatives intended to increase the number of people with disabilities competitively employed."

Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
  • Other
Topics
  • Customized Employment
  • 14(c)/Income Security

Partnerships


“Increasing Employment for People with Disabilities” - 07/01/2017

~~“The Department of Human Services (DHS) is involved with a number of initiatives intended to increase the number of people with disabilities competitively employed including:

•State Employment Leadership Network (SELN): SELN's mission is to bring states together to improve employment outcomes for individuals with disabilities. SELN consultants help Iowa recognize the systemic barriers to employment for persons with disabilities and ways to overcome them.•Medicaid Infrastructure (MIG) Grant: This program ended in 2013. The purpose of MIG was to assist states with making improvements to their Medicaid programs that support the competitive employment of people with disabilities.•Employment First ("E1st"): Iowa is one of three states awarded an Office of Disability Employment Policy (ODEP) grant to promote systems change around improving employment outcomes and one of 26 States with an APSE sponsored initiative emphasizing integrated employment. Iowa E1st includes individuals with disabilities, family members, service providers, state human services and vocational staff, business leaders, and others. Iowa's Employment First Leadership State Mentor Program (EFLSMP) brings together Iowa Vocational Rehabilitation Services (IVRS) with DHS, IowaWORKS, the DD Council, the Iowa Association of Community Providers, and a family member, under the mentorship of the State of Washington.•Iowa Coalition for Integrated Employment: The Administration on Developmental Disabilities Grant awarded a $358,000 per year five year grant to the Developmental Disabilities Council. The grant will which brings together the DD Council, the Iowa Department of Education (DE), Iowa Vocational Rehabilitation Services (IVRS), and DHS to improve systems so that Iowa youth with a developmental disability have fully integrated, and competitive work opportunities. The grant will contract for 6 demonstration projects in an education environment and at least 3 demonstration projects with community rehabilitation providers. This project is called the Iowa Coalition for Integrated Employment (ICIE).•Iowa's Money follows the Person Grant (MFP): The Partnership for Community Integration Project is a federal Medicaid demonstration grant to assist with the transition of persons currently residing in ICFs/ID to communities of their choice. Employment plays an integral part in community inclusion and the goals of the project.”

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Workforce Development “Employment and Disability” - 08/24/2016

“Under the Workforce Investment Act of 1998, Regional Workforce Partners joined forces to create and operate a Regional Workforce Development System. The goal of this system is to provide high quality employment services to all individuals. This system is designed to be able to improve accessibility for job seekers with or without disabilities. Each IowaWORKS Center offers accommodations and assistive technology to increase or improve the functional capabilities of individuals with disabilities. Iowa Workforce Partners Iowa Workforce Development Iowa Department for the Blind Iowa Vocational Rehabilitation Services Iowa Department of Human Services Iowa Department of Human Rights/ Division of Persons with Disabilities Iowa Department of Education Iowa Developmental Disability Council Iowa Department on Aging”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other

Agreement between Iowa Vocational Rehabilitation Services and the Iowa Department of Education - 10/13/2015

“The purpose of this agreement is to facilitate the integration and coordination of transition services from school to post-secondary education and/or employment, for individuals with disabilities who are enrolled in secondary education and are eligible, or potentially eligible, to receive vocational rehabilitation services.” 

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa DHS: Stakeholder Brief by SELN - 03/15/2013

“Iowa Department of Human Services (DHS) has been keenly focused on improving opportunities for Iowans with disabilities to become employed in quality jobs in Iowa communities since 2000 when first awarded a Medicaid Infrastructure Grant (MIG), a federal program providing financial assistance to states to facilitate the competitive employment of people with disabilities. Iowa’s Mental Health and Disability Services (MHDS) and Iowa’s Medicaid Enterprise (IME), both divisions of DHS, have been working together along with their stakeholders, to improve employment outcomes for individuals with disabilities with a particular focus on individuals with intellectual and developmental disabilities (I/DD) in Iowa.”

 
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Olmstead Consumer Taskforce Position Statement on Employment - 01/11/2013

“The State of Iowa has been working for over a decade to support employment outcomes by raising awareness of federal work incentives for people concerned about losing Social Security, Medicare or Medicaid benefits, and by focusing attention on the transition of young people with disabilities from school to work and independent living. In the last three years this work has been accelerated and enhanced under the Employment First, State Employment Leadership Network, the Iowa Coalition for Integrated Employment, and other initiatives.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa Disability Employment Interagency Memorandum of Agreement - 10/01/2012

“An updated Interagency Memorandum of Agreement (MOA) to Strengthen Employment Services for Iowans with Disabilities focused on competitive, community-based, integrated employment was signed in October, 2012 by eight State agencies and updated in January, 2015. Updates reflect changes in the federal regulations related to WIOA. “

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Memorandum of Agreement between the Iowa Vocational Rehabilitation Services and the The Iowa Department of Human Services

The purpose of this agreement is to establish a statewide system of coordinated, cost efficient vocational/employment services for people with developmental disabilities with minimal overlap of responsibility and maximum utilization of resources between the Iowa Vocational Rehabilitation Services, hereinafter referred to as IVRS, and the Iowa Department of Human Services, hereinafter referred to as DHS. This agreement will serve to clarify roles and responsibilities of IVRS and DHS in regard to common consumers.  This agreement is effective October 1, 2014, or the latest date of signature, through September 30, 2016.

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa Transition Alliance Program

 “The Transition Alliance Program (TAP) is a partnership between Community School Districts and Iowa Vocational Rehabilitation Services (IVRS).  Participants of TAP receive assistance in the areas of vocational training, independent living, and post-secondary education.  Our goal is for young adults to develop positive work skills in order to obtain and maintain community employment.  TAP participants will receive follow-up services to assure long-term job success!”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa State Rehabilitation Council

“The State Rehabilitation Council (SRC), with members appointed by the Governor, has been in operation since January 1993, providing advice and direction to the Department of Education's Iowa Vocational Rehabilitation Services (IVRS) on the quality and effectiveness of programs and services. The SRC, which is comprised of a majority of individuals with disabilities, is a vital link to the constituency groups which IVRS serves or through which it procures its goods and services. The Council's goal is to seek and improve the quality of employment outcomes and community participation. The SRC is mandated by the Rehabilitation Act to have at least 15 voting members.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Vocational Rehabilitation Services (IVRS) Partners Page

The IVRS Partners Page presents a list, with links, to the various partnerships in which IVRS takes part to achieve its mission of serving persons with disabilities. Some of the partnerships include the Community Rehabilitation Program (CRP), the MOA between IVRS and DHS, the Rehabilitation Services Administration, the State Rehabilitation Council, and the Transition Alliance Program, among others.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Iowa Employment First Initiative

“In 2009 representatives of Community Rehabilitation Providers (CRP), Iowa Disability Navigator Program (DPN), the Governor’s Developmental Disability Council, the Iowa Chapter of APSE: The Employment Network (IA-APSE), Iowa Vocational Rehabilitation Services (IVRS), and the Medicaid Infrastructure Grant (MIG) began planning for the Iowa Employment First Initiative.”   The goals for the Initiative include:  “Goal 1. Policies and funding are aligned with Employment First and strong partnerships remove barriers. Goal 2. Individuals with disabilities and family members advocate for Employment First and participate in the design of employment services and supports. Goal 3: Businesses influence businesses to create employment opportunities for people with disabilities Goal 4: Best practices drive transition outcomes for living, working and learning.”    
Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Iowa Coalition for Integrated Employment

“The Iowa Coalition for Integrated Employment’s consortium includes representatives from the Iowa DD Council, Iowa Department of Education, Iowa VR and the Department of Human Services. The partners have a history of routinely working together on employment and transition issues and projects for youth with disabilities. Other partners include representatives from Iowa APSE, individuals with developmental disabilities and family members.”
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa VR: SSA Ticket to Work Program

“The Ticket to Work program is a federal program for Social Security disability beneficiaries age 18 through 64 who receive SSDI or SSI benefits based on a disability and would like to work. It is designed to provide help and support for those beneficiaries who desire to regain financial independence through employment. The program is free; it is voluntary and offers work incentives that allow benefits to continue during the transition to employment. IVRS partners with other Employment Networks (ENs) to ensure our job candidates receive ongoing services once on the job.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Medicaid Agencies
  • Other
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


Iowa Disability Employment Initiative (Round 6) - 11/01/2016

IADEI will hire five Disability Resource Coordinators and will link a variety of initiatives to make the vision of the Workforce Innovation and Opportunity Act real for all Iowans. IADEI will increase access to and participation in local Career Pathway models in the current five local workforce regions through a  partnership between eight state agencies and the Department of Labor. State Leadership Agencies will work with local WDBs to strengthen disability integration in service through the implementation of three DEI strategies currently being implemented under its Round 3 DEI project  
Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Iowa Disability Employment Initiative (Round 3) - 10/01/2012

The Disability Employment Initiative (DEI) is a three-year federal grant-funded program that improves education, training, employment opportunities, and employment outcomes for people who are unemployed, underemployed, and/or receiving Social Security disability benefits. In 2012, Iowa was awarded a Round 3 DEI grant from the U.S. Department of Labor’s Employment Training Administration. 

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Medicaid Agencies
Topics
  • Asset Development / Financial Capability
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Iowa Balancing Incentive Program - 07/01/2012

“The Balancing Incentive Program (BIP) is a provision of the Patient Protection and Affordable Care Act that is designed to ‘balance’ states’ spending on long term supports and services (LTSS). Iowa began participation in the BIP program in 2012 with an anticipated $61 million in enhanced Federal Medical Assistance Percentages (FMAP) for Medicaid to provide persons with greater access to home and community based services (HCBS) and reduces unnecessary reliance on institutional services. To accomplish this objective, the program has three major structural reforms for the current LTSS system: No Wrong Door (NWD): This implements specific steps to streamline access to services; Core Standardized Assessments (CSA): This [improves] efficiency, consistency and fairness in eligibility determination and assessments for LTSS; [and] Conflict-Free Case Management (CFCM): This ensures conflict-free case management throughout LTSS systems.”

 
Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Employment First Initiative: Statement of FIndings - 10/01/2011

“In 2009 representatives of Community Rehabilitation Providers (CRP), Iowa Disability Navigator Program (DPN), the Governor’s Developmental Disability Council, the Iowa Chapter of APSE: The Employment Network (IA-APSE), Iowa Vocational Rehabilitation Services (IVRS), and the Medicaid Infrastructure Grant (MIG) began planning for the Iowa Employment First Initiative...The goals for the Initiative include:

Goal 1. Policies and funding are aligned with Employment First and strong partnerships remove barriers.

Goal 2. Individuals with disabilities and family members advocate for Employment First and participate in the design of employment services and supports.

Goal 3: Businesses influence businesses to create employment opportunities for people with disabilities

Goal 4: Best practices drive transition outcomes for living, working and learning.”

 
Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Iowa SAMHSA Employment Development Initiative

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI)”. In 2012, Iowa was awarded an EDI grant for self-employment initiatives. 

Systems
  • Department of Mental Health
  • Other
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

ODEP Employment First State Leadership Mentor Program

“Each state will receive funding to assist them to develop and implement their strategic plan and will have access to on-site, customized technical assistance from national subject-matter experts to help them achieve their goals. In addition the states will be able to discuss their progress with other states who are working in this area through regularly scheduled Community-of-Practice teleconference calls.” “Iowa intends to build on its current Employment First Initiative in order to move state policies and funding structures with the explicit intent to increase integrated employment outcomes for people with significant disabilities. Participation in the EFSLMP will enable Iowa to study, and consider adopting, policies and funding mechanisms that emphasize interagency collaboration that result in service delivery that prioritizes integrated employment. Iowa Vocational Rehabilitation Services will lead its EFSLMP.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Customized Employment
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Iowa Money Follows the Person

“Money Follows the Person (MFP) Partnership for Community Integration Project is a $51 million grant from the Centers for Medicareid and Medicaid Services. It will provide opportunities for individuals in Iowa to move out of Intermediate Care Facilities for Persons with Intellectual Disability (ICF/ID) and into their own homes in the community of their choice. Individuals living in Nursing Facilities may also qualify. Grant funds provide funding for the transition services and enhanced supports needed for the first year after they transition into the community. MFP assistance is available to individuals with a diagnosis of an Intellectual Disability or Brain Injury who has lived in an ICF/ID or a Nursing Facility for at least three months. The individual must express an interest moving from the ICF/ID or Nursing Facility into the community.” 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Iowa AIDD Partnerships in Employment Systems Change Grant

The Iowa Coalition for Integrated Employment’s consortium includes representatives from various government and advocacy agencies and organizations. The objections of the coalition  are: “Develop a  Readiness for Change Plan  for systems change related to integrated, competitive employment for youth with DD; develop an outcome measurement system to measure employment success; increase the placement and support services early in high school that result in uninterrupted transition to employment; develop the capacity of service providers to promote integrated competitive employment for youth with DD; increase expectations and demands for fully integrated, competitive employment opportunities for youth with DD; and align policies, practices, and funding with employment expectations.”
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Data Sharing

Training/Capacity Building


Benefits Planning (Webinar links) - 02/14/2017

~~“The Iowa Community of Practice archived webinars are now on the ICIE YouTube channel and available to anyone any time! Eventually, IACP will be adding the webinars to their global lessons (available for any provider to use) on the DirectCourse system.  Each lesson will be paired with a generic test to confirm that the content was reviewed, and be tracked on their professional training transcript.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Iowa Employment First Guidebook - 01/01/2017

“This Guidebook was created to provide case managers, care managers, service coordinators and integrated health home coordinators with critical information, resources and tools to help them do the best possible job of assisting transition-age youth and working-age adults with disabilities they support to work.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • School-to-Work Transition
  • Mental Health
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Iowa Self Employment Program Success Stories - 07/29/2014

“This publication will introduce you to a fascinating collection of Iowa entrepreneurs who have found creative ways to leverage their skills, talents, abilities, resources, and social connections into their perfect job – not by finding employment, but by creating it.”

Systems
  • Department of Mental Health
Topics
  • Self-Employment

Iowa Employment First Summit - 10/04/2012

“The IA-APSE Employment Summit was designed for individuals with disabilities, family members, Community Rehabilitation Provider staff, state agency personnel, case managers and other community members committed to improving employment outcomes for Iowans with disabilities.  It features national, as well as local speakers sharing progressive and innovative best practice information and strategies to move the agenda of inclusive employment forward.”   
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa's Integrated Employment Funding System Supplemental Report - 09/17/2012

This report is looking at building the capacity and expertise of employment specialists to support individual, integrated employment outcomes. MHDS is encouraged to consider what to include in an Employment Supports Core Training, how to provide ongoing professional development, and ideas for offering provider-level training and technical assistance.

 
Systems
  • Department of Mental Health
Topics
  • Self-Employment
  • Mental Health
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Iowa VR Services Forms - The Discovery Staging Record - 09/10/2011

“This form is used to stage, structure, capture and record the major events of Discovery. The recorder(s) should pay particular attention to how the tasks are typically performed, any accommodations, technology, supports, or specialized training strategies that should be employed.” Discovery is a key tool in finding community-based, integrated employment through the customized employment process.

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Provider Transformation

Iowa Community of Practice Training Sessions for 2017

~~This document gives information on the training sessions that will be done in 2017 including benefits planning, employer engagement, and school to work transition

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability

Employment First Initiatives

~~“Increasing economic self-sufficiency is a major goal of working. Several years ago CDD published a compressive report on self-sufficiency and asset development strategies and helpful hints about employment related supports. This information, while several years old in still applicable today.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

REM Iowa

~~“Since 1979, REM Iowa has provided quality services to adults and children with intellectual and developmental disabilities and other complex challenges. We also offer services for adults with brain injuries and provide a range of programs, including residential services and day and vocational programs. Our personalized approach maximizes each person’s unique efforts to learn, grow and thrive in the communities they call home. REM Iowa is a partner of The MENTOR Network, a national network of local health and human services providers offering an array of quality, community-based services across the country .”

Systems
  • Department of Rehabilitation Services
Citations

Iowa WIOA Webinar

“This webinar covers the basics of the Workforce Innovation and Opportunity Act (WIOA) in regards to high school students, including Section 511 and highlights from the Memorandum of Agreement between Iowa Vocational Rehabilitation Services and the Iowa Department of Education.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Employment First Website

“Through the efforts of the Iowa Employment First Leadership Team, which has benefited from consultation, technical assistance and financial assistance by participating in the Office of Disability and Employment Policy's Employment First Program, competitive community-integrated employment is moving forward in Iowa. Collaboration has occurred with the Iowa Coalition of Integrated Employment and the Disability Employment Initiative, resulting in increased attention and partnering across the state with employment efforts. Please enjoy the resources on this site and we hope it will provide value in the discussion of Employment First Opportunities!”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • School-to-Work Transition
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Iowa VR Services Forms - Referral Action Plan

This worksheet helps job seekers plan their employer engagement approach by encouraging them to list 10 specific actions that they will take to build their referral business.

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement

Iowa VR Services Forms - Negotiation Model

This worksheet serves as a guide and overview of the stages and components in strategic job negotiation. Job negotiation is a core component to customized employment and assists employers in understanding how an employee with disabilities can most effectively serve their business while gaining fulfillment from their job.

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Employer Engagement

Iowa Employment First Webinars

Iowa receives technical assistance through the Employment First initiative.  Trainings include webinars on different aspects of Customized Employment, parental involvement, and employment best practices for people with disabilities.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Education
Topics
  • Customized Employment

Enforcement

No Enforcement have been entered for this state.

Medicaid & Employment


Money Follows the Person (MFP) Update - 01/01/2017

~~“The Money Follows the Person (MFP) demonstration program is a collaborative partnership between DHS’s Iowa Medicaid Enterprise (IME) and the Center for Disabilities and Development (CDD). This program, funded through the Centers for Medicare and Medicaid Services (CMS) provides opportunities for individuals with intellectual disabilities, or other related disabilities, to move out of intermediate care facilities for individuals with intellectual disabilities and into their own homes or apartments in the community of their choice. Individuals living in nursing homes may also qualify. MFP grant funding (which CDD worked with the IME to obtain) provides for transition services and enhanced supports needed for the first year after an individual moves into the community. Under a contract with IME, nine Transition Specialists from CDD are deployed throughout the state to provide transition planning services, community options awareness, training, and ongoing support and care coordination to individuals with disabilities, their families and facility-based and community-based providers. In addition CDD has employed an Employment Specialist to address employment barriers faced by MFP participants.  CDD also employs a MFP Project Coordinator stationed at IME. This position provides oversight for the statewide project and coordinates the grant related activities. CDD also employs a Behavioral Specialist to provide training and consultation to providers, consumers and families who are assisting a person that may be experiencing challenging behaviors.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Iowa Department of Human Services “HCBS Prevocational and Supported Employment Service - 09/01/2016

“This letter is to serve as notification that in order to comply with the federal correct coding guidelines the IME will be introducing Level II Healthcare Common Procedure Coding System (HCPCS) codes for Tier 1 Long Term Job Coaching and for Individual Supported Employment and to provide clarification regarding a unit of service for Individual Supported Employment…. For services with a date of service beginning September 1, 2016, or after, the service must be authorized and billed using the HCPCS procedure code and the HCP CS Level II modifieras follows :• H2025 U4 for Tier 1 of Long Term Job Coaching • T2018 UC for Individual Supported Employment.”

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa HCBS Statewide Transition Plan - 01/29/2016

“Federal regulations that became effective on March 17, 2014 define the settings in which it is permissible for states to pay for Medicaid Home and Community-Based Services (HCBS). The purpose of these regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree as individuals who do not receive HCBS.” 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Approval of the HCBS Waiver Settings Statewide Transition Plan (STP) - 09/14/2014

“The state is responsible for the development and implementation of a Statewide Transition Plan (STP) to ensure full compliance with the CMS regulations. A proposed STP was posted for public comment in February 2016. The IME reviewed and responded to the public comments in March and on April 1, 2016, submitted a draft STP to CMS that incorporated the public comments and feedback received. Over the past several months the IME has been working with CMS to make technical corrections and clarifications to the submitted transition plan. On August 10, 2016, the IME received notice from CMS of the initial approval of the STP. The approved STP and the CMS initial approval letter are available on the DHS web page, Waiver Draft Transition Plans and the Statewide Transition Plan.”

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Brain Injury Waiver - 09/15/2009

“BI Waiver services are individualized to meet the needs of each member. The following services are available: • Adult Day Care • Behavioral Programming • Case Management • Consumer Directed Attendant Care • Family Counseling and Training • Home and Vehicle Modifications • Interim Medical Monitoring and Treatment • Personal Emergency Response System • Prevocational Services • Respite • Specialized Medical Equipment • Supported Community Living • Supported Employment • Transportation • Consumer Choices Option”  

 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Iowa HCBS Intellectual Disability Waiver - 09/15/2009

“ID Waiver services are individualized to meet the needs of each member. The following services are available:

• Adult Day Care

• Consumer Directed Attendant Care (CDAC)

• Day Habilitation

• Home and Vehicle Modifications

• Home Health Aide

• Interim Medical Monitoring and Treatment

• Nursing

• Personal Emergency Response System

• Prevocational

• Respite

• Supported Community Living

• Supported Community Living-Residential Based

• Supported Employment

• Transportation

• Consumer Choices Option”

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

HCBS Prevocational and Supported Employment Services “Prevocational–Career Exploration”

“Prevocational –Career Exploration ….The outcome of this service is documentation of the participant’s stated career objective and a career plan used to guide individual employment support. ‘“Supported employment’” means the ongoing supports to participants who, because of their disabilities, need intensive ongoing support to obtain and maintain an individual job in competitive or customized employment, or self-employment, in an integrated work setting in the general workforce at or above the state’s minimum wage or at or above the customary wage and level of benefits paid by the employer for the same or similar work performed by individuals without disabilities. The outcome of this service is sustained paid employment at or above the minimum wage in an integrated setting in the general workforce in a job that meets personal and career goals. Supported employment services can be provided through many different service models.

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

HCBS Waivers and Amendments

Effective May 04, 2016 the department intends to begin using the InterRAI standardized assessment tool for the purposes of level of care determination and service planning for the HCBS Brain Injury, Children’s Mental Health, Elderly, Health and Disability, Physical Disability and AIDS/HIV waivers. The department also intends to implement the InterRAI for the purposes of needs based eligibility determination and service planning for the HCBS Habilitation program.

Effective May 04, 2016 the department intends to implement changes to the Prevocational and Supported Employment services provider qualifications, service scope and definitions and reimbursement methodologies. Prevocational and Supported Employment services are currently covered as a benefit under two of the seven waivers. Prevocational and Supported Employment services are available under the following HCBS waivers; Brain Injury (BI), and Intellectual Disability (ID).

Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Department of Human Services “Home- and Community-Based Services (HCBS) Transition Settings

The Centers for Medicare & Medicaid Services (CMS) have issued regulations that define the settings in which it is permissible for states to pay for Medicaid Home- and Community-Based Services (HCBS).  The purpose of these regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree as individuals who do not receive HCBS.

Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Money Follows the Person Partnership for Community Integration Project

“Money Follows the Person (MFP) Partnership for Community Integration Project is a $51 million grant from the Centers for Medicare and Medicaid Services (CMS). It will provide opportunities for individuals in Iowa to move out of Intermediate Care Facilities for Persons with Intellectual Disabilities (ICF/ID) and into their own homes in the community of their choice. Individuals living in Nursing Facilities may also qualify. Grant funds provide funding for the transition services and enhanced supports needed for the first year after they transition into the community. MFP assistance is available to individuals with a diagnosis of an Intellectual Disability or Brain Injury who has lived in an ICF/ID or a Nursing Facility for at least three months. The individual must express an interest moving from the ICF/ID or Nursing Facility into the community.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Iowa Medicaid State Plan

A State Plan is a contract between a state and the Federal Government describing how that state administers its Medicaid program. It gives an assurance that a state abides by Federal rules and may claim Federal matching funds for its Medicaid program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative requirements that States must meet to participate. States frequently send a state plan amendment, otherwise referred to as a SPA, to the Centers for Medicare and Medicaid Services (CMS) for review and approval. There are many reasons why a state might want to amend their state plan.

Systems
  • Medicaid Agencies
  • Other

Iowa Medicaid Balancing Incentive Payments Program

“The Balancing Incentive Program (BIPP) is a provision of the Patient Protection and Affordable Care Act that is designed to ‘balance’ states’ spending on long term supports and services (LTSS). Iowa began participation in the BIP program in 2012 with an anticipated $61 million in enhanced Federal Medical Assistance Percentages (FMAP) for Medicaid to provide persons with greater access to home and community based services (HCBS) and reduces unnecessary reliance on institutional services. To accomplish this objective, the program has three major structural reforms for the current LTSS system: No Wrong Door (NWD): This implements specific steps to streamline access to services; Core Standardized Assessments (CSA): This [improves] efficiency, consistency and fairness in eligibility determination and assessments for LTSS; [and] Conflict-Free Case Management (CFCM): This ensures conflict-free case management throughout LTSS systems.”

Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

States - Phone

Snapshot

The motto of the state of Iowa is, "Our Liberties We Prize and Our Rights We Will Maintain." For Iowans with disabilities, this includes the liberties that come with having a job, and equal rights to real work for real pay.

State VR Rates and Services

A list of services offered by this state’s Vocational Rehabilitation agency, along with the standard rates paid for the performance of those services.

PDF icon Iowa’s VR Rates and Services

2015 State Population.
0.54%
Change from
2014 to 2015
3,123,899
2015 Number of people with disabilities (all disabilities, ages 18-64).
1.98%
Change from
2014 to 2015
180,139
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
1.53%
Change from
2014 to 2015
83,391
2015 Percentage of working age people who are employed (all disabilities).
-0.45%
Change from
2014 to 2015
46.29%
2015 Percentage of working age people who are employed (NO disabilities).
0.24%
Change from
2014 to 2015
82.37%

State Data

General

2015
Population. 3,123,899
Number of people with disabilities (all disabilities, ages 18-64). 180,139
Number of people with disabilities who are employed (all disabilities, ages 18-64). 83,391
Number of people without disabilities who are employed (ages 18-64). 1,397,255
Percentage of working age people who are employed (all disabilities). 46.29%
Percentage of working age people who are employed (NO disabilities). 82.37%
Overall unemployment rate. 3.80%
Poverty Rate (all disabilities). 19.10%
Poverty Rate (NO disabilities). 11.20%
Number of males with disabilities (all ages). 184,113
Number of females with disabilities (all ages). 183,923
Number of Caucasians with disabilities (all ages). 343,674
Number of African Americans with disabilities (all ages). 10,934
Number of Hispanic/Latinos with disabilities (all ages). 12,119
Number of American Indians/Alaska Natives with disabilities (all ages). 1,743
Number of Asians with disabilities (all ages). 2,912
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A
Number of with multiple races disabilities (all ages). 6,031
Number of others with disabilities (all ages). 2,405

 

SSA OUTCOMES

2015
Number of SSI recipients with disabilities who work. 6,432
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 13.10%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 78,222

 

MENTAL HEALTH OUTCOMES

2015
Number of mental health services consumers who are employed. 3,407
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 6,500
Number of adults served who have a known employment status. 11,312
Percentage of all state mental health agency consumers served in the community who are employed. 30.10%
Percentage of supported employment services evidence based practices (EBP). N/A
Percentage of supported housing services evidence based practices (EBP). N/A
Percentage of assertive community treatment services evidence based practices (EBP). N/A
Percentage of medications management evidence based practices (EBP). N/A
Number of evidence based practices (EBP) supported employment services. N/A
Number of evidence based practices (EBP) supported housing services. N/A
Number of evidence based practices (EBP) assertive community treatment services. N/A
Number of evidence based practices (EBP) medications management. N/A

 

WAGNER PEYSER OUTCOMES

2015
Number of registered job seekers with a disability. 3,776
Proportion of registered job seekers with a disability. 0.03

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2014
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 1,842
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 625
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 34.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 20.01

 

VR OUTCOMES

2016
Total Number of people served under VR.
N/A
Number of people with visual impairments served under VR. N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. N/A
Number of people with physical impairments served under VR. N/A
Number of people cognitive impairments served under VR. N/A
Number of people psychosocial impairments served under VR. N/A
Number of people with mental impairments served under VR. N/A
Percentage of overall closures into employment under VR. N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 4,820
Number of eligible ticket to work beneficiaries. 115,302
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A
Total number of ID competitive labor market closures. N/A

 

IDD OUTCOMES

2014
Dollars spent on day/employment services for integrated employment funding. $9,051,000
Dollars spent on day/employment services for facility-based work funding. $22,135,000
Dollars spent on day/employment services for facility-based non-work funding. $48,932,000
Dollars spent on day/employment services for community based non-work funding. $0
Percentage of people served in integrated employment. 16.00%
Number of people served in community based non-work. 0
Number of people served in facility based work. 3,603
Number of people served in facility based non-work. 8,713
Number supported in integrated employment per 100,000 individuals in the general state population. 77.50

 

EDUCATION OUTCOMES

2014
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 64.92%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 8.60%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.80%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 87.56%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 30.71%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 58.57%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 83.14%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 27.86%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 630,402
Number of overall total blind and SD workers. 532
Number of AbilityOne blind and SD hours (products). 9
Number of AbilityOne blind and SD hours (services). 63,088
Number of AbilityOne blind and SD hours (combined). 63,097
Number of AbilityOne blind and SD workers (products). 4
Number of AbilityOne blind and SD workers (services). 108
Number of AbilityOne blind and SD workers (combined). 112
AbilityOne wages (products). $26
AbilityOne wages (services). $785,430

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2016
Number of 14(c) certificate-holding businesses. 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 61
Number of 14(c) certificate holding patient workers. 4
Total Number of 14(c) certificate holding entities. 65
Reported number of people with disabilities working under 14(c) certificate-holding businesses. 0
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). 5,668
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 410
Total reported number of people with disabilities working under 14(c) certificate holding entities. 6,078

 

Legislation


Iowa HF 572, Concerning who Consitatue the Membership of the State WIB - 07/01/2017

~~“An Iowa workforce development board is created,….” the law describes who will make up the 33 voting members and 13 non-voting of the board including the governor, a state senator, a state representative, the director of the Departments of Workforce Development, Education, the Blind, and Vocational Rehabilitation or their designees, and a number of members drawn from the business community, groups who work with persons with disabilities and other departments.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Employer Engagement
  • WIOA

Iowa SF 505 - 07/02/2015

"An Iowa ABLE savings plan trust is created…The general assembly finds that the general welfare and well-being of the state are directly related to the health, maintenance, independence, and quality of life of its disabled residents,and that a vital and valid public purpose is served by the creation and implementation of programs that encourage and make possible savings to secure funding for disability-related expenses on behalf of individuals with disabilities …"

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Iowa Employer Tax Incentive - 10/24/2012

For tax years beginning on or after January 1, 1984...a taxpayer who operates a business which is considered to be a small business…is allowed an additional deduction for 50 percent of the first 12 months of wages paid or accrued during the tax years for work done in Iowa by employees first hired on or after January 1, 1984…where the taxpayer first qualifies as a small business….and meets one of the following criteria: A handicapped individual domiciled in this state at the time of hiring. An individual domiciled in this state at the tie of hiring…  
Systems
  • Other
Topics
  • Asset Development / Financial Capability
  • Employer Engagement

Iowa Assistive Device Tax Credit

  The taxes imposed under this division shall be reduced by an assistive device tax credit.  A small business purchasing, renting, or modifying an assistive device or making workplace  modifications for an individual with a disability who is employed or will be employed by the small business is eligible, subject to availability of credits, to receive this assistive device tax credit which is equal to fifty percent of the first five thousand dollars paid during the tax year for the purchase, rental, or modification of the assistive device or for making the workplace modifications.  Any credit in excess of the tax liability shall be refunded with interest computed under section 422.25…

Systems
  • Other
Topics
  • Asset Development / Financial Capability
  • Employer Engagement

Executive Orders


Iowa Executive Order 27 - 02/04/2003

“Recognizing that the breadth and complexity of the issues required a coordinated inter-agency response, in 2003 Governor Vilsack issued Executive Order 27 calling upon state agencies to identify the barriers to community living posed by their policies and programs and to develop plans to remove them. Executive Order 27 also created the current Olmstead Consumer Taskforce to advise the Governor’s Office on strategies to promote community integration, including changes in policies or programs.”

NOTE: While Executive Order 27 mentioned employment only in general terms, the Olmstead Plan developed with assistance from the Taskforce specifically supports integrated, competitive employment.

 
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Policy


Iowa Vocational Rehabilitation Services - 08/01/2016

“Under WIOA regulations, IVRS is required to spend 15% of our federal grant resources towards Pre-Employment Transition Services. We have a number of initiatives that are being designed and implemented for this effort. For example, programs and initiatives such as: TAP (Transition Alliance Programs)’ Project Search, Youth Leadership Forum, Intermediary Network, Work-Based Learning, Construction Simulator, zSpace, and our Summer Camp activities are all examples of PETS initiatives.”

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition

Limitations on the Use of Subminimum Wage - 07/22/2016

“The addition of Section 511 demonstrates the intent that individuals with disabilities, especially youth with disabilities, must be afforded a full opportunity to prepare for, obtain, maintain, advance in, or reenter competitive integrated employment. Section 511 imposes limitations on employers who hold special wage certificates, commonly known as 14(c) certificates, under the Fair Labor Standards Act (FLSA) that must be satisfied before the employers may hire youth with disabilities at subminimum wage or continue to employ individuals with disabilities of any age at the subminimum wage level. (the link opens a Word Document) “

Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • 14(c)/Income Security

IA Department of Human Services Report of Joint Protocols and Program Models - 12/15/2014

“IVRS and DHS are key collaborators in EFSLMP.  “IVRS is the lead agency, but DHS has committed to staff and management resources and time. … Iowa has a “grassroots Employment First (E1st) initiative that influences the state’s employment service delivery system and involves a broad range of collaborators.   …“Iowa’s E1st Vision is that “‘Iowans with disabilities are employed at the same rate as other Iowans and receiving equal benefits.’”  The Mission of E1st is to ‘Change beliefs, practices, systems and funding so that employment in the general workforce is the first and preferred outcome in the provision of publically funded services for all working age Iowans with disabilities, regardless of level of disability.’”  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Vocational Rehabilitation Services and Department of Human Services Agreement - 10/01/2014

“The purpose of this agreement is to establish a statewide system of coordinated, cost efficient vocational/employment services for people with developmental disabilities with minimal overlap of responsibility and maximum utilization of resources between the Iowa Vocational Rehabilitation Services, hereinafter referred to as IVRS, and the Iowa Department of Human Services, hereinafter referred to as DHS. This agreement will serve to clarify roles and responsibilities of IVRS and DHS in regard to common consumers.  This agreement is effective October 1, 2014, or the latest date of signature, through September 30, 2016.”

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Olmstead Plan for Mental Health and Disability Services: State plan framework (2011 - 2015) - 01/06/2011

“The Department of Human Service’s priorities for Olmstead Plan implementation include establishing the leadership, necessary partnerships and infrastructure for a service system expanding opportunities for competitive employment.”

The goals include: “Conducting targeted outreach to families and guardians of individuals with mental illness, brain injury and other disabilities to raise awareness of opportunities for community living, including competitive employment, by accessing available supports and services; … Analyzing current policies and practice regarding transition, and determine, with the engagement of the Department of Education, how these can be strengthened to support integrated employment as a preferred outcome for students moving into the adult service system".

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging
  • Data Sharing

Iowa Workforce Development Annual Report 2016

~~“…through our partnership with the DirectEmployers Association, we provide 10 microsites, which offer the opportunity to provide job information on mobile and hand-held devices. These sites are also search-engine optimized, and were developed at no cost to the state. The 10 microsites include:WORKINIOWA-DISABILITY.JOBSHelps employers reach the disability community. Helps employerscomply with Affirmative Action and Equal Employment OpportunityCommission efforts.” 

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement

Iowa Department of Education “Secondary Transition

“The ultimate goal of secondary transition planning is to make the adjustment from high school as easy, successful and as short as possible. Successful transition planning should begin early and be based on specific knowledge and experiences of targeted future environments and activities. It includes the commitment of resources, collaboration among people and agencies, and decision making to develop an IEP for the student.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Iowa Vocational Rehabilitation Services “Iowa Self-Employment” Brochure

IOWA SELF-EMPLOYMENT (ISE) PROGRAM

Iowa Self-Employment (ISE) is a program designed for clients of Iowa Vocational Rehabilitation Services (IVRS) or Iowa Department for the Blind (IDB), whose vocational goal is self-employment. This program is administered by IVRS and works in partnership with IDB. Following eligibility and self-employment assessment, a referral may be sent to ISE personnel. 

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • Cross-Agency Collaboration / Partnerships

Iowa Department on Aging “Senior Community Services Employment Program (SCSEP)

SCSEP participants are paid minimum wage while they gain marketable job skills working part-time in non-profit and public organizations, including senior centers, schools and libraries. The program provides a win-win for participants and their communities: Participants help community organizations extend their capabilities, while developing their own job skills, self-confidence and a restored sense of self-worth.

To participate in this employment program for older Iowans, a person must be:

Age 55 or older; Currently unemployed; Legally eligible to work in the United States; and Living in a household with income no more than 125 percent of the current federal poverty level. All disability payments, including Social Security Disability (SSDI), are excluded from SCSEP income eligibility determinations 25% of Social Security payment is excluded, which includes social security retirement and survivors benefits All Unemployment Compensation is excluded SSI & public assistance are excluded Veterans Benefits are excluded
Systems
  • Other
Topics
  • Customized Employment

Iowa Department of Human Services “Home- and Community-Based Services (HCBS) Transition Settings

The Centers for Medicare & Medicaid Services (CMS) have issued regulations that define the settings in which it is permissible for states to pay for Medicaid Home- and Community-Based Services (HCBS).  The purpose of these regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree as individuals who do not receive HCBS.

Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Department of Education “Secondary Transition – Guidance to Quality IEPs”

In Iowa, secondary transition planning should begin no later than the first IEP to be in effect when the child turns 14, or younger if determined appropriate by the IEP team.

The ultimate goal of transition planning is to make the adjustment from high school as easy and successful as possible.  It should be based on specific knowledge and experiences of targeted future environments and activities, as well as transition assessment information.

The transition of youth with disabilities from high school to learning, living and working in the community is a process that involves ongoing planning, preparation, and revision. It is not a single event or a series of isolated events

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Iowa Vocational Rehabilitation Services 2015-2018 Strategic Plan

“The State Plan is required to be submitted annually for approval by RSA in order for IVRS to receive Title 1 and Title VI Part B grant funds. The State Plan describes the administrative and operational activities of IVRS, in addition to specific areas that involve public input, waiting list information, an analysis of data, goal planning, and an evaluation of reported progress. Significant legislative changes occurred in July 2014, with the approval of the Workforce Innovation Opportunities Act (WIOA). This federal legislation will create opportunities for changes in service delivery, with a clear focus on increased accountability resulting in employment outcomes. Collaborative partnerships, dynamic service delivery focused on meeting the needs of our business customers, improved transition outcomes and services facilitating the transition into competitive community integrated employment settings for individuals with the most significant disabilities are just a few of the key points in the legislation.”

Systems
  • Department of Rehabilitation Services
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

IA Department for the Blind: Vocational Rehabilitation Services

“The Department's employment services are delivered through its Vocational Rehabilitation (VR) program. Our VR program helps blind or visually impaired Iowans prepare for, obtain and retain employment in a variety of occupations. Applicants are eligible for services based upon their visual disability, their need for employment services and their intent to work. You will work with a VR Counselor to jointly identify an employment goal and the services you need to achieve it.”

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Employer Engagement
  • Provider Transformation

Iowa DHS Disability Employment Vision and Initiatives

"Employment in the general workforce is the first priority and the expected and preferred outcome in the provision of publically funded services for all working age Iowan's with disabilities...By employment we mean: regular or customized employment in the general workforce, where employees with disabilities are earning at least minimum or prevailing wages and benefits. The Department of Human Services (DHS) is involved with a number of initiatives intended to increase the number of people with disabilities competitively employed."

Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
  • Other
Topics
  • Customized Employment
  • 14(c)/Income Security

Partnerships


“Increasing Employment for People with Disabilities” - 07/01/2017

~~“The Department of Human Services (DHS) is involved with a number of initiatives intended to increase the number of people with disabilities competitively employed including:

•State Employment Leadership Network (SELN): SELN's mission is to bring states together to improve employment outcomes for individuals with disabilities. SELN consultants help Iowa recognize the systemic barriers to employment for persons with disabilities and ways to overcome them.•Medicaid Infrastructure (MIG) Grant: This program ended in 2013. The purpose of MIG was to assist states with making improvements to their Medicaid programs that support the competitive employment of people with disabilities.•Employment First ("E1st"): Iowa is one of three states awarded an Office of Disability Employment Policy (ODEP) grant to promote systems change around improving employment outcomes and one of 26 States with an APSE sponsored initiative emphasizing integrated employment. Iowa E1st includes individuals with disabilities, family members, service providers, state human services and vocational staff, business leaders, and others. Iowa's Employment First Leadership State Mentor Program (EFLSMP) brings together Iowa Vocational Rehabilitation Services (IVRS) with DHS, IowaWORKS, the DD Council, the Iowa Association of Community Providers, and a family member, under the mentorship of the State of Washington.•Iowa Coalition for Integrated Employment: The Administration on Developmental Disabilities Grant awarded a $358,000 per year five year grant to the Developmental Disabilities Council. The grant will which brings together the DD Council, the Iowa Department of Education (DE), Iowa Vocational Rehabilitation Services (IVRS), and DHS to improve systems so that Iowa youth with a developmental disability have fully integrated, and competitive work opportunities. The grant will contract for 6 demonstration projects in an education environment and at least 3 demonstration projects with community rehabilitation providers. This project is called the Iowa Coalition for Integrated Employment (ICIE).•Iowa's Money follows the Person Grant (MFP): The Partnership for Community Integration Project is a federal Medicaid demonstration grant to assist with the transition of persons currently residing in ICFs/ID to communities of their choice. Employment plays an integral part in community inclusion and the goals of the project.”

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Workforce Development “Employment and Disability” - 08/24/2016

“Under the Workforce Investment Act of 1998, Regional Workforce Partners joined forces to create and operate a Regional Workforce Development System. The goal of this system is to provide high quality employment services to all individuals. This system is designed to be able to improve accessibility for job seekers with or without disabilities. Each IowaWORKS Center offers accommodations and assistive technology to increase or improve the functional capabilities of individuals with disabilities. Iowa Workforce Partners Iowa Workforce Development Iowa Department for the Blind Iowa Vocational Rehabilitation Services Iowa Department of Human Services Iowa Department of Human Rights/ Division of Persons with Disabilities Iowa Department of Education Iowa Developmental Disability Council Iowa Department on Aging”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other

Agreement between Iowa Vocational Rehabilitation Services and the Iowa Department of Education - 10/13/2015

“The purpose of this agreement is to facilitate the integration and coordination of transition services from school to post-secondary education and/or employment, for individuals with disabilities who are enrolled in secondary education and are eligible, or potentially eligible, to receive vocational rehabilitation services.” 

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa DHS: Stakeholder Brief by SELN - 03/15/2013

“Iowa Department of Human Services (DHS) has been keenly focused on improving opportunities for Iowans with disabilities to become employed in quality jobs in Iowa communities since 2000 when first awarded a Medicaid Infrastructure Grant (MIG), a federal program providing financial assistance to states to facilitate the competitive employment of people with disabilities. Iowa’s Mental Health and Disability Services (MHDS) and Iowa’s Medicaid Enterprise (IME), both divisions of DHS, have been working together along with their stakeholders, to improve employment outcomes for individuals with disabilities with a particular focus on individuals with intellectual and developmental disabilities (I/DD) in Iowa.”

 
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Olmstead Consumer Taskforce Position Statement on Employment - 01/11/2013

“The State of Iowa has been working for over a decade to support employment outcomes by raising awareness of federal work incentives for people concerned about losing Social Security, Medicare or Medicaid benefits, and by focusing attention on the transition of young people with disabilities from school to work and independent living. In the last three years this work has been accelerated and enhanced under the Employment First, State Employment Leadership Network, the Iowa Coalition for Integrated Employment, and other initiatives.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa Disability Employment Interagency Memorandum of Agreement - 10/01/2012

“An updated Interagency Memorandum of Agreement (MOA) to Strengthen Employment Services for Iowans with Disabilities focused on competitive, community-based, integrated employment was signed in October, 2012 by eight State agencies and updated in January, 2015. Updates reflect changes in the federal regulations related to WIOA. “

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Memorandum of Agreement between the Iowa Vocational Rehabilitation Services and the The Iowa Department of Human Services

The purpose of this agreement is to establish a statewide system of coordinated, cost efficient vocational/employment services for people with developmental disabilities with minimal overlap of responsibility and maximum utilization of resources between the Iowa Vocational Rehabilitation Services, hereinafter referred to as IVRS, and the Iowa Department of Human Services, hereinafter referred to as DHS. This agreement will serve to clarify roles and responsibilities of IVRS and DHS in regard to common consumers.  This agreement is effective October 1, 2014, or the latest date of signature, through September 30, 2016.

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa Transition Alliance Program

 “The Transition Alliance Program (TAP) is a partnership between Community School Districts and Iowa Vocational Rehabilitation Services (IVRS).  Participants of TAP receive assistance in the areas of vocational training, independent living, and post-secondary education.  Our goal is for young adults to develop positive work skills in order to obtain and maintain community employment.  TAP participants will receive follow-up services to assure long-term job success!”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Iowa State Rehabilitation Council

“The State Rehabilitation Council (SRC), with members appointed by the Governor, has been in operation since January 1993, providing advice and direction to the Department of Education's Iowa Vocational Rehabilitation Services (IVRS) on the quality and effectiveness of programs and services. The SRC, which is comprised of a majority of individuals with disabilities, is a vital link to the constituency groups which IVRS serves or through which it procures its goods and services. The Council's goal is to seek and improve the quality of employment outcomes and community participation. The SRC is mandated by the Rehabilitation Act to have at least 15 voting members.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Vocational Rehabilitation Services (IVRS) Partners Page

The IVRS Partners Page presents a list, with links, to the various partnerships in which IVRS takes part to achieve its mission of serving persons with disabilities. Some of the partnerships include the Community Rehabilitation Program (CRP), the MOA between IVRS and DHS, the Rehabilitation Services Administration, the State Rehabilitation Council, and the Transition Alliance Program, among others.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Iowa Employment First Initiative

“In 2009 representatives of Community Rehabilitation Providers (CRP), Iowa Disability Navigator Program (DPN), the Governor’s Developmental Disability Council, the Iowa Chapter of APSE: The Employment Network (IA-APSE), Iowa Vocational Rehabilitation Services (IVRS), and the Medicaid Infrastructure Grant (MIG) began planning for the Iowa Employment First Initiative.”   The goals for the Initiative include:  “Goal 1. Policies and funding are aligned with Employment First and strong partnerships remove barriers. Goal 2. Individuals with disabilities and family members advocate for Employment First and participate in the design of employment services and supports. Goal 3: Businesses influence businesses to create employment opportunities for people with disabilities Goal 4: Best practices drive transition outcomes for living, working and learning.”    
Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Iowa Coalition for Integrated Employment

“The Iowa Coalition for Integrated Employment’s consortium includes representatives from the Iowa DD Council, Iowa Department of Education, Iowa VR and the Department of Human Services. The partners have a history of routinely working together on employment and transition issues and projects for youth with disabilities. Other partners include representatives from Iowa APSE, individuals with developmental disabilities and family members.”
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa VR: SSA Ticket to Work Program

“The Ticket to Work program is a federal program for Social Security disability beneficiaries age 18 through 64 who receive SSDI or SSI benefits based on a disability and would like to work. It is designed to provide help and support for those beneficiaries who desire to regain financial independence through employment. The program is free; it is voluntary and offers work incentives that allow benefits to continue during the transition to employment. IVRS partners with other Employment Networks (ENs) to ensure our job candidates receive ongoing services once on the job.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Medicaid Agencies
  • Other
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


Iowa Disability Employment Initiative (Round 6) - 11/01/2016

IADEI will hire five Disability Resource Coordinators and will link a variety of initiatives to make the vision of the Workforce Innovation and Opportunity Act real for all Iowans. IADEI will increase access to and participation in local Career Pathway models in the current five local workforce regions through a  partnership between eight state agencies and the Department of Labor. State Leadership Agencies will work with local WDBs to strengthen disability integration in service through the implementation of three DEI strategies currently being implemented under its Round 3 DEI project  
Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Iowa Disability Employment Initiative (Round 3) - 10/01/2012

The Disability Employment Initiative (DEI) is a three-year federal grant-funded program that improves education, training, employment opportunities, and employment outcomes for people who are unemployed, underemployed, and/or receiving Social Security disability benefits. In 2012, Iowa was awarded a Round 3 DEI grant from the U.S. Department of Labor’s Employment Training Administration. 

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Medicaid Agencies
Topics
  • Asset Development / Financial Capability
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Iowa Balancing Incentive Program - 07/01/2012

“The Balancing Incentive Program (BIP) is a provision of the Patient Protection and Affordable Care Act that is designed to ‘balance’ states’ spending on long term supports and services (LTSS). Iowa began participation in the BIP program in 2012 with an anticipated $61 million in enhanced Federal Medical Assistance Percentages (FMAP) for Medicaid to provide persons with greater access to home and community based services (HCBS) and reduces unnecessary reliance on institutional services. To accomplish this objective, the program has three major structural reforms for the current LTSS system: No Wrong Door (NWD): This implements specific steps to streamline access to services; Core Standardized Assessments (CSA): This [improves] efficiency, consistency and fairness in eligibility determination and assessments for LTSS; [and] Conflict-Free Case Management (CFCM): This ensures conflict-free case management throughout LTSS systems.”

 
Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa Employment First Initiative: Statement of FIndings - 10/01/2011

“In 2009 representatives of Community Rehabilitation Providers (CRP), Iowa Disability Navigator Program (DPN), the Governor’s Developmental Disability Council, the Iowa Chapter of APSE: The Employment Network (IA-APSE), Iowa Vocational Rehabilitation Services (IVRS), and the Medicaid Infrastructure Grant (MIG) began planning for the Iowa Employment First Initiative...The goals for the Initiative include:

Goal 1. Policies and funding are aligned with Employment First and strong partnerships remove barriers.

Goal 2. Individuals with disabilities and family members advocate for Employment First and participate in the design of employment services and supports.

Goal 3: Businesses influence businesses to create employment opportunities for people with disabilities

Goal 4: Best practices drive transition outcomes for living, working and learning.”

 
Systems
  • Department of Rehabilitation Services
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Iowa SAMHSA Employment Development Initiative

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI)”. In 2012, Iowa was awarded an EDI grant for self-employment initiatives. 

Systems
  • Department of Mental Health
  • Other
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

ODEP Employment First State Leadership Mentor Program

“Each state will receive funding to assist them to develop and implement their strategic plan and will have access to on-site, customized technical assistance from national subject-matter experts to help them achieve their goals. In addition the states will be able to discuss their progress with other states who are working in this area through regularly scheduled Community-of-Practice teleconference calls.” “Iowa intends to build on its current Employment First Initiative in order to move state policies and funding structures with the explicit intent to increase integrated employment outcomes for people with significant disabilities. Participation in the EFSLMP will enable Iowa to study, and consider adopting, policies and funding mechanisms that emphasize interagency collaboration that result in service delivery that prioritizes integrated employment. Iowa Vocational Rehabilitation Services will lead its EFSLMP.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Customized Employment
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Iowa Money Follows the Person

“Money Follows the Person (MFP) Partnership for Community Integration Project is a $51 million grant from the Centers for Medicareid and Medicaid Services. It will provide opportunities for individuals in Iowa to move out of Intermediate Care Facilities for Persons with Intellectual Disability (ICF/ID) and into their own homes in the community of their choice. Individuals living in Nursing Facilities may also qualify. Grant funds provide funding for the transition services and enhanced supports needed for the first year after they transition into the community. MFP assistance is available to individuals with a diagnosis of an Intellectual Disability or Brain Injury who has lived in an ICF/ID or a Nursing Facility for at least three months. The individual must express an interest moving from the ICF/ID or Nursing Facility into the community.” 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Iowa AIDD Partnerships in Employment Systems Change Grant

The Iowa Coalition for Integrated Employment’s consortium includes representatives from various government and advocacy agencies and organizations. The objections of the coalition  are: “Develop a  Readiness for Change Plan  for systems change related to integrated, competitive employment for youth with DD; develop an outcome measurement system to measure employment success; increase the placement and support services early in high school that result in uninterrupted transition to employment; develop the capacity of service providers to promote integrated competitive employment for youth with DD; increase expectations and demands for fully integrated, competitive employment opportunities for youth with DD; and align policies, practices, and funding with employment expectations.”
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Data Sharing

Training/Capacity Building


Benefits Planning (Webinar links) - 02/14/2017

~~“The Iowa Community of Practice archived webinars are now on the ICIE YouTube channel and available to anyone any time! Eventually, IACP will be adding the webinars to their global lessons (available for any provider to use) on the DirectCourse system.  Each lesson will be paired with a generic test to confirm that the content was reviewed, and be tracked on their professional training transcript.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Iowa Employment First Guidebook - 01/01/2017

“This Guidebook was created to provide case managers, care managers, service coordinators and integrated health home coordinators with critical information, resources and tools to help them do the best possible job of assisting transition-age youth and working-age adults with disabilities they support to work.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • School-to-Work Transition
  • Mental Health
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Iowa Self Employment Program Success Stories - 07/29/2014

“This publication will introduce you to a fascinating collection of Iowa entrepreneurs who have found creative ways to leverage their skills, talents, abilities, resources, and social connections into their perfect job – not by finding employment, but by creating it.”

Systems
  • Department of Mental Health
Topics
  • Self-Employment

Iowa Employment First Summit - 10/04/2012

“The IA-APSE Employment Summit was designed for individuals with disabilities, family members, Community Rehabilitation Provider staff, state agency personnel, case managers and other community members committed to improving employment outcomes for Iowans with disabilities.  It features national, as well as local speakers sharing progressive and innovative best practice information and strategies to move the agenda of inclusive employment forward.”   
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa's Integrated Employment Funding System Supplemental Report - 09/17/2012

This report is looking at building the capacity and expertise of employment specialists to support individual, integrated employment outcomes. MHDS is encouraged to consider what to include in an Employment Supports Core Training, how to provide ongoing professional development, and ideas for offering provider-level training and technical assistance.

 
Systems
  • Department of Mental Health
Topics
  • Self-Employment
  • Mental Health
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Iowa VR Services Forms - The Discovery Staging Record - 09/10/2011

“This form is used to stage, structure, capture and record the major events of Discovery. The recorder(s) should pay particular attention to how the tasks are typically performed, any accommodations, technology, supports, or specialized training strategies that should be employed.” Discovery is a key tool in finding community-based, integrated employment through the customized employment process.

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Provider Transformation

Iowa Community of Practice Training Sessions for 2017

~~This document gives information on the training sessions that will be done in 2017 including benefits planning, employer engagement, and school to work transition

Systems
  • Department of Rehabilitation Services
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability

Employment First Initiatives

~~“Increasing economic self-sufficiency is a major goal of working. Several years ago CDD published a compressive report on self-sufficiency and asset development strategies and helpful hints about employment related supports. This information, while several years old in still applicable today.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

REM Iowa

~~“Since 1979, REM Iowa has provided quality services to adults and children with intellectual and developmental disabilities and other complex challenges. We also offer services for adults with brain injuries and provide a range of programs, including residential services and day and vocational programs. Our personalized approach maximizes each person’s unique efforts to learn, grow and thrive in the communities they call home. REM Iowa is a partner of The MENTOR Network, a national network of local health and human services providers offering an array of quality, community-based services across the country .”

Systems
  • Department of Rehabilitation Services
Citations

Iowa WIOA Webinar

“This webinar covers the basics of the Workforce Innovation and Opportunity Act (WIOA) in regards to high school students, including Section 511 and highlights from the Memorandum of Agreement between Iowa Vocational Rehabilitation Services and the Iowa Department of Education.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
Topics
  • Cross-Agency Collaboration / Partnerships

Iowa Employment First Website

“Through the efforts of the Iowa Employment First Leadership Team, which has benefited from consultation, technical assistance and financial assistance by participating in the Office of Disability and Employment Policy's Employment First Program, competitive community-integrated employment is moving forward in Iowa. Collaboration has occurred with the Iowa Coalition of Integrated Employment and the Disability Employment Initiative, resulting in increased attention and partnering across the state with employment efforts. Please enjoy the resources on this site and we hope it will provide value in the discussion of Employment First Opportunities!”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • School-to-Work Transition
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Iowa VR Services Forms - Referral Action Plan

This worksheet helps job seekers plan their employer engagement approach by encouraging them to list 10 specific actions that they will take to build their referral business.

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement

Iowa VR Services Forms - Negotiation Model

This worksheet serves as a guide and overview of the stages and components in strategic job negotiation. Job negotiation is a core component to customized employment and assists employers in understanding how an employee with disabilities can most effectively serve their business while gaining fulfillment from their job.

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Employer Engagement

Iowa Employment First Webinars

Iowa receives technical assistance through the Employment First initiative.  Trainings include webinars on different aspects of Customized Employment, parental involvement, and employment best practices for people with disabilities.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Education
Topics
  • Customized Employment

Enforcement

No Enforcement have been entered for this state.

Medicaid & Employment


Money Follows the Person (MFP) Update - 01/01/2017

~~“The Money Follows the Person (MFP) demonstration program is a collaborative partnership between DHS’s Iowa Medicaid Enterprise (IME) and the Center for Disabilities and Development (CDD). This program, funded through the Centers for Medicare and Medicaid Services (CMS) provides opportunities for individuals with intellectual disabilities, or other related disabilities, to move out of intermediate care facilities for individuals with intellectual disabilities and into their own homes or apartments in the community of their choice. Individuals living in nursing homes may also qualify. MFP grant funding (which CDD worked with the IME to obtain) provides for transition services and enhanced supports needed for the first year after an individual moves into the community. Under a contract with IME, nine Transition Specialists from CDD are deployed throughout the state to provide transition planning services, community options awareness, training, and ongoing support and care coordination to individuals with disabilities, their families and facility-based and community-based providers. In addition CDD has employed an Employment Specialist to address employment barriers faced by MFP participants.  CDD also employs a MFP Project Coordinator stationed at IME. This position provides oversight for the statewide project and coordinates the grant related activities. CDD also employs a Behavioral Specialist to provide training and consultation to providers, consumers and families who are assisting a person that may be experiencing challenging behaviors.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Iowa Department of Human Services “HCBS Prevocational and Supported Employment Service - 09/01/2016

“This letter is to serve as notification that in order to comply with the federal correct coding guidelines the IME will be introducing Level II Healthcare Common Procedure Coding System (HCPCS) codes for Tier 1 Long Term Job Coaching and for Individual Supported Employment and to provide clarification regarding a unit of service for Individual Supported Employment…. For services with a date of service beginning September 1, 2016, or after, the service must be authorized and billed using the HCPCS procedure code and the HCP CS Level II modifieras follows :• H2025 U4 for Tier 1 of Long Term Job Coaching • T2018 UC for Individual Supported Employment.”

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)

Iowa HCBS Statewide Transition Plan - 01/29/2016

“Federal regulations that became effective on March 17, 2014 define the settings in which it is permissible for states to pay for Medicaid Home and Community-Based Services (HCBS). The purpose of these regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree as individuals who do not receive HCBS.”