Missouri

States - Big Screen

The Show Me State is expanding its efforts to deliver competitive, integrated employment options for individuals with disabilities through innovative strategies that propel Missouri's model, "Close to Home, Far from Ordinary."

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 Missouri’s VR Rates and Services

2015 State Population.
0.33%
Change from
2014 to 2015
6,083,672
2015 Number of people with disabilities (all disabilities, ages 18-64).
-3.41%
Change from
2014 to 2015
463,157
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
3.88%
Change from
2014 to 2015
163,574
2015 Percentage of working age people who are employed (all disabilities).
7.05%
Change from
2014 to 2015
35.32%
2015 Percentage of working age people who are employed (NO disabilities).
1.97%
Change from
2014 to 2015
78.78%

General

2013 2014 2015
Population. 6,044,171 6,063,589 6,083,672
Number of people with disabilities (all disabilities, ages 18-64). 465,901 478,963 463,157
Number of people with disabilities who are employed (all disabilities, ages 18-64). 153,551 157,220 163,574
Number of people without disabilities who are employed (ages 18-64). 2,468,384 2,463,983 2,524,635
Percentage of working age people who are employed (all disabilities). 32.96% 32.83% 35.32%
Percentage of working age people who are employed (NO disabilities). 77.13% 77.23% 78.78%
Overall unemployment rate. 6.70% 6.10% 5.00%
Poverty Rate (all disabilities). 23.70% 23.70% 21.90%
Poverty Rate (NO disabilities). 14.60% 14.10% 13.60%
Number of males with disabilities (all ages). 419,745 429,482 430,732
Number of females with disabilities (all ages). 431,593 442,937 437,083
Number of Caucasians with disabilities (all ages). 714,180 730,644 728,775
Number of African Americans with disabilities (all ages). 100,048 101,370 102,581
Number of Hispanic/Latinos with disabilities (all ages). 18,351 20,128 21,074
Number of American Indians/Alaska Natives with disabilities (all ages). 5,788 6,371 5,727
Number of Asians with disabilities (all ages). 5,324 4,899 6,408
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A 870
Number of with multiple races disabilities (all ages). 21,547 22,706 18,411
Number of others with disabilities (all ages). 3,809 5,993 5,043

 

SSA OUTCOMES

2013 2014 2015
Number of SSI recipients with disabilities who work. 6,766 7,003 7,252
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 5.00% 5.10% 5.40%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 221,430 222,218 220,596

 

MENTAL HEALTH OUTCOMES

2013 2014 2015
Number of mental health services consumers who are employed. 5,641 4,226 6,032
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 10,036 8,782 12,624
Number of adults served who have a known employment status. 41,500 37,005 44,121
Percentage of all state mental health agency consumers served in the community who are employed. 13.60% 11.40% 13.70%
Percentage of supported employment services evidence based practices (EBP). 0.90% 0.80% 1.60%
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). 0.90% 1.20% 1.40%
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. 489 406 832
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. 458 654 712
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. 10,345 7,417 5,450
Proportion of registered job seekers with a disability. 0.03 0.03 0.02

 

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. 3,567 4,647 7,474
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 1,408 1,634 2,629
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. 39.00% 35.00% 35.00%
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. 23.38 27.03 43.21

 

VR OUTCOMES

2014 2015 2016
Total Number of people served under VR.
7,895
8,301
N/A
Number of people with visual impairments served under VR. 49 50 N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 788 836 N/A
Number of people with physical impairments served under VR. 1,879 1,816 N/A
Number of people cognitive impairments served under VR. 2,093 2,264 N/A
Number of people psychosocial impairments served under VR. 2,402 2,579 N/A
Number of people with mental impairments served under VR. 684 756 N/A
Percentage of overall closures into employment under VR. 34.40% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 7,905 7,435 7,588
Number of eligible ticket to work beneficiaries. 317,027 318,047 318,214
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. 741 N/A N/A

 

IDD OUTCOMES

2012 2013 2014
Dollars spent on day/employment services for integrated employment funding. $5,203,000 $5,099,000 $7,012,000
Dollars spent on day/employment services for facility-based work funding. $0 $0 $0
Dollars spent on day/employment services for facility-based non-work funding. $48,474,000 $51,925,000 $38,353,000
Dollars spent on day/employment services for community based non-work funding. $339,000 $815,000 $18,291,000
Percentage of people served in integrated employment. 11.00% 12.00% 12.00%
Number of people served in community based non-work. 229 334 3,644
Number of people served in facility based work. 0 0 0
Number of people served in facility based non-work. 4,695 5,009 3,352
Number supported in integrated employment per 100,000 individuals in the general state population. 9.10 11.40 11.40

 

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). 58.10% 58.10% 57.65%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 9.40% 9.11% 8.92%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 3.50% 3.63% 3.66%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 87.50% 88.63% 88.58%
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). 29.20% 29.13% 31.03%
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). 53.50% 55.62% 59.49%
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). 57.70% 60.58% 64.79%
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). 24.30% 26.48% 28.46%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 1,683,499
Number of overall total blind and SD workers. 1,704
Number of AbilityOne blind and SD hours (products). 129,942
Number of AbilityOne blind and SD hours (services). 245,601
Number of AbilityOne blind and SD hours (combined). 372,429
Number of AbilityOne blind and SD workers (products). 220
Number of AbilityOne blind and SD workers (services). 335
Number of AbilityOne blind and SD workers (combined). 555
AbilityOne wages (products). $1,055,603
AbilityOne wages (services). $3,245,518

 

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

2014 2015 2016
Number of 14(c) certificate-holding businesses. 1 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). 105 107 79
Number of 14(c) certificate holding patient workers. N/A 4 3
Total Number of 14(c) certificate holding entities. N/A 111 82
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 8,020 6,396
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 326 237
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 8,346 6,633

 


Missouri SB 174 - 06/29/2015

"There is hereby created the 'Missouri Achieving a Better Life Experience [ABLE] Program'".

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

No Executive Orders have been entered for this state.


Missouri Department of Social Services “Provider Bulletin” - 03/23/2017

~~“Career Planning Service DescriptionCareer planning is a person-centered, comprehensive employment planning and support service. It provides consultative, evaluative assistance for waiver program participants to enter into, or advance in, competitive employment or self-employment. It is a focused, time-limited service engaging a participant in self-discovery, identifying a career direction and developing a plan for achieving competitive, integrated employment at or above the state’s minimum wage. The outcome of this service is documentation of the participant’s stated career objective and a career plan used to guide individual employment support.Career planning includes:• Activities that are primarily directed at assisting an individual with identification of an employment goal; and• A plan to achieve this goal (e.g., job exploration, job shadowing, informational interviewing, assessment of interests, labor market research) that are associated with performing competitive work in community integrated employment.”

Systems
  • Other
Topics
  • Provider Transformation

“Empowering through Employment” - 01/24/2017

~~“The Empowering Through Employment initiative is designed to increase the number of individuals receiving employment supports and services.  This initiative has an established goal of 35% of all individuals receiving waiver services to have employment supports authorized and available for their use.  Empowering Through Employment has been deemed a priority based upon the gap between the percentage of Missourians with intellectual/developmental disabilities (I/DD) accessing employment services as compared to other day services. Missouri is focused on becoming one of the high performing states and ensuring that Missourians with I/DD have the same opportunities as other individuals.”

Systems
  • Department of Mental Health
Topics
  • Home and Community Based Services (HCBS)

Missouri Department of Mental Health Legislator Briefing “Mental Health Highlights and Issues" - 01/01/2017

~~“In October 2016, DD announced a goal to increase the utilization of employment services for individuals between the ages of 16 and 64. This new initiative, called Empowering through Employment, is a statewide effort involving the division’s regional offices, support coordination providers and employment service providers to get 3,700 more Missourians into employment services. This increase would mean that 35% of Missourians are accessing employment services (which mirror what is occurring in other states).”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities

Part B Compliance - 01/01/2017

~~“THE STATE COMPLIANCE PLAN FOR SPECIAL EDUCATION is being revised during the 2016-17 school year to reflect updates in the Every Student Succeeds Act (ESSA), provide clarification on a number of issues, and make substantive changes based on research and OSEP guidance. Proposed changes in both a summary chart and a mark-up of the proposed plan are posted on the DESE website at https://dese.mo.gov/special-education/state-plan-special-education  . The Public comment period ended on January 6, 2017. All comments received will be reviewed and a decision made to accept, accept with revisions, or reject the comment. A summary of the comments and decision will be posted on the website after January 24, 2017. The proposed plan will be presented to the State Board of Education during their February meeting.”

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

Proposed Part B State Plan Changes for 2017 “Transition Services” - 01/01/2017

~~“A. beginning not later than the first IEP to be in effect when the child is sixteen (16), or younger if determined appropriate by the IEP team, and updated annually thereafter appropriate measurable postsecondary goals based upon age appropriate transition assessments related to training, education, employment, and, where appropriate, independent living skills; the transition services (including courses of study) needed to assist the child in reaching those goals, andB. beginning not later than one year before the student reaches age eighteen (18), a statement that the child has been informed of his or her rights under Part B of IDEA and that those rights will transfer to the student upon reaching the age of majority. “ 

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

Equal Opportunity Demographics - 01/01/2017

~~“The Missouri Interagency Transition Team (MITT) established to increase collaboration at the state, regional and local levels with the shared vision of improving employment, independent living, and postsecondary outcomes for Missouri students with disabilities.• Show-Me Careers, a consortium of state agencies focused on supporting the seamless transition from school to inclusive employment or post-secondary education for youth and young adults ages 16-30 with intellectual and developmental disabilities.• A regional annual Accommodation for Success event in the St. Louis area to help businesses recruit and employ individuals with disabilities.”

Systems
  • Department of Workforce Development
Topics
  • School-to-Work Transition

Greater Kansas City - Disability Mentoring Day - 10/26/2016

“Join us for the 12th anniversary of Kansas City Disability Mentoring Day Events. Disability Mentoring Day promotes employment opportunities for all job seekers and students with disabilities through information and career exploration. As a person pursuing employment, this event gives you an excellent opportunity to: • •Increase and enhance your job readiness skills • •Network with employers to learn about different types of careers • •Visit with service organizations, providers, and government agencies to learn how they can help you in your job search • •Learn how to advocate for yourself”

Systems
  • Department of Workforce Development

Department of Elementary and Secondary Education IEP Transition Planning - 03/01/2016

As a result of new legislation within the Workforce Innovation and Opportunity Act (WIOA), the Department of Elementary and Secondary Education (DESE), Office of Special Education (OSE), and the Office of Adult Learning and Rehabilitation Services -Vocational Rehabilitation (VR) offer the following guidance. As districts develop Individual Education Programs (IEPs) and provide transition services/activities for students with the most significant disabilities, consider the following:

1.As a part of the IEP process through the Individuals with Disabilities Education Act (IDEA), schools will continue to be responsible for providing transition services to include work based learning opportunities.

2. Schools are encouraged to continue to conduct extensive evaluations and transition assessments, as outlined in IDEA, and work in partnership with VR and/or the Hook Center at the University of Missouri to provide pre-employment transition services to help students progress toward competitive, integrated employment goals.

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

MO Division of Developmental Disabilities Individual Support Plan Guidelines - 07/01/2014

The Division of Developmental Disabilities requires that each individual eligible for Division Supports have an Individual Support Plan. Individuals, their families, providers and facilitators who write plans in cooperation with all individuals receiving supports from the Division shall use this guide. Individual support planning encourages a team approach to involve the individual and community networks in planning for the future. The process involves developing a vision for the future, while coordinating resources and supports to make the vision a reality.   The Center for Medicare and Medicaid Supports (CMS) outcome for “participant-centered support planning and delivery” clarifies: “Supports are planned and effectively implemented in accordance with each participant’s unique needs, expressed preferences and decisions concerning his/her life in the community.”   The Individual Support Plan is an investment in an individual’s life and is driven by the individual, what is important to them as designed through outcomes identified in the support plan.
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Missouri DMH Employment Supports Guide - 07/05/2012

This guide includes information on the employment supports provided by the Missouri Department of Mental Health. It contains the service, a description, guidance, and the name of the affiliated agency and funding source.

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

Division of Developmental Disabilities Employment First Policy - 01/01/2011

This policy establishes community integrated employment services and supports as the first service option and primary outcome for individuals (both youth and adults.) It also establishes employment planning (Career Planning) and supports as priorities to explore with all working adults who receive services in order to ensure that supports, services, and outcomes are consistent with what the person is seeking.

Each individual will be supported to pursue his or her own unique path to work, a career, and his or her contribution to/participation in community life. All individuals, regardless of the challenge of their disability, will be afforded an opportunity to pursue employment. Career planning, including job exploration and on-going person focused self discovery, is critical when assisting individuals in making informed choices about their future careers.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Segregated Day & Employment Services
  • Cross-Agency Collaboration / Partnerships

Missouri Developmental Disabilities Council position on employment and sub-minimum wage

“In partnership with others, the MODDC will promote competitive, community based employment which we define as: jobs that occur in the community for at least minimum wage, at typical community businesses where employees with and without disabilities work in close proximity to each other, and have the same benefits, responsibilities and expectations.  The MODDC believes that all people who want to work can work with the right supports.  That all people have a responsibility to share their abilities, strengths and talents with others in the community, to make their community a better place.”

Systems
  • Other
Topics
  • 14(c)/Income Security

Governor’s Council on Disability 2016 Annual Report

~~“EMPLOYMENT INITIATIVESGCD continues to provide support to the Business Leadership Network (BLN) which is an employer driven endeavor to promote best practices in disability employment. In Missouri, there are two regional locations: 1) St. Louis region—Greater St. Louis Business Leadership Network (STLBLN)—that covers Greater St. Louis region and eight of the Southern Illinois counties; and 2) Kansas City region—Greater Kansas City BLN (GKCBLN)—which covers the western Missouri and eastern Kansas area; and 3) Springfield BLN. Springfield is the newest BLN in the state and is currently building its infrastructure.” 

Systems
  • Other
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

MO Adult Learning/Rehabilitation Services - VR Providers

This website provides information on Missouri Vocational Rehabilitation services for people with disabilities with links to important, relevant resources.

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

MO HealthNet Eligibility

 

“In response to concerns raised by Pilot Communities, the Division of DD and the Family Support Division within Social Services developed a new protocol allowing the Medicaid application to be submitted up to 90 days prior to a student’s 18th birthday. This will reduce gaps and delays in services at the time of transition.”

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition

MO Division of Developmental Disabilities - Employment First

 

“The Division of Developmental Disabilities is committed to enhancing community employment options for persons with developmental disabilities. The guiding principle of Employment First is that all individuals who want to work can work and contribute to their community when given opportunity, training, and supports that build upon their unique talents, skills and abilities.”

“Everyone of working age, and those supporting them, should consider employment as the first option prior to any other service options. As fully participating members of their community, individuals with developmental disabilities will be afforded the opportunity to earn a living wage and engage in work that makes sense to them. Career exploration and planning will be supported when assisting individuals in making informed choices in designing their unique pathway to increased independence, integration, inclusion, productivity, self-determination.”

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

Missouri Career Guide - 05/01/2011

 

“This guide was developed through a partnership of state agencies to help Missourians of all ages, genders, and backgrounds create personal career plans that lead to fulfillment and success.”

Partners include Missouri Economic Research and Information Center, Missouri Division of Workforce Development, Missouri Department of Higher Education, Missouri Department of Elementary and Secondary Education, Missouri Center for Career Education, and the Missouri Chamber of Commerce.

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

Missouri Interagency Transition Team (MITT) - 06/01/2007

 

“The Missouri Interagency Transition Team (MITT) formed in 2007 by the Office of Special Education at the Missouri Department of Elementary & Secondary Education to increase interagency collaboration at the state, regional, and local levels. This state transition team has met quarterly to address data-driven goals for improvement and collaboration with the shared vision of improving employment, independent living, and postsecondary education outcomes for Missouri students with disabilities.”

“Consisting of a diverse membership from a variety of state agencies concerned with transition, the MITT provides a venue and mechanism to share information, network, and partner to coordinate professional development activities.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Missouri Transition Coalition - 06/01/2000

Since 2000, the Transition Coalition, located at the University of Kansas, Beach Center on Disability, has been maximizing professional development opportunities for secondary transition and college and career readiness of youth with disabilities.

Our Methods

-Use self-assessment methods including professional knowledge

-Strategically combine web-based, in-person, in-print, coaching and other assistance

-Find and share research-based practices and resources

Develop and support practitioner-to-practitioner learning methods

 

 

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

Missouri Business Associated Student Education (BASE) Project - 06/01/1996

The BASE Project located in Springfield, Missouri stands for Business Associated Student Education. It is a partnership with Springfield Public Schools and St. John's Health System, Cox Health System, Doctor's Hospital, Evangel University, and Missouri State University. The goal of the program is to provide students with opportunities to develop career awareness, exploration, assessment, and positive social skills. Students are set up for a successful integration into the world of work and society.

Systems
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement

Community Transition Teams - 06/01/1996

Community Transition Teams (CTT's) elevate community awareness of and commitment to the improvement of post-secondary outcomes of youth with disabilities. Since 2008, the Missouri Department of Elementary and Secondary Education (DESE) and the KU Transition Coalition have partnered to develop and train 42 CTT's across Missouri. This process is accomplished with the collaboration of school personnel, students, families, and community stakeholders to provide seamless and transparent management of staff and resources. The University of Kansas Transition Coalition provides ongoing technical assistance to the CTT's in their development, training, and in meeting the goals of their strategic plans. 

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

MO Project SEARCH High School Transition Program - 06/01/1996

Project SEARCH serves students with significant intellectual and developmental disabilities. Typically, these are students who are on an Individual Education Program (IEP) and in their last year of high school eligibility. Students attend the program for a full school year in the host business/hospital. The business provides access to an on-site classroom that can accommodate up to 12 students. The site is staffed by a special education teacher and one to three job coaches to meet the educational and training needs of the students. Students are referred to the program through their schools, family member, or Vocational Rehabilitation Counselor and apply in the winter and spring in the year prior to entering the program. A team representative of all the partners: Project SEARCH teacher, host business liaison, VR Counselor, community rehabilitation provider staff and other appropriate staff carry out the selection process which includes tours, student interviews, hands-on assessments at the host sites and scoring on a rubric related to entrance considerations. Six sites in Missouri currently host students including University of Missouri and State Fair Community College.

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

Missouri Assistive Technology Council - 06/01/1992

The mission of Missouri Assistive Technology is to increase access to assistive technology for Missourians with all types of disabilities, of all ages.   Programs and initiatives of Missouri Assistive Technology are directed by the Missouri Assistive Technology Council, which was established by state statute in 1993. The Council is charged to serve as an advocate for policies, regulations and programs to establish a consumer-responsive, comprehensive assistive technology service delivery system. The Council meets at least four times a year, reports annually to the Governor and the general assembly on Council activities to increase access to assistive technology, and provides programmatic direction for all activities and services.  
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Association of County Developmental Disabilities Services - 06/01/1979

The Missouri Association of County Developmental Disabilities Services (MACDDS) is a leader in local initiatives for people with developmental disabilities. The organization is comprised of 56 county boards (including the City of St. Louis), and 8 Related Private Organizations, that provide local services for people with developmental disabilities. MACDDS is dedicated to ensuring quality community supports are available for people with developmental disabilities.   MACDDS believes having local people solving local issues results in the best services for individuals with developmental disabilities. MACDDS works to assure services and supports for people with developmental disabilities continue to be planned and carried out at the local level.  
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Connections Career Development & Planning Program - 06/01/1971

 

“Missouri Connections is a comprehensive, online, career development and planning program that is provided free of charge to all Missouri citizens. Funded by the Missouri Department of Elementary and Secondary Education and the Missouri Division of Workforce Development, this program supports the career development efforts of schools, community organizations, and adult job seeker programs. Missouri Connections helps individuals learn about their talents, skills, and interests and makes the connection between planning for continued education and the work world.”

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

Missouri Developmental Disabilities Council Asset Development and Financial Education Initiative

“Persons with disabilities have a higher percentage of people who live in poverty than any other minority group in the country.  Missouri ranks in the bottom third of all states in the understanding of financial supports that assist persons with disabilities in working their way out of poverty.  Benefits planning and employment are just two pieces in this puzzle, the other pieces are asset development and financial education, therefore, the Missouri DD Council is partnering with the TACE, Region 7/University of MO-School of Health Professionals to promote Asset Development and Financial Education for persons with disabilities in our state by offering a variety of opportunities to learn more about this important piece of the puzzle and help people with disabilities learn more about asset development and financial education.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Missouri Interagency Transition Team

~~“The Missouri Interagency Transition Team (MITT) formed in 2007 by the Office of Special Education at the Missouri Department of Elementary & Secondary Education to increase interagency collaboration at the state, regional, and local levels. This state transition team has met quarterly to address data-driven goals for improvement and collaboration with the shared vision of improving employment, independent living, and postsecondary education outcomes for Missouri students with disabilities.”

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

Missouri VR Connection

VR specializes in employment and training services that can assist you in becoming employed. A VR counselor will determine your eligibility for services. To be eligible, you need to have a physical or mental impairment that causes problems with working and need VR services to be successfully employed. Once eligible, you will work with a counselor who will help you develop a plan for your rehabilitation. We will give you vocational information and guidance allowing you to make informed choices about your vocational plan.   VR offers a wide range of services that are individualized for your needs. You and your counselor decide which services will help you become employed. Some of the services that may be available are:    • Guidance and Counseling    • Job-Seeking Skills and Job Placement    • Vocational Training   VR also provides assistance with Transition Services, Supported Employment Services,Assistive Technology Services, and the Ticket to Work Program  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Missouri State Chapter of ASPE

APSE-MO is the Missouri State Chapter of APSE The Association of People Supporting Employment First, a national organization committed to improving and expanding integrated employment opportunities, services, and outcomes for people experiencing disabilities. APSE-MO invites individuals with disabilities, their families, employment providers, funders, employers and others to join with us in making community employment a reality for ALL people with disabilities.

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Show Me Careers: Missouri's Transition-to-Employment Collaborative

 

“The Show-Me-Careers project targets youth ages 16-30 with I/DD who are transitioning from secondary or post-secondary educational settings to community employment. Show-Me-Careers is funded by the Administration on Intellectual and Developmental Disabilities and is one of eight grants awarded to state consortiums aimed at improving existing state systems to increase competitive employment outcomes for youth and young adults with I/DD.”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement

Missouri State Employment Leadership Network

The Missouri DD Council is partnering with the Missouri Department of Mental Health, Division of Developmental Disabilities, in bringing the State Employment Leadership Network (SELN) to Missouri.  This is a project started by the Institute for Community Inclusion out of Boston, Massachusetts.  SELN brings together state developmental disability agencies for sharing, educating and providing guidance on practices and policies around employment to its members. It is also an opportunity for the Division of Developmental Disabilities and other Missouri governmental agencies to evaluate their policies and procedures as they relate to assisting persons with developmental disabilities to become employed.

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

Toward a Successful Transition: A Checklist for the First 21 Years - 09/01/2016

“To Parents of Children with Developmental Disabilities . . . It is our hope that as parents you will always consider yourselves the experts on your child. We hope that as you seek information, help and guidance you will see your child in “people first” terms—initially as a baby to love and nurture, then as a child to raise for as independent a life as he or she can attain. Whatever the disability involved, remember it is only a part of your child’s individuality. Build on his or her strengths. High expectations are a keynote in a family’s daring to act bravely and creatively.

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

MO Balancing Incentives Program - 03/28/2012

 

“The Missouri Department of Social Services (DSS), in partnership with the Department of Health and Senior Services (DHSS) and the Department of Mental Health (DMH), proposes to leverage the Balancing Incentive Payment Program to further develop the systems of community-based care that serve older adults and individuals with physical and/or intellectual disabilities. The intent of the Missouri project is to realize the long term goal of increasing the percentage of expenditures for long term supports and services (LTSS) that are provided in community settings to equal or exceed the expenditures for facility-based LTSS.”

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

MO Partnerships in Employment - "Show Me Careers" - 09/30/2011

Show Me Careers: This project will address the needs of youth and young adults ages 16 to 30 with developmental and intellectual disabilities (DD/ID) who are in the process of transitioning from secondary or post-secondary education settings to community employment. The project’s goal is to scale up and sustain evidence-based practices in Missouri that support seamless transitions to integrated employment. A Leadership Consortium of state agencies…will support a statewide structure to demonstrate evidence-based practices, develop needed policies and practices, and enhance statewide collaborations.   Objectives are designed to achieve this goal include: building cross system and agency collaborations designed to exchange and transfer knowledge and effective practices between partners; review and advocate for changes to collaborative funding options, policies, and 
procedures that support broader implementation of the effective practices demonstrated within communities; develop statewide capacity to scale up demonstrations through training, dissemination and broader
implementation; and evaluate results and sustain the scaled-up practices.  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri Add Us In Initiative - 09/30/2010

Add Us In Kansas City has created a business-led network focused on increasing the capacity of employers, including minority owned businesses, to successfully hire and retain individuals with disabilities. Add Us In Kansas City will 1) identify and create supports needed by employers in their efforts to diversify their workforce to include this population, 2) increase the number and range of employment opportunities available to youth with disabilities, 3) develop a model continuum of career development encompassing these opportunities and supports, and 4) equip youth to successfully participate within this continuum. Urban businesses and urban youth with disabilities will be given special consideration in the development of the Add Us In model. Located in the greater Kansas City area, the program will provide a replication toolkit for nationwide dissemination at the end of year two.

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

Missouri Transition Liaison Program - 06/01/2008

 

The Missouri Transition Liaison Program was developed in 2007-2008 to identify secondary transition professionals from districts across Missouri who are leaders in the area of transition. The overall goal of the Transition Liaisons is to build capacity at the local level and develop a collaborative network of colleagues throughout the state.”

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

MO Medicaid Infrastructure Grant - 10/12/2007

The Medicaid Infrastructure Grant Research Assistance to States (MIG-RATS) Center launched a website to provide resources and support to states implementing MIGs. The website is designed to help staff find research reports and resources, learn about MIG-RATS activities and initiatives, and connect with MIG researchers. The website includes info on topics such as Medicaid Buy-In programs, outreach and marketing, and youth in transition and also provides links to tools and a calendar of events. 

Systems
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement

Missouri Ticket to Work Health Assurance Program - 08/28/2007

Section 201 of the federal Ticket to Work and Work Incentives Improvement Act of 1999, Public Law 106-170 created a program for employed persons with disabilities. Based upon this federal law, the Health Improvement Act of 2007 (Senate Bill 577) established healthcare coverage for employed persons with disabilities in Missouri. Effective August 28, 2007, MO HealthNet implemented the new program, known as the Ticket to Work Health Assurance (TWHA) Program. Eligible participants will be enrolled under Medical Eligibility (ME) codes 85 (premium) and 86 (non-premium), and receive a limited MO HealthNet benefit package  
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Money Follows the Person - 01/01/2007

The overall goal of MFP is "to support people who have disabilities and those who are aging to move from a nursing facility or habilitation center to a quality community setting that meets their needs and wants."   The objectives of MFP—My Life, My Way, My Community are:    • to move people from a facility to the community;    • identify and eliminate barriers that prevent people from being able to move to the community;    • improve the ability of MO HealthNet to provide in-home services;    • and to ensure that there is continuous quality improvement of in-home services provided.  
Systems
  • Medicaid Agencies
Topics
  • Segregated Day & Employment Services

MO Ticket to Work - 06/01/1999

The Ticket to Work and Work Incentive Act of 1999 established an employment program for people who want to go to work that receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits.  The program was designed to remove barriers that kept people with disabilities from choosing to work for fear of losing health care coverage.  The Ticket to Work program is voluntary, and it increases opportunities and choices for Social Security (SS) disability beneficiaries to obtain employment, vocational rehabilitation, and other support services from public and private providers, employers, or other organizations.  SS provides a ticket to disability benefits to use in obtaining services and jobs through Missouri Vocational Rehabilitation or from an approved Employment Network.  Though SS has the overall program authority, MAXIMUS, Inc. serves as the program manager.

 

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Missouri SAMHSA EDI (FY 2011 & 2012)

Goal 1: To strengthen peer delivered services in Missouri by leveraging Medicaid billing for services provided by Certified Peer Specialists in Consumer Operated Services Programs (COSP).   Goal 2: To introduce and begin implementation of peer delivered Individual Placement and Supports –Supported Employment (SE) – in Consumer Operated Services Programs.   Overall conclusions: Through this project Missouri has greatly increased its value of peers. 103 have been trained specifically under this project, with more on the way.  
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Missouri’s Cooperative Work Experience Program (COOP) - 04/12/2016

Successful transition planning for students with disabilities involves looking ahead, into the student's future, preparing not just for graduation but also for life after graduation. One of the most important aspects of a student's future involves employment. However, students often do not have any idea what type of work they would like to do or what type of career options are available. One of the best ways that a student can learn about different careers and employment is to be exposed to and participate in cooperative work experiences prior to graduation or exit from school. Cooperative work experiences provide students with direct exposure to and hands-on exploration of a variety of careers, assisting them in defining vocational choices and setting employment goals that actually seem attainable.

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Provider Transformation

Missouri Division of Developmental Disabilities Individual Support Plan Guide - 07/01/2014

The Division of Developmental Disabilities requires that each individual eligible for Division Supports have an Individual Support Plan. Individuals, their families, providers and facilitators who write plans in cooperation with all individuals receiving supports from the Division shall use this guide. Individual support planning encourages a team approach to involve the individual and community networks in planning for the future. The process involves developing a vision for the future, while coordinating resources and supports to make the vision a reality. The Center for Medicare and Medicaid Supports (CMS) outcome for “participant-centered support planning and delivery” clarifies: “Supports are planned and effectively implemented in accordance with each participant’s unique needs, expressed preferences and decisions concerning his/her life in the community.” The Individual Support Plan is an investment in an individual’s life and is driven by the individual, what is important to them as designed through outcomes identified in the support plan

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

Missouri DoE Transition Coalition - 06/01/2000

Since 2000, the Transition Coalition, located at the University of Kansas, Beach Center on Disability, has been maximizing professional development opportunities for secondary transition and college and career readiness of youth with disabilities.

Our Methods

-Use self-assessment methods including professional knowledge

-Strategically combine web-based, in-person, in-print, coaching and other assistance

-Find and share research-based practices and resources

-Develop and support practitioner-to-practitioner learning methods

 

Systems
  • Other
Topics
  • School-to-Work Transition

Missouri Connections - Career Development & Planning Program - 06/01/1971

Missouri Connections is a comprehensive, online, career development and planning program that is provided free of charge to all Missouri citizens. Funded by the Missouri Department of Elementary and Secondary Education and the Missouri Division of Workforce Development, this program supports the career development efforts of schools, community organizations, and adult job seeker programs. Missouri Connections helps individuals learn about their talents, skills, and interests and makes the connection between planning for continued education and the work world.

Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • Customized Employment
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri Asset Development Project

The Missouri DD Council is partnering with the TACE, Region 7/University of MO-School of Health Professionals to promote Asset Development and Financial Education for persons with disabilities in our state by offering a variety of opportunities to learn more about this important piece of the puzzle and help people with disabilities learn more about asset development and financial education.

The first opportunity was a free webinar.  (The recording of that webinar is included here.)  In early 2014 we will be offering two opportunities to learn more with "train-the-trainer" events.  This will be followed up by a statewide summit where members from the financial community will meet with a broader group of self-advocates, family members and other members from the disability community to develop an action plan that will continue this effort into the future.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

MO Customized Employment Presentation

This presentation discusses the formalized definition of customized employment by the Office of Disability Employment Policy (ODEP) and the history of customized employment. It also takes a glimpse at progressive employment, addresses how discovery is an important component of customized and progressive employment, and discusses how motivational interviewing can be effective during the discovery process.

Systems
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation

MO Planning Council for Developmental Disabilities - Career Guide

“This guide will take the job seeker and his or her support team through the career planning process by providing information he or she can use during the career planning sessions. It should be noted that since everyone is unique, the individual planning process will be unique to each person as well. The guide is simply a framework to allow the job seeker and his or her team to create a vision and a plan to achieve a career that makes sense to the job seeker. It is less about the forms and more about generating ideas, clear action steps, and moving the person closer towards his or her ultimate career goals.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Mental Health

MO DoE Community Transition Teams

Community Transition Teams (CTT's) elevate community awareness of and commitment to the improvement of post-secondary outcomes of youth with disabilities. Since 2008, the Missouri Department of Elementary and Secondary Education (DESE) and the KU Transition Coalition have partnered to develop and train 42 CTT's across Missouri. This process is accomplished with the collaboration of school personnel, students, families, and community stakeholders to provide seamless and transparent management of staff and resources. The University of Kansas Transition Coalition provides ongoing technical assistance to the CTT's in their development, training, and in meeting the goals of their strategic plans. During the 2014 school year, training will not be held to develop new teams. Instead, focus is on technical assistance for sustainability. 

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Transition Resource Toolkit

This toolkit has been developed by an ad hoc team comprised of a small representation of individuals from across the state working in Centers for Independent Living (CIL), Local Education Agencies (LEA) and Vocational Rehabilitation (VR). The goal was to create a resource tool to enhance collaboration in transition planning for young adults with disabilities. A special acknowledgement to members of these three organizations for the many valuable resources and links included in this toolkit.  
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition

Missouri DoE Regional Transition Liaison Program

The Missouri Interagency Transition Team (MITT) was formed in 2007 to promote interagency collaboration in Missouri at the state-level by establishing a group vision for improving outcomes for young adults with disabilities.  The MITT, consisting of diverse state-level membership meets monthly to share resources, develop goals and promote concrete activities to improve transition education and services.   In particular, the Transition Liaisons:    • Collaborate with other Transition Liaisons, RPDC Consultants, Transition Coalition staff, and DESE personnel;    •  Reach out to districts across the state; and,    •  Share information and resources with other district personnel.  
Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri DoE Regional Professional Development Center (RPDC) Consultant

Each of the nine regions of Missouri has a Regional Professional Development Center (RPDC) Consultant who specializes in transition. These consultants provide regional and local trainings on Transition Planning and the Updated Form C, Transition Assessment, and other transition topics. They also provide a range of other consulting and continuous improvement services to meet the needs of teachers, administrators and school districts.

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

Missouri Assistive Technology Council

Missouri Assistive Technology strives to increase access to assistive technology for Missourians with all types of disabilities, of all ages. To the right are navigation links to the programs and initiatives of MoAT.

Systems
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)

MO VR Transition Brochure

“Transition is a process young adults with disabilities, like you, go through to prepare for whatever the future might hold – further education, specialized training, employment or other options you might choose on the road to increased independence… Career planning and transition services are designed to help you prepare for your future by exploring different jobs, identifying careers interesting to you, and developing an understanding of the skills and abilities necessary to be successful.”

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

MO Skills to Pay the Bills

"Skills to Pay the Bills: Mastering Soft Skills for Workplace Success," is a curriculum developed by ODEP focused on teaching "soft" or workforce readiness skills to youth, including youth with disabilities. Created for youth development professionals as an introduction to workplace interpersonal and professional skills, the curriculum is targeted for youth ages 14 to 21 in both in-school and out-of-school environments. The basic structure of the program is comprised of modular, hands-on, engaging activities that focus on six key skill areas: communication, enthusiasm and attitude, teamwork, networking, problem solving and critical thinking, and professionalism.

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

MO Writing Quality Goals, Outcomes and Action Plans

 

An overview of how to effectively create a Career Plan, establish appropriate goals and desired outcomes, and initiate an Action Plan with Discovery and Fading Supports.

 
Systems
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Employer Engagement

No Enforcement have been entered for this state.


Community Transitions Manual for Support Coordinators and Community Coordinators - 02/19/2017

~~“MFP EligibilityIndividuals who transition from a Habilitation Center or nursing home may be eligible for MFP. MFP is a demonstration grant that supports efforts to:• Provide Medicaid eligible individuals the choice of where they live and receive services;• Allow qualified individuals living in nursing facilities or Habilitation Centers to move to the community; and• Promote a system that is person-centered, based on needs, and ensures high-quality services in the community.”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri HCBS Statewide Transition Plan - 07/25/2016

“Missouri administers 10 Home and Community-Based Waivers through the single State Medicaid agency, the Department of Social Services, MO HealthNet Division (MHD). The day-to-day operation of the waivers is through formal cooperative agreements with the Missouri Department of Mental Health (DMH) and the Missouri Department of Health and Senior Services (DHSS). The Department of Health and Senior Services and the Department of Mental Health are the operational entities for the waivers. Missouri Medicaid Audit and Compliance (MMAC) is the unit within the Department of Social Services (DSS) charged with administering and maintaining Medicaid Title XIX audit and compliance initiatives, including utilization of Medicaid services and provider enrollment functions. MMAC will participate in the transition plan as described below.”

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

MO DoE ESEA Flexibility Request Approval - 06/08/2015

The Missouri Department of Secondary and Elementary Education's ESEA flexibility request was approved on June 29, 2012.

Systems
  • Department of Education
Topics
  • Home and Community Based Services (HCBS)
Citations

Missouri HCSB Transition Plan - 03/01/2014

In March 2014, the Center for Medicaid and Medicare Services (CMS) published a final rule regarding changes to Home and Community Based Waiver Services (HCBS Waiver). The rule defines home and community based settings and person-centered planning requirements in Medicaid HCBS Waiver programs. The rule requires demonstration of how state’s HCBS Waiver programs comply with the federal HCBS rules.   Missouri’s draft transition plan incorporates all HCBS Waivers administered by Department of Health and Senior Services (DHSS), Department of Mental Health (DMH), and Department of Social Services (DSS). The purpose of Missouri’s draft transition plan is to ensure that individuals receiving HCBS Waiver services are integrated and have access to supports in the community, including:    • opportunities to seek employment,    • work in competitive integrated settings,    • engage in community life,    • and control personal resources.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO Partnership for Hope Waiver (0841.R00.00) - 10/01/2013

The purpose of the Partnership for Hope waiver is to prevent or delay of institutional services for individuals who require minimal services in order to continue living in the community. The waiver will offer prevention services to stabilize individuals primarily living with family members who provide significant support, but are not able to meet all of the individual's needs. Goals To increase access to waiver services for children and adults at the local level in participating counties.    Objectives The objectives of the waiver are: 1) to increase the capacity of the State to meet the needs of individuals at risk of institutionalization who require minimal supports to continue living in integrated community settings; 2) to partner with local County Boards through Intergovernmental Agreements in the administration and funding of waiver services; and 3) to implement preventive services in a timely manner in order that eligible participants may continue living in the community with their families.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri Developmental Disabilities Waiver Manual - 07/01/2012

“The Missouri Department of Mental Health's Division of Developmental Disabilities (Division of DD) administers five Medicaid Home and Community Based (HCB) Waiver programs for individuals with developmental disabilities. The five waivers are the Comprehensive Waiver; Missouri Children with Developmental Disabilities Waiver (MOCDD or Lopez Waiver); Community Support Waiver; Partnership for Hope Waiver (PfH); and Autism Waiver.” This manual includes information on employment, on the job training and other pre-vocational services for people with disabilities.

Systems
  • Medicaid Agencies
Topics
  • Self-Employment
  • Mental Health

MO Div of Developmental Disabilities Community Support (0404.R03.00) - 07/01/2011

 

“Provides community employment, in home respite, job preparation, personal assistant, assistive technology, behavior analysis service, co-worker supports, communication skills instruction, community specialist services, counseling, crisis intervention, environmental accessibility adaptations-home mods, independent living skills development, job discovery, OT, out of home respite, person centered strategies consultation, PT, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/ID Developmental Disabilities ages 0 - no max age.”

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

MO MR Developmental Disabilities Comprehensive (0178.R06.00) - 07/01/2011

 

“Provides community employment, day service, group home, in home respite, individualized supported living, job preparation, personal assistant, assistive technology, behavior analysis service, communication skills instruction, community specialist services, community transition, counseling, crisis intervention, environmental accessibility adaptations, host home, job discovery, OT, out of home respite, PT, positive behavior support, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/MR Developmental Disabilities ages 0 - no max age.”

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

States - Large Tablet

Snapshot

The Show Me State is expanding its efforts to deliver competitive, integrated employment options for individuals with disabilities through innovative strategies that propel Missouri's model, "Close to Home, Far from Ordinary."

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 Missouri’s VR Rates and Services

2015 State Population.
0.33%
Change from
2014 to 2015
6,083,672
2015 Number of people with disabilities (all disabilities, ages 18-64).
-3.41%
Change from
2014 to 2015
463,157
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
3.88%
Change from
2014 to 2015
163,574
2015 Percentage of working age people who are employed (all disabilities).
7.05%
Change from
2014 to 2015
35.32%
2015 Percentage of working age people who are employed (NO disabilities).
1.97%
Change from
2014 to 2015
78.78%

State Data

General

2013 2014 2015
Population. 6,044,171 6,063,589 6,083,672
Number of people with disabilities (all disabilities, ages 18-64). 465,901 478,963 463,157
Number of people with disabilities who are employed (all disabilities, ages 18-64). 153,551 157,220 163,574
Number of people without disabilities who are employed (ages 18-64). 2,468,384 2,463,983 2,524,635
Percentage of working age people who are employed (all disabilities). 32.96% 32.83% 35.32%
Percentage of working age people who are employed (NO disabilities). 77.13% 77.23% 78.78%
Overall unemployment rate. 6.70% 6.10% 5.00%
Poverty Rate (all disabilities). 23.70% 23.70% 21.90%
Poverty Rate (NO disabilities). 14.60% 14.10% 13.60%
Number of males with disabilities (all ages). 419,745 429,482 430,732
Number of females with disabilities (all ages). 431,593 442,937 437,083
Number of Caucasians with disabilities (all ages). 714,180 730,644 728,775
Number of African Americans with disabilities (all ages). 100,048 101,370 102,581
Number of Hispanic/Latinos with disabilities (all ages). 18,351 20,128 21,074
Number of American Indians/Alaska Natives with disabilities (all ages). 5,788 6,371 5,727
Number of Asians with disabilities (all ages). 5,324 4,899 6,408
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A 870
Number of with multiple races disabilities (all ages). 21,547 22,706 18,411
Number of others with disabilities (all ages). 3,809 5,993 5,043

 

SSA OUTCOMES

2013 2014 2015
Number of SSI recipients with disabilities who work. 6,766 7,003 7,252
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 5.00% 5.10% 5.40%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 221,430 222,218 220,596

 

MENTAL HEALTH OUTCOMES

2013 2014 2015
Number of mental health services consumers who are employed. 5,641 4,226 6,032
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 10,036 8,782 12,624
Number of adults served who have a known employment status. 41,500 37,005 44,121
Percentage of all state mental health agency consumers served in the community who are employed. 13.60% 11.40% 13.70%
Percentage of supported employment services evidence based practices (EBP). 0.90% 0.80% 1.60%
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). 0.90% 1.20% 1.40%
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. 489 406 832
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. 458 654 712
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. 10,345 7,417 5,450
Proportion of registered job seekers with a disability. 0.03 0.03 0.02

 

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. 3,567 4,647 7,474
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 1,408 1,634 2,629
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. 39.00% 35.00% 35.00%
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. 23.38 27.03 43.21

 

VR OUTCOMES

2014 2015 2016
Total Number of people served under VR.
7,895
8,301
N/A
Number of people with visual impairments served under VR. 49 50 N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 788 836 N/A
Number of people with physical impairments served under VR. 1,879 1,816 N/A
Number of people cognitive impairments served under VR. 2,093 2,264 N/A
Number of people psychosocial impairments served under VR. 2,402 2,579 N/A
Number of people with mental impairments served under VR. 684 756 N/A
Percentage of overall closures into employment under VR. 34.40% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 7,905 7,435 7,588
Number of eligible ticket to work beneficiaries. 317,027 318,047 318,214
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. 741 N/A N/A

 

IDD OUTCOMES

2012 2013 2014
Dollars spent on day/employment services for integrated employment funding. $5,203,000 $5,099,000 $7,012,000
Dollars spent on day/employment services for facility-based work funding. $0 $0 $0
Dollars spent on day/employment services for facility-based non-work funding. $48,474,000 $51,925,000 $38,353,000
Dollars spent on day/employment services for community based non-work funding. $339,000 $815,000 $18,291,000
Percentage of people served in integrated employment. 11.00% 12.00% 12.00%
Number of people served in community based non-work. 229 334 3,644
Number of people served in facility based work. 0 0 0
Number of people served in facility based non-work. 4,695 5,009 3,352
Number supported in integrated employment per 100,000 individuals in the general state population. 9.10 11.40 11.40

 

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). 58.10% 58.10% 57.65%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 9.40% 9.11% 8.92%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 3.50% 3.63% 3.66%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 87.50% 88.63% 88.58%
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). 29.20% 29.13% 31.03%
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). 53.50% 55.62% 59.49%
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). 57.70% 60.58% 64.79%
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). 24.30% 26.48% 28.46%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 1,683,499
Number of overall total blind and SD workers. 1,704
Number of AbilityOne blind and SD hours (products). 129,942
Number of AbilityOne blind and SD hours (services). 245,601
Number of AbilityOne blind and SD hours (combined). 372,429
Number of AbilityOne blind and SD workers (products). 220
Number of AbilityOne blind and SD workers (services). 335
Number of AbilityOne blind and SD workers (combined). 555
AbilityOne wages (products). $1,055,603
AbilityOne wages (services). $3,245,518

 

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

2014 2015 2016
Number of 14(c) certificate-holding businesses. 1 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). 105 107 79
Number of 14(c) certificate holding patient workers. N/A 4 3
Total Number of 14(c) certificate holding entities. N/A 111 82
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 8,020 6,396
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 326 237
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 8,346 6,633

 

Legislation


Missouri SB 174 - 06/29/2015

"There is hereby created the 'Missouri Achieving a Better Life Experience [ABLE] Program'".

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Executive Orders

No Executive Orders have been entered for this state.

Policy


Missouri Department of Social Services “Provider Bulletin” - 03/23/2017

~~“Career Planning Service DescriptionCareer planning is a person-centered, comprehensive employment planning and support service. It provides consultative, evaluative assistance for waiver program participants to enter into, or advance in, competitive employment or self-employment. It is a focused, time-limited service engaging a participant in self-discovery, identifying a career direction and developing a plan for achieving competitive, integrated employment at or above the state’s minimum wage. The outcome of this service is documentation of the participant’s stated career objective and a career plan used to guide individual employment support.Career planning includes:• Activities that are primarily directed at assisting an individual with identification of an employment goal; and• A plan to achieve this goal (e.g., job exploration, job shadowing, informational interviewing, assessment of interests, labor market research) that are associated with performing competitive work in community integrated employment.”

Systems
  • Other
Topics
  • Provider Transformation

“Empowering through Employment” - 01/24/2017

~~“The Empowering Through Employment initiative is designed to increase the number of individuals receiving employment supports and services.  This initiative has an established goal of 35% of all individuals receiving waiver services to have employment supports authorized and available for their use.  Empowering Through Employment has been deemed a priority based upon the gap between the percentage of Missourians with intellectual/developmental disabilities (I/DD) accessing employment services as compared to other day services. Missouri is focused on becoming one of the high performing states and ensuring that Missourians with I/DD have the same opportunities as other individuals.”

Systems
  • Department of Mental Health
Topics
  • Home and Community Based Services (HCBS)

Missouri Department of Mental Health Legislator Briefing “Mental Health Highlights and Issues" - 01/01/2017

~~“In October 2016, DD announced a goal to increase the utilization of employment services for individuals between the ages of 16 and 64. This new initiative, called Empowering through Employment, is a statewide effort involving the division’s regional offices, support coordination providers and employment service providers to get 3,700 more Missourians into employment services. This increase would mean that 35% of Missourians are accessing employment services (which mirror what is occurring in other states).”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities

Part B Compliance - 01/01/2017

~~“THE STATE COMPLIANCE PLAN FOR SPECIAL EDUCATION is being revised during the 2016-17 school year to reflect updates in the Every Student Succeeds Act (ESSA), provide clarification on a number of issues, and make substantive changes based on research and OSEP guidance. Proposed changes in both a summary chart and a mark-up of the proposed plan are posted on the DESE website at https://dese.mo.gov/special-education/state-plan-special-education  . The Public comment period ended on January 6, 2017. All comments received will be reviewed and a decision made to accept, accept with revisions, or reject the comment. A summary of the comments and decision will be posted on the website after January 24, 2017. The proposed plan will be presented to the State Board of Education during their February meeting.”

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

Proposed Part B State Plan Changes for 2017 “Transition Services” - 01/01/2017

~~“A. beginning not later than the first IEP to be in effect when the child is sixteen (16), or younger if determined appropriate by the IEP team, and updated annually thereafter appropriate measurable postsecondary goals based upon age appropriate transition assessments related to training, education, employment, and, where appropriate, independent living skills; the transition services (including courses of study) needed to assist the child in reaching those goals, andB. beginning not later than one year before the student reaches age eighteen (18), a statement that the child has been informed of his or her rights under Part B of IDEA and that those rights will transfer to the student upon reaching the age of majority. “ 

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

Equal Opportunity Demographics - 01/01/2017

~~“The Missouri Interagency Transition Team (MITT) established to increase collaboration at the state, regional and local levels with the shared vision of improving employment, independent living, and postsecondary outcomes for Missouri students with disabilities.• Show-Me Careers, a consortium of state agencies focused on supporting the seamless transition from school to inclusive employment or post-secondary education for youth and young adults ages 16-30 with intellectual and developmental disabilities.• A regional annual Accommodation for Success event in the St. Louis area to help businesses recruit and employ individuals with disabilities.”

Systems
  • Department of Workforce Development
Topics
  • School-to-Work Transition

Greater Kansas City - Disability Mentoring Day - 10/26/2016

“Join us for the 12th anniversary of Kansas City Disability Mentoring Day Events. Disability Mentoring Day promotes employment opportunities for all job seekers and students with disabilities through information and career exploration. As a person pursuing employment, this event gives you an excellent opportunity to: • •Increase and enhance your job readiness skills • •Network with employers to learn about different types of careers • •Visit with service organizations, providers, and government agencies to learn how they can help you in your job search • •Learn how to advocate for yourself”

Systems
  • Department of Workforce Development

Department of Elementary and Secondary Education IEP Transition Planning - 03/01/2016

As a result of new legislation within the Workforce Innovation and Opportunity Act (WIOA), the Department of Elementary and Secondary Education (DESE), Office of Special Education (OSE), and the Office of Adult Learning and Rehabilitation Services -Vocational Rehabilitation (VR) offer the following guidance. As districts develop Individual Education Programs (IEPs) and provide transition services/activities for students with the most significant disabilities, consider the following:

1.As a part of the IEP process through the Individuals with Disabilities Education Act (IDEA), schools will continue to be responsible for providing transition services to include work based learning opportunities.

2. Schools are encouraged to continue to conduct extensive evaluations and transition assessments, as outlined in IDEA, and work in partnership with VR and/or the Hook Center at the University of Missouri to provide pre-employment transition services to help students progress toward competitive, integrated employment goals.

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

MO Division of Developmental Disabilities Individual Support Plan Guidelines - 07/01/2014

The Division of Developmental Disabilities requires that each individual eligible for Division Supports have an Individual Support Plan. Individuals, their families, providers and facilitators who write plans in cooperation with all individuals receiving supports from the Division shall use this guide. Individual support planning encourages a team approach to involve the individual and community networks in planning for the future. The process involves developing a vision for the future, while coordinating resources and supports to make the vision a reality.   The Center for Medicare and Medicaid Supports (CMS) outcome for “participant-centered support planning and delivery” clarifies: “Supports are planned and effectively implemented in accordance with each participant’s unique needs, expressed preferences and decisions concerning his/her life in the community.”   The Individual Support Plan is an investment in an individual’s life and is driven by the individual, what is important to them as designed through outcomes identified in the support plan.
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Missouri DMH Employment Supports Guide - 07/05/2012

This guide includes information on the employment supports provided by the Missouri Department of Mental Health. It contains the service, a description, guidance, and the name of the affiliated agency and funding source.

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

Division of Developmental Disabilities Employment First Policy - 01/01/2011

This policy establishes community integrated employment services and supports as the first service option and primary outcome for individuals (both youth and adults.) It also establishes employment planning (Career Planning) and supports as priorities to explore with all working adults who receive services in order to ensure that supports, services, and outcomes are consistent with what the person is seeking.

Each individual will be supported to pursue his or her own unique path to work, a career, and his or her contribution to/participation in community life. All individuals, regardless of the challenge of their disability, will be afforded an opportunity to pursue employment. Career planning, including job exploration and on-going person focused self discovery, is critical when assisting individuals in making informed choices about their future careers.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Segregated Day & Employment Services
  • Cross-Agency Collaboration / Partnerships

Missouri Developmental Disabilities Council position on employment and sub-minimum wage

“In partnership with others, the MODDC will promote competitive, community based employment which we define as: jobs that occur in the community for at least minimum wage, at typical community businesses where employees with and without disabilities work in close proximity to each other, and have the same benefits, responsibilities and expectations.  The MODDC believes that all people who want to work can work with the right supports.  That all people have a responsibility to share their abilities, strengths and talents with others in the community, to make their community a better place.”

Systems
  • Other
Topics
  • 14(c)/Income Security

Governor’s Council on Disability 2016 Annual Report

~~“EMPLOYMENT INITIATIVESGCD continues to provide support to the Business Leadership Network (BLN) which is an employer driven endeavor to promote best practices in disability employment. In Missouri, there are two regional locations: 1) St. Louis region—Greater St. Louis Business Leadership Network (STLBLN)—that covers Greater St. Louis region and eight of the Southern Illinois counties; and 2) Kansas City region—Greater Kansas City BLN (GKCBLN)—which covers the western Missouri and eastern Kansas area; and 3) Springfield BLN. Springfield is the newest BLN in the state and is currently building its infrastructure.” 

Systems
  • Other
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

MO Adult Learning/Rehabilitation Services - VR Providers

This website provides information on Missouri Vocational Rehabilitation services for people with disabilities with links to important, relevant resources.

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

MO HealthNet Eligibility

 

“In response to concerns raised by Pilot Communities, the Division of DD and the Family Support Division within Social Services developed a new protocol allowing the Medicaid application to be submitted up to 90 days prior to a student’s 18th birthday. This will reduce gaps and delays in services at the time of transition.”

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition

MO Division of Developmental Disabilities - Employment First

 

“The Division of Developmental Disabilities is committed to enhancing community employment options for persons with developmental disabilities. The guiding principle of Employment First is that all individuals who want to work can work and contribute to their community when given opportunity, training, and supports that build upon their unique talents, skills and abilities.”

“Everyone of working age, and those supporting them, should consider employment as the first option prior to any other service options. As fully participating members of their community, individuals with developmental disabilities will be afforded the opportunity to earn a living wage and engage in work that makes sense to them. Career exploration and planning will be supported when assisting individuals in making informed choices in designing their unique pathway to increased independence, integration, inclusion, productivity, self-determination.”

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

Partnerships


Missouri Career Guide - 05/01/2011

 

“This guide was developed through a partnership of state agencies to help Missourians of all ages, genders, and backgrounds create personal career plans that lead to fulfillment and success.”

Partners include Missouri Economic Research and Information Center, Missouri Division of Workforce Development, Missouri Department of Higher Education, Missouri Department of Elementary and Secondary Education, Missouri Center for Career Education, and the Missouri Chamber of Commerce.

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

Missouri Interagency Transition Team (MITT) - 06/01/2007

 

“The Missouri Interagency Transition Team (MITT) formed in 2007 by the Office of Special Education at the Missouri Department of Elementary & Secondary Education to increase interagency collaboration at the state, regional, and local levels. This state transition team has met quarterly to address data-driven goals for improvement and collaboration with the shared vision of improving employment, independent living, and postsecondary education outcomes for Missouri students with disabilities.”

“Consisting of a diverse membership from a variety of state agencies concerned with transition, the MITT provides a venue and mechanism to share information, network, and partner to coordinate professional development activities.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Missouri Transition Coalition - 06/01/2000

Since 2000, the Transition Coalition, located at the University of Kansas, Beach Center on Disability, has been maximizing professional development opportunities for secondary transition and college and career readiness of youth with disabilities.

Our Methods

-Use self-assessment methods including professional knowledge

-Strategically combine web-based, in-person, in-print, coaching and other assistance

-Find and share research-based practices and resources

Develop and support practitioner-to-practitioner learning methods

 

 

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

Missouri Business Associated Student Education (BASE) Project - 06/01/1996

The BASE Project located in Springfield, Missouri stands for Business Associated Student Education. It is a partnership with Springfield Public Schools and St. John's Health System, Cox Health System, Doctor's Hospital, Evangel University, and Missouri State University. The goal of the program is to provide students with opportunities to develop career awareness, exploration, assessment, and positive social skills. Students are set up for a successful integration into the world of work and society.

Systems
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement

Community Transition Teams - 06/01/1996

Community Transition Teams (CTT's) elevate community awareness of and commitment to the improvement of post-secondary outcomes of youth with disabilities. Since 2008, the Missouri Department of Elementary and Secondary Education (DESE) and the KU Transition Coalition have partnered to develop and train 42 CTT's across Missouri. This process is accomplished with the collaboration of school personnel, students, families, and community stakeholders to provide seamless and transparent management of staff and resources. The University of Kansas Transition Coalition provides ongoing technical assistance to the CTT's in their development, training, and in meeting the goals of their strategic plans. 

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

MO Project SEARCH High School Transition Program - 06/01/1996

Project SEARCH serves students with significant intellectual and developmental disabilities. Typically, these are students who are on an Individual Education Program (IEP) and in their last year of high school eligibility. Students attend the program for a full school year in the host business/hospital. The business provides access to an on-site classroom that can accommodate up to 12 students. The site is staffed by a special education teacher and one to three job coaches to meet the educational and training needs of the students. Students are referred to the program through their schools, family member, or Vocational Rehabilitation Counselor and apply in the winter and spring in the year prior to entering the program. A team representative of all the partners: Project SEARCH teacher, host business liaison, VR Counselor, community rehabilitation provider staff and other appropriate staff carry out the selection process which includes tours, student interviews, hands-on assessments at the host sites and scoring on a rubric related to entrance considerations. Six sites in Missouri currently host students including University of Missouri and State Fair Community College.

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

Missouri Assistive Technology Council - 06/01/1992

The mission of Missouri Assistive Technology is to increase access to assistive technology for Missourians with all types of disabilities, of all ages.   Programs and initiatives of Missouri Assistive Technology are directed by the Missouri Assistive Technology Council, which was established by state statute in 1993. The Council is charged to serve as an advocate for policies, regulations and programs to establish a consumer-responsive, comprehensive assistive technology service delivery system. The Council meets at least four times a year, reports annually to the Governor and the general assembly on Council activities to increase access to assistive technology, and provides programmatic direction for all activities and services.  
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Association of County Developmental Disabilities Services - 06/01/1979

The Missouri Association of County Developmental Disabilities Services (MACDDS) is a leader in local initiatives for people with developmental disabilities. The organization is comprised of 56 county boards (including the City of St. Louis), and 8 Related Private Organizations, that provide local services for people with developmental disabilities. MACDDS is dedicated to ensuring quality community supports are available for people with developmental disabilities.   MACDDS believes having local people solving local issues results in the best services for individuals with developmental disabilities. MACDDS works to assure services and supports for people with developmental disabilities continue to be planned and carried out at the local level.  
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Connections Career Development & Planning Program - 06/01/1971

 

“Missouri Connections is a comprehensive, online, career development and planning program that is provided free of charge to all Missouri citizens. Funded by the Missouri Department of Elementary and Secondary Education and the Missouri Division of Workforce Development, this program supports the career development efforts of schools, community organizations, and adult job seeker programs. Missouri Connections helps individuals learn about their talents, skills, and interests and makes the connection between planning for continued education and the work world.”

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

Missouri Developmental Disabilities Council Asset Development and Financial Education Initiative

“Persons with disabilities have a higher percentage of people who live in poverty than any other minority group in the country.  Missouri ranks in the bottom third of all states in the understanding of financial supports that assist persons with disabilities in working their way out of poverty.  Benefits planning and employment are just two pieces in this puzzle, the other pieces are asset development and financial education, therefore, the Missouri DD Council is partnering with the TACE, Region 7/University of MO-School of Health Professionals to promote Asset Development and Financial Education for persons with disabilities in our state by offering a variety of opportunities to learn more about this important piece of the puzzle and help people with disabilities learn more about asset development and financial education.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Missouri Interagency Transition Team

~~“The Missouri Interagency Transition Team (MITT) formed in 2007 by the Office of Special Education at the Missouri Department of Elementary & Secondary Education to increase interagency collaboration at the state, regional, and local levels. This state transition team has met quarterly to address data-driven goals for improvement and collaboration with the shared vision of improving employment, independent living, and postsecondary education outcomes for Missouri students with disabilities.”

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

Missouri VR Connection

VR specializes in employment and training services that can assist you in becoming employed. A VR counselor will determine your eligibility for services. To be eligible, you need to have a physical or mental impairment that causes problems with working and need VR services to be successfully employed. Once eligible, you will work with a counselor who will help you develop a plan for your rehabilitation. We will give you vocational information and guidance allowing you to make informed choices about your vocational plan.   VR offers a wide range of services that are individualized for your needs. You and your counselor decide which services will help you become employed. Some of the services that may be available are:    • Guidance and Counseling    • Job-Seeking Skills and Job Placement    • Vocational Training   VR also provides assistance with Transition Services, Supported Employment Services,Assistive Technology Services, and the Ticket to Work Program  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Missouri State Chapter of ASPE

APSE-MO is the Missouri State Chapter of APSE The Association of People Supporting Employment First, a national organization committed to improving and expanding integrated employment opportunities, services, and outcomes for people experiencing disabilities. APSE-MO invites individuals with disabilities, their families, employment providers, funders, employers and others to join with us in making community employment a reality for ALL people with disabilities.

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Show Me Careers: Missouri's Transition-to-Employment Collaborative

 

“The Show-Me-Careers project targets youth ages 16-30 with I/DD who are transitioning from secondary or post-secondary educational settings to community employment. Show-Me-Careers is funded by the Administration on Intellectual and Developmental Disabilities and is one of eight grants awarded to state consortiums aimed at improving existing state systems to increase competitive employment outcomes for youth and young adults with I/DD.”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement

Missouri State Employment Leadership Network

The Missouri DD Council is partnering with the Missouri Department of Mental Health, Division of Developmental Disabilities, in bringing the State Employment Leadership Network (SELN) to Missouri.  This is a project started by the Institute for Community Inclusion out of Boston, Massachusetts.  SELN brings together state developmental disability agencies for sharing, educating and providing guidance on practices and policies around employment to its members. It is also an opportunity for the Division of Developmental Disabilities and other Missouri governmental agencies to evaluate their policies and procedures as they relate to assisting persons with developmental disabilities to become employed.

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

Systems-Change Funding


Toward a Successful Transition: A Checklist for the First 21 Years - 09/01/2016

“To Parents of Children with Developmental Disabilities . . . It is our hope that as parents you will always consider yourselves the experts on your child. We hope that as you seek information, help and guidance you will see your child in “people first” terms—initially as a baby to love and nurture, then as a child to raise for as independent a life as he or she can attain. Whatever the disability involved, remember it is only a part of your child’s individuality. Build on his or her strengths. High expectations are a keynote in a family’s daring to act bravely and creatively.

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

MO Balancing Incentives Program - 03/28/2012

 

“The Missouri Department of Social Services (DSS), in partnership with the Department of Health and Senior Services (DHSS) and the Department of Mental Health (DMH), proposes to leverage the Balancing Incentive Payment Program to further develop the systems of community-based care that serve older adults and individuals with physical and/or intellectual disabilities. The intent of the Missouri project is to realize the long term goal of increasing the percentage of expenditures for long term supports and services (LTSS) that are provided in community settings to equal or exceed the expenditures for facility-based LTSS.”

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

MO Partnerships in Employment - "Show Me Careers" - 09/30/2011

Show Me Careers: This project will address the needs of youth and young adults ages 16 to 30 with developmental and intellectual disabilities (DD/ID) who are in the process of transitioning from secondary or post-secondary education settings to community employment. The project’s goal is to scale up and sustain evidence-based practices in Missouri that support seamless transitions to integrated employment. A Leadership Consortium of state agencies…will support a statewide structure to demonstrate evidence-based practices, develop needed policies and practices, and enhance statewide collaborations.   Objectives are designed to achieve this goal include: building cross system and agency collaborations designed to exchange and transfer knowledge and effective practices between partners; review and advocate for changes to collaborative funding options, policies, and 
procedures that support broader implementation of the effective practices demonstrated within communities; develop statewide capacity to scale up demonstrations through training, dissemination and broader
implementation; and evaluate results and sustain the scaled-up practices.  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri Add Us In Initiative - 09/30/2010

Add Us In Kansas City has created a business-led network focused on increasing the capacity of employers, including minority owned businesses, to successfully hire and retain individuals with disabilities. Add Us In Kansas City will 1) identify and create supports needed by employers in their efforts to diversify their workforce to include this population, 2) increase the number and range of employment opportunities available to youth with disabilities, 3) develop a model continuum of career development encompassing these opportunities and supports, and 4) equip youth to successfully participate within this continuum. Urban businesses and urban youth with disabilities will be given special consideration in the development of the Add Us In model. Located in the greater Kansas City area, the program will provide a replication toolkit for nationwide dissemination at the end of year two.

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

Missouri Transition Liaison Program - 06/01/2008

 

The Missouri Transition Liaison Program was developed in 2007-2008 to identify secondary transition professionals from districts across Missouri who are leaders in the area of transition. The overall goal of the Transition Liaisons is to build capacity at the local level and develop a collaborative network of colleagues throughout the state.”

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

MO Medicaid Infrastructure Grant - 10/12/2007

The Medicaid Infrastructure Grant Research Assistance to States (MIG-RATS) Center launched a website to provide resources and support to states implementing MIGs. The website is designed to help staff find research reports and resources, learn about MIG-RATS activities and initiatives, and connect with MIG researchers. The website includes info on topics such as Medicaid Buy-In programs, outreach and marketing, and youth in transition and also provides links to tools and a calendar of events. 

Systems
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement

Missouri Ticket to Work Health Assurance Program - 08/28/2007

Section 201 of the federal Ticket to Work and Work Incentives Improvement Act of 1999, Public Law 106-170 created a program for employed persons with disabilities. Based upon this federal law, the Health Improvement Act of 2007 (Senate Bill 577) established healthcare coverage for employed persons with disabilities in Missouri. Effective August 28, 2007, MO HealthNet implemented the new program, known as the Ticket to Work Health Assurance (TWHA) Program. Eligible participants will be enrolled under Medical Eligibility (ME) codes 85 (premium) and 86 (non-premium), and receive a limited MO HealthNet benefit package  
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Money Follows the Person - 01/01/2007

The overall goal of MFP is "to support people who have disabilities and those who are aging to move from a nursing facility or habilitation center to a quality community setting that meets their needs and wants."   The objectives of MFP—My Life, My Way, My Community are:    • to move people from a facility to the community;    • identify and eliminate barriers that prevent people from being able to move to the community;    • improve the ability of MO HealthNet to provide in-home services;    • and to ensure that there is continuous quality improvement of in-home services provided.  
Systems
  • Medicaid Agencies
Topics
  • Segregated Day & Employment Services

MO Ticket to Work - 06/01/1999

The Ticket to Work and Work Incentive Act of 1999 established an employment program for people who want to go to work that receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits.  The program was designed to remove barriers that kept people with disabilities from choosing to work for fear of losing health care coverage.  The Ticket to Work program is voluntary, and it increases opportunities and choices for Social Security (SS) disability beneficiaries to obtain employment, vocational rehabilitation, and other support services from public and private providers, employers, or other organizations.  SS provides a ticket to disability benefits to use in obtaining services and jobs through Missouri Vocational Rehabilitation or from an approved Employment Network.  Though SS has the overall program authority, MAXIMUS, Inc. serves as the program manager.

 

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Missouri SAMHSA EDI (FY 2011 & 2012)

Goal 1: To strengthen peer delivered services in Missouri by leveraging Medicaid billing for services provided by Certified Peer Specialists in Consumer Operated Services Programs (COSP).   Goal 2: To introduce and begin implementation of peer delivered Individual Placement and Supports –Supported Employment (SE) – in Consumer Operated Services Programs.   Overall conclusions: Through this project Missouri has greatly increased its value of peers. 103 have been trained specifically under this project, with more on the way.  
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Training/Capacity Building


Missouri’s Cooperative Work Experience Program (COOP) - 04/12/2016

Successful transition planning for students with disabilities involves looking ahead, into the student's future, preparing not just for graduation but also for life after graduation. One of the most important aspects of a student's future involves employment. However, students often do not have any idea what type of work they would like to do or what type of career options are available. One of the best ways that a student can learn about different careers and employment is to be exposed to and participate in cooperative work experiences prior to graduation or exit from school. Cooperative work experiences provide students with direct exposure to and hands-on exploration of a variety of careers, assisting them in defining vocational choices and setting employment goals that actually seem attainable.

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Provider Transformation

Missouri Division of Developmental Disabilities Individual Support Plan Guide - 07/01/2014

The Division of Developmental Disabilities requires that each individual eligible for Division Supports have an Individual Support Plan. Individuals, their families, providers and facilitators who write plans in cooperation with all individuals receiving supports from the Division shall use this guide. Individual support planning encourages a team approach to involve the individual and community networks in planning for the future. The process involves developing a vision for the future, while coordinating resources and supports to make the vision a reality. The Center for Medicare and Medicaid Supports (CMS) outcome for “participant-centered support planning and delivery” clarifies: “Supports are planned and effectively implemented in accordance with each participant’s unique needs, expressed preferences and decisions concerning his/her life in the community.” The Individual Support Plan is an investment in an individual’s life and is driven by the individual, what is important to them as designed through outcomes identified in the support plan

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

Missouri DoE Transition Coalition - 06/01/2000

Since 2000, the Transition Coalition, located at the University of Kansas, Beach Center on Disability, has been maximizing professional development opportunities for secondary transition and college and career readiness of youth with disabilities.

Our Methods

-Use self-assessment methods including professional knowledge

-Strategically combine web-based, in-person, in-print, coaching and other assistance

-Find and share research-based practices and resources

-Develop and support practitioner-to-practitioner learning methods

 

Systems
  • Other
Topics
  • School-to-Work Transition

Missouri Connections - Career Development & Planning Program - 06/01/1971

Missouri Connections is a comprehensive, online, career development and planning program that is provided free of charge to all Missouri citizens. Funded by the Missouri Department of Elementary and Secondary Education and the Missouri Division of Workforce Development, this program supports the career development efforts of schools, community organizations, and adult job seeker programs. Missouri Connections helps individuals learn about their talents, skills, and interests and makes the connection between planning for continued education and the work world.

Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • Customized Employment
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri Asset Development Project

The Missouri DD Council is partnering with the TACE, Region 7/University of MO-School of Health Professionals to promote Asset Development and Financial Education for persons with disabilities in our state by offering a variety of opportunities to learn more about this important piece of the puzzle and help people with disabilities learn more about asset development and financial education.

The first opportunity was a free webinar.  (The recording of that webinar is included here.)  In early 2014 we will be offering two opportunities to learn more with "train-the-trainer" events.  This will be followed up by a statewide summit where members from the financial community will meet with a broader group of self-advocates, family members and other members from the disability community to develop an action plan that will continue this effort into the future.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

MO Customized Employment Presentation

This presentation discusses the formalized definition of customized employment by the Office of Disability Employment Policy (ODEP) and the history of customized employment. It also takes a glimpse at progressive employment, addresses how discovery is an important component of customized and progressive employment, and discusses how motivational interviewing can be effective during the discovery process.

Systems
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation

MO Planning Council for Developmental Disabilities - Career Guide

“This guide will take the job seeker and his or her support team through the career planning process by providing information he or she can use during the career planning sessions. It should be noted that since everyone is unique, the individual planning process will be unique to each person as well. The guide is simply a framework to allow the job seeker and his or her team to create a vision and a plan to achieve a career that makes sense to the job seeker. It is less about the forms and more about generating ideas, clear action steps, and moving the person closer towards his or her ultimate career goals.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Mental Health

MO DoE Community Transition Teams

Community Transition Teams (CTT's) elevate community awareness of and commitment to the improvement of post-secondary outcomes of youth with disabilities. Since 2008, the Missouri Department of Elementary and Secondary Education (DESE) and the KU Transition Coalition have partnered to develop and train 42 CTT's across Missouri. This process is accomplished with the collaboration of school personnel, students, families, and community stakeholders to provide seamless and transparent management of staff and resources. The University of Kansas Transition Coalition provides ongoing technical assistance to the CTT's in their development, training, and in meeting the goals of their strategic plans. During the 2014 school year, training will not be held to develop new teams. Instead, focus is on technical assistance for sustainability. 

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Transition Resource Toolkit

This toolkit has been developed by an ad hoc team comprised of a small representation of individuals from across the state working in Centers for Independent Living (CIL), Local Education Agencies (LEA) and Vocational Rehabilitation (VR). The goal was to create a resource tool to enhance collaboration in transition planning for young adults with disabilities. A special acknowledgement to members of these three organizations for the many valuable resources and links included in this toolkit.  
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition

Missouri DoE Regional Transition Liaison Program

The Missouri Interagency Transition Team (MITT) was formed in 2007 to promote interagency collaboration in Missouri at the state-level by establishing a group vision for improving outcomes for young adults with disabilities.  The MITT, consisting of diverse state-level membership meets monthly to share resources, develop goals and promote concrete activities to improve transition education and services.   In particular, the Transition Liaisons:    • Collaborate with other Transition Liaisons, RPDC Consultants, Transition Coalition staff, and DESE personnel;    •  Reach out to districts across the state; and,    •  Share information and resources with other district personnel.  
Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri DoE Regional Professional Development Center (RPDC) Consultant

Each of the nine regions of Missouri has a Regional Professional Development Center (RPDC) Consultant who specializes in transition. These consultants provide regional and local trainings on Transition Planning and the Updated Form C, Transition Assessment, and other transition topics. They also provide a range of other consulting and continuous improvement services to meet the needs of teachers, administrators and school districts.

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

Missouri Assistive Technology Council

Missouri Assistive Technology strives to increase access to assistive technology for Missourians with all types of disabilities, of all ages. To the right are navigation links to the programs and initiatives of MoAT.

Systems
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)

MO VR Transition Brochure

“Transition is a process young adults with disabilities, like you, go through to prepare for whatever the future might hold – further education, specialized training, employment or other options you might choose on the road to increased independence… Career planning and transition services are designed to help you prepare for your future by exploring different jobs, identifying careers interesting to you, and developing an understanding of the skills and abilities necessary to be successful.”

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

MO Skills to Pay the Bills

"Skills to Pay the Bills: Mastering Soft Skills for Workplace Success," is a curriculum developed by ODEP focused on teaching "soft" or workforce readiness skills to youth, including youth with disabilities. Created for youth development professionals as an introduction to workplace interpersonal and professional skills, the curriculum is targeted for youth ages 14 to 21 in both in-school and out-of-school environments. The basic structure of the program is comprised of modular, hands-on, engaging activities that focus on six key skill areas: communication, enthusiasm and attitude, teamwork, networking, problem solving and critical thinking, and professionalism.

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

MO Writing Quality Goals, Outcomes and Action Plans

 

An overview of how to effectively create a Career Plan, establish appropriate goals and desired outcomes, and initiate an Action Plan with Discovery and Fading Supports.

 
Systems
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Employer Engagement

Enforcement

No Enforcement have been entered for this state.

Medicaid & Employment


Community Transitions Manual for Support Coordinators and Community Coordinators - 02/19/2017

~~“MFP EligibilityIndividuals who transition from a Habilitation Center or nursing home may be eligible for MFP. MFP is a demonstration grant that supports efforts to:• Provide Medicaid eligible individuals the choice of where they live and receive services;• Allow qualified individuals living in nursing facilities or Habilitation Centers to move to the community; and• Promote a system that is person-centered, based on needs, and ensures high-quality services in the community.”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri HCBS Statewide Transition Plan - 07/25/2016

“Missouri administers 10 Home and Community-Based Waivers through the single State Medicaid agency, the Department of Social Services, MO HealthNet Division (MHD). The day-to-day operation of the waivers is through formal cooperative agreements with the Missouri Department of Mental Health (DMH) and the Missouri Department of Health and Senior Services (DHSS). The Department of Health and Senior Services and the Department of Mental Health are the operational entities for the waivers. Missouri Medicaid Audit and Compliance (MMAC) is the unit within the Department of Social Services (DSS) charged with administering and maintaining Medicaid Title XIX audit and compliance initiatives, including utilization of Medicaid services and provider enrollment functions. MMAC will participate in the transition plan as described below.”

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

MO DoE ESEA Flexibility Request Approval - 06/08/2015

The Missouri Department of Secondary and Elementary Education's ESEA flexibility request was approved on June 29, 2012.

Systems
  • Department of Education
Topics
  • Home and Community Based Services (HCBS)
Citations

Missouri HCSB Transition Plan - 03/01/2014

In March 2014, the Center for Medicaid and Medicare Services (CMS) published a final rule regarding changes to Home and Community Based Waiver Services (HCBS Waiver). The rule defines home and community based settings and person-centered planning requirements in Medicaid HCBS Waiver programs. The rule requires demonstration of how state’s HCBS Waiver programs comply with the federal HCBS rules.   Missouri’s draft transition plan incorporates all HCBS Waivers administered by Department of Health and Senior Services (DHSS), Department of Mental Health (DMH), and Department of Social Services (DSS). The purpose of Missouri’s draft transition plan is to ensure that individuals receiving HCBS Waiver services are integrated and have access to supports in the community, including:    • opportunities to seek employment,    • work in competitive integrated settings,    • engage in community life,    • and control personal resources.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO Partnership for Hope Waiver (0841.R00.00) - 10/01/2013

The purpose of the Partnership for Hope waiver is to prevent or delay of institutional services for individuals who require minimal services in order to continue living in the community. The waiver will offer prevention services to stabilize individuals primarily living with family members who provide significant support, but are not able to meet all of the individual's needs. Goals To increase access to waiver services for children and adults at the local level in participating counties.    Objectives The objectives of the waiver are: 1) to increase the capacity of the State to meet the needs of individuals at risk of institutionalization who require minimal supports to continue living in integrated community settings; 2) to partner with local County Boards through Intergovernmental Agreements in the administration and funding of waiver services; and 3) to implement preventive services in a timely manner in order that eligible participants may continue living in the community with their families.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri Developmental Disabilities Waiver Manual - 07/01/2012

“The Missouri Department of Mental Health's Division of Developmental Disabilities (Division of DD) administers five Medicaid Home and Community Based (HCB) Waiver programs for individuals with developmental disabilities. The five waivers are the Comprehensive Waiver; Missouri Children with Developmental Disabilities Waiver (MOCDD or Lopez Waiver); Community Support Waiver; Partnership for Hope Waiver (PfH); and Autism Waiver.” This manual includes information on employment, on the job training and other pre-vocational services for people with disabilities.

Systems
  • Medicaid Agencies
Topics
  • Self-Employment
  • Mental Health

MO Div of Developmental Disabilities Community Support (0404.R03.00) - 07/01/2011

 

“Provides community employment, in home respite, job preparation, personal assistant, assistive technology, behavior analysis service, co-worker supports, communication skills instruction, community specialist services, counseling, crisis intervention, environmental accessibility adaptations-home mods, independent living skills development, job discovery, OT, out of home respite, person centered strategies consultation, PT, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/ID Developmental Disabilities ages 0 - no max age.”

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

MO MR Developmental Disabilities Comprehensive (0178.R06.00) - 07/01/2011

 

“Provides community employment, day service, group home, in home respite, individualized supported living, job preparation, personal assistant, assistive technology, behavior analysis service, communication skills instruction, community specialist services, community transition, counseling, crisis intervention, environmental accessibility adaptations, host home, job discovery, OT, out of home respite, PT, positive behavior support, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/MR Developmental Disabilities ages 0 - no max age.”

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

States - Small Tablet

Snapshot

The Show Me State is expanding its efforts to deliver competitive, integrated employment options for individuals with disabilities through innovative strategies that propel Missouri's model, "Close to Home, Far from Ordinary."

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 Missouri’s VR Rates and Services

2015 State Population.
0.33%
Change from
2014 to 2015
6,083,672
2015 Number of people with disabilities (all disabilities, ages 18-64).
-3.41%
Change from
2014 to 2015
463,157
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
3.88%
Change from
2014 to 2015
163,574
2015 Percentage of working age people who are employed (all disabilities).
7.05%
Change from
2014 to 2015
35.32%
2015 Percentage of working age people who are employed (NO disabilities).
1.97%
Change from
2014 to 2015
78.78%

State Data

General

2013 2014 2015
Population. 6,044,171 6,063,589 6,083,672
Number of people with disabilities (all disabilities, ages 18-64). 465,901 478,963 463,157
Number of people with disabilities who are employed (all disabilities, ages 18-64). 153,551 157,220 163,574
Number of people without disabilities who are employed (ages 18-64). 2,468,384 2,463,983 2,524,635
Percentage of working age people who are employed (all disabilities). 32.96% 32.83% 35.32%
Percentage of working age people who are employed (NO disabilities). 77.13% 77.23% 78.78%
Overall unemployment rate. 6.70% 6.10% 5.00%
Poverty Rate (all disabilities). 23.70% 23.70% 21.90%
Poverty Rate (NO disabilities). 14.60% 14.10% 13.60%
Number of males with disabilities (all ages). 419,745 429,482 430,732
Number of females with disabilities (all ages). 431,593 442,937 437,083
Number of Caucasians with disabilities (all ages). 714,180 730,644 728,775
Number of African Americans with disabilities (all ages). 100,048 101,370 102,581
Number of Hispanic/Latinos with disabilities (all ages). 18,351 20,128 21,074
Number of American Indians/Alaska Natives with disabilities (all ages). 5,788 6,371 5,727
Number of Asians with disabilities (all ages). 5,324 4,899 6,408
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A 870
Number of with multiple races disabilities (all ages). 21,547 22,706 18,411
Number of others with disabilities (all ages). 3,809 5,993 5,043

 

SSA OUTCOMES

2013 2014 2015
Number of SSI recipients with disabilities who work. 6,766 7,003 7,252
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 5.00% 5.10% 5.40%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 221,430 222,218 220,596

 

MENTAL HEALTH OUTCOMES

2013 2014 2015
Number of mental health services consumers who are employed. 5,641 4,226 6,032
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 10,036 8,782 12,624
Number of adults served who have a known employment status. 41,500 37,005 44,121
Percentage of all state mental health agency consumers served in the community who are employed. 13.60% 11.40% 13.70%
Percentage of supported employment services evidence based practices (EBP). 0.90% 0.80% 1.60%
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). 0.90% 1.20% 1.40%
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. 489 406 832
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. 458 654 712
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. 10,345 7,417 5,450
Proportion of registered job seekers with a disability. 0.03 0.03 0.02

 

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. 3,567 4,647 7,474
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 1,408 1,634 2,629
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. 39.00% 35.00% 35.00%
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. 23.38 27.03 43.21

 

VR OUTCOMES

2014 2015 2016
Total Number of people served under VR.
7,895
8,301
N/A
Number of people with visual impairments served under VR. 49 50 N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 788 836 N/A
Number of people with physical impairments served under VR. 1,879 1,816 N/A
Number of people cognitive impairments served under VR. 2,093 2,264 N/A
Number of people psychosocial impairments served under VR. 2,402 2,579 N/A
Number of people with mental impairments served under VR. 684 756 N/A
Percentage of overall closures into employment under VR. 34.40% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 7,905 7,435 7,588
Number of eligible ticket to work beneficiaries. 317,027 318,047 318,214
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. 741 N/A N/A

 

IDD OUTCOMES

2012 2013 2014
Dollars spent on day/employment services for integrated employment funding. $5,203,000 $5,099,000 $7,012,000
Dollars spent on day/employment services for facility-based work funding. $0 $0 $0
Dollars spent on day/employment services for facility-based non-work funding. $48,474,000 $51,925,000 $38,353,000
Dollars spent on day/employment services for community based non-work funding. $339,000 $815,000 $18,291,000
Percentage of people served in integrated employment. 11.00% 12.00% 12.00%
Number of people served in community based non-work. 229 334 3,644
Number of people served in facility based work. 0 0 0
Number of people served in facility based non-work. 4,695 5,009 3,352
Number supported in integrated employment per 100,000 individuals in the general state population. 9.10 11.40 11.40

 

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). 58.10% 58.10% 57.65%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 9.40% 9.11% 8.92%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 3.50% 3.63% 3.66%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 87.50% 88.63% 88.58%
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). 29.20% 29.13% 31.03%
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). 53.50% 55.62% 59.49%
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). 57.70% 60.58% 64.79%
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). 24.30% 26.48% 28.46%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 1,683,499
Number of overall total blind and SD workers. 1,704
Number of AbilityOne blind and SD hours (products). 129,942
Number of AbilityOne blind and SD hours (services). 245,601
Number of AbilityOne blind and SD hours (combined). 372,429
Number of AbilityOne blind and SD workers (products). 220
Number of AbilityOne blind and SD workers (services). 335
Number of AbilityOne blind and SD workers (combined). 555
AbilityOne wages (products). $1,055,603
AbilityOne wages (services). $3,245,518

 

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

2014 2015 2016
Number of 14(c) certificate-holding businesses. 1 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). 105 107 79
Number of 14(c) certificate holding patient workers. N/A 4 3
Total Number of 14(c) certificate holding entities. N/A 111 82
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 8,020 6,396
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 326 237
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 8,346 6,633

 

Legislation


Missouri SB 174 - 06/29/2015

"There is hereby created the 'Missouri Achieving a Better Life Experience [ABLE] Program'".

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Executive Orders

No Executive Orders have been entered for this state.

Policy


Missouri Department of Social Services “Provider Bulletin” - 03/23/2017

~~“Career Planning Service DescriptionCareer planning is a person-centered, comprehensive employment planning and support service. It provides consultative, evaluative assistance for waiver program participants to enter into, or advance in, competitive employment or self-employment. It is a focused, time-limited service engaging a participant in self-discovery, identifying a career direction and developing a plan for achieving competitive, integrated employment at or above the state’s minimum wage. The outcome of this service is documentation of the participant’s stated career objective and a career plan used to guide individual employment support.Career planning includes:• Activities that are primarily directed at assisting an individual with identification of an employment goal; and• A plan to achieve this goal (e.g., job exploration, job shadowing, informational interviewing, assessment of interests, labor market research) that are associated with performing competitive work in community integrated employment.”

Systems
  • Other
Topics
  • Provider Transformation

“Empowering through Employment” - 01/24/2017

~~“The Empowering Through Employment initiative is designed to increase the number of individuals receiving employment supports and services.  This initiative has an established goal of 35% of all individuals receiving waiver services to have employment supports authorized and available for their use.  Empowering Through Employment has been deemed a priority based upon the gap between the percentage of Missourians with intellectual/developmental disabilities (I/DD) accessing employment services as compared to other day services. Missouri is focused on becoming one of the high performing states and ensuring that Missourians with I/DD have the same opportunities as other individuals.”

Systems
  • Department of Mental Health
Topics
  • Home and Community Based Services (HCBS)

Missouri Department of Mental Health Legislator Briefing “Mental Health Highlights and Issues" - 01/01/2017

~~“In October 2016, DD announced a goal to increase the utilization of employment services for individuals between the ages of 16 and 64. This new initiative, called Empowering through Employment, is a statewide effort involving the division’s regional offices, support coordination providers and employment service providers to get 3,700 more Missourians into employment services. This increase would mean that 35% of Missourians are accessing employment services (which mirror what is occurring in other states).”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities

Part B Compliance - 01/01/2017

~~“THE STATE COMPLIANCE PLAN FOR SPECIAL EDUCATION is being revised during the 2016-17 school year to reflect updates in the Every Student Succeeds Act (ESSA), provide clarification on a number of issues, and make substantive changes based on research and OSEP guidance. Proposed changes in both a summary chart and a mark-up of the proposed plan are posted on the DESE website at https://dese.mo.gov/special-education/state-plan-special-education  . The Public comment period ended on January 6, 2017. All comments received will be reviewed and a decision made to accept, accept with revisions, or reject the comment. A summary of the comments and decision will be posted on the website after January 24, 2017. The proposed plan will be presented to the State Board of Education during their February meeting.”

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

Proposed Part B State Plan Changes for 2017 “Transition Services” - 01/01/2017

~~“A. beginning not later than the first IEP to be in effect when the child is sixteen (16), or younger if determined appropriate by the IEP team, and updated annually thereafter appropriate measurable postsecondary goals based upon age appropriate transition assessments related to training, education, employment, and, where appropriate, independent living skills; the transition services (including courses of study) needed to assist the child in reaching those goals, andB. beginning not later than one year before the student reaches age eighteen (18), a statement that the child has been informed of his or her rights under Part B of IDEA and that those rights will transfer to the student upon reaching the age of majority. “ 

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

Equal Opportunity Demographics - 01/01/2017

~~“The Missouri Interagency Transition Team (MITT) established to increase collaboration at the state, regional and local levels with the shared vision of improving employment, independent living, and postsecondary outcomes for Missouri students with disabilities.• Show-Me Careers, a consortium of state agencies focused on supporting the seamless transition from school to inclusive employment or post-secondary education for youth and young adults ages 16-30 with intellectual and developmental disabilities.• A regional annual Accommodation for Success event in the St. Louis area to help businesses recruit and employ individuals with disabilities.”

Systems
  • Department of Workforce Development
Topics
  • School-to-Work Transition

Greater Kansas City - Disability Mentoring Day - 10/26/2016

“Join us for the 12th anniversary of Kansas City Disability Mentoring Day Events. Disability Mentoring Day promotes employment opportunities for all job seekers and students with disabilities through information and career exploration. As a person pursuing employment, this event gives you an excellent opportunity to: • •Increase and enhance your job readiness skills • •Network with employers to learn about different types of careers • •Visit with service organizations, providers, and government agencies to learn how they can help you in your job search • •Learn how to advocate for yourself”

Systems
  • Department of Workforce Development

Department of Elementary and Secondary Education IEP Transition Planning - 03/01/2016

As a result of new legislation within the Workforce Innovation and Opportunity Act (WIOA), the Department of Elementary and Secondary Education (DESE), Office of Special Education (OSE), and the Office of Adult Learning and Rehabilitation Services -Vocational Rehabilitation (VR) offer the following guidance. As districts develop Individual Education Programs (IEPs) and provide transition services/activities for students with the most significant disabilities, consider the following:

1.As a part of the IEP process through the Individuals with Disabilities Education Act (IDEA), schools will continue to be responsible for providing transition services to include work based learning opportunities.

2. Schools are encouraged to continue to conduct extensive evaluations and transition assessments, as outlined in IDEA, and work in partnership with VR and/or the Hook Center at the University of Missouri to provide pre-employment transition services to help students progress toward competitive, integrated employment goals.

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

MO Division of Developmental Disabilities Individual Support Plan Guidelines - 07/01/2014

The Division of Developmental Disabilities requires that each individual eligible for Division Supports have an Individual Support Plan. Individuals, their families, providers and facilitators who write plans in cooperation with all individuals receiving supports from the Division shall use this guide. Individual support planning encourages a team approach to involve the individual and community networks in planning for the future. The process involves developing a vision for the future, while coordinating resources and supports to make the vision a reality.   The Center for Medicare and Medicaid Supports (CMS) outcome for “participant-centered support planning and delivery” clarifies: “Supports are planned and effectively implemented in accordance with each participant’s unique needs, expressed preferences and decisions concerning his/her life in the community.”   The Individual Support Plan is an investment in an individual’s life and is driven by the individual, what is important to them as designed through outcomes identified in the support plan.
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Missouri DMH Employment Supports Guide - 07/05/2012

This guide includes information on the employment supports provided by the Missouri Department of Mental Health. It contains the service, a description, guidance, and the name of the affiliated agency and funding source.

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

Division of Developmental Disabilities Employment First Policy - 01/01/2011

This policy establishes community integrated employment services and supports as the first service option and primary outcome for individuals (both youth and adults.) It also establishes employment planning (Career Planning) and supports as priorities to explore with all working adults who receive services in order to ensure that supports, services, and outcomes are consistent with what the person is seeking.

Each individual will be supported to pursue his or her own unique path to work, a career, and his or her contribution to/participation in community life. All individuals, regardless of the challenge of their disability, will be afforded an opportunity to pursue employment. Career planning, including job exploration and on-going person focused self discovery, is critical when assisting individuals in making informed choices about their future careers.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Segregated Day & Employment Services
  • Cross-Agency Collaboration / Partnerships

Missouri Developmental Disabilities Council position on employment and sub-minimum wage

“In partnership with others, the MODDC will promote competitive, community based employment which we define as: jobs that occur in the community for at least minimum wage, at typical community businesses where employees with and without disabilities work in close proximity to each other, and have the same benefits, responsibilities and expectations.  The MODDC believes that all people who want to work can work with the right supports.  That all people have a responsibility to share their abilities, strengths and talents with others in the community, to make their community a better place.”

Systems
  • Other
Topics
  • 14(c)/Income Security

Governor’s Council on Disability 2016 Annual Report

~~“EMPLOYMENT INITIATIVESGCD continues to provide support to the Business Leadership Network (BLN) which is an employer driven endeavor to promote best practices in disability employment. In Missouri, there are two regional locations: 1) St. Louis region—Greater St. Louis Business Leadership Network (STLBLN)—that covers Greater St. Louis region and eight of the Southern Illinois counties; and 2) Kansas City region—Greater Kansas City BLN (GKCBLN)—which covers the western Missouri and eastern Kansas area; and 3) Springfield BLN. Springfield is the newest BLN in the state and is currently building its infrastructure.” 

Systems
  • Other
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

MO Adult Learning/Rehabilitation Services - VR Providers

This website provides information on Missouri Vocational Rehabilitation services for people with disabilities with links to important, relevant resources.

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

MO HealthNet Eligibility

 

“In response to concerns raised by Pilot Communities, the Division of DD and the Family Support Division within Social Services developed a new protocol allowing the Medicaid application to be submitted up to 90 days prior to a student’s 18th birthday. This will reduce gaps and delays in services at the time of transition.”

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition

MO Division of Developmental Disabilities - Employment First

 

“The Division of Developmental Disabilities is committed to enhancing community employment options for persons with developmental disabilities. The guiding principle of Employment First is that all individuals who want to work can work and contribute to their community when given opportunity, training, and supports that build upon their unique talents, skills and abilities.”

“Everyone of working age, and those supporting them, should consider employment as the first option prior to any other service options. As fully participating members of their community, individuals with developmental disabilities will be afforded the opportunity to earn a living wage and engage in work that makes sense to them. Career exploration and planning will be supported when assisting individuals in making informed choices in designing their unique pathway to increased independence, integration, inclusion, productivity, self-determination.”

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

Partnerships


Missouri Career Guide - 05/01/2011

 

“This guide was developed through a partnership of state agencies to help Missourians of all ages, genders, and backgrounds create personal career plans that lead to fulfillment and success.”

Partners include Missouri Economic Research and Information Center, Missouri Division of Workforce Development, Missouri Department of Higher Education, Missouri Department of Elementary and Secondary Education, Missouri Center for Career Education, and the Missouri Chamber of Commerce.

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

Missouri Interagency Transition Team (MITT) - 06/01/2007

 

“The Missouri Interagency Transition Team (MITT) formed in 2007 by the Office of Special Education at the Missouri Department of Elementary & Secondary Education to increase interagency collaboration at the state, regional, and local levels. This state transition team has met quarterly to address data-driven goals for improvement and collaboration with the shared vision of improving employment, independent living, and postsecondary education outcomes for Missouri students with disabilities.”

“Consisting of a diverse membership from a variety of state agencies concerned with transition, the MITT provides a venue and mechanism to share information, network, and partner to coordinate professional development activities.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Missouri Transition Coalition - 06/01/2000

Since 2000, the Transition Coalition, located at the University of Kansas, Beach Center on Disability, has been maximizing professional development opportunities for secondary transition and college and career readiness of youth with disabilities.

Our Methods

-Use self-assessment methods including professional knowledge

-Strategically combine web-based, in-person, in-print, coaching and other assistance

-Find and share research-based practices and resources

Develop and support practitioner-to-practitioner learning methods

 

 

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

Missouri Business Associated Student Education (BASE) Project - 06/01/1996

The BASE Project located in Springfield, Missouri stands for Business Associated Student Education. It is a partnership with Springfield Public Schools and St. John's Health System, Cox Health System, Doctor's Hospital, Evangel University, and Missouri State University. The goal of the program is to provide students with opportunities to develop career awareness, exploration, assessment, and positive social skills. Students are set up for a successful integration into the world of work and society.

Systems
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement

Community Transition Teams - 06/01/1996

Community Transition Teams (CTT's) elevate community awareness of and commitment to the improvement of post-secondary outcomes of youth with disabilities. Since 2008, the Missouri Department of Elementary and Secondary Education (DESE) and the KU Transition Coalition have partnered to develop and train 42 CTT's across Missouri. This process is accomplished with the collaboration of school personnel, students, families, and community stakeholders to provide seamless and transparent management of staff and resources. The University of Kansas Transition Coalition provides ongoing technical assistance to the CTT's in their development, training, and in meeting the goals of their strategic plans. 

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

MO Project SEARCH High School Transition Program - 06/01/1996

Project SEARCH serves students with significant intellectual and developmental disabilities. Typically, these are students who are on an Individual Education Program (IEP) and in their last year of high school eligibility. Students attend the program for a full school year in the host business/hospital. The business provides access to an on-site classroom that can accommodate up to 12 students. The site is staffed by a special education teacher and one to three job coaches to meet the educational and training needs of the students. Students are referred to the program through their schools, family member, or Vocational Rehabilitation Counselor and apply in the winter and spring in the year prior to entering the program. A team representative of all the partners: Project SEARCH teacher, host business liaison, VR Counselor, community rehabilitation provider staff and other appropriate staff carry out the selection process which includes tours, student interviews, hands-on assessments at the host sites and scoring on a rubric related to entrance considerations. Six sites in Missouri currently host students including University of Missouri and State Fair Community College.

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

Missouri Assistive Technology Council - 06/01/1992

The mission of Missouri Assistive Technology is to increase access to assistive technology for Missourians with all types of disabilities, of all ages.   Programs and initiatives of Missouri Assistive Technology are directed by the Missouri Assistive Technology Council, which was established by state statute in 1993. The Council is charged to serve as an advocate for policies, regulations and programs to establish a consumer-responsive, comprehensive assistive technology service delivery system. The Council meets at least four times a year, reports annually to the Governor and the general assembly on Council activities to increase access to assistive technology, and provides programmatic direction for all activities and services.  
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Association of County Developmental Disabilities Services - 06/01/1979

The Missouri Association of County Developmental Disabilities Services (MACDDS) is a leader in local initiatives for people with developmental disabilities. The organization is comprised of 56 county boards (including the City of St. Louis), and 8 Related Private Organizations, that provide local services for people with developmental disabilities. MACDDS is dedicated to ensuring quality community supports are available for people with developmental disabilities.   MACDDS believes having local people solving local issues results in the best services for individuals with developmental disabilities. MACDDS works to assure services and supports for people with developmental disabilities continue to be planned and carried out at the local level.  
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Connections Career Development & Planning Program - 06/01/1971

 

“Missouri Connections is a comprehensive, online, career development and planning program that is provided free of charge to all Missouri citizens. Funded by the Missouri Department of Elementary and Secondary Education and the Missouri Division of Workforce Development, this program supports the career development efforts of schools, community organizations, and adult job seeker programs. Missouri Connections helps individuals learn about their talents, skills, and interests and makes the connection between planning for continued education and the work world.”

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

Missouri Developmental Disabilities Council Asset Development and Financial Education Initiative

“Persons with disabilities have a higher percentage of people who live in poverty than any other minority group in the country.  Missouri ranks in the bottom third of all states in the understanding of financial supports that assist persons with disabilities in working their way out of poverty.  Benefits planning and employment are just two pieces in this puzzle, the other pieces are asset development and financial education, therefore, the Missouri DD Council is partnering with the TACE, Region 7/University of MO-School of Health Professionals to promote Asset Development and Financial Education for persons with disabilities in our state by offering a variety of opportunities to learn more about this important piece of the puzzle and help people with disabilities learn more about asset development and financial education.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Missouri Interagency Transition Team

~~“The Missouri Interagency Transition Team (MITT) formed in 2007 by the Office of Special Education at the Missouri Department of Elementary & Secondary Education to increase interagency collaboration at the state, regional, and local levels. This state transition team has met quarterly to address data-driven goals for improvement and collaboration with the shared vision of improving employment, independent living, and postsecondary education outcomes for Missouri students with disabilities.”

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

Missouri VR Connection

VR specializes in employment and training services that can assist you in becoming employed. A VR counselor will determine your eligibility for services. To be eligible, you need to have a physical or mental impairment that causes problems with working and need VR services to be successfully employed. Once eligible, you will work with a counselor who will help you develop a plan for your rehabilitation. We will give you vocational information and guidance allowing you to make informed choices about your vocational plan.   VR offers a wide range of services that are individualized for your needs. You and your counselor decide which services will help you become employed. Some of the services that may be available are:    • Guidance and Counseling    • Job-Seeking Skills and Job Placement    • Vocational Training   VR also provides assistance with Transition Services, Supported Employment Services,Assistive Technology Services, and the Ticket to Work Program  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Missouri State Chapter of ASPE

APSE-MO is the Missouri State Chapter of APSE The Association of People Supporting Employment First, a national organization committed to improving and expanding integrated employment opportunities, services, and outcomes for people experiencing disabilities. APSE-MO invites individuals with disabilities, their families, employment providers, funders, employers and others to join with us in making community employment a reality for ALL people with disabilities.

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Show Me Careers: Missouri's Transition-to-Employment Collaborative

 

“The Show-Me-Careers project targets youth ages 16-30 with I/DD who are transitioning from secondary or post-secondary educational settings to community employment. Show-Me-Careers is funded by the Administration on Intellectual and Developmental Disabilities and is one of eight grants awarded to state consortiums aimed at improving existing state systems to increase competitive employment outcomes for youth and young adults with I/DD.”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement

Missouri State Employment Leadership Network

The Missouri DD Council is partnering with the Missouri Department of Mental Health, Division of Developmental Disabilities, in bringing the State Employment Leadership Network (SELN) to Missouri.  This is a project started by the Institute for Community Inclusion out of Boston, Massachusetts.  SELN brings together state developmental disability agencies for sharing, educating and providing guidance on practices and policies around employment to its members. It is also an opportunity for the Division of Developmental Disabilities and other Missouri governmental agencies to evaluate their policies and procedures as they relate to assisting persons with developmental disabilities to become employed.

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

Systems-Change Funding


Toward a Successful Transition: A Checklist for the First 21 Years - 09/01/2016

“To Parents of Children with Developmental Disabilities . . . It is our hope that as parents you will always consider yourselves the experts on your child. We hope that as you seek information, help and guidance you will see your child in “people first” terms—initially as a baby to love and nurture, then as a child to raise for as independent a life as he or she can attain. Whatever the disability involved, remember it is only a part of your child’s individuality. Build on his or her strengths. High expectations are a keynote in a family’s daring to act bravely and creatively.

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

MO Balancing Incentives Program - 03/28/2012

 

“The Missouri Department of Social Services (DSS), in partnership with the Department of Health and Senior Services (DHSS) and the Department of Mental Health (DMH), proposes to leverage the Balancing Incentive Payment Program to further develop the systems of community-based care that serve older adults and individuals with physical and/or intellectual disabilities. The intent of the Missouri project is to realize the long term goal of increasing the percentage of expenditures for long term supports and services (LTSS) that are provided in community settings to equal or exceed the expenditures for facility-based LTSS.”

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

MO Partnerships in Employment - "Show Me Careers" - 09/30/2011

Show Me Careers: This project will address the needs of youth and young adults ages 16 to 30 with developmental and intellectual disabilities (DD/ID) who are in the process of transitioning from secondary or post-secondary education settings to community employment. The project’s goal is to scale up and sustain evidence-based practices in Missouri that support seamless transitions to integrated employment. A Leadership Consortium of state agencies…will support a statewide structure to demonstrate evidence-based practices, develop needed policies and practices, and enhance statewide collaborations.   Objectives are designed to achieve this goal include: building cross system and agency collaborations designed to exchange and transfer knowledge and effective practices between partners; review and advocate for changes to collaborative funding options, policies, and 
procedures that support broader implementation of the effective practices demonstrated within communities; develop statewide capacity to scale up demonstrations through training, dissemination and broader
implementation; and evaluate results and sustain the scaled-up practices.  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri Add Us In Initiative - 09/30/2010

Add Us In Kansas City has created a business-led network focused on increasing the capacity of employers, including minority owned businesses, to successfully hire and retain individuals with disabilities. Add Us In Kansas City will 1) identify and create supports needed by employers in their efforts to diversify their workforce to include this population, 2) increase the number and range of employment opportunities available to youth with disabilities, 3) develop a model continuum of career development encompassing these opportunities and supports, and 4) equip youth to successfully participate within this continuum. Urban businesses and urban youth with disabilities will be given special consideration in the development of the Add Us In model. Located in the greater Kansas City area, the program will provide a replication toolkit for nationwide dissemination at the end of year two.

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

Missouri Transition Liaison Program - 06/01/2008

 

The Missouri Transition Liaison Program was developed in 2007-2008 to identify secondary transition professionals from districts across Missouri who are leaders in the area of transition. The overall goal of the Transition Liaisons is to build capacity at the local level and develop a collaborative network of colleagues throughout the state.”

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

MO Medicaid Infrastructure Grant - 10/12/2007

The Medicaid Infrastructure Grant Research Assistance to States (MIG-RATS) Center launched a website to provide resources and support to states implementing MIGs. The website is designed to help staff find research reports and resources, learn about MIG-RATS activities and initiatives, and connect with MIG researchers. The website includes info on topics such as Medicaid Buy-In programs, outreach and marketing, and youth in transition and also provides links to tools and a calendar of events. 

Systems
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement

Missouri Ticket to Work Health Assurance Program - 08/28/2007

Section 201 of the federal Ticket to Work and Work Incentives Improvement Act of 1999, Public Law 106-170 created a program for employed persons with disabilities. Based upon this federal law, the Health Improvement Act of 2007 (Senate Bill 577) established healthcare coverage for employed persons with disabilities in Missouri. Effective August 28, 2007, MO HealthNet implemented the new program, known as the Ticket to Work Health Assurance (TWHA) Program. Eligible participants will be enrolled under Medical Eligibility (ME) codes 85 (premium) and 86 (non-premium), and receive a limited MO HealthNet benefit package  
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Money Follows the Person - 01/01/2007

The overall goal of MFP is "to support people who have disabilities and those who are aging to move from a nursing facility or habilitation center to a quality community setting that meets their needs and wants."   The objectives of MFP—My Life, My Way, My Community are:    • to move people from a facility to the community;    • identify and eliminate barriers that prevent people from being able to move to the community;    • improve the ability of MO HealthNet to provide in-home services;    • and to ensure that there is continuous quality improvement of in-home services provided.  
Systems
  • Medicaid Agencies
Topics
  • Segregated Day & Employment Services

MO Ticket to Work - 06/01/1999

The Ticket to Work and Work Incentive Act of 1999 established an employment program for people who want to go to work that receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits.  The program was designed to remove barriers that kept people with disabilities from choosing to work for fear of losing health care coverage.  The Ticket to Work program is voluntary, and it increases opportunities and choices for Social Security (SS) disability beneficiaries to obtain employment, vocational rehabilitation, and other support services from public and private providers, employers, or other organizations.  SS provides a ticket to disability benefits to use in obtaining services and jobs through Missouri Vocational Rehabilitation or from an approved Employment Network.  Though SS has the overall program authority, MAXIMUS, Inc. serves as the program manager.

 

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Missouri SAMHSA EDI (FY 2011 & 2012)

Goal 1: To strengthen peer delivered services in Missouri by leveraging Medicaid billing for services provided by Certified Peer Specialists in Consumer Operated Services Programs (COSP).   Goal 2: To introduce and begin implementation of peer delivered Individual Placement and Supports –Supported Employment (SE) – in Consumer Operated Services Programs.   Overall conclusions: Through this project Missouri has greatly increased its value of peers. 103 have been trained specifically under this project, with more on the way.  
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Training/Capacity Building


Missouri’s Cooperative Work Experience Program (COOP) - 04/12/2016

Successful transition planning for students with disabilities involves looking ahead, into the student's future, preparing not just for graduation but also for life after graduation. One of the most important aspects of a student's future involves employment. However, students often do not have any idea what type of work they would like to do or what type of career options are available. One of the best ways that a student can learn about different careers and employment is to be exposed to and participate in cooperative work experiences prior to graduation or exit from school. Cooperative work experiences provide students with direct exposure to and hands-on exploration of a variety of careers, assisting them in defining vocational choices and setting employment goals that actually seem attainable.

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Provider Transformation

Missouri Division of Developmental Disabilities Individual Support Plan Guide - 07/01/2014

The Division of Developmental Disabilities requires that each individual eligible for Division Supports have an Individual Support Plan. Individuals, their families, providers and facilitators who write plans in cooperation with all individuals receiving supports from the Division shall use this guide. Individual support planning encourages a team approach to involve the individual and community networks in planning for the future. The process involves developing a vision for the future, while coordinating resources and supports to make the vision a reality. The Center for Medicare and Medicaid Supports (CMS) outcome for “participant-centered support planning and delivery” clarifies: “Supports are planned and effectively implemented in accordance with each participant’s unique needs, expressed preferences and decisions concerning his/her life in the community.” The Individual Support Plan is an investment in an individual’s life and is driven by the individual, what is important to them as designed through outcomes identified in the support plan

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

Missouri DoE Transition Coalition - 06/01/2000

Since 2000, the Transition Coalition, located at the University of Kansas, Beach Center on Disability, has been maximizing professional development opportunities for secondary transition and college and career readiness of youth with disabilities.

Our Methods

-Use self-assessment methods including professional knowledge

-Strategically combine web-based, in-person, in-print, coaching and other assistance

-Find and share research-based practices and resources

-Develop and support practitioner-to-practitioner learning methods

 

Systems
  • Other
Topics
  • School-to-Work Transition

Missouri Connections - Career Development & Planning Program - 06/01/1971

Missouri Connections is a comprehensive, online, career development and planning program that is provided free of charge to all Missouri citizens. Funded by the Missouri Department of Elementary and Secondary Education and the Missouri Division of Workforce Development, this program supports the career development efforts of schools, community organizations, and adult job seeker programs. Missouri Connections helps individuals learn about their talents, skills, and interests and makes the connection between planning for continued education and the work world.

Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • Customized Employment
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri Asset Development Project

The Missouri DD Council is partnering with the TACE, Region 7/University of MO-School of Health Professionals to promote Asset Development and Financial Education for persons with disabilities in our state by offering a variety of opportunities to learn more about this important piece of the puzzle and help people with disabilities learn more about asset development and financial education.

The first opportunity was a free webinar.  (The recording of that webinar is included here.)  In early 2014 we will be offering two opportunities to learn more with "train-the-trainer" events.  This will be followed up by a statewide summit where members from the financial community will meet with a broader group of self-advocates, family members and other members from the disability community to develop an action plan that will continue this effort into the future.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

MO Customized Employment Presentation

This presentation discusses the formalized definition of customized employment by the Office of Disability Employment Policy (ODEP) and the history of customized employment. It also takes a glimpse at progressive employment, addresses how discovery is an important component of customized and progressive employment, and discusses how motivational interviewing can be effective during the discovery process.

Systems
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation

MO Planning Council for Developmental Disabilities - Career Guide

“This guide will take the job seeker and his or her support team through the career planning process by providing information he or she can use during the career planning sessions. It should be noted that since everyone is unique, the individual planning process will be unique to each person as well. The guide is simply a framework to allow the job seeker and his or her team to create a vision and a plan to achieve a career that makes sense to the job seeker. It is less about the forms and more about generating ideas, clear action steps, and moving the person closer towards his or her ultimate career goals.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Mental Health

MO DoE Community Transition Teams

Community Transition Teams (CTT's) elevate community awareness of and commitment to the improvement of post-secondary outcomes of youth with disabilities. Since 2008, the Missouri Department of Elementary and Secondary Education (DESE) and the KU Transition Coalition have partnered to develop and train 42 CTT's across Missouri. This process is accomplished with the collaboration of school personnel, students, families, and community stakeholders to provide seamless and transparent management of staff and resources. The University of Kansas Transition Coalition provides ongoing technical assistance to the CTT's in their development, training, and in meeting the goals of their strategic plans. During the 2014 school year, training will not be held to develop new teams. Instead, focus is on technical assistance for sustainability. 

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Transition Resource Toolkit

This toolkit has been developed by an ad hoc team comprised of a small representation of individuals from across the state working in Centers for Independent Living (CIL), Local Education Agencies (LEA) and Vocational Rehabilitation (VR). The goal was to create a resource tool to enhance collaboration in transition planning for young adults with disabilities. A special acknowledgement to members of these three organizations for the many valuable resources and links included in this toolkit.  
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition

Missouri DoE Regional Transition Liaison Program

The Missouri Interagency Transition Team (MITT) was formed in 2007 to promote interagency collaboration in Missouri at the state-level by establishing a group vision for improving outcomes for young adults with disabilities.  The MITT, consisting of diverse state-level membership meets monthly to share resources, develop goals and promote concrete activities to improve transition education and services.   In particular, the Transition Liaisons:    • Collaborate with other Transition Liaisons, RPDC Consultants, Transition Coalition staff, and DESE personnel;    •  Reach out to districts across the state; and,    •  Share information and resources with other district personnel.  
Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri DoE Regional Professional Development Center (RPDC) Consultant

Each of the nine regions of Missouri has a Regional Professional Development Center (RPDC) Consultant who specializes in transition. These consultants provide regional and local trainings on Transition Planning and the Updated Form C, Transition Assessment, and other transition topics. They also provide a range of other consulting and continuous improvement services to meet the needs of teachers, administrators and school districts.

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

Missouri Assistive Technology Council

Missouri Assistive Technology strives to increase access to assistive technology for Missourians with all types of disabilities, of all ages. To the right are navigation links to the programs and initiatives of MoAT.

Systems
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)

MO VR Transition Brochure

“Transition is a process young adults with disabilities, like you, go through to prepare for whatever the future might hold – further education, specialized training, employment or other options you might choose on the road to increased independence… Career planning and transition services are designed to help you prepare for your future by exploring different jobs, identifying careers interesting to you, and developing an understanding of the skills and abilities necessary to be successful.”

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

MO Skills to Pay the Bills

"Skills to Pay the Bills: Mastering Soft Skills for Workplace Success," is a curriculum developed by ODEP focused on teaching "soft" or workforce readiness skills to youth, including youth with disabilities. Created for youth development professionals as an introduction to workplace interpersonal and professional skills, the curriculum is targeted for youth ages 14 to 21 in both in-school and out-of-school environments. The basic structure of the program is comprised of modular, hands-on, engaging activities that focus on six key skill areas: communication, enthusiasm and attitude, teamwork, networking, problem solving and critical thinking, and professionalism.

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

MO Writing Quality Goals, Outcomes and Action Plans

 

An overview of how to effectively create a Career Plan, establish appropriate goals and desired outcomes, and initiate an Action Plan with Discovery and Fading Supports.

 
Systems
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Employer Engagement

Enforcement

No Enforcement have been entered for this state.

Medicaid & Employment


Community Transitions Manual for Support Coordinators and Community Coordinators - 02/19/2017

~~“MFP EligibilityIndividuals who transition from a Habilitation Center or nursing home may be eligible for MFP. MFP is a demonstration grant that supports efforts to:• Provide Medicaid eligible individuals the choice of where they live and receive services;• Allow qualified individuals living in nursing facilities or Habilitation Centers to move to the community; and• Promote a system that is person-centered, based on needs, and ensures high-quality services in the community.”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri HCBS Statewide Transition Plan - 07/25/2016

“Missouri administers 10 Home and Community-Based Waivers through the single State Medicaid agency, the Department of Social Services, MO HealthNet Division (MHD). The day-to-day operation of the waivers is through formal cooperative agreements with the Missouri Department of Mental Health (DMH) and the Missouri Department of Health and Senior Services (DHSS). The Department of Health and Senior Services and the Department of Mental Health are the operational entities for the waivers. Missouri Medicaid Audit and Compliance (MMAC) is the unit within the Department of Social Services (DSS) charged with administering and maintaining Medicaid Title XIX audit and compliance initiatives, including utilization of Medicaid services and provider enrollment functions. MMAC will participate in the transition plan as described below.”

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

MO DoE ESEA Flexibility Request Approval - 06/08/2015

The Missouri Department of Secondary and Elementary Education's ESEA flexibility request was approved on June 29, 2012.

Systems
  • Department of Education
Topics
  • Home and Community Based Services (HCBS)
Citations

Missouri HCSB Transition Plan - 03/01/2014

In March 2014, the Center for Medicaid and Medicare Services (CMS) published a final rule regarding changes to Home and Community Based Waiver Services (HCBS Waiver). The rule defines home and community based settings and person-centered planning requirements in Medicaid HCBS Waiver programs. The rule requires demonstration of how state’s HCBS Waiver programs comply with the federal HCBS rules.   Missouri’s draft transition plan incorporates all HCBS Waivers administered by Department of Health and Senior Services (DHSS), Department of Mental Health (DMH), and Department of Social Services (DSS). The purpose of Missouri’s draft transition plan is to ensure that individuals receiving HCBS Waiver services are integrated and have access to supports in the community, including:    • opportunities to seek employment,    • work in competitive integrated settings,    • engage in community life,    • and control personal resources.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO Partnership for Hope Waiver (0841.R00.00) - 10/01/2013

The purpose of the Partnership for Hope waiver is to prevent or delay of institutional services for individuals who require minimal services in order to continue living in the community. The waiver will offer prevention services to stabilize individuals primarily living with family members who provide significant support, but are not able to meet all of the individual's needs. Goals To increase access to waiver services for children and adults at the local level in participating counties.    Objectives The objectives of the waiver are: 1) to increase the capacity of the State to meet the needs of individuals at risk of institutionalization who require minimal supports to continue living in integrated community settings; 2) to partner with local County Boards through Intergovernmental Agreements in the administration and funding of waiver services; and 3) to implement preventive services in a timely manner in order that eligible participants may continue living in the community with their families.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri Developmental Disabilities Waiver Manual - 07/01/2012

“The Missouri Department of Mental Health's Division of Developmental Disabilities (Division of DD) administers five Medicaid Home and Community Based (HCB) Waiver programs for individuals with developmental disabilities. The five waivers are the Comprehensive Waiver; Missouri Children with Developmental Disabilities Waiver (MOCDD or Lopez Waiver); Community Support Waiver; Partnership for Hope Waiver (PfH); and Autism Waiver.” This manual includes information on employment, on the job training and other pre-vocational services for people with disabilities.

Systems
  • Medicaid Agencies
Topics
  • Self-Employment
  • Mental Health

MO Div of Developmental Disabilities Community Support (0404.R03.00) - 07/01/2011

 

“Provides community employment, in home respite, job preparation, personal assistant, assistive technology, behavior analysis service, co-worker supports, communication skills instruction, community specialist services, counseling, crisis intervention, environmental accessibility adaptations-home mods, independent living skills development, job discovery, OT, out of home respite, person centered strategies consultation, PT, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/ID Developmental Disabilities ages 0 - no max age.”

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

MO MR Developmental Disabilities Comprehensive (0178.R06.00) - 07/01/2011

 

“Provides community employment, day service, group home, in home respite, individualized supported living, job preparation, personal assistant, assistive technology, behavior analysis service, communication skills instruction, community specialist services, community transition, counseling, crisis intervention, environmental accessibility adaptations, host home, job discovery, OT, out of home respite, PT, positive behavior support, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/MR Developmental Disabilities ages 0 - no max age.”

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

States - Phablet

Snapshot

The Show Me State is expanding its efforts to deliver competitive, integrated employment options for individuals with disabilities through innovative strategies that propel Missouri's model, "Close to Home, Far from Ordinary."

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 Missouri’s VR Rates and Services

2015 State Population.
0.33%
Change from
2014 to 2015
6,083,672
2015 Number of people with disabilities (all disabilities, ages 18-64).
-3.41%
Change from
2014 to 2015
463,157
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
3.88%
Change from
2014 to 2015
163,574
2015 Percentage of working age people who are employed (all disabilities).
7.05%
Change from
2014 to 2015
35.32%
2015 Percentage of working age people who are employed (NO disabilities).
1.97%
Change from
2014 to 2015
78.78%

State Data

General

2015
Population. 6,083,672
Number of people with disabilities (all disabilities, ages 18-64). 463,157
Number of people with disabilities who are employed (all disabilities, ages 18-64). 163,574
Number of people without disabilities who are employed (ages 18-64). 2,524,635
Percentage of working age people who are employed (all disabilities). 35.32%
Percentage of working age people who are employed (NO disabilities). 78.78%
Overall unemployment rate. 5.00%
Poverty Rate (all disabilities). 21.90%
Poverty Rate (NO disabilities). 13.60%
Number of males with disabilities (all ages). 430,732
Number of females with disabilities (all ages). 437,083
Number of Caucasians with disabilities (all ages). 728,775
Number of African Americans with disabilities (all ages). 102,581
Number of Hispanic/Latinos with disabilities (all ages). 21,074
Number of American Indians/Alaska Natives with disabilities (all ages). 5,727
Number of Asians with disabilities (all ages). 6,408
Number of Hawaiians/Pacific Islanders with disabilities (all ages). 870
Number of with multiple races disabilities (all ages). 18,411
Number of others with disabilities (all ages). 5,043

 

SSA OUTCOMES

2015
Number of SSI recipients with disabilities who work. 7,252
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 5.40%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 220,596

 

MENTAL HEALTH OUTCOMES

2015
Number of mental health services consumers who are employed. 6,032
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 12,624
Number of adults served who have a known employment status. 44,121
Percentage of all state mental health agency consumers served in the community who are employed. 13.70%
Percentage of supported employment services evidence based practices (EBP). 1.60%
Percentage of supported housing services evidence based practices (EBP). N/A
Percentage of assertive community treatment services evidence based practices (EBP). 1.40%
Percentage of medications management evidence based practices (EBP). N/A
Number of evidence based practices (EBP) supported employment services. 832
Number of evidence based practices (EBP) supported housing services. N/A
Number of evidence based practices (EBP) assertive community treatment services. 712
Number of evidence based practices (EBP) medications management. N/A

 

WAGNER PEYSER OUTCOMES

2015
Number of registered job seekers with a disability. 5,450
Proportion of registered job seekers with a disability. 0.02

 

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. 7,474
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 2,629
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. 35.00%
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. 43.21

 

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. 7,588
Number of eligible ticket to work beneficiaries. 318,214
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. $7,012,000
Dollars spent on day/employment services for facility-based work funding. $0
Dollars spent on day/employment services for facility-based non-work funding. $38,353,000
Dollars spent on day/employment services for community based non-work funding. $18,291,000
Percentage of people served in integrated employment. 12.00%
Number of people served in community based non-work. 3,644
Number of people served in facility based work. 0
Number of people served in facility based non-work. 3,352
Number supported in integrated employment per 100,000 individuals in the general state population. 11.40

 

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). 57.65%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 8.92%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 3.66%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 88.58%
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). 31.03%
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). 59.49%
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). 64.79%
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). 28.46%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 1,683,499
Number of overall total blind and SD workers. 1,704
Number of AbilityOne blind and SD hours (products). 129,942
Number of AbilityOne blind and SD hours (services). 245,601
Number of AbilityOne blind and SD hours (combined). 372,429
Number of AbilityOne blind and SD workers (products). 220
Number of AbilityOne blind and SD workers (services). 335
Number of AbilityOne blind and SD workers (combined). 555
AbilityOne wages (products). $1,055,603
AbilityOne wages (services). $3,245,518

 

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). 79
Number of 14(c) certificate holding patient workers. 3
Total Number of 14(c) certificate holding entities. 82
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). 6,396
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 237
Total reported number of people with disabilities working under 14(c) certificate holding entities. 6,633

 

Legislation


Missouri SB 174 - 06/29/2015

"There is hereby created the 'Missouri Achieving a Better Life Experience [ABLE] Program'".

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Executive Orders

No Executive Orders have been entered for this state.

Policy


Missouri Department of Social Services “Provider Bulletin” - 03/23/2017

~~“Career Planning Service DescriptionCareer planning is a person-centered, comprehensive employment planning and support service. It provides consultative, evaluative assistance for waiver program participants to enter into, or advance in, competitive employment or self-employment. It is a focused, time-limited service engaging a participant in self-discovery, identifying a career direction and developing a plan for achieving competitive, integrated employment at or above the state’s minimum wage. The outcome of this service is documentation of the participant’s stated career objective and a career plan used to guide individual employment support.Career planning includes:• Activities that are primarily directed at assisting an individual with identification of an employment goal; and• A plan to achieve this goal (e.g., job exploration, job shadowing, informational interviewing, assessment of interests, labor market research) that are associated with performing competitive work in community integrated employment.”

Systems
  • Other
Topics
  • Provider Transformation

“Empowering through Employment” - 01/24/2017

~~“The Empowering Through Employment initiative is designed to increase the number of individuals receiving employment supports and services.  This initiative has an established goal of 35% of all individuals receiving waiver services to have employment supports authorized and available for their use.  Empowering Through Employment has been deemed a priority based upon the gap between the percentage of Missourians with intellectual/developmental disabilities (I/DD) accessing employment services as compared to other day services. Missouri is focused on becoming one of the high performing states and ensuring that Missourians with I/DD have the same opportunities as other individuals.”

Systems
  • Department of Mental Health
Topics
  • Home and Community Based Services (HCBS)

Missouri Department of Mental Health Legislator Briefing “Mental Health Highlights and Issues" - 01/01/2017

~~“In October 2016, DD announced a goal to increase the utilization of employment services for individuals between the ages of 16 and 64. This new initiative, called Empowering through Employment, is a statewide effort involving the division’s regional offices, support coordination providers and employment service providers to get 3,700 more Missourians into employment services. This increase would mean that 35% of Missourians are accessing employment services (which mirror what is occurring in other states).”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities

Part B Compliance - 01/01/2017

~~“THE STATE COMPLIANCE PLAN FOR SPECIAL EDUCATION is being revised during the 2016-17 school year to reflect updates in the Every Student Succeeds Act (ESSA), provide clarification on a number of issues, and make substantive changes based on research and OSEP guidance. Proposed changes in both a summary chart and a mark-up of the proposed plan are posted on the DESE website at https://dese.mo.gov/special-education/state-plan-special-education  . The Public comment period ended on January 6, 2017. All comments received will be reviewed and a decision made to accept, accept with revisions, or reject the comment. A summary of the comments and decision will be posted on the website after January 24, 2017. The proposed plan will be presented to the State Board of Education during their February meeting.”

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

Proposed Part B State Plan Changes for 2017 “Transition Services” - 01/01/2017

~~“A. beginning not later than the first IEP to be in effect when the child is sixteen (16), or younger if determined appropriate by the IEP team, and updated annually thereafter appropriate measurable postsecondary goals based upon age appropriate transition assessments related to training, education, employment, and, where appropriate, independent living skills; the transition services (including courses of study) needed to assist the child in reaching those goals, andB. beginning not later than one year before the student reaches age eighteen (18), a statement that the child has been informed of his or her rights under Part B of IDEA and that those rights will transfer to the student upon reaching the age of majority. “ 

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

Equal Opportunity Demographics - 01/01/2017

~~“The Missouri Interagency Transition Team (MITT) established to increase collaboration at the state, regional and local levels with the shared vision of improving employment, independent living, and postsecondary outcomes for Missouri students with disabilities.• Show-Me Careers, a consortium of state agencies focused on supporting the seamless transition from school to inclusive employment or post-secondary education for youth and young adults ages 16-30 with intellectual and developmental disabilities.• A regional annual Accommodation for Success event in the St. Louis area to help businesses recruit and employ individuals with disabilities.”

Systems
  • Department of Workforce Development
Topics
  • School-to-Work Transition

Greater Kansas City - Disability Mentoring Day - 10/26/2016

“Join us for the 12th anniversary of Kansas City Disability Mentoring Day Events. Disability Mentoring Day promotes employment opportunities for all job seekers and students with disabilities through information and career exploration. As a person pursuing employment, this event gives you an excellent opportunity to: • •Increase and enhance your job readiness skills • •Network with employers to learn about different types of careers • •Visit with service organizations, providers, and government agencies to learn how they can help you in your job search • •Learn how to advocate for yourself”

Systems
  • Department of Workforce Development

Department of Elementary and Secondary Education IEP Transition Planning - 03/01/2016

As a result of new legislation within the Workforce Innovation and Opportunity Act (WIOA), the Department of Elementary and Secondary Education (DESE), Office of Special Education (OSE), and the Office of Adult Learning and Rehabilitation Services -Vocational Rehabilitation (VR) offer the following guidance. As districts develop Individual Education Programs (IEPs) and provide transition services/activities for students with the most significant disabilities, consider the following:

1.As a part of the IEP process through the Individuals with Disabilities Education Act (IDEA), schools will continue to be responsible for providing transition services to include work based learning opportunities.

2. Schools are encouraged to continue to conduct extensive evaluations and transition assessments, as outlined in IDEA, and work in partnership with VR and/or the Hook Center at the University of Missouri to provide pre-employment transition services to help students progress toward competitive, integrated employment goals.

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

MO Division of Developmental Disabilities Individual Support Plan Guidelines - 07/01/2014

The Division of Developmental Disabilities requires that each individual eligible for Division Supports have an Individual Support Plan. Individuals, their families, providers and facilitators who write plans in cooperation with all individuals receiving supports from the Division shall use this guide. Individual support planning encourages a team approach to involve the individual and community networks in planning for the future. The process involves developing a vision for the future, while coordinating resources and supports to make the vision a reality.   The Center for Medicare and Medicaid Supports (CMS) outcome for “participant-centered support planning and delivery” clarifies: “Supports are planned and effectively implemented in accordance with each participant’s unique needs, expressed preferences and decisions concerning his/her life in the community.”   The Individual Support Plan is an investment in an individual’s life and is driven by the individual, what is important to them as designed through outcomes identified in the support plan.
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Missouri DMH Employment Supports Guide - 07/05/2012

This guide includes information on the employment supports provided by the Missouri Department of Mental Health. It contains the service, a description, guidance, and the name of the affiliated agency and funding source.

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

Division of Developmental Disabilities Employment First Policy - 01/01/2011

This policy establishes community integrated employment services and supports as the first service option and primary outcome for individuals (both youth and adults.) It also establishes employment planning (Career Planning) and supports as priorities to explore with all working adults who receive services in order to ensure that supports, services, and outcomes are consistent with what the person is seeking.

Each individual will be supported to pursue his or her own unique path to work, a career, and his or her contribution to/participation in community life. All individuals, regardless of the challenge of their disability, will be afforded an opportunity to pursue employment. Career planning, including job exploration and on-going person focused self discovery, is critical when assisting individuals in making informed choices about their future careers.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Segregated Day & Employment Services
  • Cross-Agency Collaboration / Partnerships

Missouri Developmental Disabilities Council position on employment and sub-minimum wage

“In partnership with others, the MODDC will promote competitive, community based employment which we define as: jobs that occur in the community for at least minimum wage, at typical community businesses where employees with and without disabilities work in close proximity to each other, and have the same benefits, responsibilities and expectations.  The MODDC believes that all people who want to work can work with the right supports.  That all people have a responsibility to share their abilities, strengths and talents with others in the community, to make their community a better place.”

Systems
  • Other
Topics
  • 14(c)/Income Security

Governor’s Council on Disability 2016 Annual Report

~~“EMPLOYMENT INITIATIVESGCD continues to provide support to the Business Leadership Network (BLN) which is an employer driven endeavor to promote best practices in disability employment. In Missouri, there are two regional locations: 1) St. Louis region—Greater St. Louis Business Leadership Network (STLBLN)—that covers Greater St. Louis region and eight of the Southern Illinois counties; and 2) Kansas City region—Greater Kansas City BLN (GKCBLN)—which covers the western Missouri and eastern Kansas area; and 3) Springfield BLN. Springfield is the newest BLN in the state and is currently building its infrastructure.” 

Systems
  • Other
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

MO Adult Learning/Rehabilitation Services - VR Providers

This website provides information on Missouri Vocational Rehabilitation services for people with disabilities with links to important, relevant resources.

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

MO HealthNet Eligibility

 

“In response to concerns raised by Pilot Communities, the Division of DD and the Family Support Division within Social Services developed a new protocol allowing the Medicaid application to be submitted up to 90 days prior to a student’s 18th birthday. This will reduce gaps and delays in services at the time of transition.”

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition

MO Division of Developmental Disabilities - Employment First

 

“The Division of Developmental Disabilities is committed to enhancing community employment options for persons with developmental disabilities. The guiding principle of Employment First is that all individuals who want to work can work and contribute to their community when given opportunity, training, and supports that build upon their unique talents, skills and abilities.”

“Everyone of working age, and those supporting them, should consider employment as the first option prior to any other service options. As fully participating members of their community, individuals with developmental disabilities will be afforded the opportunity to earn a living wage and engage in work that makes sense to them. Career exploration and planning will be supported when assisting individuals in making informed choices in designing their unique pathway to increased independence, integration, inclusion, productivity, self-determination.”

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

Partnerships


Missouri Career Guide - 05/01/2011

 

“This guide was developed through a partnership of state agencies to help Missourians of all ages, genders, and backgrounds create personal career plans that lead to fulfillment and success.”

Partners include Missouri Economic Research and Information Center, Missouri Division of Workforce Development, Missouri Department of Higher Education, Missouri Department of Elementary and Secondary Education, Missouri Center for Career Education, and the Missouri Chamber of Commerce.

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

Missouri Interagency Transition Team (MITT) - 06/01/2007

 

“The Missouri Interagency Transition Team (MITT) formed in 2007 by the Office of Special Education at the Missouri Department of Elementary & Secondary Education to increase interagency collaboration at the state, regional, and local levels. This state transition team has met quarterly to address data-driven goals for improvement and collaboration with the shared vision of improving employment, independent living, and postsecondary education outcomes for Missouri students with disabilities.”

“Consisting of a diverse membership from a variety of state agencies concerned with transition, the MITT provides a venue and mechanism to share information, network, and partner to coordinate professional development activities.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Missouri Transition Coalition - 06/01/2000

Since 2000, the Transition Coalition, located at the University of Kansas, Beach Center on Disability, has been maximizing professional development opportunities for secondary transition and college and career readiness of youth with disabilities.

Our Methods

-Use self-assessment methods including professional knowledge

-Strategically combine web-based, in-person, in-print, coaching and other assistance

-Find and share research-based practices and resources

Develop and support practitioner-to-practitioner learning methods

 

 

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

Missouri Business Associated Student Education (BASE) Project - 06/01/1996

The BASE Project located in Springfield, Missouri stands for Business Associated Student Education. It is a partnership with Springfield Public Schools and St. John's Health System, Cox Health System, Doctor's Hospital, Evangel University, and Missouri State University. The goal of the program is to provide students with opportunities to develop career awareness, exploration, assessment, and positive social skills. Students are set up for a successful integration into the world of work and society.

Systems
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement

Community Transition Teams - 06/01/1996

Community Transition Teams (CTT's) elevate community awareness of and commitment to the improvement of post-secondary outcomes of youth with disabilities. Since 2008, the Missouri Department of Elementary and Secondary Education (DESE) and the KU Transition Coalition have partnered to develop and train 42 CTT's across Missouri. This process is accomplished with the collaboration of school personnel, students, families, and community stakeholders to provide seamless and transparent management of staff and resources. The University of Kansas Transition Coalition provides ongoing technical assistance to the CTT's in their development, training, and in meeting the goals of their strategic plans. 

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

MO Project SEARCH High School Transition Program - 06/01/1996

Project SEARCH serves students with significant intellectual and developmental disabilities. Typically, these are students who are on an Individual Education Program (IEP) and in their last year of high school eligibility. Students attend the program for a full school year in the host business/hospital. The business provides access to an on-site classroom that can accommodate up to 12 students. The site is staffed by a special education teacher and one to three job coaches to meet the educational and training needs of the students. Students are referred to the program through their schools, family member, or Vocational Rehabilitation Counselor and apply in the winter and spring in the year prior to entering the program. A team representative of all the partners: Project SEARCH teacher, host business liaison, VR Counselor, community rehabilitation provider staff and other appropriate staff carry out the selection process which includes tours, student interviews, hands-on assessments at the host sites and scoring on a rubric related to entrance considerations. Six sites in Missouri currently host students including University of Missouri and State Fair Community College.

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

Missouri Assistive Technology Council - 06/01/1992

The mission of Missouri Assistive Technology is to increase access to assistive technology for Missourians with all types of disabilities, of all ages.   Programs and initiatives of Missouri Assistive Technology are directed by the Missouri Assistive Technology Council, which was established by state statute in 1993. The Council is charged to serve as an advocate for policies, regulations and programs to establish a consumer-responsive, comprehensive assistive technology service delivery system. The Council meets at least four times a year, reports annually to the Governor and the general assembly on Council activities to increase access to assistive technology, and provides programmatic direction for all activities and services.  
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Association of County Developmental Disabilities Services - 06/01/1979

The Missouri Association of County Developmental Disabilities Services (MACDDS) is a leader in local initiatives for people with developmental disabilities. The organization is comprised of 56 county boards (including the City of St. Louis), and 8 Related Private Organizations, that provide local services for people with developmental disabilities. MACDDS is dedicated to ensuring quality community supports are available for people with developmental disabilities.   MACDDS believes having local people solving local issues results in the best services for individuals with developmental disabilities. MACDDS works to assure services and supports for people with developmental disabilities continue to be planned and carried out at the local level.  
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Connections Career Development & Planning Program - 06/01/1971

 

“Missouri Connections is a comprehensive, online, career development and planning program that is provided free of charge to all Missouri citizens. Funded by the Missouri Department of Elementary and Secondary Education and the Missouri Division of Workforce Development, this program supports the career development efforts of schools, community organizations, and adult job seeker programs. Missouri Connections helps individuals learn about their talents, skills, and interests and makes the connection between planning for continued education and the work world.”

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

Missouri Developmental Disabilities Council Asset Development and Financial Education Initiative

“Persons with disabilities have a higher percentage of people who live in poverty than any other minority group in the country.  Missouri ranks in the bottom third of all states in the understanding of financial supports that assist persons with disabilities in working their way out of poverty.  Benefits planning and employment are just two pieces in this puzzle, the other pieces are asset development and financial education, therefore, the Missouri DD Council is partnering with the TACE, Region 7/University of MO-School of Health Professionals to promote Asset Development and Financial Education for persons with disabilities in our state by offering a variety of opportunities to learn more about this important piece of the puzzle and help people with disabilities learn more about asset development and financial education.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Missouri Interagency Transition Team

~~“The Missouri Interagency Transition Team (MITT) formed in 2007 by the Office of Special Education at the Missouri Department of Elementary & Secondary Education to increase interagency collaboration at the state, regional, and local levels. This state transition team has met quarterly to address data-driven goals for improvement and collaboration with the shared vision of improving employment, independent living, and postsecondary education outcomes for Missouri students with disabilities.”

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

Missouri VR Connection

VR specializes in employment and training services that can assist you in becoming employed. A VR counselor will determine your eligibility for services. To be eligible, you need to have a physical or mental impairment that causes problems with working and need VR services to be successfully employed. Once eligible, you will work with a counselor who will help you develop a plan for your rehabilitation. We will give you vocational information and guidance allowing you to make informed choices about your vocational plan.   VR offers a wide range of services that are individualized for your needs. You and your counselor decide which services will help you become employed. Some of the services that may be available are:    • Guidance and Counseling    • Job-Seeking Skills and Job Placement    • Vocational Training   VR also provides assistance with Transition Services, Supported Employment Services,Assistive Technology Services, and the Ticket to Work Program  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Missouri State Chapter of ASPE

APSE-MO is the Missouri State Chapter of APSE The Association of People Supporting Employment First, a national organization committed to improving and expanding integrated employment opportunities, services, and outcomes for people experiencing disabilities. APSE-MO invites individuals with disabilities, their families, employment providers, funders, employers and others to join with us in making community employment a reality for ALL people with disabilities.

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Show Me Careers: Missouri's Transition-to-Employment Collaborative

 

“The Show-Me-Careers project targets youth ages 16-30 with I/DD who are transitioning from secondary or post-secondary educational settings to community employment. Show-Me-Careers is funded by the Administration on Intellectual and Developmental Disabilities and is one of eight grants awarded to state consortiums aimed at improving existing state systems to increase competitive employment outcomes for youth and young adults with I/DD.”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement

Missouri State Employment Leadership Network

The Missouri DD Council is partnering with the Missouri Department of Mental Health, Division of Developmental Disabilities, in bringing the State Employment Leadership Network (SELN) to Missouri.  This is a project started by the Institute for Community Inclusion out of Boston, Massachusetts.  SELN brings together state developmental disability agencies for sharing, educating and providing guidance on practices and policies around employment to its members. It is also an opportunity for the Division of Developmental Disabilities and other Missouri governmental agencies to evaluate their policies and procedures as they relate to assisting persons with developmental disabilities to become employed.

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

Systems-Change Funding


Toward a Successful Transition: A Checklist for the First 21 Years - 09/01/2016

“To Parents of Children with Developmental Disabilities . . . It is our hope that as parents you will always consider yourselves the experts on your child. We hope that as you seek information, help and guidance you will see your child in “people first” terms—initially as a baby to love and nurture, then as a child to raise for as independent a life as he or she can attain. Whatever the disability involved, remember it is only a part of your child’s individuality. Build on his or her strengths. High expectations are a keynote in a family’s daring to act bravely and creatively.

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

MO Balancing Incentives Program - 03/28/2012

 

“The Missouri Department of Social Services (DSS), in partnership with the Department of Health and Senior Services (DHSS) and the Department of Mental Health (DMH), proposes to leverage the Balancing Incentive Payment Program to further develop the systems of community-based care that serve older adults and individuals with physical and/or intellectual disabilities. The intent of the Missouri project is to realize the long term goal of increasing the percentage of expenditures for long term supports and services (LTSS) that are provided in community settings to equal or exceed the expenditures for facility-based LTSS.”

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

MO Partnerships in Employment - "Show Me Careers" - 09/30/2011

Show Me Careers: This project will address the needs of youth and young adults ages 16 to 30 with developmental and intellectual disabilities (DD/ID) who are in the process of transitioning from secondary or post-secondary education settings to community employment. The project’s goal is to scale up and sustain evidence-based practices in Missouri that support seamless transitions to integrated employment. A Leadership Consortium of state agencies…will support a statewide structure to demonstrate evidence-based practices, develop needed policies and practices, and enhance statewide collaborations.   Objectives are designed to achieve this goal include: building cross system and agency collaborations designed to exchange and transfer knowledge and effective practices between partners; review and advocate for changes to collaborative funding options, policies, and 
procedures that support broader implementation of the effective practices demonstrated within communities; develop statewide capacity to scale up demonstrations through training, dissemination and broader
implementation; and evaluate results and sustain the scaled-up practices.  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri Add Us In Initiative - 09/30/2010

Add Us In Kansas City has created a business-led network focused on increasing the capacity of employers, including minority owned businesses, to successfully hire and retain individuals with disabilities. Add Us In Kansas City will 1) identify and create supports needed by employers in their efforts to diversify their workforce to include this population, 2) increase the number and range of employment opportunities available to youth with disabilities, 3) develop a model continuum of career development encompassing these opportunities and supports, and 4) equip youth to successfully participate within this continuum. Urban businesses and urban youth with disabilities will be given special consideration in the development of the Add Us In model. Located in the greater Kansas City area, the program will provide a replication toolkit for nationwide dissemination at the end of year two.

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

Missouri Transition Liaison Program - 06/01/2008

 

The Missouri Transition Liaison Program was developed in 2007-2008 to identify secondary transition professionals from districts across Missouri who are leaders in the area of transition. The overall goal of the Transition Liaisons is to build capacity at the local level and develop a collaborative network of colleagues throughout the state.”

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

MO Medicaid Infrastructure Grant - 10/12/2007

The Medicaid Infrastructure Grant Research Assistance to States (MIG-RATS) Center launched a website to provide resources and support to states implementing MIGs. The website is designed to help staff find research reports and resources, learn about MIG-RATS activities and initiatives, and connect with MIG researchers. The website includes info on topics such as Medicaid Buy-In programs, outreach and marketing, and youth in transition and also provides links to tools and a calendar of events. 

Systems
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement

Missouri Ticket to Work Health Assurance Program - 08/28/2007

Section 201 of the federal Ticket to Work and Work Incentives Improvement Act of 1999, Public Law 106-170 created a program for employed persons with disabilities. Based upon this federal law, the Health Improvement Act of 2007 (Senate Bill 577) established healthcare coverage for employed persons with disabilities in Missouri. Effective August 28, 2007, MO HealthNet implemented the new program, known as the Ticket to Work Health Assurance (TWHA) Program. Eligible participants will be enrolled under Medical Eligibility (ME) codes 85 (premium) and 86 (non-premium), and receive a limited MO HealthNet benefit package  
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Money Follows the Person - 01/01/2007

The overall goal of MFP is "to support people who have disabilities and those who are aging to move from a nursing facility or habilitation center to a quality community setting that meets their needs and wants."   The objectives of MFP—My Life, My Way, My Community are:    • to move people from a facility to the community;    • identify and eliminate barriers that prevent people from being able to move to the community;    • improve the ability of MO HealthNet to provide in-home services;    • and to ensure that there is continuous quality improvement of in-home services provided.  
Systems
  • Medicaid Agencies
Topics
  • Segregated Day & Employment Services

MO Ticket to Work - 06/01/1999

The Ticket to Work and Work Incentive Act of 1999 established an employment program for people who want to go to work that receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits.  The program was designed to remove barriers that kept people with disabilities from choosing to work for fear of losing health care coverage.  The Ticket to Work program is voluntary, and it increases opportunities and choices for Social Security (SS) disability beneficiaries to obtain employment, vocational rehabilitation, and other support services from public and private providers, employers, or other organizations.  SS provides a ticket to disability benefits to use in obtaining services and jobs through Missouri Vocational Rehabilitation or from an approved Employment Network.  Though SS has the overall program authority, MAXIMUS, Inc. serves as the program manager.

 

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Missouri SAMHSA EDI (FY 2011 & 2012)

Goal 1: To strengthen peer delivered services in Missouri by leveraging Medicaid billing for services provided by Certified Peer Specialists in Consumer Operated Services Programs (COSP).   Goal 2: To introduce and begin implementation of peer delivered Individual Placement and Supports –Supported Employment (SE) – in Consumer Operated Services Programs.   Overall conclusions: Through this project Missouri has greatly increased its value of peers. 103 have been trained specifically under this project, with more on the way.  
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Training/Capacity Building


Missouri’s Cooperative Work Experience Program (COOP) - 04/12/2016

Successful transition planning for students with disabilities involves looking ahead, into the student's future, preparing not just for graduation but also for life after graduation. One of the most important aspects of a student's future involves employment. However, students often do not have any idea what type of work they would like to do or what type of career options are available. One of the best ways that a student can learn about different careers and employment is to be exposed to and participate in cooperative work experiences prior to graduation or exit from school. Cooperative work experiences provide students with direct exposure to and hands-on exploration of a variety of careers, assisting them in defining vocational choices and setting employment goals that actually seem attainable.

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Provider Transformation

Missouri Division of Developmental Disabilities Individual Support Plan Guide - 07/01/2014

The Division of Developmental Disabilities requires that each individual eligible for Division Supports have an Individual Support Plan. Individuals, their families, providers and facilitators who write plans in cooperation with all individuals receiving supports from the Division shall use this guide. Individual support planning encourages a team approach to involve the individual and community networks in planning for the future. The process involves developing a vision for the future, while coordinating resources and supports to make the vision a reality. The Center for Medicare and Medicaid Supports (CMS) outcome for “participant-centered support planning and delivery” clarifies: “Supports are planned and effectively implemented in accordance with each participant’s unique needs, expressed preferences and decisions concerning his/her life in the community.” The Individual Support Plan is an investment in an individual’s life and is driven by the individual, what is important to them as designed through outcomes identified in the support plan

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

Missouri DoE Transition Coalition - 06/01/2000

Since 2000, the Transition Coalition, located at the University of Kansas, Beach Center on Disability, has been maximizing professional development opportunities for secondary transition and college and career readiness of youth with disabilities.

Our Methods

-Use self-assessment methods including professional knowledge

-Strategically combine web-based, in-person, in-print, coaching and other assistance

-Find and share research-based practices and resources

-Develop and support practitioner-to-practitioner learning methods

 

Systems
  • Other
Topics
  • School-to-Work Transition

Missouri Connections - Career Development & Planning Program - 06/01/1971

Missouri Connections is a comprehensive, online, career development and planning program that is provided free of charge to all Missouri citizens. Funded by the Missouri Department of Elementary and Secondary Education and the Missouri Division of Workforce Development, this program supports the career development efforts of schools, community organizations, and adult job seeker programs. Missouri Connections helps individuals learn about their talents, skills, and interests and makes the connection between planning for continued education and the work world.

Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • Customized Employment
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri Asset Development Project

The Missouri DD Council is partnering with the TACE, Region 7/University of MO-School of Health Professionals to promote Asset Development and Financial Education for persons with disabilities in our state by offering a variety of opportunities to learn more about this important piece of the puzzle and help people with disabilities learn more about asset development and financial education.

The first opportunity was a free webinar.  (The recording of that webinar is included here.)  In early 2014 we will be offering two opportunities to learn more with "train-the-trainer" events.  This will be followed up by a statewide summit where members from the financial community will meet with a broader group of self-advocates, family members and other members from the disability community to develop an action plan that will continue this effort into the future.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

MO Customized Employment Presentation

This presentation discusses the formalized definition of customized employment by the Office of Disability Employment Policy (ODEP) and the history of customized employment. It also takes a glimpse at progressive employment, addresses how discovery is an important component of customized and progressive employment, and discusses how motivational interviewing can be effective during the discovery process.

Systems
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation

MO Planning Council for Developmental Disabilities - Career Guide

“This guide will take the job seeker and his or her support team through the career planning process by providing information he or she can use during the career planning sessions. It should be noted that since everyone is unique, the individual planning process will be unique to each person as well. The guide is simply a framework to allow the job seeker and his or her team to create a vision and a plan to achieve a career that makes sense to the job seeker. It is less about the forms and more about generating ideas, clear action steps, and moving the person closer towards his or her ultimate career goals.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Mental Health

MO DoE Community Transition Teams

Community Transition Teams (CTT's) elevate community awareness of and commitment to the improvement of post-secondary outcomes of youth with disabilities. Since 2008, the Missouri Department of Elementary and Secondary Education (DESE) and the KU Transition Coalition have partnered to develop and train 42 CTT's across Missouri. This process is accomplished with the collaboration of school personnel, students, families, and community stakeholders to provide seamless and transparent management of staff and resources. The University of Kansas Transition Coalition provides ongoing technical assistance to the CTT's in their development, training, and in meeting the goals of their strategic plans. During the 2014 school year, training will not be held to develop new teams. Instead, focus is on technical assistance for sustainability. 

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Transition Resource Toolkit

This toolkit has been developed by an ad hoc team comprised of a small representation of individuals from across the state working in Centers for Independent Living (CIL), Local Education Agencies (LEA) and Vocational Rehabilitation (VR). The goal was to create a resource tool to enhance collaboration in transition planning for young adults with disabilities. A special acknowledgement to members of these three organizations for the many valuable resources and links included in this toolkit.  
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition

Missouri DoE Regional Transition Liaison Program

The Missouri Interagency Transition Team (MITT) was formed in 2007 to promote interagency collaboration in Missouri at the state-level by establishing a group vision for improving outcomes for young adults with disabilities.  The MITT, consisting of diverse state-level membership meets monthly to share resources, develop goals and promote concrete activities to improve transition education and services.   In particular, the Transition Liaisons:    • Collaborate with other Transition Liaisons, RPDC Consultants, Transition Coalition staff, and DESE personnel;    •  Reach out to districts across the state; and,    •  Share information and resources with other district personnel.  
Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri DoE Regional Professional Development Center (RPDC) Consultant

Each of the nine regions of Missouri has a Regional Professional Development Center (RPDC) Consultant who specializes in transition. These consultants provide regional and local trainings on Transition Planning and the Updated Form C, Transition Assessment, and other transition topics. They also provide a range of other consulting and continuous improvement services to meet the needs of teachers, administrators and school districts.

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

Missouri Assistive Technology Council

Missouri Assistive Technology strives to increase access to assistive technology for Missourians with all types of disabilities, of all ages. To the right are navigation links to the programs and initiatives of MoAT.

Systems
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)

MO VR Transition Brochure

“Transition is a process young adults with disabilities, like you, go through to prepare for whatever the future might hold – further education, specialized training, employment or other options you might choose on the road to increased independence… Career planning and transition services are designed to help you prepare for your future by exploring different jobs, identifying careers interesting to you, and developing an understanding of the skills and abilities necessary to be successful.”

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

MO Skills to Pay the Bills

"Skills to Pay the Bills: Mastering Soft Skills for Workplace Success," is a curriculum developed by ODEP focused on teaching "soft" or workforce readiness skills to youth, including youth with disabilities. Created for youth development professionals as an introduction to workplace interpersonal and professional skills, the curriculum is targeted for youth ages 14 to 21 in both in-school and out-of-school environments. The basic structure of the program is comprised of modular, hands-on, engaging activities that focus on six key skill areas: communication, enthusiasm and attitude, teamwork, networking, problem solving and critical thinking, and professionalism.

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

MO Writing Quality Goals, Outcomes and Action Plans

 

An overview of how to effectively create a Career Plan, establish appropriate goals and desired outcomes, and initiate an Action Plan with Discovery and Fading Supports.

 
Systems
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Employer Engagement

Enforcement

No Enforcement have been entered for this state.

Medicaid & Employment


Community Transitions Manual for Support Coordinators and Community Coordinators - 02/19/2017

~~“MFP EligibilityIndividuals who transition from a Habilitation Center or nursing home may be eligible for MFP. MFP is a demonstration grant that supports efforts to:• Provide Medicaid eligible individuals the choice of where they live and receive services;• Allow qualified individuals living in nursing facilities or Habilitation Centers to move to the community; and• Promote a system that is person-centered, based on needs, and ensures high-quality services in the community.”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri HCBS Statewide Transition Plan - 07/25/2016

“Missouri administers 10 Home and Community-Based Waivers through the single State Medicaid agency, the Department of Social Services, MO HealthNet Division (MHD). The day-to-day operation of the waivers is through formal cooperative agreements with the Missouri Department of Mental Health (DMH) and the Missouri Department of Health and Senior Services (DHSS). The Department of Health and Senior Services and the Department of Mental Health are the operational entities for the waivers. Missouri Medicaid Audit and Compliance (MMAC) is the unit within the Department of Social Services (DSS) charged with administering and maintaining Medicaid Title XIX audit and compliance initiatives, including utilization of Medicaid services and provider enrollment functions. MMAC will participate in the transition plan as described below.”

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

MO DoE ESEA Flexibility Request Approval - 06/08/2015

The Missouri Department of Secondary and Elementary Education's ESEA flexibility request was approved on June 29, 2012.

Systems
  • Department of Education
Topics
  • Home and Community Based Services (HCBS)
Citations

Missouri HCSB Transition Plan - 03/01/2014

In March 2014, the Center for Medicaid and Medicare Services (CMS) published a final rule regarding changes to Home and Community Based Waiver Services (HCBS Waiver). The rule defines home and community based settings and person-centered planning requirements in Medicaid HCBS Waiver programs. The rule requires demonstration of how state’s HCBS Waiver programs comply with the federal HCBS rules.   Missouri’s draft transition plan incorporates all HCBS Waivers administered by Department of Health and Senior Services (DHSS), Department of Mental Health (DMH), and Department of Social Services (DSS). The purpose of Missouri’s draft transition plan is to ensure that individuals receiving HCBS Waiver services are integrated and have access to supports in the community, including:    • opportunities to seek employment,    • work in competitive integrated settings,    • engage in community life,    • and control personal resources.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO Partnership for Hope Waiver (0841.R00.00) - 10/01/2013

The purpose of the Partnership for Hope waiver is to prevent or delay of institutional services for individuals who require minimal services in order to continue living in the community. The waiver will offer prevention services to stabilize individuals primarily living with family members who provide significant support, but are not able to meet all of the individual's needs. Goals To increase access to waiver services for children and adults at the local level in participating counties.    Objectives The objectives of the waiver are: 1) to increase the capacity of the State to meet the needs of individuals at risk of institutionalization who require minimal supports to continue living in integrated community settings; 2) to partner with local County Boards through Intergovernmental Agreements in the administration and funding of waiver services; and 3) to implement preventive services in a timely manner in order that eligible participants may continue living in the community with their families.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri Developmental Disabilities Waiver Manual - 07/01/2012

“The Missouri Department of Mental Health's Division of Developmental Disabilities (Division of DD) administers five Medicaid Home and Community Based (HCB) Waiver programs for individuals with developmental disabilities. The five waivers are the Comprehensive Waiver; Missouri Children with Developmental Disabilities Waiver (MOCDD or Lopez Waiver); Community Support Waiver; Partnership for Hope Waiver (PfH); and Autism Waiver.” This manual includes information on employment, on the job training and other pre-vocational services for people with disabilities.

Systems
  • Medicaid Agencies
Topics
  • Self-Employment
  • Mental Health

MO Div of Developmental Disabilities Community Support (0404.R03.00) - 07/01/2011

 

“Provides community employment, in home respite, job preparation, personal assistant, assistive technology, behavior analysis service, co-worker supports, communication skills instruction, community specialist services, counseling, crisis intervention, environmental accessibility adaptations-home mods, independent living skills development, job discovery, OT, out of home respite, person centered strategies consultation, PT, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/ID Developmental Disabilities ages 0 - no max age.”

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

MO MR Developmental Disabilities Comprehensive (0178.R06.00) - 07/01/2011

 

“Provides community employment, day service, group home, in home respite, individualized supported living, job preparation, personal assistant, assistive technology, behavior analysis service, communication skills instruction, community specialist services, community transition, counseling, crisis intervention, environmental accessibility adaptations, host home, job discovery, OT, out of home respite, PT, positive behavior support, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/MR Developmental Disabilities ages 0 - no max age.”

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

States - Phone

Snapshot

The Show Me State is expanding its efforts to deliver competitive, integrated employment options for individuals with disabilities through innovative strategies that propel Missouri's model, "Close to Home, Far from Ordinary."

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 Missouri’s VR Rates and Services

2015 State Population.
0.33%
Change from
2014 to 2015
6,083,672
2015 Number of people with disabilities (all disabilities, ages 18-64).
-3.41%
Change from
2014 to 2015
463,157
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
3.88%
Change from
2014 to 2015
163,574
2015 Percentage of working age people who are employed (all disabilities).
7.05%
Change from
2014 to 2015
35.32%
2015 Percentage of working age people who are employed (NO disabilities).
1.97%
Change from
2014 to 2015
78.78%

State Data

General

2015
Population. 6,083,672
Number of people with disabilities (all disabilities, ages 18-64). 463,157
Number of people with disabilities who are employed (all disabilities, ages 18-64). 163,574
Number of people without disabilities who are employed (ages 18-64). 2,524,635
Percentage of working age people who are employed (all disabilities). 35.32%
Percentage of working age people who are employed (NO disabilities). 78.78%
Overall unemployment rate. 5.00%
Poverty Rate (all disabilities). 21.90%
Poverty Rate (NO disabilities). 13.60%
Number of males with disabilities (all ages). 430,732
Number of females with disabilities (all ages). 437,083
Number of Caucasians with disabilities (all ages). 728,775
Number of African Americans with disabilities (all ages). 102,581
Number of Hispanic/Latinos with disabilities (all ages). 21,074
Number of American Indians/Alaska Natives with disabilities (all ages). 5,727
Number of Asians with disabilities (all ages). 6,408
Number of Hawaiians/Pacific Islanders with disabilities (all ages). 870
Number of with multiple races disabilities (all ages). 18,411
Number of others with disabilities (all ages). 5,043

 

SSA OUTCOMES

2015
Number of SSI recipients with disabilities who work. 7,252
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 5.40%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 220,596

 

MENTAL HEALTH OUTCOMES

2015
Number of mental health services consumers who are employed. 6,032
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 12,624
Number of adults served who have a known employment status. 44,121
Percentage of all state mental health agency consumers served in the community who are employed. 13.70%
Percentage of supported employment services evidence based practices (EBP). 1.60%
Percentage of supported housing services evidence based practices (EBP). N/A
Percentage of assertive community treatment services evidence based practices (EBP). 1.40%
Percentage of medications management evidence based practices (EBP). N/A
Number of evidence based practices (EBP) supported employment services. 832
Number of evidence based practices (EBP) supported housing services. N/A
Number of evidence based practices (EBP) assertive community treatment services. 712
Number of evidence based practices (EBP) medications management. N/A

 

WAGNER PEYSER OUTCOMES

2015
Number of registered job seekers with a disability. 5,450
Proportion of registered job seekers with a disability. 0.02

 

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. 7,474
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 2,629
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. 35.00%
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. 43.21

 

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. 7,588
Number of eligible ticket to work beneficiaries. 318,214
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. $7,012,000
Dollars spent on day/employment services for facility-based work funding. $0
Dollars spent on day/employment services for facility-based non-work funding. $38,353,000
Dollars spent on day/employment services for community based non-work funding. $18,291,000
Percentage of people served in integrated employment. 12.00%
Number of people served in community based non-work. 3,644
Number of people served in facility based work. 0
Number of people served in facility based non-work. 3,352
Number supported in integrated employment per 100,000 individuals in the general state population. 11.40

 

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). 57.65%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 8.92%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 3.66%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 88.58%
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). 31.03%
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). 59.49%
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). 64.79%
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). 28.46%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 1,683,499
Number of overall total blind and SD workers. 1,704
Number of AbilityOne blind and SD hours (products). 129,942
Number of AbilityOne blind and SD hours (services). 245,601
Number of AbilityOne blind and SD hours (combined). 372,429
Number of AbilityOne blind and SD workers (products). 220
Number of AbilityOne blind and SD workers (services). 335
Number of AbilityOne blind and SD workers (combined). 555
AbilityOne wages (products). $1,055,603
AbilityOne wages (services). $3,245,518

 

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). 79
Number of 14(c) certificate holding patient workers. 3
Total Number of 14(c) certificate holding entities. 82
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). 6,396
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 237
Total reported number of people with disabilities working under 14(c) certificate holding entities. 6,633

 

Legislation


Missouri SB 174 - 06/29/2015

"There is hereby created the 'Missouri Achieving a Better Life Experience [ABLE] Program'".

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Executive Orders

No Executive Orders have been entered for this state.

Policy


Missouri Department of Social Services “Provider Bulletin” - 03/23/2017

~~“Career Planning Service DescriptionCareer planning is a person-centered, comprehensive employment planning and support service. It provides consultative, evaluative assistance for waiver program participants to enter into, or advance in, competitive employment or self-employment. It is a focused, time-limited service engaging a participant in self-discovery, identifying a career direction and developing a plan for achieving competitive, integrated employment at or above the state’s minimum wage. The outcome of this service is documentation of the participant’s stated career objective and a career plan used to guide individual employment support.Career planning includes:• Activities that are primarily directed at assisting an individual with identification of an employment goal; and• A plan to achieve this goal (e.g., job exploration, job shadowing, informational interviewing, assessment of interests, labor market research) that are associated with performing competitive work in community integrated employment.”

Systems
  • Other
Topics
  • Provider Transformation

“Empowering through Employment” - 01/24/2017

~~“The Empowering Through Employment initiative is designed to increase the number of individuals receiving employment supports and services.  This initiative has an established goal of 35% of all individuals receiving waiver services to have employment supports authorized and available for their use.  Empowering Through Employment has been deemed a priority based upon the gap between the percentage of Missourians with intellectual/developmental disabilities (I/DD) accessing employment services as compared to other day services. Missouri is focused on becoming one of the high performing states and ensuring that Missourians with I/DD have the same opportunities as other individuals.”

Systems
  • Department of Mental Health
Topics
  • Home and Community Based Services (HCBS)

Missouri Department of Mental Health Legislator Briefing “Mental Health Highlights and Issues" - 01/01/2017

~~“In October 2016, DD announced a goal to increase the utilization of employment services for individuals between the ages of 16 and 64. This new initiative, called Empowering through Employment, is a statewide effort involving the division’s regional offices, support coordination providers and employment service providers to get 3,700 more Missourians into employment services. This increase would mean that 35% of Missourians are accessing employment services (which mirror what is occurring in other states).”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities

Part B Compliance - 01/01/2017

~~“THE STATE COMPLIANCE PLAN FOR SPECIAL EDUCATION is being revised during the 2016-17 school year to reflect updates in the Every Student Succeeds Act (ESSA), provide clarification on a number of issues, and make substantive changes based on research and OSEP guidance. Proposed changes in both a summary chart and a mark-up of the proposed plan are posted on the DESE website at https://dese.mo.gov/special-education/state-plan-special-education  . The Public comment period ended on January 6, 2017. All comments received will be reviewed and a decision made to accept, accept with revisions, or reject the comment. A summary of the comments and decision will be posted on the website after January 24, 2017. The proposed plan will be presented to the State Board of Education during their February meeting.”

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

Proposed Part B State Plan Changes for 2017 “Transition Services” - 01/01/2017

~~“A. beginning not later than the first IEP to be in effect when the child is sixteen (16), or younger if determined appropriate by the IEP team, and updated annually thereafter appropriate measurable postsecondary goals based upon age appropriate transition assessments related to training, education, employment, and, where appropriate, independent living skills; the transition services (including courses of study) needed to assist the child in reaching those goals, andB. beginning not later than one year before the student reaches age eighteen (18), a statement that the child has been informed of his or her rights under Part B of IDEA and that those rights will transfer to the student upon reaching the age of majority. “ 

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

Equal Opportunity Demographics - 01/01/2017

~~“The Missouri Interagency Transition Team (MITT) established to increase collaboration at the state, regional and local levels with the shared vision of improving employment, independent living, and postsecondary outcomes for Missouri students with disabilities.• Show-Me Careers, a consortium of state agencies focused on supporting the seamless transition from school to inclusive employment or post-secondary education for youth and young adults ages 16-30 with intellectual and developmental disabilities.• A regional annual Accommodation for Success event in the St. Louis area to help businesses recruit and employ individuals with disabilities.”

Systems
  • Department of Workforce Development
Topics
  • School-to-Work Transition

Greater Kansas City - Disability Mentoring Day - 10/26/2016

“Join us for the 12th anniversary of Kansas City Disability Mentoring Day Events. Disability Mentoring Day promotes employment opportunities for all job seekers and students with disabilities through information and career exploration. As a person pursuing employment, this event gives you an excellent opportunity to: • •Increase and enhance your job readiness skills • •Network with employers to learn about different types of careers • •Visit with service organizations, providers, and government agencies to learn how they can help you in your job search • •Learn how to advocate for yourself”

Systems
  • Department of Workforce Development

Department of Elementary and Secondary Education IEP Transition Planning - 03/01/2016

As a result of new legislation within the Workforce Innovation and Opportunity Act (WIOA), the Department of Elementary and Secondary Education (DESE), Office of Special Education (OSE), and the Office of Adult Learning and Rehabilitation Services -Vocational Rehabilitation (VR) offer the following guidance. As districts develop Individual Education Programs (IEPs) and provide transition services/activities for students with the most significant disabilities, consider the following:

1.As a part of the IEP process through the Individuals with Disabilities Education Act (IDEA), schools will continue to be responsible for providing transition services to include work based learning opportunities.

2. Schools are encouraged to continue to conduct extensive evaluations and transition assessments, as outlined in IDEA, and work in partnership with VR and/or the Hook Center at the University of Missouri to provide pre-employment transition services to help students progress toward competitive, integrated employment goals.

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

MO Division of Developmental Disabilities Individual Support Plan Guidelines - 07/01/2014

The Division of Developmental Disabilities requires that each individual eligible for Division Supports have an Individual Support Plan. Individuals, their families, providers and facilitators who write plans in cooperation with all individuals receiving supports from the Division shall use this guide. Individual support planning encourages a team approach to involve the individual and community networks in planning for the future. The process involves developing a vision for the future, while coordinating resources and supports to make the vision a reality.   The Center for Medicare and Medicaid Supports (CMS) outcome for “participant-centered support planning and delivery” clarifies: “Supports are planned and effectively implemented in accordance with each participant’s unique needs, expressed preferences and decisions concerning his/her life in the community.”   The Individual Support Plan is an investment in an individual’s life and is driven by the individual, what is important to them as designed through outcomes identified in the support plan.
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Missouri DMH Employment Supports Guide - 07/05/2012

This guide includes information on the employment supports provided by the Missouri Department of Mental Health. It contains the service, a description, guidance, and the name of the affiliated agency and funding source.

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

Division of Developmental Disabilities Employment First Policy - 01/01/2011

This policy establishes community integrated employment services and supports as the first service option and primary outcome for individuals (both youth and adults.) It also establishes employment planning (Career Planning) and supports as priorities to explore with all working adults who receive services in order to ensure that supports, services, and outcomes are consistent with what the person is seeking.

Each individual will be supported to pursue his or her own unique path to work, a career, and his or her contribution to/participation in community life. All individuals, regardless of the challenge of their disability, will be afforded an opportunity to pursue employment. Career planning, including job exploration and on-going person focused self discovery, is critical when assisting individuals in making informed choices about their future careers.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Segregated Day & Employment Services
  • Cross-Agency Collaboration / Partnerships

Missouri Developmental Disabilities Council position on employment and sub-minimum wage

“In partnership with others, the MODDC will promote competitive, community based employment which we define as: jobs that occur in the community for at least minimum wage, at typical community businesses where employees with and without disabilities work in close proximity to each other, and have the same benefits, responsibilities and expectations.  The MODDC believes that all people who want to work can work with the right supports.  That all people have a responsibility to share their abilities, strengths and talents with others in the community, to make their community a better place.”

Systems
  • Other
Topics
  • 14(c)/Income Security

Governor’s Council on Disability 2016 Annual Report

~~“EMPLOYMENT INITIATIVESGCD continues to provide support to the Business Leadership Network (BLN) which is an employer driven endeavor to promote best practices in disability employment. In Missouri, there are two regional locations: 1) St. Louis region—Greater St. Louis Business Leadership Network (STLBLN)—that covers Greater St. Louis region and eight of the Southern Illinois counties; and 2) Kansas City region—Greater Kansas City BLN (GKCBLN)—which covers the western Missouri and eastern Kansas area; and 3) Springfield BLN. Springfield is the newest BLN in the state and is currently building its infrastructure.” 

Systems
  • Other
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

MO Adult Learning/Rehabilitation Services - VR Providers

This website provides information on Missouri Vocational Rehabilitation services for people with disabilities with links to important, relevant resources.

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

MO HealthNet Eligibility

 

“In response to concerns raised by Pilot Communities, the Division of DD and the Family Support Division within Social Services developed a new protocol allowing the Medicaid application to be submitted up to 90 days prior to a student’s 18th birthday. This will reduce gaps and delays in services at the time of transition.”

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition

MO Division of Developmental Disabilities - Employment First

 

“The Division of Developmental Disabilities is committed to enhancing community employment options for persons with developmental disabilities. The guiding principle of Employment First is that all individuals who want to work can work and contribute to their community when given opportunity, training, and supports that build upon their unique talents, skills and abilities.”

“Everyone of working age, and those supporting them, should consider employment as the first option prior to any other service options. As fully participating members of their community, individuals with developmental disabilities will be afforded the opportunity to earn a living wage and engage in work that makes sense to them. Career exploration and planning will be supported when assisting individuals in making informed choices in designing their unique pathway to increased independence, integration, inclusion, productivity, self-determination.”

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

Partnerships


Missouri Career Guide - 05/01/2011

 

“This guide was developed through a partnership of state agencies to help Missourians of all ages, genders, and backgrounds create personal career plans that lead to fulfillment and success.”

Partners include Missouri Economic Research and Information Center, Missouri Division of Workforce Development, Missouri Department of Higher Education, Missouri Department of Elementary and Secondary Education, Missouri Center for Career Education, and the Missouri Chamber of Commerce.

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

Missouri Interagency Transition Team (MITT) - 06/01/2007

 

“The Missouri Interagency Transition Team (MITT) formed in 2007 by the Office of Special Education at the Missouri Department of Elementary & Secondary Education to increase interagency collaboration at the state, regional, and local levels. This state transition team has met quarterly to address data-driven goals for improvement and collaboration with the shared vision of improving employment, independent living, and postsecondary education outcomes for Missouri students with disabilities.”

“Consisting of a diverse membership from a variety of state agencies concerned with transition, the MITT provides a venue and mechanism to share information, network, and partner to coordinate professional development activities.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Missouri Transition Coalition - 06/01/2000

Since 2000, the Transition Coalition, located at the University of Kansas, Beach Center on Disability, has been maximizing professional development opportunities for secondary transition and college and career readiness of youth with disabilities.

Our Methods

-Use self-assessment methods including professional knowledge

-Strategically combine web-based, in-person, in-print, coaching and other assistance

-Find and share research-based practices and resources

Develop and support practitioner-to-practitioner learning methods

 

 

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

Missouri Business Associated Student Education (BASE) Project - 06/01/1996

The BASE Project located in Springfield, Missouri stands for Business Associated Student Education. It is a partnership with Springfield Public Schools and St. John's Health System, Cox Health System, Doctor's Hospital, Evangel University, and Missouri State University. The goal of the program is to provide students with opportunities to develop career awareness, exploration, assessment, and positive social skills. Students are set up for a successful integration into the world of work and society.

Systems
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement

Community Transition Teams - 06/01/1996

Community Transition Teams (CTT's) elevate community awareness of and commitment to the improvement of post-secondary outcomes of youth with disabilities. Since 2008, the Missouri Department of Elementary and Secondary Education (DESE) and the KU Transition Coalition have partnered to develop and train 42 CTT's across Missouri. This process is accomplished with the collaboration of school personnel, students, families, and community stakeholders to provide seamless and transparent management of staff and resources. The University of Kansas Transition Coalition provides ongoing technical assistance to the CTT's in their development, training, and in meeting the goals of their strategic plans. 

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

MO Project SEARCH High School Transition Program - 06/01/1996

Project SEARCH serves students with significant intellectual and developmental disabilities. Typically, these are students who are on an Individual Education Program (IEP) and in their last year of high school eligibility. Students attend the program for a full school year in the host business/hospital. The business provides access to an on-site classroom that can accommodate up to 12 students. The site is staffed by a special education teacher and one to three job coaches to meet the educational and training needs of the students. Students are referred to the program through their schools, family member, or Vocational Rehabilitation Counselor and apply in the winter and spring in the year prior to entering the program. A team representative of all the partners: Project SEARCH teacher, host business liaison, VR Counselor, community rehabilitation provider staff and other appropriate staff carry out the selection process which includes tours, student interviews, hands-on assessments at the host sites and scoring on a rubric related to entrance considerations. Six sites in Missouri currently host students including University of Missouri and State Fair Community College.

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

Missouri Assistive Technology Council - 06/01/1992

The mission of Missouri Assistive Technology is to increase access to assistive technology for Missourians with all types of disabilities, of all ages.   Programs and initiatives of Missouri Assistive Technology are directed by the Missouri Assistive Technology Council, which was established by state statute in 1993. The Council is charged to serve as an advocate for policies, regulations and programs to establish a consumer-responsive, comprehensive assistive technology service delivery system. The Council meets at least four times a year, reports annually to the Governor and the general assembly on Council activities to increase access to assistive technology, and provides programmatic direction for all activities and services.  
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Association of County Developmental Disabilities Services - 06/01/1979

The Missouri Association of County Developmental Disabilities Services (MACDDS) is a leader in local initiatives for people with developmental disabilities. The organization is comprised of 56 county boards (including the City of St. Louis), and 8 Related Private Organizations, that provide local services for people with developmental disabilities. MACDDS is dedicated to ensuring quality community supports are available for people with developmental disabilities.   MACDDS believes having local people solving local issues results in the best services for individuals with developmental disabilities. MACDDS works to assure services and supports for people with developmental disabilities continue to be planned and carried out at the local level.  
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Connections Career Development & Planning Program - 06/01/1971

 

“Missouri Connections is a comprehensive, online, career development and planning program that is provided free of charge to all Missouri citizens. Funded by the Missouri Department of Elementary and Secondary Education and the Missouri Division of Workforce Development, this program supports the career development efforts of schools, community organizations, and adult job seeker programs. Missouri Connections helps individuals learn about their talents, skills, and interests and makes the connection between planning for continued education and the work world.”

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

Missouri Developmental Disabilities Council Asset Development and Financial Education Initiative

“Persons with disabilities have a higher percentage of people who live in poverty than any other minority group in the country.  Missouri ranks in the bottom third of all states in the understanding of financial supports that assist persons with disabilities in working their way out of poverty.  Benefits planning and employment are just two pieces in this puzzle, the other pieces are asset development and financial education, therefore, the Missouri DD Council is partnering with the TACE, Region 7/University of MO-School of Health Professionals to promote Asset Development and Financial Education for persons with disabilities in our state by offering a variety of opportunities to learn more about this important piece of the puzzle and help people with disabilities learn more about asset development and financial education.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Missouri Interagency Transition Team

~~“The Missouri Interagency Transition Team (MITT) formed in 2007 by the Office of Special Education at the Missouri Department of Elementary & Secondary Education to increase interagency collaboration at the state, regional, and local levels. This state transition team has met quarterly to address data-driven goals for improvement and collaboration with the shared vision of improving employment, independent living, and postsecondary education outcomes for Missouri students with disabilities.”

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

Missouri VR Connection

VR specializes in employment and training services that can assist you in becoming employed. A VR counselor will determine your eligibility for services. To be eligible, you need to have a physical or mental impairment that causes problems with working and need VR services to be successfully employed. Once eligible, you will work with a counselor who will help you develop a plan for your rehabilitation. We will give you vocational information and guidance allowing you to make informed choices about your vocational plan.   VR offers a wide range of services that are individualized for your needs. You and your counselor decide which services will help you become employed. Some of the services that may be available are:    • Guidance and Counseling    • Job-Seeking Skills and Job Placement    • Vocational Training   VR also provides assistance with Transition Services, Supported Employment Services,Assistive Technology Services, and the Ticket to Work Program  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Missouri State Chapter of ASPE

APSE-MO is the Missouri State Chapter of APSE The Association of People Supporting Employment First, a national organization committed to improving and expanding integrated employment opportunities, services, and outcomes for people experiencing disabilities. APSE-MO invites individuals with disabilities, their families, employment providers, funders, employers and others to join with us in making community employment a reality for ALL people with disabilities.

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Show Me Careers: Missouri's Transition-to-Employment Collaborative

 

“The Show-Me-Careers project targets youth ages 16-30 with I/DD who are transitioning from secondary or post-secondary educational settings to community employment. Show-Me-Careers is funded by the Administration on Intellectual and Developmental Disabilities and is one of eight grants awarded to state consortiums aimed at improving existing state systems to increase competitive employment outcomes for youth and young adults with I/DD.”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement

Missouri State Employment Leadership Network

The Missouri DD Council is partnering with the Missouri Department of Mental Health, Division of Developmental Disabilities, in bringing the State Employment Leadership Network (SELN) to Missouri.  This is a project started by the Institute for Community Inclusion out of Boston, Massachusetts.  SELN brings together state developmental disability agencies for sharing, educating and providing guidance on practices and policies around employment to its members. It is also an opportunity for the Division of Developmental Disabilities and other Missouri governmental agencies to evaluate their policies and procedures as they relate to assisting persons with developmental disabilities to become employed.

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

Systems-Change Funding


Toward a Successful Transition: A Checklist for the First 21 Years - 09/01/2016

“To Parents of Children with Developmental Disabilities . . . It is our hope that as parents you will always consider yourselves the experts on your child. We hope that as you seek information, help and guidance you will see your child in “people first” terms—initially as a baby to love and nurture, then as a child to raise for as independent a life as he or she can attain. Whatever the disability involved, remember it is only a part of your child’s individuality. Build on his or her strengths. High expectations are a keynote in a family’s daring to act bravely and creatively.

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

MO Balancing Incentives Program - 03/28/2012

 

“The Missouri Department of Social Services (DSS), in partnership with the Department of Health and Senior Services (DHSS) and the Department of Mental Health (DMH), proposes to leverage the Balancing Incentive Payment Program to further develop the systems of community-based care that serve older adults and individuals with physical and/or intellectual disabilities. The intent of the Missouri project is to realize the long term goal of increasing the percentage of expenditures for long term supports and services (LTSS) that are provided in community settings to equal or exceed the expenditures for facility-based LTSS.”

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

MO Partnerships in Employment - "Show Me Careers" - 09/30/2011

Show Me Careers: This project will address the needs of youth and young adults ages 16 to 30 with developmental and intellectual disabilities (DD/ID) who are in the process of transitioning from secondary or post-secondary education settings to community employment. The project’s goal is to scale up and sustain evidence-based practices in Missouri that support seamless transitions to integrated employment. A Leadership Consortium of state agencies…will support a statewide structure to demonstrate evidence-based practices, develop needed policies and practices, and enhance statewide collaborations.   Objectives are designed to achieve this goal include: building cross system and agency collaborations designed to exchange and transfer knowledge and effective practices between partners; review and advocate for changes to collaborative funding options, policies, and 
procedures that support broader implementation of the effective practices demonstrated within communities; develop statewide capacity to scale up demonstrations through training, dissemination and broader
implementation; and evaluate results and sustain the scaled-up practices.  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri Add Us In Initiative - 09/30/2010

Add Us In Kansas City has created a business-led network focused on increasing the capacity of employers, including minority owned businesses, to successfully hire and retain individuals with disabilities. Add Us In Kansas City will 1) identify and create supports needed by employers in their efforts to diversify their workforce to include this population, 2) increase the number and range of employment opportunities available to youth with disabilities, 3) develop a model continuum of career development encompassing these opportunities and supports, and 4) equip youth to successfully participate within this continuum. Urban businesses and urban youth with disabilities will be given special consideration in the development of the Add Us In model. Located in the greater Kansas City area, the program will provide a replication toolkit for nationwide dissemination at the end of year two.

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

Missouri Transition Liaison Program - 06/01/2008

 

The Missouri Transition Liaison Program was developed in 2007-2008 to identify secondary transition professionals from districts across Missouri who are leaders in the area of transition. The overall goal of the Transition Liaisons is to build capacity at the local level and develop a collaborative network of colleagues throughout the state.”

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

MO Medicaid Infrastructure Grant - 10/12/2007

The Medicaid Infrastructure Grant Research Assistance to States (MIG-RATS) Center launched a website to provide resources and support to states implementing MIGs. The website is designed to help staff find research reports and resources, learn about MIG-RATS activities and initiatives, and connect with MIG researchers. The website includes info on topics such as Medicaid Buy-In programs, outreach and marketing, and youth in transition and also provides links to tools and a calendar of events. 

Systems
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement

Missouri Ticket to Work Health Assurance Program - 08/28/2007

Section 201 of the federal Ticket to Work and Work Incentives Improvement Act of 1999, Public Law 106-170 created a program for employed persons with disabilities. Based upon this federal law, the Health Improvement Act of 2007 (Senate Bill 577) established healthcare coverage for employed persons with disabilities in Missouri. Effective August 28, 2007, MO HealthNet implemented the new program, known as the Ticket to Work Health Assurance (TWHA) Program. Eligible participants will be enrolled under Medical Eligibility (ME) codes 85 (premium) and 86 (non-premium), and receive a limited MO HealthNet benefit package  
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Money Follows the Person - 01/01/2007

The overall goal of MFP is "to support people who have disabilities and those who are aging to move from a nursing facility or habilitation center to a quality community setting that meets their needs and wants."   The objectives of MFP—My Life, My Way, My Community are:    • to move people from a facility to the community;    • identify and eliminate barriers that prevent people from being able to move to the community;    • improve the ability of MO HealthNet to provide in-home services;    • and to ensure that there is continuous quality improvement of in-home services provided.  
Systems
  • Medicaid Agencies
Topics
  • Segregated Day & Employment Services

MO Ticket to Work - 06/01/1999

The Ticket to Work and Work Incentive Act of 1999 established an employment program for people who want to go to work that receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits.  The program was designed to remove barriers that kept people with disabilities from choosing to work for fear of losing health care coverage.  The Ticket to Work program is voluntary, and it increases opportunities and choices for Social Security (SS) disability beneficiaries to obtain employment, vocational rehabilitation, and other support services from public and private providers, employers, or other organizations.  SS provides a ticket to disability benefits to use in obtaining services and jobs through Missouri Vocational Rehabilitation or from an approved Employment Network.  Though SS has the overall program authority, MAXIMUS, Inc. serves as the program manager.

 

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Missouri SAMHSA EDI (FY 2011 & 2012)

Goal 1: To strengthen peer delivered services in Missouri by leveraging Medicaid billing for services provided by Certified Peer Specialists in Consumer Operated Services Programs (COSP).   Goal 2: To introduce and begin implementation of peer delivered Individual Placement and Supports –Supported Employment (SE) – in Consumer Operated Services Programs.   Overall conclusions: Through this project Missouri has greatly increased its value of peers. 103 have been trained specifically under this project, with more on the way.  
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Training/Capacity Building


Missouri’s Cooperative Work Experience Program (COOP) - 04/12/2016

Successful transition planning for students with disabilities involves looking ahead, into the student's future, preparing not just for graduation but also for life after graduation. One of the most important aspects of a student's future involves employment. However, students often do not have any idea what type of work they would like to do or what type of career options are available. One of the best ways that a student can learn about different careers and employment is to be exposed to and participate in cooperative work experiences prior to graduation or exit from school. Cooperative work experiences provide students with direct exposure to and hands-on exploration of a variety of careers, assisting them in defining vocational choices and setting employment goals that actually seem attainable.

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Provider Transformation

Missouri Division of Developmental Disabilities Individual Support Plan Guide - 07/01/2014

The Division of Developmental Disabilities requires that each individual eligible for Division Supports have an Individual Support Plan. Individuals, their families, providers and facilitators who write plans in cooperation with all individuals receiving supports from the Division shall use this guide. Individual support planning encourages a team approach to involve the individual and community networks in planning for the future. The process involves developing a vision for the future, while coordinating resources and supports to make the vision a reality. The Center for Medicare and Medicaid Supports (CMS) outcome for “participant-centered support planning and delivery” clarifies: “Supports are planned and effectively implemented in accordance with each participant’s unique needs, expressed preferences and decisions concerning his/her life in the community.” The Individual Support Plan is an investment in an individual’s life and is driven by the individual, what is important to them as designed through outcomes identified in the support plan

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

Missouri DoE Transition Coalition - 06/01/2000

Since 2000, the Transition Coalition, located at the University of Kansas, Beach Center on Disability, has been maximizing professional development opportunities for secondary transition and college and career readiness of youth with disabilities.

Our Methods

-Use self-assessment methods including professional knowledge

-Strategically combine web-based, in-person, in-print, coaching and other assistance

-Find and share research-based practices and resources

-Develop and support practitioner-to-practitioner learning methods

 

Systems
  • Other
Topics
  • School-to-Work Transition

Missouri Connections - Career Development & Planning Program - 06/01/1971

Missouri Connections is a comprehensive, online, career development and planning program that is provided free of charge to all Missouri citizens. Funded by the Missouri Department of Elementary and Secondary Education and the Missouri Division of Workforce Development, this program supports the career development efforts of schools, community organizations, and adult job seeker programs. Missouri Connections helps individuals learn about their talents, skills, and interests and makes the connection between planning for continued education and the work world.

Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • Customized Employment
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri Asset Development Project

The Missouri DD Council is partnering with the TACE, Region 7/University of MO-School of Health Professionals to promote Asset Development and Financial Education for persons with disabilities in our state by offering a variety of opportunities to learn more about this important piece of the puzzle and help people with disabilities learn more about asset development and financial education.

The first opportunity was a free webinar.  (The recording of that webinar is included here.)  In early 2014 we will be offering two opportunities to learn more with "train-the-trainer" events.  This will be followed up by a statewide summit where members from the financial community will meet with a broader group of self-advocates, family members and other members from the disability community to develop an action plan that will continue this effort into the future.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

MO Customized Employment Presentation

This presentation discusses the formalized definition of customized employment by the Office of Disability Employment Policy (ODEP) and the history of customized employment. It also takes a glimpse at progressive employment, addresses how discovery is an important component of customized and progressive employment, and discusses how motivational interviewing can be effective during the discovery process.

Systems
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation

MO Planning Council for Developmental Disabilities - Career Guide

“This guide will take the job seeker and his or her support team through the career planning process by providing information he or she can use during the career planning sessions. It should be noted that since everyone is unique, the individual planning process will be unique to each person as well. The guide is simply a framework to allow the job seeker and his or her team to create a vision and a plan to achieve a career that makes sense to the job seeker. It is less about the forms and more about generating ideas, clear action steps, and moving the person closer towards his or her ultimate career goals.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Mental Health

MO DoE Community Transition Teams

Community Transition Teams (CTT's) elevate community awareness of and commitment to the improvement of post-secondary outcomes of youth with disabilities. Since 2008, the Missouri Department of Elementary and Secondary Education (DESE) and the KU Transition Coalition have partnered to develop and train 42 CTT's across Missouri. This process is accomplished with the collaboration of school personnel, students, families, and community stakeholders to provide seamless and transparent management of staff and resources. The University of Kansas Transition Coalition provides ongoing technical assistance to the CTT's in their development, training, and in meeting the goals of their strategic plans. During the 2014 school year, training will not be held to develop new teams. Instead, focus is on technical assistance for sustainability. 

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Transition Resource Toolkit

This toolkit has been developed by an ad hoc team comprised of a small representation of individuals from across the state working in Centers for Independent Living (CIL), Local Education Agencies (LEA) and Vocational Rehabilitation (VR). The goal was to create a resource tool to enhance collaboration in transition planning for young adults with disabilities. A special acknowledgement to members of these three organizations for the many valuable resources and links included in this toolkit.  
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition

Missouri DoE Regional Transition Liaison Program

The Missouri Interagency Transition Team (MITT) was formed in 2007 to promote interagency collaboration in Missouri at the state-level by establishing a group vision for improving outcomes for young adults with disabilities.  The MITT, consisting of diverse state-level membership meets monthly to share resources, develop goals and promote concrete activities to improve transition education and services.   In particular, the Transition Liaisons:    • Collaborate with other Transition Liaisons, RPDC Consultants, Transition Coalition staff, and DESE personnel;    •  Reach out to districts across the state; and,    •  Share information and resources with other district personnel.  
Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri DoE Regional Professional Development Center (RPDC) Consultant

Each of the nine regions of Missouri has a Regional Professional Development Center (RPDC) Consultant who specializes in transition. These consultants provide regional and local trainings on Transition Planning and the Updated Form C, Transition Assessment, and other transition topics. They also provide a range of other consulting and continuous improvement services to meet the needs of teachers, administrators and school districts.

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

Missouri Assistive Technology Council

Missouri Assistive Technology strives to increase access to assistive technology for Missourians with all types of disabilities, of all ages. To the right are navigation links to the programs and initiatives of MoAT.

Systems
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)

MO VR Transition Brochure

“Transition is a process young adults with disabilities, like you, go through to prepare for whatever the future might hold – further education, specialized training, employment or other options you might choose on the road to increased independence… Career planning and transition services are designed to help you prepare for your future by exploring different jobs, identifying careers interesting to you, and developing an understanding of the skills and abilities necessary to be successful.”

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

MO Skills to Pay the Bills

"Skills to Pay the Bills: Mastering Soft Skills for Workplace Success," is a curriculum developed by ODEP focused on teaching "soft" or workforce readiness skills to youth, including youth with disabilities. Created for youth development professionals as an introduction to workplace interpersonal and professional skills, the curriculum is targeted for youth ages 14 to 21 in both in-school and out-of-school environments. The basic structure of the program is comprised of modular, hands-on, engaging activities that focus on six key skill areas: communication, enthusiasm and attitude, teamwork, networking, problem solving and critical thinking, and professionalism.

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

MO Writing Quality Goals, Outcomes and Action Plans

 

An overview of how to effectively create a Career Plan, establish appropriate goals and desired outcomes, and initiate an Action Plan with Discovery and Fading Supports.

 
Systems
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Employer Engagement

Enforcement

No Enforcement have been entered for this state.

Medicaid & Employment


Community Transitions Manual for Support Coordinators and Community Coordinators - 02/19/2017

~~“MFP EligibilityIndividuals who transition from a Habilitation Center or nursing home may be eligible for MFP. MFP is a demonstration grant that supports efforts to:• Provide Medicaid eligible individuals the choice of where they live and receive services;• Allow qualified individuals living in nursing facilities or Habilitation Centers to move to the community; and• Promote a system that is person-centered, based on needs, and ensures high-quality services in the community.”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri HCBS Statewide Transition Plan - 07/25/2016

“Missouri administers 10 Home and Community-Based Waivers through the single State Medicaid agency, the Department of Social Services, MO HealthNet Division (MHD). The day-to-day operation of the waivers is through formal cooperative agreements with the Missouri Department of Mental Health (DMH) and the Missouri Department of Health and Senior Services (DHSS). The Department of Health and Senior Services and the Department of Mental Health are the operational entities for the waivers. Missouri Medicaid Audit and Compliance (MMAC) is the unit within the Department of Social Services (DSS) charged with administering and maintaining Medicaid Title XIX audit and compliance initiatives, including utilization of Medicaid services and provider enrollment functions. MMAC will participate in the transition plan as described below.”

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

MO DoE ESEA Flexibility Request Approval - 06/08/2015

The Missouri Department of Secondary and Elementary Education's ESEA flexibility request was approved on June 29, 2012.

Systems
  • Department of Education
Topics
  • Home and Community Based Services (HCBS)
Citations

Missouri HCSB Transition Plan -