Nevada

States - Big Screen

In the Silver State of Nevada, workers with disabilities don't have to take a gamble on their future when it comes to finding career success and employment opportunities.

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 Nevada’s VR Rates and Services

2015 State Population.
1.79%
Change from
2014 to 2015
2,890,845
2015 Number of people with disabilities (all disabilities, ages 18-64).
0.72%
Change from
2014 to 2015
203,190
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
1.29%
Change from
2014 to 2015
83,559
2015 Percentage of working age people who are employed (all disabilities).
0.56%
Change from
2014 to 2015
41.12%
2015 Percentage of working age people who are employed (NO disabilities).
0.63%
Change from
2014 to 2015
74.80%

General

2013 2014 2015
Population. 2,790,136 2,839,099 2,890,845
Number of people with disabilities (all disabilities, ages 18-64). 193,363 201,717 203,190
Number of people with disabilities who are employed (all disabilities, ages 18-64). 75,828 82,484 83,559
Number of people without disabilities who are employed (ages 18-64). 1,115,829 1,149,198 1,172,440
Percentage of working age people who are employed (all disabilities). 39.22% 40.89% 41.12%
Percentage of working age people who are employed (NO disabilities). 73.10% 74.33% 74.80%
Overall unemployment rate. 9.50% 7.80% 6.80%
Poverty Rate (all disabilities). 19.40% 19.10% 19.60%
Poverty Rate (NO disabilities). 15.30% 14.70% 13.90%
Number of males with disabilities (all ages). 172,440 184,719 192,429
Number of females with disabilities (all ages). 184,595 190,602 190,951
Number of Caucasians with disabilities (all ages). 259,345 275,029 278,106
Number of African Americans with disabilities (all ages). 31,843 33,642 33,439
Number of Hispanic/Latinos with disabilities (all ages). 67,909 70,746 70,092
Number of American Indians/Alaska Natives with disabilities (all ages). 5,548 5,624 6,754
Number of Asians with disabilities (all ages). 18,567 19,292 22,092
Number of Hawaiians/Pacific Islanders with disabilities (all ages). 1,615 2,518 2,705
Number of with multiple races disabilities (all ages). 11,287 11,325 14,784
Number of others with disabilities (all ages). 28,830 27,891 25,500

 

SSA OUTCOMES

2013 2014 2015
Number of SSI recipients with disabilities who work. 1,720 1,788 1,979
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 4.60% 4.60% 4.80%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 62,983 64,243 65,211

 

MENTAL HEALTH OUTCOMES

2013 2014 2015
Number of mental health services consumers who are employed. 2,950 2,092 1,881
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 10,510 7,703 7,262
Number of adults served who have a known employment status. 18,537 13,518 12,649
Percentage of all state mental health agency consumers served in the community who are employed. 15.90% 15.50% 14.90%
Percentage of supported employment services evidence based practices (EBP). N/A N/A N/A
Percentage of supported housing services evidence based practices (EBP). 8.70% 8.40% 6.50%
Percentage of assertive community treatment services evidence based practices (EBP). 1.20% 1.50% 1.50%
Percentage of medications management evidence based practices (EBP). N/A N/A 2.00%
Number of evidence based practices (EBP) supported employment services. N/A N/A N/A
Number of evidence based practices (EBP) supported housing services. 1,202 1,158 813
Number of evidence based practices (EBP) assertive community treatment services. 172 201 184
Number of evidence based practices (EBP) medications management. N/A N/A 247

 

WAGNER PEYSER OUTCOMES

2013 2014 2015
Number of registered job seekers with a disability. 4,662 4,338 4,568
Proportion of registered job seekers with a disability. 0.04 0.04 0.04

 

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. 50 63 161
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 26 46 94
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. 52.00% 73.00% 58.00%
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. 0.94 1.65 3.25

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
1,527
1,665
1,649
Number of people with visual impairments served under VR. 165 154 105
Number of people with communicative (hearing loss, deafness) impairments served under VR. 172 222 234
Number of people with physical impairments served under VR. 403 394 383
Number of people cognitive impairments served under VR. 359 436 436
Number of people psychosocial impairments served under VR. 282 303 344
Number of people with mental impairments served under VR. 146 156 147
Percentage of overall closures into employment under VR. 25.30% 36.10% N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 1,524 1,754
Number of eligible ticket to work beneficiaries. N/A 91,626 93,514
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 31 N/A N/A
Total number of ID competitive labor market closures. 26 45 N/A

 

IDD OUTCOMES

2012 2013 2014
Dollars spent on day/employment services for integrated employment funding. $3,708,000 $3,617,000 $3,401,000
Dollars spent on day/employment services for facility-based work funding. $8,741,000 $9,182,000 $10,644,000
Dollars spent on day/employment services for facility-based non-work funding. $12,196,000 $13,428,000 $14,632,000
Dollars spent on day/employment services for community based non-work funding. $236,000 $250,000 $307,000
Percentage of people served in integrated employment. 21.00% 18.00% 17.00%
Number of people served in community based non-work. 28 30 23
Number of people served in facility based work. 918 1,053 1,140
Number of people served in facility based non-work. 754 859 879
Number supported in integrated employment per 100,000 individuals in the general state population. 16.60 15.40 14.40

 

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). 63.90% 64.26% 63.83%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 14.20% 14.21% 14.45%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.60% 1.47% 1.49%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 100.00% 91.30% 100.00%
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). 24.01% 21.39% 21.57%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 54.04% 56.05% 56.13%
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). 65.91% 69.77% 69.59%
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). 30.03% 34.66% 34.56%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 811,514
Number of overall total blind and SD workers. 2,144
Number of AbilityOne blind and SD hours (products). 703
Number of AbilityOne blind and SD hours (services). 199,341
Number of AbilityOne blind and SD hours (combined). 200,044
Number of AbilityOne blind and SD workers (products). 4
Number of AbilityOne blind and SD workers (services). 332
Number of AbilityOne blind and SD workers (combined). 336
AbilityOne wages (products). $5,907
AbilityOne wages (services). $2,360,666

 

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

2014 2015 2016
Number of 14(c) certificate-holding private businesses. 0 0 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 13 8 10
Number of 14(c) certificate holding patient workers. N/A 0 0
Total Number of 14(c) certificate holding entities. N/A 8 10
Reported number of people with disabilities working under 14(c) certificate holding private 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 1,178 1,309
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 0 0
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 1,178 1,309

 


Nevada Assembly Bill 5 - 07/01/2015

AN ACT relating to public welfare; requiring the Aging and Disability Services Division of the Department of Health and Human Services to enter into an agreement with the Rehabilitation Division of the Department of Employment, Training and Rehabilitation to provide long-term support to persons with intellectual disabilities and persons with related conditions; authorizing the Administrator of the Aging and Disability Services Division to adopt regulations governing the provision of services to certain persons with intellectual disabilities and persons with related conditions; requiring the Aging and Disability Services Division to provide preferences for potential providers of jobs and day training services in issuing certificates authorizing the provision of such services and in entering into agreements concerning the provision of such services; and providing other matters properly relating thereto.

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Nevada SB 419 - 07/01/2015

"AN ACT relating to persons with disabilities; creating the Nevada ABLE Savings Program as a qualified ABLE program under the federal Achieving a Better Life Experience Act of 2014..."

"Recently enacted federal law allows for the creation of tax-advantaged savings accounts for persons who have certain qualifying disabilities. Under the program, any person, including family members, may make a contribution to the account of a person with a qualified disability. Any interest or other growth in the value of the account and distributions taken from the account are tax free. The maximum amount that can be contributed tax free to the account of a qualified person is $14,000 per year. Distributions from the account may only be used to pay expenses related to living a life with a disability and may include such things as education, housing, transportation and employment training and support."

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Nevada Assembly Bill 488: Relating to the Administration of Government Departments - 07/01/2013

"AN ACT relating to governmental administration; consolidating the Health Division and the Division of Mental Health and Developmental Services of the Department of Health and Human Services into the Division of Public and Behavioral Health of the Department; transferring the powers and duties concerning certain services to children with autism spectrum disorders from the Health Division to the Aging and Disability Services Division of the Department; transferring the authority for developmental services in the Division of Mental Health and Developmental Services to the Aging and Disability Services Division; … renaming the Commission on Mental Health and Developmental Services of the Department the Commission on Behavioral Health; making the Aging and Disability Services Division of the Department responsible for services for and other oversight relating to persons with intellectual disabilities and persons with related conditions; making various other changes to provisions relating to the organization of the divisions of the Department; and providing other matters properly relating thereto."

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

Executive Order 2014-16: Establishing the Governor’s Taskforce on Integrated Employment - 07/21/2014

"…By the authority vested in me as Governor by the Constitution and laws of the State of Nevada, I hereby direct and order:

1.       The Governor’s Taskforce on Integrated Employment (“Taskforce”) is here by established.

2.       The Taskforce shall be responsible for examining and evaluating current employment programs, resources, funding, available training and employment opportunities for individuals with intellectual/developmental disabilities, and shall provide a report to the Governor, on or before July 1, 2015, setting forth their findings as well as a three, five and ten-year strategic plan for creating a more integrated workforce and expanding competitive employment opportunities for individuals with intellectual/developmental disabilities…"

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Governor’s Executive Order - Establishing a Program for the Hiring of People with Disabilities into the State Workforce - 10/08/2013

By the power vested in me as Governor by the Constitution and the laws of the State of Nevada, I hereby direct and order that all state agencies made a concerted effort to include persons with disabilities into the "preliminary and final group of    candidates" considered for each appropriate opening within the agency. It orders all state agencies to make the hiring of persons with disabilities a priority, mandating that at least five percent of openings give persons with disabilities priority.

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

Nevada’s No Wrong Door Strategic Plan 2015-2018 - 08/28/2015

Long-term services and supports (LTSS) help people with functional limitations accomplish tasks necessary for daily living. Older adults, and those living with disabilities, will often need assistance with issues such as bathing, getting dressed, fixing meals, and managing a home. Others may need behavioral health care to encourage growth and development, or to manage the challenges of everyday life. All of these services are best provided in a consumer’s own home and community, however, they are not always easy to identify or access.

 Finding the right long term services and supports to fit a family’s needs can be difficult. There are a variety of different service providers, funding streams, and eligibility requirements that can make the search confusing, difficult, or frustrating. To address this reality, Nevada has been actively pursuing improvements to its LTSS system. Multiple state division mergers and streamlined access through implementation of the Money Follows the Person (MFP) approach and Balancing Incentives Program (BIP) are some of the efforts used to support improvement. 1 Most recently, the state established an Advisory Board to develop a 3-year plan to develop a comprehensive “No Wrong Door” (NWD) approach to LTSS services for all Nevadans regardless of age or payee status.

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

Integrated Employment Research Report - 01/15/2015

The Governor’s Taskforce on Integrated Employment is responsible for examining and evaluating current employment programs, resources, funding, available training, and employment opportunities for people with intellectual/developmental disabilities (referred to throughout as I/DD), and for providing a report to the Governor... The Taskforce is also responsible for developing a three, five, and ten-year strategic plan (2015-2025) that will result in "creating a more integrated workforce and expanding competitive employment opportunities for individuals with intellectual/developmental disabilities."

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Mental Health
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Vocational Rehabilitation: Employment Supports Job Development/Placement - 07/01/2014

This document provides the fee schedule for job placement and supported employment services for Nevada Vocational Rehabilitation as of July 2014.

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Provider Transformation

Nevada’s Strategic Plan for Integration of Developmental Services and Early Intervention Services into the ADSD - 06/15/2014

The Aging and Disability Services Division (ADSD) represents Nevadans who are aged or have a disability, regardless of age, and assists the broader community that touches their lives. Through advocacy, counseling and a broad array of supportive services, ADSD strives to create an environment that enables all of the Nevadans they serve to be self-sufficient, independent and safe. In the 2013 Nevada Legislature, Assembly Bill (AB) 488 took integration a step further by transferring Developmental Services (DS) and Nevada Early Intervention Services (NEIS) to ADSD. Formerly DS was housed within Mental Health and Developmental Services (MHDS) and NEIS was housed within the Health Division. (Since then, Health and MHDS have also merged to become the Division of Public and Behavioral Health.) The benefits of integrating the services include a better ability to:

Promote community living for Nevadans with disabilities of all ages (across the lifespan) Create and enhance strategies to ensure the necessary services and supports Provide a responsive and effective service system that acknowledges unique needs Firmly establish no wrong door for services Expand outreach efforts Promote seamless service delivery including transitions across programs to obtain the full spectrum of care and better service coordination for participants with similar needs Improve access to information on community services and supports such as housing, employment, education, social participation, etc. Create a similar comprehensive community provider application and oversight process Strengthen basic infrastructure such as information technology (IT), fiscal and accountability
Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Scope of Work Employment Supports Job Development/Placement, Community Based Assessment Site Development and Monitoring, Job Coaching, and Advocacy Services - 06/01/2014

This document describes the Scope of Work for Supported Employment services provided by the Nevada Vocational Rehabilitation Division. The services include, but are not limited to, Job Development/Placement, Community Based Assessment (CBA) Site Development, Community Based Assessment (CBA) Site Monitoring, job coaching, and advocacy.

 

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Provider Transformation

Nevada Governor’s Council on Developmental Disabilities: Position Statement on Integrated Employment - 05/21/2014

Work is a fundamental part of adult life, and the benefits of integrated employment for individuals with intellectual/developmental disabilities (IDD) have been clearly demonstrated. It gives us a sense of purpose; shaping who we are and how we fit into our community. Nevadans with IDD must not be deprived of the opportunity to work within the general workforce and make a meaningful contribution. Individuals in the labor force have a positive financial impact on our economy, generating income that is ultimately returned in the form of tax revenues. There is literature filled with examples of the benefits and Return on Investment (ROI) when individuals with IDD are working and contributing vocationally in their community. Our state is becoming more diverse and Nevadans with IDD should be included in diversifying the workforce. This can be achieved through established supported employment practices. Improving employment outcomes for Nevadans with IDD at the state level requires a holistic approach that communicates a clear message, incorporates policy change, funding, capacity development, interagency partnerships, outcome measurement and service innovation.

 

 

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Mental Health
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Vocational Rehabilitation: Definition of Terms - 07/01/2006

This document provides an extensive list of service definitions for Vocational Rehabilitation in Nevada. It includes definitions for integrated employment, ongoing support services, competitive employment and supported employment, among many others.

Systems
  • Department of Rehabilitation Services
Topics
  • Provider Transformation

Section 15 – Vocational Rehabilitation Supported Employment Policy - 06/01/2006

This document outlines Vocational Rehabilitation’s policy on Supported Employment. It includes information on the referral and assessment process, the range of services available and Individualized Plans for Employment (IPE).

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Provider Transformation

Nevada’s Strategic Plan on Integrated Employment (2015)

On July 21, 2014, through Executive Order 2014-16, the Governor’s Taskforce on Integrated Employment (herein referred as “Taskforce”) was established by Brian Sandoval, Governor of Nevada. The Taskforce is responsible for examining and evaluating current employment programs, resources, funding, available training, and employment opportunities for people with intellectual/developmental disabilities (referred to throughout as I/DD), and for providing a report to the Governor, on or before July 1, 2015.

The Taskforce is also responsible for developing a three, five, and ten-year strategic plan (2015-2025) that will result in “creating a more integrated workforce and expanding competitive employment opportunities for individuals with intellectual/developmental disabilities.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Other
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Nevada Bureau of Vocational Rehabilitation, Department of Employment, Training, and Rehabilitation, Rehabilitation Division

“MISSION: To bring Nevadans together to promote barrier-free communities in which individuals with disabilities have access to opportunities for quality work and self-sufficiency.”

 

 

“Goal #1

Emphasize the employment potential of students with disabilities and improve transition from school to work and school to post-secondary education.

Goal #2

Extend outreach efforts toward diverse populations of Nevadans with disabilities

Goal #3

Extend outreach efforts toward ethnically diverse populations, specifically minority populations with disabilities represented in Nevada’s workforce.

Goal #4

Work together and share resources with state, private, non-profit agencies to leverage resources and coordinate benefit opportunities in order to maximize the overall employment outcomes.

Goal #5

Emphasize the employment potential of applicants and eligible persons receiving Supported employment services”.

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

Nevada Disability Services Unit: Cooperation, Collaboration, Coordination - 01/08/2016

The DWSS inter-local contract refers welfare recipients to VR programs for completion of vocational testing and assessment. The DSU has been collaborating with other reciprocal agencies in the delivery of service to individuals who need supportive services or assistance in activities of daily living. Working with the ADSD’s Independent Living program, and their recipient of the Assistive Technology Act of 1998 funds, allows for greater community involvement and co-sharing of responsibilities and costs. As such, the DSU and the Independent Living program continue to utilize their interlocal agreement to collaboratively case manage and cost-share goods and services that meet a particular need for an individual who is a mutual client of both the Independent Living and VR programs.

 

 

 

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

Nevada Employment First

“Employment in the general workforce is the first and preferred outcome in the provision of publicly funded services for all

working age citizens with disabilities, regardless of level of disability. The expectation is that people work!”

Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Nevada State Use Program

The Department of Employment, Training and Rehabilitation (DETR), Rehabilitation Division manages Nevada’s State Use Program, Preferred Purchase, in support of workers with disabilities who simply want to be productive working citizens. We help individuals accomplish that goal while providing valuable benefits to government agencies that choose to utilize the services offered.

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

Nevada State Rehabilitation Council

“The mission of the Nevada State Rehabilitation Council (NSRC) is to help ensure that vocational rehabilitation programs (Bureau of Vocational Rehabilitation and Bureau of Services to the Blind and Visually Impaired) are consumer oriented, consumer driven, and that the programs' services and resources result in employment outcomes for Nevadans with disabilities….

 The Council may assist you or others in the community in the following ways:  

1.       Help individuals with disabilities obtain services which may help them become employable.

2.       Put employers in contact with individuals with disabilities who may fill their staffing needs.

3.       Receive and relay client experiences about the state or the community vocational rehabilitation programs.

Receive and relay ideas about improving vocational rehabilitation services.

The Council has a minimum of 16 members as required by the Rehabilitation Act of 1973 as amended.”  

 

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Nevada’s No Wrong Door Strategic Plan 2015-2018 - 08/28/2015

Long-term services and supports (LTSS) help people with functional limitations accomplish tasks necessary for daily living. Older adults, and those living with disabilities, will often need assistance with issues such as bathing, getting dressed, fixing meals, and managing a home. Others may need behavioral health care to encourage growth and development, or to manage the challenges of everyday life. All of these services are best provided in a consumer’s own home and community, however, they are not always easy to identify or access.

 Finding the right long term services and supports to fit a family’s needs can be difficult. There are a variety of different service providers, funding streams, and eligibility requirements that can make the search confusing, difficult, or frustrating. To address this reality, Nevada has been actively pursuing improvements to its LTSS system. Multiple state division mergers and streamlined access through implementation of the Money Follows the Person (MFP) approach and Balancing Incentives Program (BIP) are some of the efforts used to support improvement. Most recently, the state established an Advisory Board to develop a 3-year plan to develop a comprehensive “No Wrong Door” (NWD) approach to LTSS services for all Nevadans regardless of age or payee status.

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

Nevada Money Follows the Person (MFP) Transitioning Home Program - 05/30/2006

Through the Money Follows the Person (MFP) Transitioning Home program, a new offering from the State of Nevada, eligible participants will be provided with the services, support, and assistance necessary to move back into a community setting, such as an apartment or family home.

In order to help eligible participants with the transition process, the program can pay for goods and services, such as furniture, appliances, moving expenses, and housing deposits. See the SERVICES tab for a full list of program benefits.

MFP also gives most participants the option of self-direction, allowing them to decide where they want to live and who will assist them upon returning to the community.

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Nevada Medicaid Infrastructure Grant - 10/01/2000

"The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The 11-year competitive grant program provides funding to states for Medicaid infrastructure development that will build supports for people with disabilities who would like to be employed. States are encouraged to use grant funding to implement and develop the optional working disabled eligibility group (Medicaid buy-in), increase the availability of statewide personal assistance services, form linkages with other state and local agencies that provide employment related supports, and create a seamless infrastructure that will maximize the employment potential of all people with disabilities. For additional information concerning the Medicaid Infrastructure Grant Program, please visit our Web site."

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

Nevada Ticket to Work

"If you are currently receiving SSI or SSDI benefits, the Ticket to Work program can help you find the job that is right for you, and you can safely explore your work options without losing your benefits until you have stabilized your job and earnings.

You can easily return to benefits if you have to stop working You can continue to receive healthcare benefits You will not receive a medical continuing disability review (CDR) while using your Ticket"
Systems
  • Department of Rehabilitation Services
Topics
  • 14(c)/Income Security

Nevada Medicaid Infrastructure Grant

Nevada’s Medicaid Infrastructure Grant supports the competitive employment of people with disabilities by enhancing the state’s employment infrastructure and service delivery systems.  Section 203 of the Ticket to Work and Work Incentives Improvement Act (TWWIIA) of 1999 established a grant program supporting state efforts to better serve people with disabilities who are employed, as well as those who are seeking employment.  Funding for this program is intended to facilitate enhancements to State Medicaid programs and services, to promote linkages between Medicaid and other employment-related service agencies, and to develop a comprehensive system of employment supports for people with disabilities.  The Centers for Medicare & Medicaid Services (CMS) is the designated federal agency with administrative responsibility for this grant program. 

 
Systems
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Customized Employment: Presentation by the Nevada Center for Excellence in Disabilities - 05/21/2014

This presentation given by the staff at the Nevada Center for Excellence in Disabilities defines Employment First (EF) & Customized Employment (CE), elaborates upon the Nevada Collaborators, describes the philosophy, practices, and descendants of CE, and explains who can be served by the CE Project and what those job seekers can hope to achieve.

 
Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Nevada Customized Employment Project - 09/25/2013

The Customized Employment Project, a partnership between the Nevada Rehabilitation Division at the Department of Employment, Training, and Rehabilitation (DETR), Sierra Regional Center at Developmental Services, and the Nevada Center for Excellence in Disabilities (NCED), is a flexible process designed to personalize the employment relationship between a job candidate and an employer in a way that meets the needs of both. It is based on an individualized match between the strengths, conditions and interests of a job candidate and the identified business needs of an employer. Customized employment utilizes an individualized approach to employment planning and job development - one person at a time - one employer at a time.”

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Nevada Disability Services Unit: Comprehensive System of Personnel Development - 02/28/2012

The Rehabilitation Division, as the DSU, has established procedures and activities setting forth the Comprehensive System of Personnel Development[MW1]  (CSPD), which will ensure an adequate supply of qualified Rehabilitation professionals and paraprofessionals for the operation of the Vocational Rehabilitation programs.

The CSPD is coordinated by the Administrator of the DSU with the participation of: the Nevada State Rehabilitation Council (NSRC), Human Resources staff of the Department of Employment, Training, and Rehabilitation (DETR), and staff of the Bureaus of Vocational Rehabilitation (BVR) and Services to the Blind and Visually Impaired (BSBVI). DETR’s personnel records enable an annual analysis of the numbers and types of Rehabilitation personnel. Through the State of Nevada Personnel Department database, information on budgeted positions, duration of vacancy for each position and vacancy rates are available through a data warehouse system.

In addition, a personnel log is maintained at the agency level, delineating the location, type of position and date vacated in order to provide current tracking of vacancies including the status of each vacant position. This tracking mechanism has proved successful in reducing the vacancy rate and the amount of time that each position is vacant. All the sources of information are used to track and forecast the DSU’s personnel needs.

 

 

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

Emerging Practices from Vocational Rehabilitation

This summary document describes different initiatives and emerging practices in the state of Nevada that aim at improving employment outcomes for people with disabilities. The projects include CRAVE, Customized Employment, Voice, Career Development Academy, and the Pathways to Work.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

NV Department of Employment, Training, and Rehabilitation

This website contains information on the Job Development Training Series, “Creating Employment Opportunities.”  The modules in the series include: Introduction to Job Development and the Role of the Job Developer, Getting to Know Your Customer; The Employer as Partner; and Job Placement and Retention Services.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Customized Employment
  • Employer Engagement

No Enforcement have been entered for this state.


Nevada HCBS Transition Plan - 07/09/2015

The Centers for Medicare and Medicaid Services (CMS) issued new regulations in early 2014 that define the home and community based settings that will be allowable under HCBS. The purpose of these regulations is to ensure that individuals receiving HCBS are fully integrated into the community in which they live. These individuals must be offered opportunities to seek employment and engage in community activities in the same manner as individuals who do not receive HCBS.

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

NV HCBW for Persons w/ID and Related Conditions (0125.R06.00) - 10/01/2013

Provides day hab, prevocational, residential support, supported employment, behavioral consultation-training & intervention, counseling, career planning, non-medical transportation, nursing, nutrition counseling, residential support management for individuals w/ID ages 0 - no max age

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

Application for a 1915(c) Home and Community-Based Services Waiver - 10/01/2013

The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in ­1915(c) of the Social Security Act. The program permits a State to furnish an array of home and community-based services that assist Medicaid beneficiaries to live in the community and avoid institutionalization. The State has broad discretion to design its waiver program to address the needs of the waiver­s target population. Waiver services complement and/or supplement the services that are available to participants through the Medicaid.

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

Nevada Medicaid Infrastructure Grant - 10/01/2000

The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The 11-year competitive grant program provides funding to states for Medicaid infrastructure development that will build supports for people with disabilities who would like to be employed. States are encouraged to use grant funding to implement and develop the optional working disabled eligibility group (Medicaid buy-in), increase the availability of statewide personal assistance services, form linkages with other state and local agencies that provide employment related supports, and create a seamless infrastructure that will maximize the employment potential of all people with disabilities. For additional information concerning the Medicaid Infrastructure Grant Program, please visit our Web site.

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

Nevada Balancing Incentives Program

"The Balancing Incentive Program is a grant-funded program established by the Affordable Care Act through the Centers for Medicare and Medicaid Services (CMS). The goal of the program is to make structural changes to the way individuals access long term services and supports (LTSS) in order to rebalance institutional care with home and community based services. The desired result is to increase the amount spent on home and community based services to 50% of total spending on LTSS.

As required by the funding authorization, Nevada Medicaid (Division of Health Care Financing and Policy) is the lead agency for the BIP. The BIP team, however, is made up of a large number of cross-functional and cross-agency contributors who have been instrumental in moving the project toward its goals and objectives. Many of the projects and workgroups related to BIP have been collaborations between Nevada's Aging and Disability Services Division and Nevada Medicaid. In addition, many other state agencies and contractors have contributed in important ways."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Nevada Medicaid State Plan

The Medicaid and CHIP state plans are agreements between Nevada and the federal government describing how we administer these programs. It gives an assurance that Nevada will abide by federal rules and may claim federal matching funds for program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are under way in the state.

 
Systems
  • Medicaid Agencies

Nevada Medicaid Spending Comparison Charts

This document provides comparison charts on Medicaid and non-Medicaid spending in the state of Nevada as of 2013.

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

States - Large Tablet

Snapshot

In the Silver State of Nevada, workers with disabilities don't have to take a gamble on their future when it comes to finding career success and employment opportunities.

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 Nevada’s VR Rates and Services

2015 State Population.
1.79%
Change from
2014 to 2015
2,890,845
2015 Number of people with disabilities (all disabilities, ages 18-64).
0.72%
Change from
2014 to 2015
203,190
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
1.29%
Change from
2014 to 2015
83,559
2015 Percentage of working age people who are employed (all disabilities).
0.56%
Change from
2014 to 2015
41.12%
2015 Percentage of working age people who are employed (NO disabilities).
0.63%
Change from
2014 to 2015
74.80%

State Data

General

2013 2014 2015
Population. 2,790,136 2,839,099 2,890,845
Number of people with disabilities (all disabilities, ages 18-64). 193,363 201,717 203,190
Number of people with disabilities who are employed (all disabilities, ages 18-64). 75,828 82,484 83,559
Number of people without disabilities who are employed (ages 18-64). 1,115,829 1,149,198 1,172,440
Percentage of working age people who are employed (all disabilities). 39.22% 40.89% 41.12%
Percentage of working age people who are employed (NO disabilities). 73.10% 74.33% 74.80%
Overall unemployment rate. 9.50% 7.80% 6.80%
Poverty Rate (all disabilities). 19.40% 19.10% 19.60%
Poverty Rate (NO disabilities). 15.30% 14.70% 13.90%
Number of males with disabilities (all ages). 172,440 184,719 192,429
Number of females with disabilities (all ages). 184,595 190,602 190,951
Number of Caucasians with disabilities (all ages). 259,345 275,029 278,106
Number of African Americans with disabilities (all ages). 31,843 33,642 33,439
Number of Hispanic/Latinos with disabilities (all ages). 67,909 70,746 70,092
Number of American Indians/Alaska Natives with disabilities (all ages). 5,548 5,624 6,754
Number of Asians with disabilities (all ages). 18,567 19,292 22,092
Number of Hawaiians/Pacific Islanders with disabilities (all ages). 1,615 2,518 2,705
Number of with multiple races disabilities (all ages). 11,287 11,325 14,784
Number of others with disabilities (all ages). 28,830 27,891 25,500

 

SSA OUTCOMES

2013 2014 2015
Number of SSI recipients with disabilities who work. 1,720 1,788 1,979
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 4.60% 4.60% 4.80%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 62,983 64,243 65,211

 

MENTAL HEALTH OUTCOMES

2013 2014 2015
Number of mental health services consumers who are employed. 2,950 2,092 1,881
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 10,510 7,703 7,262
Number of adults served who have a known employment status. 18,537 13,518 12,649
Percentage of all state mental health agency consumers served in the community who are employed. 15.90% 15.50% 14.90%
Percentage of supported employment services evidence based practices (EBP). N/A N/A N/A
Percentage of supported housing services evidence based practices (EBP). 8.70% 8.40% 6.50%
Percentage of assertive community treatment services evidence based practices (EBP). 1.20% 1.50% 1.50%
Percentage of medications management evidence based practices (EBP). N/A N/A 2.00%
Number of evidence based practices (EBP) supported employment services. N/A N/A N/A
Number of evidence based practices (EBP) supported housing services. 1,202 1,158 813
Number of evidence based practices (EBP) assertive community treatment services. 172 201 184
Number of evidence based practices (EBP) medications management. N/A N/A 247

 

WAGNER PEYSER OUTCOMES

2013 2014 2015
Number of registered job seekers with a disability. 4,662 4,338 4,568
Proportion of registered job seekers with a disability. 0.04 0.04 0.04

 

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. 50 63 161
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 26 46 94
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. 52.00% 73.00% 58.00%
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. 0.94 1.65 3.25

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
1,527
1,665
1,649
Number of people with visual impairments served under VR. 165 154 105
Number of people with communicative (hearing loss, deafness) impairments served under VR. 172 222 234
Number of people with physical impairments served under VR. 403 394 383
Number of people cognitive impairments served under VR. 359 436 436
Number of people psychosocial impairments served under VR. 282 303 344
Number of people with mental impairments served under VR. 146 156 147
Percentage of overall closures into employment under VR. 25.30% 36.10% N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 1,524 1,754
Number of eligible ticket to work beneficiaries. N/A 91,626 93,514
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 31 N/A N/A
Total number of ID competitive labor market closures. 26 45 N/A

 

IDD OUTCOMES

2012 2013 2014
Dollars spent on day/employment services for integrated employment funding. $3,708,000 $3,617,000 $3,401,000
Dollars spent on day/employment services for facility-based work funding. $8,741,000 $9,182,000 $10,644,000
Dollars spent on day/employment services for facility-based non-work funding. $12,196,000 $13,428,000 $14,632,000
Dollars spent on day/employment services for community based non-work funding. $236,000 $250,000 $307,000
Percentage of people served in integrated employment. 21.00% 18.00% 17.00%
Number of people served in community based non-work. 28 30 23
Number of people served in facility based work. 918 1,053 1,140
Number of people served in facility based non-work. 754 859 879
Number supported in integrated employment per 100,000 individuals in the general state population. 16.60 15.40 14.40

 

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). 63.90% 64.26% 63.83%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 14.20% 14.21% 14.45%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.60% 1.47% 1.49%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 100.00% 91.30% 100.00%
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). 24.01% 21.39% 21.57%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 54.04% 56.05% 56.13%
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). 65.91% 69.77% 69.59%
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). 30.03% 34.66% 34.56%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 811,514
Number of overall total blind and SD workers. 2,144
Number of AbilityOne blind and SD hours (products). 703
Number of AbilityOne blind and SD hours (services). 199,341
Number of AbilityOne blind and SD hours (combined). 200,044
Number of AbilityOne blind and SD workers (products). 4
Number of AbilityOne blind and SD workers (services). 332
Number of AbilityOne blind and SD workers (combined). 336
AbilityOne wages (products). $5,907
AbilityOne wages (services). $2,360,666

 

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

2014 2015 2016
Number of 14(c) certificate-holding private businesses. 0 0 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 13 8 10
Number of 14(c) certificate holding patient workers. N/A 0 0
Total Number of 14(c) certificate holding entities. N/A 8 10
Reported number of people with disabilities working under 14(c) certificate holding private 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 1,178 1,309
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 0 0
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 1,178 1,309

 

Legislation


Nevada Assembly Bill 5 - 07/01/2015

AN ACT relating to public welfare; requiring the Aging and Disability Services Division of the Department of Health and Human Services to enter into an agreement with the Rehabilitation Division of the Department of Employment, Training and Rehabilitation to provide long-term support to persons with intellectual disabilities and persons with related conditions; authorizing the Administrator of the Aging and Disability Services Division to adopt regulations governing the provision of services to certain persons with intellectual disabilities and persons with related conditions; requiring the Aging and Disability Services Division to provide preferences for potential providers of jobs and day training services in issuing certificates authorizing the provision of such services and in entering into agreements concerning the provision of such services; and providing other matters properly relating thereto.

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Nevada SB 419 - 07/01/2015

"AN ACT relating to persons with disabilities; creating the Nevada ABLE Savings Program as a qualified ABLE program under the federal Achieving a Better Life Experience Act of 2014..."

"Recently enacted federal law allows for the creation of tax-advantaged savings accounts for persons who have certain qualifying disabilities. Under the program, any person, including family members, may make a contribution to the account of a person with a qualified disability. Any interest or other growth in the value of the account and distributions taken from the account are tax free. The maximum amount that can be contributed tax free to the account of a qualified person is $14,000 per year. Distributions from the account may only be used to pay expenses related to living a life with a disability and may include such things as education, housing, transportation and employment training and support."

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Nevada Assembly Bill 488: Relating to the Administration of Government Departments - 07/01/2013

"AN ACT relating to governmental administration; consolidating the Health Division and the Division of Mental Health and Developmental Services of the Department of Health and Human Services into the Division of Public and Behavioral Health of the Department; transferring the powers and duties concerning certain services to children with autism spectrum disorders from the Health Division to the Aging and Disability Services Division of the Department; transferring the authority for developmental services in the Division of Mental Health and Developmental Services to the Aging and Disability Services Division; … renaming the Commission on Mental Health and Developmental Services of the Department the Commission on Behavioral Health; making the Aging and Disability Services Division of the Department responsible for services for and other oversight relating to persons with intellectual disabilities and persons with related conditions; making various other changes to provisions relating to the organization of the divisions of the Department; and providing other matters properly relating thereto."

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

Executive Orders


Executive Order 2014-16: Establishing the Governor’s Taskforce on Integrated Employment - 07/21/2014

"…By the authority vested in me as Governor by the Constitution and laws of the State of Nevada, I hereby direct and order:

1.       The Governor’s Taskforce on Integrated Employment (“Taskforce”) is here by established.

2.       The Taskforce shall be responsible for examining and evaluating current employment programs, resources, funding, available training and employment opportunities for individuals with intellectual/developmental disabilities, and shall provide a report to the Governor, on or before July 1, 2015, setting forth their findings as well as a three, five and ten-year strategic plan for creating a more integrated workforce and expanding competitive employment opportunities for individuals with intellectual/developmental disabilities…"

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Governor’s Executive Order - Establishing a Program for the Hiring of People with Disabilities into the State Workforce - 10/08/2013

By the power vested in me as Governor by the Constitution and the laws of the State of Nevada, I hereby direct and order that all state agencies made a concerted effort to include persons with disabilities into the "preliminary and final group of    candidates" considered for each appropriate opening within the agency. It orders all state agencies to make the hiring of persons with disabilities a priority, mandating that at least five percent of openings give persons with disabilities priority.

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

Policy


Nevada’s No Wrong Door Strategic Plan 2015-2018 - 08/28/2015

Long-term services and supports (LTSS) help people with functional limitations accomplish tasks necessary for daily living. Older adults, and those living with disabilities, will often need assistance with issues such as bathing, getting dressed, fixing meals, and managing a home. Others may need behavioral health care to encourage growth and development, or to manage the challenges of everyday life. All of these services are best provided in a consumer’s own home and community, however, they are not always easy to identify or access.

 Finding the right long term services and supports to fit a family’s needs can be difficult. There are a variety of different service providers, funding streams, and eligibility requirements that can make the search confusing, difficult, or frustrating. To address this reality, Nevada has been actively pursuing improvements to its LTSS system. Multiple state division mergers and streamlined access through implementation of the Money Follows the Person (MFP) approach and Balancing Incentives Program (BIP) are some of the efforts used to support improvement. 1 Most recently, the state established an Advisory Board to develop a 3-year plan to develop a comprehensive “No Wrong Door” (NWD) approach to LTSS services for all Nevadans regardless of age or payee status.

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

Integrated Employment Research Report - 01/15/2015

The Governor’s Taskforce on Integrated Employment is responsible for examining and evaluating current employment programs, resources, funding, available training, and employment opportunities for people with intellectual/developmental disabilities (referred to throughout as I/DD), and for providing a report to the Governor... The Taskforce is also responsible for developing a three, five, and ten-year strategic plan (2015-2025) that will result in "creating a more integrated workforce and expanding competitive employment opportunities for individuals with intellectual/developmental disabilities."

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Mental Health
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Vocational Rehabilitation: Employment Supports Job Development/Placement - 07/01/2014

This document provides the fee schedule for job placement and supported employment services for Nevada Vocational Rehabilitation as of July 2014.

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Provider Transformation

Nevada’s Strategic Plan for Integration of Developmental Services and Early Intervention Services into the ADSD - 06/15/2014

The Aging and Disability Services Division (ADSD) represents Nevadans who are aged or have a disability, regardless of age, and assists the broader community that touches their lives. Through advocacy, counseling and a broad array of supportive services, ADSD strives to create an environment that enables all of the Nevadans they serve to be self-sufficient, independent and safe. In the 2013 Nevada Legislature, Assembly Bill (AB) 488 took integration a step further by transferring Developmental Services (DS) and Nevada Early Intervention Services (NEIS) to ADSD. Formerly DS was housed within Mental Health and Developmental Services (MHDS) and NEIS was housed within the Health Division. (Since then, Health and MHDS have also merged to become the Division of Public and Behavioral Health.) The benefits of integrating the services include a better ability to:

Promote community living for Nevadans with disabilities of all ages (across the lifespan) Create and enhance strategies to ensure the necessary services and supports Provide a responsive and effective service system that acknowledges unique needs Firmly establish no wrong door for services Expand outreach efforts Promote seamless service delivery including transitions across programs to obtain the full spectrum of care and better service coordination for participants with similar needs Improve access to information on community services and supports such as housing, employment, education, social participation, etc. Create a similar comprehensive community provider application and oversight process Strengthen basic infrastructure such as information technology (IT), fiscal and accountability
Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Scope of Work Employment Supports Job Development/Placement, Community Based Assessment Site Development and Monitoring, Job Coaching, and Advocacy Services - 06/01/2014

This document describes the Scope of Work for Supported Employment services provided by the Nevada Vocational Rehabilitation Division. The services include, but are not limited to, Job Development/Placement, Community Based Assessment (CBA) Site Development, Community Based Assessment (CBA) Site Monitoring, job coaching, and advocacy.

 

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Provider Transformation

Nevada Governor’s Council on Developmental Disabilities: Position Statement on Integrated Employment - 05/21/2014

Work is a fundamental part of adult life, and the benefits of integrated employment for individuals with intellectual/developmental disabilities (IDD) have been clearly demonstrated. It gives us a sense of purpose; shaping who we are and how we fit into our community. Nevadans with IDD must not be deprived of the opportunity to work within the general workforce and make a meaningful contribution. Individuals in the labor force have a positive financial impact on our economy, generating income that is ultimately returned in the form of tax revenues. There is literature filled with examples of the benefits and Return on Investment (ROI) when individuals with IDD are working and contributing vocationally in their community. Our state is becoming more diverse and Nevadans with IDD should be included in diversifying the workforce. This can be achieved through established supported employment practices. Improving employment outcomes for Nevadans with IDD at the state level requires a holistic approach that communicates a clear message, incorporates policy change, funding, capacity development, interagency partnerships, outcome measurement and service innovation.

 

 

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Mental Health
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Vocational Rehabilitation: Definition of Terms - 07/01/2006

This document provides an extensive list of service definitions for Vocational Rehabilitation in Nevada. It includes definitions for integrated employment, ongoing support services, competitive employment and supported employment, among many others.

Systems
  • Department of Rehabilitation Services
Topics
  • Provider Transformation

Section 15 – Vocational Rehabilitation Supported Employment Policy - 06/01/2006

This document outlines Vocational Rehabilitation’s policy on Supported Employment. It includes information on the referral and assessment process, the range of services available and Individualized Plans for Employment (IPE).

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Provider Transformation

Nevada’s Strategic Plan on Integrated Employment (2015)

On July 21, 2014, through Executive Order 2014-16, the Governor’s Taskforce on Integrated Employment (herein referred as “Taskforce”) was established by Brian Sandoval, Governor of Nevada. The Taskforce is responsible for examining and evaluating current employment programs, resources, funding, available training, and employment opportunities for people with intellectual/developmental disabilities (referred to throughout as I/DD), and for providing a report to the Governor, on or before July 1, 2015.

The Taskforce is also responsible for developing a three, five, and ten-year strategic plan (2015-2025) that will result in “creating a more integrated workforce and expanding competitive employment opportunities for individuals with intellectual/developmental disabilities.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Other
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Nevada Bureau of Vocational Rehabilitation, Department of Employment, Training, and Rehabilitation, Rehabilitation Division

“MISSION: To bring Nevadans together to promote barrier-free communities in which individuals with disabilities have access to opportunities for quality work and self-sufficiency.”

 

 

“Goal #1

Emphasize the employment potential of students with disabilities and improve transition from school to work and school to post-secondary education.

Goal #2

Extend outreach efforts toward diverse populations of Nevadans with disabilities

Goal #3

Extend outreach efforts toward ethnically diverse populations, specifically minority populations with disabilities represented in Nevada’s workforce.

Goal #4

Work together and share resources with state, private, non-profit agencies to leverage resources and coordinate benefit opportunities in order to maximize the overall employment outcomes.

Goal #5

Emphasize the employment potential of applicants and eligible persons receiving Supported employment services”.

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

Partnerships


Nevada Disability Services Unit: Cooperation, Collaboration, Coordination - 01/08/2016

The DWSS inter-local contract refers welfare recipients to VR programs for completion of vocational testing and assessment. The DSU has been collaborating with other reciprocal agencies in the delivery of service to individuals who need supportive services or assistance in activities of daily living. Working with the ADSD’s Independent Living program, and their recipient of the Assistive Technology Act of 1998 funds, allows for greater community involvement and co-sharing of responsibilities and costs. As such, the DSU and the Independent Living program continue to utilize their interlocal agreement to collaboratively case manage and cost-share goods and services that meet a particular need for an individual who is a mutual client of both the Independent Living and VR programs.

 

 

 

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

Nevada Employment First

“Employment in the general workforce is the first and preferred outcome in the provision of publicly funded services for all

working age citizens with disabilities, regardless of level of disability. The expectation is that people work!”

Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Nevada State Use Program

The Department of Employment, Training and Rehabilitation (DETR), Rehabilitation Division manages Nevada’s State Use Program, Preferred Purchase, in support of workers with disabilities who simply want to be productive working citizens. We help individuals accomplish that goal while providing valuable benefits to government agencies that choose to utilize the services offered.

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

Nevada State Rehabilitation Council

“The mission of the Nevada State Rehabilitation Council (NSRC) is to help ensure that vocational rehabilitation programs (Bureau of Vocational Rehabilitation and Bureau of Services to the Blind and Visually Impaired) are consumer oriented, consumer driven, and that the programs' services and resources result in employment outcomes for Nevadans with disabilities….

 The Council may assist you or others in the community in the following ways:  

1.       Help individuals with disabilities obtain services which may help them become employable.

2.       Put employers in contact with individuals with disabilities who may fill their staffing needs.

3.       Receive and relay client experiences about the state or the community vocational rehabilitation programs.

Receive and relay ideas about improving vocational rehabilitation services.

The Council has a minimum of 16 members as required by the Rehabilitation Act of 1973 as amended.”  

 

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


Nevada’s No Wrong Door Strategic Plan 2015-2018 - 08/28/2015

Long-term services and supports (LTSS) help people with functional limitations accomplish tasks necessary for daily living. Older adults, and those living with disabilities, will often need assistance with issues such as bathing, getting dressed, fixing meals, and managing a home. Others may need behavioral health care to encourage growth and development, or to manage the challenges of everyday life. All of these services are best provided in a consumer’s own home and community, however, they are not always easy to identify or access.

 Finding the right long term services and supports to fit a family’s needs can be difficult. There are a variety of different service providers, funding streams, and eligibility requirements that can make the search confusing, difficult, or frustrating. To address this reality, Nevada has been actively pursuing improvements to its LTSS system. Multiple state division mergers and streamlined access through implementation of the Money Follows the Person (MFP) approach and Balancing Incentives Program (BIP) are some of the efforts used to support improvement. Most recently, the state established an Advisory Board to develop a 3-year plan to develop a comprehensive “No Wrong Door” (NWD) approach to LTSS services for all Nevadans regardless of age or payee status.

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

Nevada Money Follows the Person (MFP) Transitioning Home Program - 05/30/2006

Through the Money Follows the Person (MFP) Transitioning Home program, a new offering from the State of Nevada, eligible participants will be provided with the services, support, and assistance necessary to move back into a community setting, such as an apartment or family home.

In order to help eligible participants with the transition process, the program can pay for goods and services, such as furniture, appliances, moving expenses, and housing deposits. See the SERVICES tab for a full list of program benefits.

MFP also gives most participants the option of self-direction, allowing them to decide where they want to live and who will assist them upon returning to the community.

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Nevada Medicaid Infrastructure Grant - 10/01/2000

"The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The 11-year competitive grant program provides funding to states for Medicaid infrastructure development that will build supports for people with disabilities who would like to be employed. States are encouraged to use grant funding to implement and develop the optional working disabled eligibility group (Medicaid buy-in), increase the availability of statewide personal assistance services, form linkages with other state and local agencies that provide employment related supports, and create a seamless infrastructure that will maximize the employment potential of all people with disabilities. For additional information concerning the Medicaid Infrastructure Grant Program, please visit our Web site."

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

Nevada Ticket to Work

"If you are currently receiving SSI or SSDI benefits, the Ticket to Work program can help you find the job that is right for you, and you can safely explore your work options without losing your benefits until you have stabilized your job and earnings.

You can easily return to benefits if you have to stop working You can continue to receive healthcare benefits You will not receive a medical continuing disability review (CDR) while using your Ticket"
Systems
  • Department of Rehabilitation Services
Topics
  • 14(c)/Income Security

Nevada Medicaid Infrastructure Grant

Nevada’s Medicaid Infrastructure Grant supports the competitive employment of people with disabilities by enhancing the state’s employment infrastructure and service delivery systems.  Section 203 of the Ticket to Work and Work Incentives Improvement Act (TWWIIA) of 1999 established a grant program supporting state efforts to better serve people with disabilities who are employed, as well as those who are seeking employment.  Funding for this program is intended to facilitate enhancements to State Medicaid programs and services, to promote linkages between Medicaid and other employment-related service agencies, and to develop a comprehensive system of employment supports for people with disabilities.  The Centers for Medicare & Medicaid Services (CMS) is the designated federal agency with administrative responsibility for this grant program. 

 
Systems
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Training/Capacity Building


Customized Employment: Presentation by the Nevada Center for Excellence in Disabilities - 05/21/2014

This presentation given by the staff at the Nevada Center for Excellence in Disabilities defines Employment First (EF) & Customized Employment (CE), elaborates upon the Nevada Collaborators, describes the philosophy, practices, and descendants of CE, and explains who can be served by the CE Project and what those job seekers can hope to achieve.

 
Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Nevada Customized Employment Project - 09/25/2013

The Customized Employment Project, a partnership between the Nevada Rehabilitation Division at the Department of Employment, Training, and Rehabilitation (DETR), Sierra Regional Center at Developmental Services, and the Nevada Center for Excellence in Disabilities (NCED), is a flexible process designed to personalize the employment relationship between a job candidate and an employer in a way that meets the needs of both. It is based on an individualized match between the strengths, conditions and interests of a job candidate and the identified business needs of an employer. Customized employment utilizes an individualized approach to employment planning and job development - one person at a time - one employer at a time.”

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Nevada Disability Services Unit: Comprehensive System of Personnel Development - 02/28/2012

The Rehabilitation Division, as the DSU, has established procedures and activities setting forth the Comprehensive System of Personnel Development[MW1]  (CSPD), which will ensure an adequate supply of qualified Rehabilitation professionals and paraprofessionals for the operation of the Vocational Rehabilitation programs.

The CSPD is coordinated by the Administrator of the DSU with the participation of: the Nevada State Rehabilitation Council (NSRC), Human Resources staff of the Department of Employment, Training, and Rehabilitation (DETR), and staff of the Bureaus of Vocational Rehabilitation (BVR) and Services to the Blind and Visually Impaired (BSBVI). DETR’s personnel records enable an annual analysis of the numbers and types of Rehabilitation personnel. Through the State of Nevada Personnel Department database, information on budgeted positions, duration of vacancy for each position and vacancy rates are available through a data warehouse system.

In addition, a personnel log is maintained at the agency level, delineating the location, type of position and date vacated in order to provide current tracking of vacancies including the status of each vacant position. This tracking mechanism has proved successful in reducing the vacancy rate and the amount of time that each position is vacant. All the sources of information are used to track and forecast the DSU’s personnel needs.

 

 

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

Emerging Practices from Vocational Rehabilitation

This summary document describes different initiatives and emerging practices in the state of Nevada that aim at improving employment outcomes for people with disabilities. The projects include CRAVE, Customized Employment, Voice, Career Development Academy, and the Pathways to Work.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

NV Department of Employment, Training, and Rehabilitation

This website contains information on the Job Development Training Series, “Creating Employment Opportunities.”  The modules in the series include: Introduction to Job Development and the Role of the Job Developer, Getting to Know Your Customer; The Employer as Partner; and Job Placement and Retention Services.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Customized Employment
  • Employer Engagement

Enforcement

No Enforcement have been entered for this state.

Medicaid & Employment


Nevada HCBS Transition Plan - 07/09/2015

The Centers for Medicare and Medicaid Services (CMS) issued new regulations in early 2014 that define the home and community based settings that will be allowable under HCBS. The purpose of these regulations is to ensure that individuals receiving HCBS are fully integrated into the community in which they live. These individuals must be offered opportunities to seek employment and engage in community activities in the same manner as individuals who do not receive HCBS.

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

NV HCBW for Persons w/ID and Related Conditions (0125.R06.00) - 10/01/2013

Provides day hab, prevocational, residential support, supported employment, behavioral consultation-training & intervention, counseling, career planning, non-medical transportation, nursing, nutrition counseling, residential support management for individuals w/ID ages 0 - no max age

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

Application for a 1915(c) Home and Community-Based Services Waiver - 10/01/2013

The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in ­1915(c) of the Social Security Act. The program permits a State to furnish an array of home and community-based services that assist Medicaid beneficiaries to live in the community and avoid institutionalization. The State has broad discretion to design its waiver program to address the needs of the waiver­s target population. Waiver services complement and/or supplement the services that are available to participants through the Medicaid.

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

Nevada Medicaid Infrastructure Grant - 10/01/2000

The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The 11-year competitive grant program provides funding to states for Medicaid infrastructure development that will build supports for people with disabilities who would like to be employed. States are encouraged to use grant funding to implement and develop the optional working disabled eligibility group (Medicaid buy-in), increase the availability of statewide personal assistance services, form linkages with other state and local agencies that provide employment related supports, and create a seamless infrastructure that will maximize the employment potential of all people with disabilities. For additional information concerning the Medicaid Infrastructure Grant Program, please visit our Web site.

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

Nevada Balancing Incentives Program

"The Balancing Incentive Program is a grant-funded program established by the Affordable Care Act through the Centers for Medicare and Medicaid Services (CMS). The goal of the program is to make structural changes to the way individuals access long term services and supports (LTSS) in order to rebalance institutional care with home and community based services. The desired result is to increase the amount spent on home and community based services to 50% of total spending on LTSS.

As required by the funding authorization, Nevada Medicaid (Division of Health Care Financing and Policy) is the lead agency for the BIP. The BIP team, however, is made up of a large number of cross-functional and cross-agency contributors who have been instrumental in moving the project toward its goals and objectives. Many of the projects and workgroups related to BIP have been collaborations between Nevada's Aging and Disability Services Division and Nevada Medicaid. In addition, many other state agencies and contractors have contributed in important ways."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Nevada Medicaid State Plan

The Medicaid and CHIP state plans are agreements between Nevada and the federal government describing how we administer these programs. It gives an assurance that Nevada will abide by federal rules and may claim federal matching funds for program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are under way in the state.

 
Systems
  • Medicaid Agencies

Nevada Medicaid Spending Comparison Charts

This document provides comparison charts on Medicaid and non-Medicaid spending in the state of Nevada as of 2013.

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

States - Small Tablet

Snapshot

In the Silver State of Nevada, workers with disabilities don't have to take a gamble on their future when it comes to finding career success and employment opportunities.

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 Nevada’s VR Rates and Services

2015 State Population.
1.79%
Change from
2014 to 2015
2,890,845
2015 Number of people with disabilities (all disabilities, ages 18-64).
0.72%
Change from
2014 to 2015
203,190
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
1.29%
Change from
2014 to 2015
83,559
2015 Percentage of working age people who are employed (all disabilities).
0.56%
Change from
2014 to 2015
41.12%
2015 Percentage of working age people who are employed (NO disabilities).
0.63%
Change from
2014 to 2015
74.80%

State Data

General

2013 2014 2015
Population. 2,790,136 2,839,099 2,890,845
Number of people with disabilities (all disabilities, ages 18-64). 193,363 201,717 203,190
Number of people with disabilities who are employed (all disabilities, ages 18-64). 75,828 82,484 83,559
Number of people without disabilities who are employed (ages 18-64). 1,115,829 1,149,198 1,172,440
Percentage of working age people who are employed (all disabilities). 39.22% 40.89% 41.12%
Percentage of working age people who are employed (NO disabilities). 73.10% 74.33% 74.80%
Overall unemployment rate. 9.50% 7.80% 6.80%
Poverty Rate (all disabilities). 19.40% 19.10% 19.60%
Poverty Rate (NO disabilities). 15.30% 14.70% 13.90%
Number of males with disabilities (all ages). 172,440 184,719 192,429
Number of females with disabilities (all ages). 184,595 190,602 190,951
Number of Caucasians with disabilities (all ages). 259,345 275,029 278,106
Number of African Americans with disabilities (all ages). 31,843 33,642 33,439
Number of Hispanic/Latinos with disabilities (all ages). 67,909 70,746 70,092
Number of American Indians/Alaska Natives with disabilities (all ages). 5,548 5,624 6,754
Number of Asians with disabilities (all ages). 18,567 19,292 22,092
Number of Hawaiians/Pacific Islanders with disabilities (all ages). 1,615 2,518 2,705
Number of with multiple races disabilities (all ages). 11,287 11,325 14,784
Number of others with disabilities (all ages). 28,830 27,891 25,500

 

SSA OUTCOMES

2013 2014 2015
Number of SSI recipients with disabilities who work. 1,720 1,788 1,979
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 4.60% 4.60% 4.80%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 62,983 64,243 65,211

 

MENTAL HEALTH OUTCOMES

2013 2014 2015
Number of mental health services consumers who are employed. 2,950 2,092 1,881
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 10,510 7,703 7,262
Number of adults served who have a known employment status. 18,537 13,518 12,649
Percentage of all state mental health agency consumers served in the community who are employed. 15.90% 15.50% 14.90%
Percentage of supported employment services evidence based practices (EBP). N/A N/A N/A
Percentage of supported housing services evidence based practices (EBP). 8.70% 8.40% 6.50%
Percentage of assertive community treatment services evidence based practices (EBP). 1.20% 1.50% 1.50%
Percentage of medications management evidence based practices (EBP). N/A N/A 2.00%
Number of evidence based practices (EBP) supported employment services. N/A N/A N/A
Number of evidence based practices (EBP) supported housing services. 1,202 1,158 813
Number of evidence based practices (EBP) assertive community treatment services. 172 201 184
Number of evidence based practices (EBP) medications management. N/A N/A 247

 

WAGNER PEYSER OUTCOMES

2013 2014 2015
Number of registered job seekers with a disability. 4,662 4,338 4,568
Proportion of registered job seekers with a disability. 0.04 0.04 0.04

 

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. 50 63 161
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 26 46 94
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. 52.00% 73.00% 58.00%
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. 0.94 1.65 3.25

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
1,527
1,665
1,649
Number of people with visual impairments served under VR. 165 154 105
Number of people with communicative (hearing loss, deafness) impairments served under VR. 172 222 234
Number of people with physical impairments served under VR. 403 394 383
Number of people cognitive impairments served under VR. 359 436 436
Number of people psychosocial impairments served under VR. 282 303 344
Number of people with mental impairments served under VR. 146 156 147
Percentage of overall closures into employment under VR. 25.30% 36.10% N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 1,524 1,754
Number of eligible ticket to work beneficiaries. N/A 91,626 93,514
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 31 N/A N/A
Total number of ID competitive labor market closures. 26 45 N/A

 

IDD OUTCOMES

2012 2013 2014
Dollars spent on day/employment services for integrated employment funding. $3,708,000 $3,617,000 $3,401,000
Dollars spent on day/employment services for facility-based work funding. $8,741,000 $9,182,000 $10,644,000
Dollars spent on day/employment services for facility-based non-work funding. $12,196,000 $13,428,000 $14,632,000
Dollars spent on day/employment services for community based non-work funding. $236,000 $250,000 $307,000
Percentage of people served in integrated employment. 21.00% 18.00% 17.00%
Number of people served in community based non-work. 28 30 23
Number of people served in facility based work. 918 1,053 1,140
Number of people served in facility based non-work. 754 859 879
Number supported in integrated employment per 100,000 individuals in the general state population. 16.60 15.40 14.40

 

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). 63.90% 64.26% 63.83%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 14.20% 14.21% 14.45%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.60% 1.47% 1.49%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 100.00% 91.30% 100.00%
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). 24.01% 21.39% 21.57%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 54.04% 56.05% 56.13%
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). 65.91% 69.77% 69.59%
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). 30.03% 34.66% 34.56%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 811,514
Number of overall total blind and SD workers. 2,144
Number of AbilityOne blind and SD hours (products). 703
Number of AbilityOne blind and SD hours (services). 199,341
Number of AbilityOne blind and SD hours (combined). 200,044
Number of AbilityOne blind and SD workers (products). 4
Number of AbilityOne blind and SD workers (services). 332
Number of AbilityOne blind and SD workers (combined). 336
AbilityOne wages (products). $5,907
AbilityOne wages (services). $2,360,666

 

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

2014 2015 2016
Number of 14(c) certificate-holding private businesses. 0 0 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 13 8 10
Number of 14(c) certificate holding patient workers. N/A 0 0
Total Number of 14(c) certificate holding entities. N/A 8 10
Reported number of people with disabilities working under 14(c) certificate holding private 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 1,178 1,309
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 0 0
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 1,178 1,309

 

Legislation


Nevada Assembly Bill 5 - 07/01/2015

AN ACT relating to public welfare; requiring the Aging and Disability Services Division of the Department of Health and Human Services to enter into an agreement with the Rehabilitation Division of the Department of Employment, Training and Rehabilitation to provide long-term support to persons with intellectual disabilities and persons with related conditions; authorizing the Administrator of the Aging and Disability Services Division to adopt regulations governing the provision of services to certain persons with intellectual disabilities and persons with related conditions; requiring the Aging and Disability Services Division to provide preferences for potential providers of jobs and day training services in issuing certificates authorizing the provision of such services and in entering into agreements concerning the provision of such services; and providing other matters properly relating thereto.

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Nevada SB 419 - 07/01/2015

"AN ACT relating to persons with disabilities; creating the Nevada ABLE Savings Program as a qualified ABLE program under the federal Achieving a Better Life Experience Act of 2014..."

"Recently enacted federal law allows for the creation of tax-advantaged savings accounts for persons who have certain qualifying disabilities. Under the program, any person, including family members, may make a contribution to the account of a person with a qualified disability. Any interest or other growth in the value of the account and distributions taken from the account are tax free. The maximum amount that can be contributed tax free to the account of a qualified person is $14,000 per year. Distributions from the account may only be used to pay expenses related to living a life with a disability and may include such things as education, housing, transportation and employment training and support."

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Nevada Assembly Bill 488: Relating to the Administration of Government Departments - 07/01/2013

"AN ACT relating to governmental administration; consolidating the Health Division and the Division of Mental Health and Developmental Services of the Department of Health and Human Services into the Division of Public and Behavioral Health of the Department; transferring the powers and duties concerning certain services to children with autism spectrum disorders from the Health Division to the Aging and Disability Services Division of the Department; transferring the authority for developmental services in the Division of Mental Health and Developmental Services to the Aging and Disability Services Division; … renaming the Commission on Mental Health and Developmental Services of the Department the Commission on Behavioral Health; making the Aging and Disability Services Division of the Department responsible for services for and other oversight relating to persons with intellectual disabilities and persons with related conditions; making various other changes to provisions relating to the organization of the divisions of the Department; and providing other matters properly relating thereto."

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

Executive Orders


Executive Order 2014-16: Establishing the Governor’s Taskforce on Integrated Employment - 07/21/2014

"…By the authority vested in me as Governor by the Constitution and laws of the State of Nevada, I hereby direct and order:

1.       The Governor’s Taskforce on Integrated Employment (“Taskforce”) is here by established.

2.       The Taskforce shall be responsible for examining and evaluating current employment programs, resources, funding, available training and employment opportunities for individuals with intellectual/developmental disabilities, and shall provide a report to the Governor, on or before July 1, 2015, setting forth their findings as well as a three, five and ten-year strategic plan for creating a more integrated workforce and expanding competitive employment opportunities for individuals with intellectual/developmental disabilities…"

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Governor’s Executive Order - Establishing a Program for the Hiring of People with Disabilities into the State Workforce - 10/08/2013

By the power vested in me as Governor by the Constitution and the laws of the State of Nevada, I hereby direct and order that all state agencies made a concerted effort to include persons with disabilities into the "preliminary and final group of    candidates" considered for each appropriate opening within the agency. It orders all state agencies to make the hiring of persons with disabilities a priority, mandating that at least five percent of openings give persons with disabilities priority.

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

Policy


Nevada’s No Wrong Door Strategic Plan 2015-2018 - 08/28/2015

Long-term services and supports (LTSS) help people with functional limitations accomplish tasks necessary for daily living. Older adults, and those living with disabilities, will often need assistance with issues such as bathing, getting dressed, fixing meals, and managing a home. Others may need behavioral health care to encourage growth and development, or to manage the challenges of everyday life. All of these services are best provided in a consumer’s own home and community, however, they are not always easy to identify or access.

 Finding the right long term services and supports to fit a family’s needs can be difficult. There are a variety of different service providers, funding streams, and eligibility requirements that can make the search confusing, difficult, or frustrating. To address this reality, Nevada has been actively pursuing improvements to its LTSS system. Multiple state division mergers and streamlined access through implementation of the Money Follows the Person (MFP) approach and Balancing Incentives Program (BIP) are some of the efforts used to support improvement. 1 Most recently, the state established an Advisory Board to develop a 3-year plan to develop a comprehensive “No Wrong Door” (NWD) approach to LTSS services for all Nevadans regardless of age or payee status.

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

Integrated Employment Research Report - 01/15/2015

The Governor’s Taskforce on Integrated Employment is responsible for examining and evaluating current employment programs, resources, funding, available training, and employment opportunities for people with intellectual/developmental disabilities (referred to throughout as I/DD), and for providing a report to the Governor... The Taskforce is also responsible for developing a three, five, and ten-year strategic plan (2015-2025) that will result in "creating a more integrated workforce and expanding competitive employment opportunities for individuals with intellectual/developmental disabilities."

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Mental Health
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Vocational Rehabilitation: Employment Supports Job Development/Placement - 07/01/2014

This document provides the fee schedule for job placement and supported employment services for Nevada Vocational Rehabilitation as of July 2014.

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Provider Transformation

Nevada’s Strategic Plan for Integration of Developmental Services and Early Intervention Services into the ADSD - 06/15/2014

The Aging and Disability Services Division (ADSD) represents Nevadans who are aged or have a disability, regardless of age, and assists the broader community that touches their lives. Through advocacy, counseling and a broad array of supportive services, ADSD strives to create an environment that enables all of the Nevadans they serve to be self-sufficient, independent and safe. In the 2013 Nevada Legislature, Assembly Bill (AB) 488 took integration a step further by transferring Developmental Services (DS) and Nevada Early Intervention Services (NEIS) to ADSD. Formerly DS was housed within Mental Health and Developmental Services (MHDS) and NEIS was housed within the Health Division. (Since then, Health and MHDS have also merged to become the Division of Public and Behavioral Health.) The benefits of integrating the services include a better ability to:

Promote community living for Nevadans with disabilities of all ages (across the lifespan) Create and enhance strategies to ensure the necessary services and supports Provide a responsive and effective service system that acknowledges unique needs Firmly establish no wrong door for services Expand outreach efforts Promote seamless service delivery including transitions across programs to obtain the full spectrum of care and better service coordination for participants with similar needs Improve access to information on community services and supports such as housing, employment, education, social participation, etc. Create a similar comprehensive community provider application and oversight process Strengthen basic infrastructure such as information technology (IT), fiscal and accountability
Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Scope of Work Employment Supports Job Development/Placement, Community Based Assessment Site Development and Monitoring, Job Coaching, and Advocacy Services - 06/01/2014

This document describes the Scope of Work for Supported Employment services provided by the Nevada Vocational Rehabilitation Division. The services include, but are not limited to, Job Development/Placement, Community Based Assessment (CBA) Site Development, Community Based Assessment (CBA) Site Monitoring, job coaching, and advocacy.

 

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Provider Transformation

Nevada Governor’s Council on Developmental Disabilities: Position Statement on Integrated Employment - 05/21/2014

Work is a fundamental part of adult life, and the benefits of integrated employment for individuals with intellectual/developmental disabilities (IDD) have been clearly demonstrated. It gives us a sense of purpose; shaping who we are and how we fit into our community. Nevadans with IDD must not be deprived of the opportunity to work within the general workforce and make a meaningful contribution. Individuals in the labor force have a positive financial impact on our economy, generating income that is ultimately returned in the form of tax revenues. There is literature filled with examples of the benefits and Return on Investment (ROI) when individuals with IDD are working and contributing vocationally in their community. Our state is becoming more diverse and Nevadans with IDD should be included in diversifying the workforce. This can be achieved through established supported employment practices. Improving employment outcomes for Nevadans with IDD at the state level requires a holistic approach that communicates a clear message, incorporates policy change, funding, capacity development, interagency partnerships, outcome measurement and service innovation.

 

 

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Mental Health
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Vocational Rehabilitation: Definition of Terms - 07/01/2006

This document provides an extensive list of service definitions for Vocational Rehabilitation in Nevada. It includes definitions for integrated employment, ongoing support services, competitive employment and supported employment, among many others.

Systems
  • Department of Rehabilitation Services
Topics
  • Provider Transformation

Section 15 – Vocational Rehabilitation Supported Employment Policy - 06/01/2006

This document outlines Vocational Rehabilitation’s policy on Supported Employment. It includes information on the referral and assessment process, the range of services available and Individualized Plans for Employment (IPE).

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Provider Transformation

Nevada’s Strategic Plan on Integrated Employment (2015)

On July 21, 2014, through Executive Order 2014-16, the Governor’s Taskforce on Integrated Employment (herein referred as “Taskforce”) was established by Brian Sandoval, Governor of Nevada. The Taskforce is responsible for examining and evaluating current employment programs, resources, funding, available training, and employment opportunities for people with intellectual/developmental disabilities (referred to throughout as I/DD), and for providing a report to the Governor, on or before July 1, 2015.

The Taskforce is also responsible for developing a three, five, and ten-year strategic plan (2015-2025) that will result in “creating a more integrated workforce and expanding competitive employment opportunities for individuals with intellectual/developmental disabilities.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Other
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Nevada Bureau of Vocational Rehabilitation, Department of Employment, Training, and Rehabilitation, Rehabilitation Division

“MISSION: To bring Nevadans together to promote barrier-free communities in which individuals with disabilities have access to opportunities for quality work and self-sufficiency.”

 

 

“Goal #1

Emphasize the employment potential of students with disabilities and improve transition from school to work and school to post-secondary education.

Goal #2

Extend outreach efforts toward diverse populations of Nevadans with disabilities

Goal #3

Extend outreach efforts toward ethnically diverse populations, specifically minority populations with disabilities represented in Nevada’s workforce.

Goal #4

Work together and share resources with state, private, non-profit agencies to leverage resources and coordinate benefit opportunities in order to maximize the overall employment outcomes.

Goal #5

Emphasize the employment potential of applicants and eligible persons receiving Supported employment services”.

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

Partnerships


Nevada Disability Services Unit: Cooperation, Collaboration, Coordination - 01/08/2016

The DWSS inter-local contract refers welfare recipients to VR programs for completion of vocational testing and assessment. The DSU has been collaborating with other reciprocal agencies in the delivery of service to individuals who need supportive services or assistance in activities of daily living. Working with the ADSD’s Independent Living program, and their recipient of the Assistive Technology Act of 1998 funds, allows for greater community involvement and co-sharing of responsibilities and costs. As such, the DSU and the Independent Living program continue to utilize their interlocal agreement to collaboratively case manage and cost-share goods and services that meet a particular need for an individual who is a mutual client of both the Independent Living and VR programs.

 

 

 

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

Nevada Employment First

“Employment in the general workforce is the first and preferred outcome in the provision of publicly funded services for all

working age citizens with disabilities, regardless of level of disability. The expectation is that people work!”

Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Nevada State Use Program

The Department of Employment, Training and Rehabilitation (DETR), Rehabilitation Division manages Nevada’s State Use Program, Preferred Purchase, in support of workers with disabilities who simply want to be productive working citizens. We help individuals accomplish that goal while providing valuable benefits to government agencies that choose to utilize the services offered.

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

Nevada State Rehabilitation Council

“The mission of the Nevada State Rehabilitation Council (NSRC) is to help ensure that vocational rehabilitation programs (Bureau of Vocational Rehabilitation and Bureau of Services to the Blind and Visually Impaired) are consumer oriented, consumer driven, and that the programs' services and resources result in employment outcomes for Nevadans with disabilities….

 The Council may assist you or others in the community in the following ways:  

1.       Help individuals with disabilities obtain services which may help them become employable.

2.       Put employers in contact with individuals with disabilities who may fill their staffing needs.

3.       Receive and relay client experiences about the state or the community vocational rehabilitation programs.

Receive and relay ideas about improving vocational rehabilitation services.

The Council has a minimum of 16 members as required by the Rehabilitation Act of 1973 as amended.”  

 

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


Nevada’s No Wrong Door Strategic Plan 2015-2018 - 08/28/2015

Long-term services and supports (LTSS) help people with functional limitations accomplish tasks necessary for daily living. Older adults, and those living with disabilities, will often need assistance with issues such as bathing, getting dressed, fixing meals, and managing a home. Others may need behavioral health care to encourage growth and development, or to manage the challenges of everyday life. All of these services are best provided in a consumer’s own home and community, however, they are not always easy to identify or access.

 Finding the right long term services and supports to fit a family’s needs can be difficult. There are a variety of different service providers, funding streams, and eligibility requirements that can make the search confusing, difficult, or frustrating. To address this reality, Nevada has been actively pursuing improvements to its LTSS system. Multiple state division mergers and streamlined access through implementation of the Money Follows the Person (MFP) approach and Balancing Incentives Program (BIP) are some of the efforts used to support improvement. Most recently, the state established an Advisory Board to develop a 3-year plan to develop a comprehensive “No Wrong Door” (NWD) approach to LTSS services for all Nevadans regardless of age or payee status.

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

Nevada Money Follows the Person (MFP) Transitioning Home Program - 05/30/2006

Through the Money Follows the Person (MFP) Transitioning Home program, a new offering from the State of Nevada, eligible participants will be provided with the services, support, and assistance necessary to move back into a community setting, such as an apartment or family home.

In order to help eligible participants with the transition process, the program can pay for goods and services, such as furniture, appliances, moving expenses, and housing deposits. See the SERVICES tab for a full list of program benefits.

MFP also gives most participants the option of self-direction, allowing them to decide where they want to live and who will assist them upon returning to the community.

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Nevada Medicaid Infrastructure Grant - 10/01/2000

"The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The 11-year competitive grant program provides funding to states for Medicaid infrastructure development that will build supports for people with disabilities who would like to be employed. States are encouraged to use grant funding to implement and develop the optional working disabled eligibility group (Medicaid buy-in), increase the availability of statewide personal assistance services, form linkages with other state and local agencies that provide employment related supports, and create a seamless infrastructure that will maximize the employment potential of all people with disabilities. For additional information concerning the Medicaid Infrastructure Grant Program, please visit our Web site."

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

Nevada Ticket to Work

"If you are currently receiving SSI or SSDI benefits, the Ticket to Work program can help you find the job that is right for you, and you can safely explore your work options without losing your benefits until you have stabilized your job and earnings.

You can easily return to benefits if you have to stop working You can continue to receive healthcare benefits You will not receive a medical continuing disability review (CDR) while using your Ticket"
Systems
  • Department of Rehabilitation Services
Topics
  • 14(c)/Income Security

Nevada Medicaid Infrastructure Grant

Nevada’s Medicaid Infrastructure Grant supports the competitive employment of people with disabilities by enhancing the state’s employment infrastructure and service delivery systems.  Section 203 of the Ticket to Work and Work Incentives Improvement Act (TWWIIA) of 1999 established a grant program supporting state efforts to better serve people with disabilities who are employed, as well as those who are seeking employment.  Funding for this program is intended to facilitate enhancements to State Medicaid programs and services, to promote linkages between Medicaid and other employment-related service agencies, and to develop a comprehensive system of employment supports for people with disabilities.  The Centers for Medicare & Medicaid Services (CMS) is the designated federal agency with administrative responsibility for this grant program. 

 
Systems
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Training/Capacity Building


Customized Employment: Presentation by the Nevada Center for Excellence in Disabilities - 05/21/2014

This presentation given by the staff at the Nevada Center for Excellence in Disabilities defines Employment First (EF) & Customized Employment (CE), elaborates upon the Nevada Collaborators, describes the philosophy, practices, and descendants of CE, and explains who can be served by the CE Project and what those job seekers can hope to achieve.

 
Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Nevada Customized Employment Project - 09/25/2013

The Customized Employment Project, a partnership between the Nevada Rehabilitation Division at the Department of Employment, Training, and Rehabilitation (DETR), Sierra Regional Center at Developmental Services, and the Nevada Center for Excellence in Disabilities (NCED), is a flexible process designed to personalize the employment relationship between a job candidate and an employer in a way that meets the needs of both. It is based on an individualized match between the strengths, conditions and interests of a job candidate and the identified business needs of an employer. Customized employment utilizes an individualized approach to employment planning and job development - one person at a time - one employer at a time.”

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Nevada Disability Services Unit: Comprehensive System of Personnel Development - 02/28/2012

The Rehabilitation Division, as the DSU, has established procedures and activities setting forth the Comprehensive System of Personnel Development[MW1]  (CSPD), which will ensure an adequate supply of qualified Rehabilitation professionals and paraprofessionals for the operation of the Vocational Rehabilitation programs.

The CSPD is coordinated by the Administrator of the DSU with the participation of: the Nevada State Rehabilitation Council (NSRC), Human Resources staff of the Department of Employment, Training, and Rehabilitation (DETR), and staff of the Bureaus of Vocational Rehabilitation (BVR) and Services to the Blind and Visually Impaired (BSBVI). DETR’s personnel records enable an annual analysis of the numbers and types of Rehabilitation personnel. Through the State of Nevada Personnel Department database, information on budgeted positions, duration of vacancy for each position and vacancy rates are available through a data warehouse system.

In addition, a personnel log is maintained at the agency level, delineating the location, type of position and date vacated in order to provide current tracking of vacancies including the status of each vacant position. This tracking mechanism has proved successful in reducing the vacancy rate and the amount of time that each position is vacant. All the sources of information are used to track and forecast the DSU’s personnel needs.

 

 

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

Emerging Practices from Vocational Rehabilitation

This summary document describes different initiatives and emerging practices in the state of Nevada that aim at improving employment outcomes for people with disabilities. The projects include CRAVE, Customized Employment, Voice, Career Development Academy, and the Pathways to Work.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

NV Department of Employment, Training, and Rehabilitation

This website contains information on the Job Development Training Series, “Creating Employment Opportunities.”  The modules in the series include: Introduction to Job Development and the Role of the Job Developer, Getting to Know Your Customer; The Employer as Partner; and Job Placement and Retention Services.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Customized Employment
  • Employer Engagement

Enforcement

No Enforcement have been entered for this state.

Medicaid & Employment


Nevada HCBS Transition Plan - 07/09/2015

The Centers for Medicare and Medicaid Services (CMS) issued new regulations in early 2014 that define the home and community based settings that will be allowable under HCBS. The purpose of these regulations is to ensure that individuals receiving HCBS are fully integrated into the community in which they live. These individuals must be offered opportunities to seek employment and engage in community activities in the same manner as individuals who do not receive HCBS.

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

NV HCBW for Persons w/ID and Related Conditions (0125.R06.00) - 10/01/2013

Provides day hab, prevocational, residential support, supported employment, behavioral consultation-training & intervention, counseling, career planning, non-medical transportation, nursing, nutrition counseling, residential support management for individuals w/ID ages 0 - no max age

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

Application for a 1915(c) Home and Community-Based Services Waiver - 10/01/2013

The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in ­1915(c) of the Social Security Act. The program permits a State to furnish an array of home and community-based services that assist Medicaid beneficiaries to live in the community and avoid institutionalization. The State has broad discretion to design its waiver program to address the needs of the waiver­s target population. Waiver services complement and/or supplement the services that are available to participants through the Medicaid.

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

Nevada Medicaid Infrastructure Grant - 10/01/2000

The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The 11-year competitive grant program provides funding to states for Medicaid infrastructure development that will build supports for people with disabilities who would like to be employed. States are encouraged to use grant funding to implement and develop the optional working disabled eligibility group (Medicaid buy-in), increase the availability of statewide personal assistance services, form linkages with other state and local agencies that provide employment related supports, and create a seamless infrastructure that will maximize the employment potential of all people with disabilities. For additional information concerning the Medicaid Infrastructure Grant Program, please visit our Web site.

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

Nevada Balancing Incentives Program

"The Balancing Incentive Program is a grant-funded program established by the Affordable Care Act through the Centers for Medicare and Medicaid Services (CMS). The goal of the program is to make structural changes to the way individuals access long term services and supports (LTSS) in order to rebalance institutional care with home and community based services. The desired result is to increase the amount spent on home and community based services to 50% of total spending on LTSS.

As required by the funding authorization, Nevada Medicaid (Division of Health Care Financing and Policy) is the lead agency for the BIP. The BIP team, however, is made up of a large number of cross-functional and cross-agency contributors who have been instrumental in moving the project toward its goals and objectives. Many of the projects and workgroups related to BIP have been collaborations between Nevada's Aging and Disability Services Division and Nevada Medicaid. In addition, many other state agencies and contractors have contributed in important ways."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Nevada Medicaid State Plan

The Medicaid and CHIP state plans are agreements between Nevada and the federal government describing how we administer these programs. It gives an assurance that Nevada will abide by federal rules and may claim federal matching funds for program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are under way in the state.

 
Systems
  • Medicaid Agencies

Nevada Medicaid Spending Comparison Charts

This document provides comparison charts on Medicaid and non-Medicaid spending in the state of Nevada as of 2013.

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

States - Phablet

Snapshot

In the Silver State of Nevada, workers with disabilities don't have to take a gamble on their future when it comes to finding career success and employment opportunities.

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 Nevada’s VR Rates and Services

2015 State Population.
1.79%
Change from
2014 to 2015
2,890,845
2015 Number of people with disabilities (all disabilities, ages 18-64).
0.72%
Change from
2014 to 2015
203,190
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
1.29%
Change from
2014 to 2015
83,559
2015 Percentage of working age people who are employed (all disabilities).
0.56%
Change from
2014 to 2015
41.12%
2015 Percentage of working age people who are employed (NO disabilities).
0.63%
Change from
2014 to 2015
74.80%

State Data

General

2015
Population. 2,890,845
Number of people with disabilities (all disabilities, ages 18-64). 203,190
Number of people with disabilities who are employed (all disabilities, ages 18-64). 83,559
Number of people without disabilities who are employed (ages 18-64). 1,172,440
Percentage of working age people who are employed (all disabilities). 41.12%
Percentage of working age people who are employed (NO disabilities). 74.80%
Overall unemployment rate. 6.80%
Poverty Rate (all disabilities). 19.60%
Poverty Rate (NO disabilities). 13.90%
Number of males with disabilities (all ages). 192,429
Number of females with disabilities (all ages). 190,951
Number of Caucasians with disabilities (all ages). 278,106
Number of African Americans with disabilities (all ages). 33,439
Number of Hispanic/Latinos with disabilities (all ages). 70,092
Number of American Indians/Alaska Natives with disabilities (all ages). 6,754
Number of Asians with disabilities (all ages). 22,092
Number of Hawaiians/Pacific Islanders with disabilities (all ages). 2,705
Number of with multiple races disabilities (all ages). 14,784
Number of others with disabilities (all ages). 25,500

 

SSA OUTCOMES

2015
Number of SSI recipients with disabilities who work. 1,979
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 4.80%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 65,211

 

MENTAL HEALTH OUTCOMES

2015
Number of mental health services consumers who are employed. 1,881
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 7,262
Number of adults served who have a known employment status. 12,649
Percentage of all state mental health agency consumers served in the community who are employed. 14.90%
Percentage of supported employment services evidence based practices (EBP). N/A
Percentage of supported housing services evidence based practices (EBP). 6.50%
Percentage of assertive community treatment services evidence based practices (EBP). 1.50%
Percentage of medications management evidence based practices (EBP). 2.00%
Number of evidence based practices (EBP) supported employment services. N/A
Number of evidence based practices (EBP) supported housing services. 813
Number of evidence based practices (EBP) assertive community treatment services. 184
Number of evidence based practices (EBP) medications management. 247

 

WAGNER PEYSER OUTCOMES

2015
Number of registered job seekers with a disability. 4,568
Proportion of registered job seekers with a disability. 0.04

 

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. 161
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 94
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. 58.00%
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. 3.25

 

VR OUTCOMES

2015
Total Number of people served under VR.
1,649
Number of people with visual impairments served under VR. 105
Number of people with communicative (hearing loss, deafness) impairments served under VR. 234
Number of people with physical impairments served under VR. 383
Number of people cognitive impairments served under VR. 436
Number of people psychosocial impairments served under VR. 344
Number of people with mental impairments served under VR. 147
Percentage of overall closures into employment under VR. N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 1,754
Number of eligible ticket to work beneficiaries. 93,514
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. $3,401,000
Dollars spent on day/employment services for facility-based work funding. $10,644,000
Dollars spent on day/employment services for facility-based non-work funding. $14,632,000
Dollars spent on day/employment services for community based non-work funding. $307,000
Percentage of people served in integrated employment. 17.00%
Number of people served in community based non-work. 23
Number of people served in facility based work. 1,140
Number of people served in facility based non-work. 879
Number supported in integrated employment per 100,000 individuals in the general state population. 14.40

 

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). 63.83%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 14.45%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.49%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 100.00%
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). 21.57%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 56.13%
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). 69.59%
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). 34.56%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 811,514
Number of overall total blind and SD workers. 2,144
Number of AbilityOne blind and SD hours (products). 703
Number of AbilityOne blind and SD hours (services). 199,341
Number of AbilityOne blind and SD hours (combined). 200,044
Number of AbilityOne blind and SD workers (products). 4
Number of AbilityOne blind and SD workers (services). 332
Number of AbilityOne blind and SD workers (combined). 336
AbilityOne wages (products). $5,907
AbilityOne wages (services). $2,360,666

 

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

2016
Number of 14(c) certificate-holding private businesses. 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 10
Number of 14(c) certificate holding patient workers. 0
Total Number of 14(c) certificate holding entities. 10
Reported number of people with disabilities working under 14(c) certificate holding private 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). 1,309
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 0
Total reported number of people with disabilities working under 14(c) certificate holding entities. 1,309

 

Legislation


Nevada Assembly Bill 5 - 07/01/2015

AN ACT relating to public welfare; requiring the Aging and Disability Services Division of the Department of Health and Human Services to enter into an agreement with the Rehabilitation Division of the Department of Employment, Training and Rehabilitation to provide long-term support to persons with intellectual disabilities and persons with related conditions; authorizing the Administrator of the Aging and Disability Services Division to adopt regulations governing the provision of services to certain persons with intellectual disabilities and persons with related conditions; requiring the Aging and Disability Services Division to provide preferences for potential providers of jobs and day training services in issuing certificates authorizing the provision of such services and in entering into agreements concerning the provision of such services; and providing other matters properly relating thereto.

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Nevada SB 419 - 07/01/2015

"AN ACT relating to persons with disabilities; creating the Nevada ABLE Savings Program as a qualified ABLE program under the federal Achieving a Better Life Experience Act of 2014..."

"Recently enacted federal law allows for the creation of tax-advantaged savings accounts for persons who have certain qualifying disabilities. Under the program, any person, including family members, may make a contribution to the account of a person with a qualified disability. Any interest or other growth in the value of the account and distributions taken from the account are tax free. The maximum amount that can be contributed tax free to the account of a qualified person is $14,000 per year. Distributions from the account may only be used to pay expenses related to living a life with a disability and may include such things as education, housing, transportation and employment training and support."

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Nevada Assembly Bill 488: Relating to the Administration of Government Departments - 07/01/2013

"AN ACT relating to governmental administration; consolidating the Health Division and the Division of Mental Health and Developmental Services of the Department of Health and Human Services into the Division of Public and Behavioral Health of the Department; transferring the powers and duties concerning certain services to children with autism spectrum disorders from the Health Division to the Aging and Disability Services Division of the Department; transferring the authority for developmental services in the Division of Mental Health and Developmental Services to the Aging and Disability Services Division; … renaming the Commission on Mental Health and Developmental Services of the Department the Commission on Behavioral Health; making the Aging and Disability Services Division of the Department responsible for services for and other oversight relating to persons with intellectual disabilities and persons with related conditions; making various other changes to provisions relating to the organization of the divisions of the Department; and providing other matters properly relating thereto."

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

Executive Orders


Executive Order 2014-16: Establishing the Governor’s Taskforce on Integrated Employment - 07/21/2014

"…By the authority vested in me as Governor by the Constitution and laws of the State of Nevada, I hereby direct and order:

1.       The Governor’s Taskforce on Integrated Employment (“Taskforce”) is here by established.

2.       The Taskforce shall be responsible for examining and evaluating current employment programs, resources, funding, available training and employment opportunities for individuals with intellectual/developmental disabilities, and shall provide a report to the Governor, on or before July 1, 2015, setting forth their findings as well as a three, five and ten-year strategic plan for creating a more integrated workforce and expanding competitive employment opportunities for individuals with intellectual/developmental disabilities…"

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Governor’s Executive Order - Establishing a Program for the Hiring of People with Disabilities into the State Workforce - 10/08/2013

By the power vested in me as Governor by the Constitution and the laws of the State of Nevada, I hereby direct and order that all state agencies made a concerted effort to include persons with disabilities into the "preliminary and final group of    candidates" considered for each appropriate opening within the agency. It orders all state agencies to make the hiring of persons with disabilities a priority, mandating that at least five percent of openings give persons with disabilities priority.

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

Policy


Nevada’s No Wrong Door Strategic Plan 2015-2018 - 08/28/2015

Long-term services and supports (LTSS) help people with functional limitations accomplish tasks necessary for daily living. Older adults, and those living with disabilities, will often need assistance with issues such as bathing, getting dressed, fixing meals, and managing a home. Others may need behavioral health care to encourage growth and development, or to manage the challenges of everyday life. All of these services are best provided in a consumer’s own home and community, however, they are not always easy to identify or access.

 Finding the right long term services and supports to fit a family’s needs can be difficult. There are a variety of different service providers, funding streams, and eligibility requirements that can make the search confusing, difficult, or frustrating. To address this reality, Nevada has been actively pursuing improvements to its LTSS system. Multiple state division mergers and streamlined access through implementation of the Money Follows the Person (MFP) approach and Balancing Incentives Program (BIP) are some of the efforts used to support improvement. 1 Most recently, the state established an Advisory Board to develop a 3-year plan to develop a comprehensive “No Wrong Door” (NWD) approach to LTSS services for all Nevadans regardless of age or payee status.

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

Integrated Employment Research Report - 01/15/2015

The Governor’s Taskforce on Integrated Employment is responsible for examining and evaluating current employment programs, resources, funding, available training, and employment opportunities for people with intellectual/developmental disabilities (referred to throughout as I/DD), and for providing a report to the Governor... The Taskforce is also responsible for developing a three, five, and ten-year strategic plan (2015-2025) that will result in "creating a more integrated workforce and expanding competitive employment opportunities for individuals with intellectual/developmental disabilities."

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Mental Health
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Vocational Rehabilitation: Employment Supports Job Development/Placement - 07/01/2014

This document provides the fee schedule for job placement and supported employment services for Nevada Vocational Rehabilitation as of July 2014.

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Provider Transformation

Nevada’s Strategic Plan for Integration of Developmental Services and Early Intervention Services into the ADSD - 06/15/2014

The Aging and Disability Services Division (ADSD) represents Nevadans who are aged or have a disability, regardless of age, and assists the broader community that touches their lives. Through advocacy, counseling and a broad array of supportive services, ADSD strives to create an environment that enables all of the Nevadans they serve to be self-sufficient, independent and safe. In the 2013 Nevada Legislature, Assembly Bill (AB) 488 took integration a step further by transferring Developmental Services (DS) and Nevada Early Intervention Services (NEIS) to ADSD. Formerly DS was housed within Mental Health and Developmental Services (MHDS) and NEIS was housed within the Health Division. (Since then, Health and MHDS have also merged to become the Division of Public and Behavioral Health.) The benefits of integrating the services include a better ability to:

Promote community living for Nevadans with disabilities of all ages (across the lifespan) Create and enhance strategies to ensure the necessary services and supports Provide a responsive and effective service system that acknowledges unique needs Firmly establish no wrong door for services Expand outreach efforts Promote seamless service delivery including transitions across programs to obtain the full spectrum of care and better service coordination for participants with similar needs Improve access to information on community services and supports such as housing, employment, education, social participation, etc. Create a similar comprehensive community provider application and oversight process Strengthen basic infrastructure such as information technology (IT), fiscal and accountability
Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Scope of Work Employment Supports Job Development/Placement, Community Based Assessment Site Development and Monitoring, Job Coaching, and Advocacy Services - 06/01/2014

This document describes the Scope of Work for Supported Employment services provided by the Nevada Vocational Rehabilitation Division. The services include, but are not limited to, Job Development/Placement, Community Based Assessment (CBA) Site Development, Community Based Assessment (CBA) Site Monitoring, job coaching, and advocacy.

 

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Provider Transformation

Nevada Governor’s Council on Developmental Disabilities: Position Statement on Integrated Employment - 05/21/2014

Work is a fundamental part of adult life, and the benefits of integrated employment for individuals with intellectual/developmental disabilities (IDD) have been clearly demonstrated. It gives us a sense of purpose; shaping who we are and how we fit into our community. Nevadans with IDD must not be deprived of the opportunity to work within the general workforce and make a meaningful contribution. Individuals in the labor force have a positive financial impact on our economy, generating income that is ultimately returned in the form of tax revenues. There is literature filled with examples of the benefits and Return on Investment (ROI) when individuals with IDD are working and contributing vocationally in their community. Our state is becoming more diverse and Nevadans with IDD should be included in diversifying the workforce. This can be achieved through established supported employment practices. Improving employment outcomes for Nevadans with IDD at the state level requires a holistic approach that communicates a clear message, incorporates policy change, funding, capacity development, interagency partnerships, outcome measurement and service innovation.

 

 

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Mental Health
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Vocational Rehabilitation: Definition of Terms - 07/01/2006

This document provides an extensive list of service definitions for Vocational Rehabilitation in Nevada. It includes definitions for integrated employment, ongoing support services, competitive employment and supported employment, among many others.

Systems
  • Department of Rehabilitation Services
Topics
  • Provider Transformation

Section 15 – Vocational Rehabilitation Supported Employment Policy - 06/01/2006

This document outlines Vocational Rehabilitation’s policy on Supported Employment. It includes information on the referral and assessment process, the range of services available and Individualized Plans for Employment (IPE).

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Provider Transformation

Nevada’s Strategic Plan on Integrated Employment (2015)

On July 21, 2014, through Executive Order 2014-16, the Governor’s Taskforce on Integrated Employment (herein referred as “Taskforce”) was established by Brian Sandoval, Governor of Nevada. The Taskforce is responsible for examining and evaluating current employment programs, resources, funding, available training, and employment opportunities for people with intellectual/developmental disabilities (referred to throughout as I/DD), and for providing a report to the Governor, on or before July 1, 2015.

The Taskforce is also responsible for developing a three, five, and ten-year strategic plan (2015-2025) that will result in “creating a more integrated workforce and expanding competitive employment opportunities for individuals with intellectual/developmental disabilities.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Other
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Nevada Bureau of Vocational Rehabilitation, Department of Employment, Training, and Rehabilitation, Rehabilitation Division

“MISSION: To bring Nevadans together to promote barrier-free communities in which individuals with disabilities have access to opportunities for quality work and self-sufficiency.”

 

 

“Goal #1

Emphasize the employment potential of students with disabilities and improve transition from school to work and school to post-secondary education.

Goal #2

Extend outreach efforts toward diverse populations of Nevadans with disabilities

Goal #3

Extend outreach efforts toward ethnically diverse populations, specifically minority populations with disabilities represented in Nevada’s workforce.

Goal #4

Work together and share resources with state, private, non-profit agencies to leverage resources and coordinate benefit opportunities in order to maximize the overall employment outcomes.

Goal #5

Emphasize the employment potential of applicants and eligible persons receiving Supported employment services”.

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

Partnerships


Nevada Disability Services Unit: Cooperation, Collaboration, Coordination - 01/08/2016

The DWSS inter-local contract refers welfare recipients to VR programs for completion of vocational testing and assessment. The DSU has been collaborating with other reciprocal agencies in the delivery of service to individuals who need supportive services or assistance in activities of daily living. Working with the ADSD’s Independent Living program, and their recipient of the Assistive Technology Act of 1998 funds, allows for greater community involvement and co-sharing of responsibilities and costs. As such, the DSU and the Independent Living program continue to utilize their interlocal agreement to collaboratively case manage and cost-share goods and services that meet a particular need for an individual who is a mutual client of both the Independent Living and VR programs.

 

 

 

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

Nevada Employment First

“Employment in the general workforce is the first and preferred outcome in the provision of publicly funded services for all

working age citizens with disabilities, regardless of level of disability. The expectation is that people work!”

Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Nevada State Use Program

The Department of Employment, Training and Rehabilitation (DETR), Rehabilitation Division manages Nevada’s State Use Program, Preferred Purchase, in support of workers with disabilities who simply want to be productive working citizens. We help individuals accomplish that goal while providing valuable benefits to government agencies that choose to utilize the services offered.

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

Nevada State Rehabilitation Council

“The mission of the Nevada State Rehabilitation Council (NSRC) is to help ensure that vocational rehabilitation programs (Bureau of Vocational Rehabilitation and Bureau of Services to the Blind and Visually Impaired) are consumer oriented, consumer driven, and that the programs' services and resources result in employment outcomes for Nevadans with disabilities….

 The Council may assist you or others in the community in the following ways:  

1.       Help individuals with disabilities obtain services which may help them become employable.

2.       Put employers in contact with individuals with disabilities who may fill their staffing needs.

3.       Receive and relay client experiences about the state or the community vocational rehabilitation programs.

Receive and relay ideas about improving vocational rehabilitation services.

The Council has a minimum of 16 members as required by the Rehabilitation Act of 1973 as amended.”  

 

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


Nevada’s No Wrong Door Strategic Plan 2015-2018 - 08/28/2015

Long-term services and supports (LTSS) help people with functional limitations accomplish tasks necessary for daily living. Older adults, and those living with disabilities, will often need assistance with issues such as bathing, getting dressed, fixing meals, and managing a home. Others may need behavioral health care to encourage growth and development, or to manage the challenges of everyday life. All of these services are best provided in a consumer’s own home and community, however, they are not always easy to identify or access.

 Finding the right long term services and supports to fit a family’s needs can be difficult. There are a variety of different service providers, funding streams, and eligibility requirements that can make the search confusing, difficult, or frustrating. To address this reality, Nevada has been actively pursuing improvements to its LTSS system. Multiple state division mergers and streamlined access through implementation of the Money Follows the Person (MFP) approach and Balancing Incentives Program (BIP) are some of the efforts used to support improvement. Most recently, the state established an Advisory Board to develop a 3-year plan to develop a comprehensive “No Wrong Door” (NWD) approach to LTSS services for all Nevadans regardless of age or payee status.

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

Nevada Money Follows the Person (MFP) Transitioning Home Program - 05/30/2006

Through the Money Follows the Person (MFP) Transitioning Home program, a new offering from the State of Nevada, eligible participants will be provided with the services, support, and assistance necessary to move back into a community setting, such as an apartment or family home.

In order to help eligible participants with the transition process, the program can pay for goods and services, such as furniture, appliances, moving expenses, and housing deposits. See the SERVICES tab for a full list of program benefits.

MFP also gives most participants the option of self-direction, allowing them to decide where they want to live and who will assist them upon returning to the community.

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Nevada Medicaid Infrastructure Grant - 10/01/2000

"The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The 11-year competitive grant program provides funding to states for Medicaid infrastructure development that will build supports for people with disabilities who would like to be employed. States are encouraged to use grant funding to implement and develop the optional working disabled eligibility group (Medicaid buy-in), increase the availability of statewide personal assistance services, form linkages with other state and local agencies that provide employment related supports, and create a seamless infrastructure that will maximize the employment potential of all people with disabilities. For additional information concerning the Medicaid Infrastructure Grant Program, please visit our Web site."

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

Nevada Ticket to Work

"If you are currently receiving SSI or SSDI benefits, the Ticket to Work program can help you find the job that is right for you, and you can safely explore your work options without losing your benefits until you have stabilized your job and earnings.

You can easily return to benefits if you have to stop working You can continue to receive healthcare benefits You will not receive a medical continuing disability review (CDR) while using your Ticket"
Systems
  • Department of Rehabilitation Services
Topics
  • 14(c)/Income Security

Nevada Medicaid Infrastructure Grant

Nevada’s Medicaid Infrastructure Grant supports the competitive employment of people with disabilities by enhancing the state’s employment infrastructure and service delivery systems.  Section 203 of the Ticket to Work and Work Incentives Improvement Act (TWWIIA) of 1999 established a grant program supporting state efforts to better serve people with disabilities who are employed, as well as those who are seeking employment.  Funding for this program is intended to facilitate enhancements to State Medicaid programs and services, to promote linkages between Medicaid and other employment-related service agencies, and to develop a comprehensive system of employment supports for people with disabilities.  The Centers for Medicare & Medicaid Services (CMS) is the designated federal agency with administrative responsibility for this grant program. 

 
Systems
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Training/Capacity Building


Customized Employment: Presentation by the Nevada Center for Excellence in Disabilities - 05/21/2014

This presentation given by the staff at the Nevada Center for Excellence in Disabilities defines Employment First (EF) & Customized Employment (CE), elaborates upon the Nevada Collaborators, describes the philosophy, practices, and descendants of CE, and explains who can be served by the CE Project and what those job seekers can hope to achieve.

 
Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Nevada Customized Employment Project - 09/25/2013

The Customized Employment Project, a partnership between the Nevada Rehabilitation Division at the Department of Employment, Training, and Rehabilitation (DETR), Sierra Regional Center at Developmental Services, and the Nevada Center for Excellence in Disabilities (NCED), is a flexible process designed to personalize the employment relationship between a job candidate and an employer in a way that meets the needs of both. It is based on an individualized match between the strengths, conditions and interests of a job candidate and the identified business needs of an employer. Customized employment utilizes an individualized approach to employment planning and job development - one person at a time - one employer at a time.”

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Nevada Disability Services Unit: Comprehensive System of Personnel Development - 02/28/2012

The Rehabilitation Division, as the DSU, has established procedures and activities setting forth the Comprehensive System of Personnel Development[MW1]  (CSPD), which will ensure an adequate supply of qualified Rehabilitation professionals and paraprofessionals for the operation of the Vocational Rehabilitation programs.

The CSPD is coordinated by the Administrator of the DSU with the participation of: the Nevada State Rehabilitation Council (NSRC), Human Resources staff of the Department of Employment, Training, and Rehabilitation (DETR), and staff of the Bureaus of Vocational Rehabilitation (BVR) and Services to the Blind and Visually Impaired (BSBVI). DETR’s personnel records enable an annual analysis of the numbers and types of Rehabilitation personnel. Through the State of Nevada Personnel Department database, information on budgeted positions, duration of vacancy for each position and vacancy rates are available through a data warehouse system.

In addition, a personnel log is maintained at the agency level, delineating the location, type of position and date vacated in order to provide current tracking of vacancies including the status of each vacant position. This tracking mechanism has proved successful in reducing the vacancy rate and the amount of time that each position is vacant. All the sources of information are used to track and forecast the DSU’s personnel needs.

 

 

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

Emerging Practices from Vocational Rehabilitation

This summary document describes different initiatives and emerging practices in the state of Nevada that aim at improving employment outcomes for people with disabilities. The projects include CRAVE, Customized Employment, Voice, Career Development Academy, and the Pathways to Work.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

NV Department of Employment, Training, and Rehabilitation

This website contains information on the Job Development Training Series, “Creating Employment Opportunities.”  The modules in the series include: Introduction to Job Development and the Role of the Job Developer, Getting to Know Your Customer; The Employer as Partner; and Job Placement and Retention Services.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Customized Employment
  • Employer Engagement

Enforcement

No Enforcement have been entered for this state.

Medicaid & Employment


Nevada HCBS Transition Plan - 07/09/2015

The Centers for Medicare and Medicaid Services (CMS) issued new regulations in early 2014 that define the home and community based settings that will be allowable under HCBS. The purpose of these regulations is to ensure that individuals receiving HCBS are fully integrated into the community in which they live. These individuals must be offered opportunities to seek employment and engage in community activities in the same manner as individuals who do not receive HCBS.

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

NV HCBW for Persons w/ID and Related Conditions (0125.R06.00) - 10/01/2013

Provides day hab, prevocational, residential support, supported employment, behavioral consultation-training & intervention, counseling, career planning, non-medical transportation, nursing, nutrition counseling, residential support management for individuals w/ID ages 0 - no max age

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

Application for a 1915(c) Home and Community-Based Services Waiver - 10/01/2013

The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in ­1915(c) of the Social Security Act. The program permits a State to furnish an array of home and community-based services that assist Medicaid beneficiaries to live in the community and avoid institutionalization. The State has broad discretion to design its waiver program to address the needs of the waiver­s target population. Waiver services complement and/or supplement the services that are available to participants through the Medicaid.

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

Nevada Medicaid Infrastructure Grant - 10/01/2000

The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The 11-year competitive grant program provides funding to states for Medicaid infrastructure development that will build supports for people with disabilities who would like to be employed. States are encouraged to use grant funding to implement and develop the optional working disabled eligibility group (Medicaid buy-in), increase the availability of statewide personal assistance services, form linkages with other state and local agencies that provide employment related supports, and create a seamless infrastructure that will maximize the employment potential of all people with disabilities. For additional information concerning the Medicaid Infrastructure Grant Program, please visit our Web site.

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

Nevada Balancing Incentives Program

"The Balancing Incentive Program is a grant-funded program established by the Affordable Care Act through the Centers for Medicare and Medicaid Services (CMS). The goal of the program is to make structural changes to the way individuals access long term services and supports (LTSS) in order to rebalance institutional care with home and community based services. The desired result is to increase the amount spent on home and community based services to 50% of total spending on LTSS.

As required by the funding authorization, Nevada Medicaid (Division of Health Care Financing and Policy) is the lead agency for the BIP. The BIP team, however, is made up of a large number of cross-functional and cross-agency contributors who have been instrumental in moving the project toward its goals and objectives. Many of the projects and workgroups related to BIP have been collaborations between Nevada's Aging and Disability Services Division and Nevada Medicaid. In addition, many other state agencies and contractors have contributed in important ways."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Nevada Medicaid State Plan

The Medicaid and CHIP state plans are agreements between Nevada and the federal government describing how we administer these programs. It gives an assurance that Nevada will abide by federal rules and may claim federal matching funds for program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are under way in the state.

 
Systems
  • Medicaid Agencies

Nevada Medicaid Spending Comparison Charts

This document provides comparison charts on Medicaid and non-Medicaid spending in the state of Nevada as of 2013.

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

States - Phone

Snapshot

In the Silver State of Nevada, workers with disabilities don't have to take a gamble on their future when it comes to finding career success and employment opportunities.

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 Nevada’s VR Rates and Services

2015 State Population.
1.79%
Change from
2014 to 2015
2,890,845
2015 Number of people with disabilities (all disabilities, ages 18-64).
0.72%
Change from
2014 to 2015
203,190
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
1.29%
Change from
2014 to 2015
83,559
2015 Percentage of working age people who are employed (all disabilities).
0.56%
Change from
2014 to 2015
41.12%
2015 Percentage of working age people who are employed (NO disabilities).
0.63%
Change from
2014 to 2015
74.80%

State Data

General

2015
Population. 2,890,845
Number of people with disabilities (all disabilities, ages 18-64). 203,190
Number of people with disabilities who are employed (all disabilities, ages 18-64). 83,559
Number of people without disabilities who are employed (ages 18-64). 1,172,440
Percentage of working age people who are employed (all disabilities). 41.12%
Percentage of working age people who are employed (NO disabilities). 74.80%
Overall unemployment rate. 6.80%
Poverty Rate (all disabilities). 19.60%
Poverty Rate (NO disabilities). 13.90%
Number of males with disabilities (all ages). 192,429
Number of females with disabilities (all ages). 190,951
Number of Caucasians with disabilities (all ages). 278,106
Number of African Americans with disabilities (all ages). 33,439
Number of Hispanic/Latinos with disabilities (all ages). 70,092
Number of American Indians/Alaska Natives with disabilities (all ages). 6,754
Number of Asians with disabilities (all ages). 22,092
Number of Hawaiians/Pacific Islanders with disabilities (all ages). 2,705
Number of with multiple races disabilities (all ages). 14,784
Number of others with disabilities (all ages). 25,500

 

SSA OUTCOMES

2015
Number of SSI recipients with disabilities who work. 1,979
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 4.80%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 65,211

 

MENTAL HEALTH OUTCOMES

2015
Number of mental health services consumers who are employed. 1,881
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 7,262
Number of adults served who have a known employment status. 12,649
Percentage of all state mental health agency consumers served in the community who are employed. 14.90%
Percentage of supported employment services evidence based practices (EBP). N/A
Percentage of supported housing services evidence based practices (EBP). 6.50%
Percentage of assertive community treatment services evidence based practices (EBP). 1.50%
Percentage of medications management evidence based practices (EBP). 2.00%
Number of evidence based practices (EBP) supported employment services. N/A
Number of evidence based practices (EBP) supported housing services. 813
Number of evidence based practices (EBP) assertive community treatment services. 184
Number of evidence based practices (EBP) medications management. 247

 

WAGNER PEYSER OUTCOMES

2015
Number of registered job seekers with a disability. 4,568
Proportion of registered job seekers with a disability. 0.04

 

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. 161
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 94
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. 58.00%
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. 3.25

 

VR OUTCOMES

2015
Total Number of people served under VR.
1,649
Number of people with visual impairments served under VR. 105
Number of people with communicative (hearing loss, deafness) impairments served under VR. 234
Number of people with physical impairments served under VR. 383
Number of people cognitive impairments served under VR. 436
Number of people psychosocial impairments served under VR. 344
Number of people with mental impairments served under VR. 147
Percentage of overall closures into employment under VR. N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 1,754
Number of eligible ticket to work beneficiaries. 93,514
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. $3,401,000
Dollars spent on day/employment services for facility-based work funding. $10,644,000
Dollars spent on day/employment services for facility-based non-work funding. $14,632,000
Dollars spent on day/employment services for community based non-work funding. $307,000
Percentage of people served in integrated employment. 17.00%
Number of people served in community based non-work. 23
Number of people served in facility based work. 1,140
Number of people served in facility based non-work. 879
Number supported in integrated employment per 100,000 individuals in the general state population. 14.40

 

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). 63.83%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 14.45%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.49%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 100.00%
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). 21.57%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 56.13%
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). 69.59%
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). 34.56%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 811,514
Number of overall total blind and SD workers. 2,144
Number of AbilityOne blind and SD hours (products). 703
Number of AbilityOne blind and SD hours (services). 199,341
Number of AbilityOne blind and SD hours (combined). 200,044
Number of AbilityOne blind and SD workers (products). 4
Number of AbilityOne blind and SD workers (services). 332
Number of AbilityOne blind and SD workers (combined). 336
AbilityOne wages (products). $5,907
AbilityOne wages (services). $2,360,666

 

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

2016
Number of 14(c) certificate-holding private businesses. 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 10
Number of 14(c) certificate holding patient workers. 0
Total Number of 14(c) certificate holding entities. 10
Reported number of people with disabilities working under 14(c) certificate holding private 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). 1,309
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 0
Total reported number of people with disabilities working under 14(c) certificate holding entities. 1,309

 

Legislation


Nevada Assembly Bill 5 - 07/01/2015

AN ACT relating to public welfare; requiring the Aging and Disability Services Division of the Department of Health and Human Services to enter into an agreement with the Rehabilitation Division of the Department of Employment, Training and Rehabilitation to provide long-term support to persons with intellectual disabilities and persons with related conditions; authorizing the Administrator of the Aging and Disability Services Division to adopt regulations governing the provision of services to certain persons with intellectual disabilities and persons with related conditions; requiring the Aging and Disability Services Division to provide preferences for potential providers of jobs and day training services in issuing certificates authorizing the provision of such services and in entering into agreements concerning the provision of such services; and providing other matters properly relating thereto.

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Cross-Agency Collaboration / Partnerships

Nevada SB 419 - 07/01/2015

"AN ACT relating to persons with disabilities; creating the Nevada ABLE Savings Program as a qualified ABLE program under the federal Achieving a Better Life Experience Act of 2014..."

"Recently enacted federal law allows for the creation of tax-advantaged savings accounts for persons who have certain qualifying disabilities. Under the program, any person, including family members, may make a contribution to the account of a person with a qualified disability. Any interest or other growth in the value of the account and distributions taken from the account are tax free. The maximum amount that can be contributed tax free to the account of a qualified person is $14,000 per year. Distributions from the account may only be used to pay expenses related to living a life with a disability and may include such things as education, housing, transportation and employment training and support."

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Nevada Assembly Bill 488: Relating to the Administration of Government Departments - 07/01/2013

"AN ACT relating to governmental administration; consolidating the Health Division and the Division of Mental Health and Developmental Services of the Department of Health and Human Services into the Division of Public and Behavioral Health of the Department; transferring the powers and duties concerning certain services to children with autism spectrum disorders from the Health Division to the Aging and Disability Services Division of the Department; transferring the authority for developmental services in the Division of Mental Health and Developmental Services to the Aging and Disability Services Division; … renaming the Commission on Mental Health and Developmental Services of the Department the Commission on Behavioral Health; making the Aging and Disability Services Division of the Department responsible for services for and other oversight relating to persons with intellectual disabilities and persons with related conditions; making various other changes to provisions relating to the organization of the divisions of the Department; and providing other matters properly relating thereto."

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

Executive Orders


Executive Order 2014-16: Establishing the Governor’s Taskforce on Integrated Employment - 07/21/2014

"…By the authority vested in me as Governor by the Constitution and laws of the State of Nevada, I hereby direct and order:

1.       The Governor’s Taskforce on Integrated Employment (“Taskforce”) is here by established.

2.       The Taskforce shall be responsible for examining and evaluating current employment programs, resources, funding, available training and employment opportunities for individuals with intellectual/developmental disabilities, and shall provide a report to the Governor, on or before July 1, 2015, setting forth their findings as well as a three, five and ten-year strategic plan for creating a more integrated workforce and expanding competitive employment opportunities for individuals with intellectual/developmental disabilities…"

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Governor’s Executive Order - Establishing a Program for the Hiring of People with Disabilities into the State Workforce - 10/08/2013

By the power vested in me as Governor by the Constitution and the laws of the State of Nevada, I hereby direct and order that all state agencies made a concerted effort to include persons with disabilities into the "preliminary and final group of    candidates" considered for each appropriate opening within the agency. It orders all state agencies to make the hiring of persons with disabilities a priority, mandating that at least five percent of openings give persons with disabilities priority.

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

Policy


Nevada’s No Wrong Door Strategic Plan 2015-2018 - 08/28/2015

Long-term services and supports (LTSS) help people with functional limitations accomplish tasks necessary for daily living. Older adults, and those living with disabilities, will often need assistance with issues such as bathing, getting dressed, fixing meals, and managing a home. Others may need behavioral health care to encourage growth and development, or to manage the challenges of everyday life. All of these services are best provided in a consumer’s own home and community, however, they are not always easy to identify or access.

 Finding the right long term services and supports to fit a family’s needs can be difficult. There are a variety of different service providers, funding streams, and eligibility requirements that can make the search confusing, difficult, or frustrating. To address this reality, Nevada has been actively pursuing improvements to its LTSS system. Multiple state division mergers and streamlined access through implementation of the Money Follows the Person (MFP) approach and Balancing Incentives Program (BIP) are some of the efforts used to support improvement. 1 Most recently, the state established an Advisory Board to develop a 3-year plan to develop a comprehensive “No Wrong Door” (NWD) approach to LTSS services for all Nevadans regardless of age or payee status.

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

Integrated Employment Research Report - 01/15/2015

The Governor’s Taskforce on Integrated Employment is responsible for examining and evaluating current employment programs, resources, funding, available training, and employment opportunities for people with intellectual/developmental disabilities (referred to throughout as I/DD), and for providing a report to the Governor... The Taskforce is also responsible for developing a three, five, and ten-year strategic plan (2015-2025) that will result in "creating a more integrated workforce and expanding competitive employment opportunities for individuals with intellectual/developmental disabilities."

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Mental Health
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Vocational Rehabilitation: Employment Supports Job Development/Placement - 07/01/2014

This document provides the fee schedule for job placement and supported employment services for Nevada Vocational Rehabilitation as of July 2014.

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Provider Transformation

Nevada’s Strategic Plan for Integration of Developmental Services and Early Intervention Services into the ADSD - 06/15/2014

The Aging and Disability Services Division (ADSD) represents Nevadans who are aged or have a disability, regardless of age, and assists the broader community that touches their lives. Through advocacy, counseling and a broad array of supportive services, ADSD strives to create an environment that enables all of the Nevadans they serve to be self-sufficient, independent and safe. In the 2013 Nevada Legislature, Assembly Bill (AB) 488 took integration a step further by transferring Developmental Services (DS) and Nevada Early Intervention Services (NEIS) to ADSD. Formerly DS was housed within Mental Health and Developmental Services (MHDS) and NEIS was housed within the Health Division. (Since then, Health and MHDS have also merged to become the Division of Public and Behavioral Health.) The benefits of integrating the services include a better ability to:

Promote community living for Nevadans with disabilities of all ages (across the lifespan) Create and enhance strategies to ensure the necessary services and supports Provide a responsive and effective service system that acknowledges unique needs Firmly establish no wrong door for services Expand outreach efforts Promote seamless service delivery including transitions across programs to obtain the full spectrum of care and better service coordination for participants with similar needs Improve access to information on community services and supports such as housing, employment, education, social participation, etc. Create a similar comprehensive community provider application and oversight process Strengthen basic infrastructure such as information technology (IT), fiscal and accountability
Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Scope of Work Employment Supports Job Development/Placement, Community Based Assessment Site Development and Monitoring, Job Coaching, and Advocacy Services - 06/01/2014

This document describes the Scope of Work for Supported Employment services provided by the Nevada Vocational Rehabilitation Division. The services include, but are not limited to, Job Development/Placement, Community Based Assessment (CBA) Site Development, Community Based Assessment (CBA) Site Monitoring, job coaching, and advocacy.

 

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Provider Transformation

Nevada Governor’s Council on Developmental Disabilities: Position Statement on Integrated Employment - 05/21/2014

Work is a fundamental part of adult life, and the benefits of integrated employment for individuals with intellectual/developmental disabilities (IDD) have been clearly demonstrated. It gives us a sense of purpose; shaping who we are and how we fit into our community. Nevadans with IDD must not be deprived of the opportunity to work within the general workforce and make a meaningful contribution. Individuals in the labor force have a positive financial impact on our economy, generating income that is ultimately returned in the form of tax revenues. There is literature filled with examples of the benefits and Return on Investment (ROI) when individuals with IDD are working and contributing vocationally in their community. Our state is becoming more diverse and Nevadans with IDD should be included in diversifying the workforce. This can be achieved through established supported employment practices. Improving employment outcomes for Nevadans with IDD at the state level requires a holistic approach that communicates a clear message, incorporates policy change, funding, capacity development, interagency partnerships, outcome measurement and service innovation.

 

 

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Mental Health
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Vocational Rehabilitation: Definition of Terms - 07/01/2006

This document provides an extensive list of service definitions for Vocational Rehabilitation in Nevada. It includes definitions for integrated employment, ongoing support services, competitive employment and supported employment, among many others.

Systems
  • Department of Rehabilitation Services
Topics
  • Provider Transformation

Section 15 – Vocational Rehabilitation Supported Employment Policy - 06/01/2006

This document outlines Vocational Rehabilitation’s policy on Supported Employment. It includes information on the referral and assessment process, the range of services available and Individualized Plans for Employment (IPE).

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Provider Transformation

Nevada’s Strategic Plan on Integrated Employment (2015)

On July 21, 2014, through Executive Order 2014-16, the Governor’s Taskforce on Integrated Employment (herein referred as “Taskforce”) was established by Brian Sandoval, Governor of Nevada. The Taskforce is responsible for examining and evaluating current employment programs, resources, funding, available training, and employment opportunities for people with intellectual/developmental disabilities (referred to throughout as I/DD), and for providing a report to the Governor, on or before July 1, 2015.

The Taskforce is also responsible for developing a three, five, and ten-year strategic plan (2015-2025) that will result in “creating a more integrated workforce and expanding competitive employment opportunities for individuals with intellectual/developmental disabilities.”

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Other
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Nevada Bureau of Vocational Rehabilitation, Department of Employment, Training, and Rehabilitation, Rehabilitation Division

“MISSION: To bring Nevadans together to promote barrier-free communities in which individuals with disabilities have access to opportunities for quality work and self-sufficiency.”

 

 

“Goal #1

Emphasize the employment potential of students with disabilities and improve transition from school to work and school to post-secondary education.

Goal #2

Extend outreach efforts toward diverse populations of Nevadans with disabilities

Goal #3

Extend outreach efforts toward ethnically diverse populations, specifically minority populations with disabilities represented in Nevada’s workforce.

Goal #4

Work together and share resources with state, private, non-profit agencies to leverage resources and coordinate benefit opportunities in order to maximize the overall employment outcomes.

Goal #5

Emphasize the employment potential of applicants and eligible persons receiving Supported employment services”.

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

Partnerships


Nevada Disability Services Unit: Cooperation, Collaboration, Coordination - 01/08/2016

The DWSS inter-local contract refers welfare recipients to VR programs for completion of vocational testing and assessment. The DSU has been collaborating with other reciprocal agencies in the delivery of service to individuals who need supportive services or assistance in activities of daily living. Working with the ADSD’s Independent Living program, and their recipient of the Assistive Technology Act of 1998 funds, allows for greater community involvement and co-sharing of responsibilities and costs. As such, the DSU and the Independent Living program continue to utilize their interlocal agreement to collaboratively case manage and cost-share goods and services that meet a particular need for an individual who is a mutual client of both the Independent Living and VR programs.

 

 

 

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

Nevada Employment First

“Employment in the general workforce is the first and preferred outcome in the provision of publicly funded services for all

working age citizens with disabilities, regardless of level of disability. The expectation is that people work!”

Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Nevada State Use Program

The Department of Employment, Training and Rehabilitation (DETR), Rehabilitation Division manages Nevada’s State Use Program, Preferred Purchase, in support of workers with disabilities who simply want to be productive working citizens. We help individuals accomplish that goal while providing valuable benefits to government agencies that choose to utilize the services offered.

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

Nevada State Rehabilitation Council

“The mission of the Nevada State Rehabilitation Council (NSRC) is to help ensure that vocational rehabilitation programs (Bureau of Vocational Rehabilitation and Bureau of Services to the Blind and Visually Impaired) are consumer oriented, consumer driven, and that the programs' services and resources result in employment outcomes for Nevadans with disabilities….

 The Council may assist you or others in the community in the following ways:  

1.       Help individuals with disabilities obtain services which may help them become employable.

2.       Put employers in contact with individuals with disabilities who may fill their staffing needs.

3.       Receive and relay client experiences about the state or the community vocational rehabilitation programs.

Receive and relay ideas about improving vocational rehabilitation services.

The Council has a minimum of 16 members as required by the Rehabilitation Act of 1973 as amended.”  

 

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


Nevada’s No Wrong Door Strategic Plan 2015-2018 - 08/28/2015

Long-term services and supports (LTSS) help people with functional limitations accomplish tasks necessary for daily living. Older adults, and those living with disabilities, will often need assistance with issues such as bathing, getting dressed, fixing meals, and managing a home. Others may need behavioral health care to encourage growth and development, or to manage the challenges of everyday life. All of these services are best provided in a consumer’s own home and community, however, they are not always easy to identify or access.

 Finding the right long term services and supports to fit a family’s needs can be difficult. There are a variety of different service providers, funding streams, and eligibility requirements that can make the search confusing, difficult, or frustrating. To address this reality, Nevada has been actively pursuing improvements to its LTSS system. Multiple state division mergers and streamlined access through implementation of the Money Follows the Person (MFP) approach and Balancing Incentives Program (BIP) are some of the efforts used to support improvement. Most recently, the state established an Advisory Board to develop a 3-year plan to develop a comprehensive “No Wrong Door” (NWD) approach to LTSS services for all Nevadans regardless of age or payee status.

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

Nevada Money Follows the Person (MFP) Transitioning Home Program - 05/30/2006

Through the Money Follows the Person (MFP) Transitioning Home program, a new offering from the State of Nevada, eligible participants will be provided with the services, support, and assistance necessary to move back into a community setting, such as an apartment or family home.

In order to help eligible participants with the transition process, the program can pay for goods and services, such as furniture, appliances, moving expenses, and housing deposits. See the SERVICES tab for a full list of program benefits.

MFP also gives most participants the option of self-direction, allowing them to decide where they want to live and who will assist them upon returning to the community.

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Nevada Medicaid Infrastructure Grant - 10/01/2000

"The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The 11-year competitive grant program provides funding to states for Medicaid infrastructure development that will build supports for people with disabilities who would like to be employed. States are encouraged to use grant funding to implement and develop the optional working disabled eligibility group (Medicaid buy-in), increase the availability of statewide personal assistance services, form linkages with other state and local agencies that provide employment related supports, and create a seamless infrastructure that will maximize the employment potential of all people with disabilities. For additional information concerning the Medicaid Infrastructure Grant Program, please visit our Web site."

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

Nevada Ticket to Work

"If you are currently receiving SSI or SSDI benefits, the Ticket to Work program can help you find the job that is right for you, and you can safely explore your work options without losing your benefits until you have stabilized your job and earnings.

You can easily return to benefits if you have to stop working You can continue to receive healthcare benefits You will not receive a medical continuing disability review (CDR) while using your Ticket"
Systems
  • Department of Rehabilitation Services
Topics
  • 14(c)/Income Security

Nevada Medicaid Infrastructure Grant

Nevada’s Medicaid Infrastructure Grant supports the competitive employment of people with disabilities by enhancing the state’s employment infrastructure and service delivery systems.  Section 203 of the Ticket to Work and Work Incentives Improvement Act (TWWIIA) of 1999 established a grant program supporting state efforts to better serve people with disabilities who are employed, as well as those who are seeking employment.  Funding for this program is intended to facilitate enhancements to State Medicaid programs and services, to promote linkages between Medicaid and other employment-related service agencies, and to develop a comprehensive system of employment supports for people with disabilities.  The Centers for Medicare & Medicaid Services (CMS) is the designated federal agency with administrative responsibility for this grant program. 

 
Systems
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Training/Capacity Building


Customized Employment: Presentation by the Nevada Center for Excellence in Disabilities - 05/21/2014

This presentation given by the staff at the Nevada Center for Excellence in Disabilities defines Employment First (EF) & Customized Employment (CE), elaborates upon the Nevada Collaborators, describes the philosophy, practices, and descendants of CE, and explains who can be served by the CE Project and what those job seekers can hope to achieve.

 
Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Nevada Customized Employment Project - 09/25/2013

The Customized Employment Project, a partnership between the Nevada Rehabilitation Division at the Department of Employment, Training, and Rehabilitation (DETR), Sierra Regional Center at Developmental Services, and the Nevada Center for Excellence in Disabilities (NCED), is a flexible process designed to personalize the employment relationship between a job candidate and an employer in a way that meets the needs of both. It is based on an individualized match between the strengths, conditions and interests of a job candidate and the identified business needs of an employer. Customized employment utilizes an individualized approach to employment planning and job development - one person at a time - one employer at a time.”

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Nevada Disability Services Unit: Comprehensive System of Personnel Development - 02/28/2012

The Rehabilitation Division, as the DSU, has established procedures and activities setting forth the Comprehensive System of Personnel Development[MW1]  (CSPD), which will ensure an adequate supply of qualified Rehabilitation professionals and paraprofessionals for the operation of the Vocational Rehabilitation programs.

The CSPD is coordinated by the Administrator of the DSU with the participation of: the Nevada State Rehabilitation Council (NSRC), Human Resources staff of the Department of Employment, Training, and Rehabilitation (DETR), and staff of the Bureaus of Vocational Rehabilitation (BVR) and Services to the Blind and Visually Impaired (BSBVI). DETR’s personnel records enable an annual analysis of the numbers and types of Rehabilitation personnel. Through the State of Nevada Personnel Department database, information on budgeted positions, duration of vacancy for each position and vacancy rates are available through a data warehouse system.

In addition, a personnel log is maintained at the agency level, delineating the location, type of position and date vacated in order to provide current tracking of vacancies including the status of each vacant position. This tracking mechanism has proved successful in reducing the vacancy rate and the amount of time that each position is vacant. All the sources of information are used to track and forecast the DSU’s personnel needs.

 

 

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

Emerging Practices from Vocational Rehabilitation

This summary document describes different initiatives and emerging practices in the state of Nevada that aim at improving employment outcomes for people with disabilities. The projects include CRAVE, Customized Employment, Voice, Career Development Academy, and the Pathways to Work.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

NV Department of Employment, Training, and Rehabilitation

This website contains information on the Job Development Training Series, “Creating Employment Opportunities.”  The modules in the series include: Introduction to Job Development and the Role of the Job Developer, Getting to Know Your Customer; The Employer as Partner; and Job Placement and Retention Services.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Customized Employment
  • Employer Engagement

Enforcement

No Enforcement have been entered for this state.

Medicaid & Employment


Nevada HCBS Transition Plan - 07/09/2015

The Centers for Medicare and Medicaid Services (CMS) issued new regulations in early 2014 that define the home and community based settings that will be allowable under HCBS. The purpose of these regulations is to ensure that individuals receiving HCBS are fully integrated into the community in which they live. These individuals must be offered opportunities to seek employment and engage in community activities in the same manner as individuals who do not receive HCBS.

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

NV HCBW for Persons w/ID and Related Conditions (0125.R06.00) - 10/01/2013

Provides day hab, prevocational, residential support, supported employment, behavioral consultation-training & intervention, counseling, career planning, non-medical transportation, nursing, nutrition counseling, residential support management for individuals w/ID ages 0 - no max age

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

Application for a 1915(c) Home and Community-Based Services Waiver - 10/01/2013

The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in ­1915(c) of the Social Security Act. The program permits a State to furnish an array of home and community-based services that assist Medicaid beneficiaries to live in the community and avoid institutionalization. The State has broad discretion to design its waiver program to address the needs of the waiver­s target population. Waiver services complement and/or supplement the services that are available to participants through the Medicaid.

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

Nevada Medicaid Infrastructure Grant - 10/01/2000

The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The 11-year competitive grant program provides funding to states for Medicaid infrastructure development that will build supports for people with disabilities who would like to be employed. States are encouraged to use grant funding to implement and develop the optional working disabled eligibility group (Medicaid buy-in), increase the availability of statewide personal assistance services, form linkages with other state and local agencies that provide employment related supports, and create a seamless infrastructure that will maximize the employment potential of all people with disabilities. For additional information concerning the Medicaid Infrastructure Grant Program, please visit our Web site.

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

Nevada Balancing Incentives Program

"The Balancing Incentive Program is a grant-funded program established by the Affordable Care Act through the Centers for Medicare and Medicaid Services (CMS). The goal of the program is to make structural changes to the way individuals access long term services and supports (LTSS) in order to rebalance institutional care with home and community based services. The desired result is to increase the amount spent on home and community based services to 50% of total spending on LTSS.

As required by the funding authorization, Nevada Medicaid (Division of Health Care Financing and Policy) is the lead agency for the BIP. The BIP team, however, is made up of a large number of cross-functional and cross-agency contributors who have been instrumental in moving the project toward its goals and objectives. Many of the projects and workgroups related to BIP have been collaborations between Nevada's Aging and Disability Services Division and Nevada Medicaid. In addition, many other state agencies and contractors have contributed in important ways."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Nevada Medicaid State Plan

The Medicaid and CHIP state plans are agreements between Nevada and the federal government describing how we administer these programs. It gives an assurance that Nevada will abide by federal rules and may claim federal matching funds for program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are under way in the state.

 
Systems
  • Medicaid Agencies

Nevada Medicaid Spending Comparison Charts

This document provides comparison charts on Medicaid and non-Medicaid spending in the state of Nevada as of 2013.

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