Ohio

States - Big Screen

 In Ohio Employment First is for "Every person. Every talent. Every opportunity

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 Ohio’s Vocational VR Rates and Services

2015 State Population.
0.17%
Change from
2014 to 2015
11,613,423
2015 Number of people with disabilities (all disabilities, ages 18-64).
0.87%
Change from
2014 to 2015
847,932
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
2.55%
Change from
2014 to 2015
298,233
2015 Percentage of working age people who are employed (all disabilities).
1.71%
Change from
2014 to 2015
35.17%
2015 Percentage of working age people who are employed (NO disabilities).
0.85%
Change from
2014 to 2015
77.69%

General

2013 2014 2015
Population. 11,570,808 11,594,163 11,613,423
Number of people with disabilities (all disabilities, ages 18-64). 838,715 840,550 847,932
Number of people with disabilities who are employed (all disabilities, ages 18-64). 281,190 290,618 298,233
Number of people without disabilities who are employed (ages 18-64). 4,731,444 4,791,851 4,814,281
Percentage of working age people who are employed (all disabilities). 33.53% 34.57% 35.17%
Percentage of working age people who are employed (NO disabilities). 75.90% 77.03% 77.69%
Overall unemployment rate. 7.50% 5.70% 4.90%
Poverty Rate (all disabilities). 24.40% 24.50% 23.20%
Poverty Rate (NO disabilities). 14.60% 14.40% 13.50%
Number of males with disabilities (all ages). 757,422 757,995 758,987
Number of females with disabilities (all ages). 797,926 826,926 834,325
Number of Caucasians with disabilities (all ages). 1,280,507 1,299,416 1,310,817
Number of African Americans with disabilities (all ages). 213,961 219,636 215,042
Number of Hispanic/Latinos with disabilities (all ages). 38,208 43,002 42,867
Number of American Indians/Alaska Natives with disabilities (all ages). 4,711 5,074 4,523
Number of Asians with disabilities (all ages). 11,488 13,582 12,705
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A 507
Number of with multiple races disabilities (all ages). 35,647 37,460 40,094
Number of others with disabilities (all ages). 8,602 9,550 9,624

 

SSA OUTCOMES

2013 2014 2015
Number of SSI recipients with disabilities who work. 17,636 17,715 18,435
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 5.90% 5.90% 6.10%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 391,634 356,270 356,826

 

MENTAL HEALTH OUTCOMES

2013 2014 2015
Number of mental health services consumers who are employed. 15,173 13,078 10,079
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 45,183 37,954 28,199
Number of adults served who have a known employment status. 101,112 61,441 47,662
Percentage of all state mental health agency consumers served in the community who are employed. 15.00% 21.30% 21.10%
Percentage of supported employment services evidence based practices (EBP). 2.00% 2.40% 2.90%
Percentage of supported housing services evidence based practices (EBP). N/A N/A N/A
Percentage of assertive community treatment services evidence based practices (EBP). 1.70% 0.20% 2.60%
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. 2,195 2,684 3,450
Number of evidence based practices (EBP) supported housing services. N/A N/A N/A
Number of evidence based practices (EBP) assertive community treatment services. 1,866 228 3,037
Number of evidence based practices (EBP) medications management. N/A N/A N/A

 

WAGNER PEYSER OUTCOMES

2013 2014 2015
Number of registered job seekers with a disability. 7,029 1,747 719
Proportion of registered job seekers with a disability. 0.00 0.02 0.00

 

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. 124 114 135
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 78 80 85
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. 63.00% 70.00% 63.00%
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. 0.68 0.69 0.73

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
9,219
N/A
12,039
Number of people with visual impairments served under VR. 702 N/A 908
Number of people with communicative (hearing loss, deafness) impairments served under VR. 375 N/A 760
Number of people with physical impairments served under VR. 1,592 N/A 2,252
Number of people cognitive impairments served under VR. 220 N/A 3,533
Number of people psychosocial impairments served under VR. 3,369 N/A 3,718
Number of people with mental impairments served under VR. 979 N/A 868
Percentage of overall closures into employment under VR. 15.70% 20.40% N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 10,447 10,377
Number of eligible ticket to work beneficiaries. N/A 565,019 570,448
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 375 N/A N/A
Total number of ID competitive labor market closures. 537 684 N/A

 

IDD OUTCOMES

2012 2013 2014
Dollars spent on day/employment services for integrated employment funding. $94,107,000 $95,953,000 $91,872,000
Dollars spent on day/employment services for facility-based work funding. $152,373,000 $141,254,000 $132,663,000
Dollars spent on day/employment services for facility-based non-work funding. $505,222,000 $522,830,000 $539,890,000
Dollars spent on day/employment services for community based non-work funding. $0 $0 N/A
Percentage of people served in integrated employment. 22.00% 21.00% 22.00%
Number of people served in community based non-work. 0 0 N/A
Number of people served in facility based work. 17,686 18,591 17,902
Number of people served in facility based non-work. 13,707 14,218 13,537
Number supported in integrated employment per 100,000 individuals in the general state population. 60.90 63.40 64.70

 

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). 62.00% 62.81% 63.92%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 11.70% 11.83% 11.79%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 4.10% 4.33% 4.04%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 99.50% 99.26% 99.34%
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). 34.80% 33.70% 29.37%
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). 70.60% 69.87% 66.55%
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). 79.30% 78.38% 81.87%
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). 35.80% 36.17% 37.18%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 2,552,533
Number of overall total blind and SD workers. 4,128
Number of AbilityOne blind and SD hours (products). 175,646
Number of AbilityOne blind and SD hours (services). 500,082
Number of AbilityOne blind and SD hours (combined). 675,727
Number of AbilityOne blind and SD workers (products). 233
Number of AbilityOne blind and SD workers (services). 531
Number of AbilityOne blind and SD workers (combined). 764
AbilityOne wages (products). $1,787,410
AbilityOne wages (services). $6,697,054

 

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

2014 2016
Number of 14(c) certificate-holding businesses. 3 2
Number of 14(c) certificate-holding school work experience programs (SWEPs). 1 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 124 62
Number of 14(c) certificate holding patient workers. N/A 0
Total Number of 14(c) certificate holding entities. N/A 64
Reported number of people with disabilities working under 14(c) certificate-holding businesses. N/A 21
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 8,076
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 0
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 8,097

 


Ohio Revised Code 5123:2-9-16 - Home and community-based services waivers - 04/01/2017

“This rule defines group employment support and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. The expected outcome of group employment support is paid employment and work experience leading to further career development and competitive integrated employment.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • 14(c)/Income Security
  • Segregated Day & Employment Services

Ohio HB 155 - 10/15/2015

A bill to amend section 2329.66 and to enact sections 113.50, 113.51, 113.52, 113.53, 113.54, 113.55, and 113.56 of the Revised Code to require the Treasurer of State to create a program [ABLE] offering federally tax-advantaged savings accounts used to pay for a person's qualified disability expenses and to disregard the value of and income from that account in determining whether that person is eligible for state or local means-tested public assistance.

 

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Ohio SB 316: IEP and Post-secondary Transition Requirements - 09/24/2012

Beginning not later than the first IEP to be in effect when the child is fourteen years of age, and update annually thereafter, a statement describing:

Appropriate measurable post-secondary goals based upon age-appropriate transition assessments related to training, education and independent living skills; Appropriate measurable post-secondary goals based on age-appropriate transition assessments related to employment in a competitive environment in which workers are integrated regardless of disability; The transition services including courses of study, needed to assist the child in reaching the goals described in divisions (H)(1) and (2) of this section.

 

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

Ohio Rev. Code §5126.05: County Board - Powers & Duties - 09/24/2012

“Implement an employment first policy that clearly identifies community employment as the desired outcome for every individual of working age who receives services from the board…”

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

5123.022 OH State Policy Regarding Community Employment for Disabled - 09/24/2012

“It is hereby declared to be the policy of this state that employment services for individuals with developmental disabilities be directed at community employment. Every individual with a developmental disability is presumed capable of community employment.”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

OH Rev. Code Ann. §§123.152 - Encouraging diversity, growth, and equity program. - 09/29/2005

As used in this section, "EDGE business enterprise" means a sole proprietorship, association, partnership, corporation, limited liability corporation, or joint venture certified as a participant in the encouraging diversity, growth, and equity program by the director of administrative services under this section of the Revised Code.   Social disadvantage based on any of the following:  - A rebuttable presumption when the business owner or owners demonstrate membership in a racial minority group or show personal disadvantage due to color, ethnic origin, gender, physical disability, long-term residence in an environment isolated from the mainstream of American society, location in an area of high unemployment;   
Topics
  • Self-Employment

Ohio Employment First Executive Order - 03/19/2012

All state agencies providing supports and services to Ohio’s individuals with developmental disabilities are required to align policies and procedures to support community employment and fulfill the Employment First requirement that community employment is the preferred outcome for working-age adults.

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

Ohio 2016-2017 Budget: Historic Investments for Ohioans with Developmental Disabilities - 07/01/2016

"Governor Kasich’s historic budget invests $286 million ($116.5 million State share) over the next two years to increase opportunities for Ohioans with disabilities to live and work in the community. The initiatives in this budget expand supports for those who are waiting for services, increase opportunities for community participation, and improve the experience for those who are receiving services by modernizing our programs and strengthening the direct care force….

The budget continues to prioritize funding to reflect the growing demand for Home and Community-Based Services. Funding will allow DODD to add nursing services to the IO waiver to enable people with medical needs to live in community settings, provide for much-deserved increase for direct care staff, increase the availability of add-on services for individuals with complex needs and behavioral challenges, provide training for those who receive, plan, and deliver waiver services, and strengthen oversight and quality assurance efforts so the person-centered plan is delivering meaningful outcomes."

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

Employment First Project Update (February 2016) - 02/01/2016

“As part of the Centers for Medicare and Medicaid Services (CMS) Transition plan, services and rates are being updated for Adult Day waiver services. Input was gathered from community forums and stakeholder workgroups throughout 2014 and 2015. These new services will be focused on person centered planning and individual outcomes. New services will start being used on October 1, 2016.”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Ohio VR Provider Manual - 11/23/2015

The VR Provider Manual provides service descriptions and requirements for services including career exploration, job development, retention, job seeking skills training, and customized employment, among others.

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Provider Transformation

OH Vocational Rehabilitation Comprehensive Statewide Needs Assessment - 09/30/2015

“Opportunities for Ohioans with Disabilities (OOD), Division of Performance and Innovation (DPI), produced this 2015 Comprehensive Statewide Needs Assessment (CSNA) building upon the framework methodology developed from the 2012 CSNA, which was designed to assess the vocational rehabilitation (VR) service needs of individuals related to six primary disability categories. These disabilities include visual impairments, hearing impairments, communicative impairments, physical impairments, psychosocial impairments and cognitive impairments. This methodology focuses on penetration rates (of the extent to which OOD was serving prospective jobseekers with disabilities), and proportionality (how well OOD is balanced in serving the cross-section of individuals with disabilities who are seeking employment).” The VR sets forth 9 recommendations to be set as priorities over the next year in order to improve integrated employment opportunities and community inclusion.

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

Ohio Rehabilitation Services Commission State Plan (VR Rehabilitation Services Program) - FY 2015 - 09/30/2014

The State Plan for the State Vocational Rehabilitation Services Program and State Plan Supplement for the State Supported Employment Services Program: Ohio Rehabilitation Services Commission State Plan for Fiscal Year 2014 states that staff should build competencies on, and promote the employment practices such as customized employment, self-employment, and supported employment, among others.  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Guide to Policy and Procedure Development - 07/31/2014

"The Employment First Rule, 5123: 2-2-05, requires county boards to adopt and implement a local Employment First Policy which clearly identifies community employment as the desired outcome for every individual of working age. The following is guidance developed in response to multiple requests from county boards."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Funding System Re-Design for Ohio’s Employment First Initiative: Review of Promising Models from Other States - 06/02/2014

This report aims to provide DODD with a comparison of funding structures from multiple states with high rates of integrated employment, including at least one state with a local tax base funding structure. The first 3 Key Principles for establishing a funding system to support Employment First uphold that, “The system should be based upon a presumption of competency, employability and ‘zero reject’ for each person with a disability, regardless of complexity; The system should reward providers for best practice implementation of Individual Supported Employment; [and] The system should require provider standards and staff training/certification to assure equal statewide access to and opportunity for Individual Supported Employment.” There are 9 principles in total that guide that together guide the structure and implementation of Employment First.

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • School-to-Work Transition
  • Mental Health
  • Asset Development / Financial Capability
  • Resource Leveraging

Employment First Administrative Rule (5123: 2-2-05) - 04/01/2014

“The purpose of this rule is to implement the employment first policy in accordance with section 5123.022 of the Revised Code… This rule applies to county boards of developmental disabilities and providers responsible for planning, coordinating, or providing employment services, regardless of funding source, to individuals with developmental disabilities.”

·       Community Employment is competitive employment that takes place in an integrated setting

·       Every individual of working age will have a person-centered planning process to identify their desired employment outcome and their place on the path to community employment

·       Services and supports will be provided to help the individual move along the path to community employment

·       County boards are required to develop and implement an Employment First policy, set benchmarks to increase community employment outcomes, partner with schools to enhance transition planning, share information with individuals, families, schools, employers, providers and others in the community about Medicaid Buy-In, and collect employment data on individuals served

·       Providers are required to submit progress reports at least every 12 months to ensure the individual is moving along the path to community employment and collect employment data on individuals served

   
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Ohio's Path to Employment First - 02/01/2014

“Successful implementation of Employment First requires a multi-pronged approach and a long-term commitment to systems change…. A comprehensive approach must focus on key strategies; all designed to work synergistically to impact a service structure that better supports people to achieve community employment and directs more resources toward that preferred outcome.”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Ohio - “New Requirements for Secondary Transition Services for Students with Disabilities: Frequently Asked Questions” - 09/19/2012

The New Requirements state that IEPs must start at age 14, update annually and contain,

“Appropriate measurable post-secondary goals based upon age-appropriate transition assessments related to training, education and independent living skills;  Appropriate measurable post-secondary goals based on age-appropriate transition assessments related to employment in a competitive environment in which workers are integrated regardless of disability; and The transition services including courses of study, needed to assist the child in reaching the goals described [above]…”

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

OH Department of Education Job Training Coordinating Program Manual

This manual contains information on Individualized Education Plans (IEPs and school-to-work transition for students with disabilities. It recommends the use of Customized Employment as a good technique for harder to place students.

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

CMS Transition Plan: Employment and Day Services

“In January 2014, the federal Centers for Medicare and Medicaid Services (CMS) released new requirements for Home and Community Based Services (HCBS) waivers administered by states. Essentially, the rule says that federal Medicaid funds no longer can be used to pay for waiver services in settings that isolate people, including institutions, and settings next to public institutions…DODD is working to develop new service models that promote community employment and integrated day services. These new services will ensure that all individuals, regardless of where they choose to receive services, will have opportunities to be involved in community-based activities.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Segregated Day & Employment Services
  • Provider Transformation

Employment First Waiver Form

“It is the policy of the Self-Empowered Life Funding (SELF) waiver that emphasizes employment as the priority and preferred outcome for working-age adults with disabilities. Employment First recognizes the social and economic benefits of meaningful work for all individuals. Everyone, regardless of disability, should have the opportunity to earn at least minimum wage in integrated, community-based settings”

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

Ohio DD System Requirements

“In order to make community employment the expected and preferred outcome for people with developmental disabilities, the Ohio DD system is required to align policies, procedures, eligibility, enrollment, and planning for services across state agencies… Other requirements include development of universal tools for documentation, eligibility, selection, assessment, and planning of services. Identification of best practices, partnerships, funding sources, opportunities for shared services among County Boards of DD and other providers is required along with expanding model programs.”

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

Ohio Transition Planning Requirements in IEPs

“Transition assessment affords the opportunity for professionals from across agencies to co-plan and review information that will highlight the youth's preferences, interests, needs and skills relevant to building a profile of the youth as a future employee.  A  team approach to assessment –adult service personnel, educators, youth and family working collaboratively—results in a profile that informs the pathway to community employment that is the 'best fit' for the youth.”

Transition planning is required to begin formally and be documented in the Individualized Education Program (IEP) by age 14.  The IEP must include a post-secondary goal for employment that is based on age-appropriate transition assessments related to employment in a competitive environment in which workers are integrated regardless of disability.

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

Ohio Employment First Administrative Rule

The Administrative Rules assert that, “Community Employment is competitive employment that takes place in an integrated setting;

Every individual of working age will have a person-centered planning process to identify their desired employment outcome and their place on the path to community employment; and Services and supports will be provided to help the individual move along the path to community employment.” It also outlines the responsibilities of the County Boards and Providers.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Ohio Transition Support Partnership (OTSP) - 09/01/2015

"The Ohio Department of Education and Opportunities for Ohioans with Disabilities are partnering to improve post-secondary outcomes for students with disabilities, beginning at age 14. This innovative collaboration will change the nature and impact of transition services for students with disabilities in Ohio. The new model will help students with disabilities get a head start on becoming job ready and better prepared to enter the workforce with the skills necessary to be successful in today’s workforce."

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

People First of OH comments in response to "Ohio's Draft Plan to Comply with New Federal Horne and Community-Based Services Requirements” - 01/20/2015

ORO is submitting these comments to "Ohio's Draft Plan to Comply with New Federal Home and Community-Based Services Requirements," which was released to the public o n December 15, 2014.   The federal Centers for Medicare and Medicaid Services ("CMS") has issued new rules for states'1915( c) home and community-based services (" HCBS") waiver programs ("waiver programs"), defining for the first time "home and community-based settings" eligible for continued federal waiver funding. CMS has required states to create transition plans specifying how they will comply with these new rules and to allow the public to provide input on their proposed plans before they are finalized.”   
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

People First of Ohio Call to Action: “Blazing New Trails to Employment” - 04/25/2012

“People First's employment "Call to Action" and its regional forums brought together hundreds of self-advocates, family members, county board staff, providers, and staff from the Rehabilitation Services Commission and the Ohio Legal Rights Service, to understand Ohio's transition and job service systems; hear about the types of jobs and training people with developmental and intellectual disabilities (DD/ID) want; and plan for more job opportunities, and better wages and benefits for people with disabilities. People First fully supports the Governor's Executive Order 2012-0SK to make Ohio an "Employment First" state.” 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

VR SE Partnership

This booklet outlines implementation strategies for collaboration between local offices of state vocational rehabilitation (VR) services and mental health service organizations that provide Supported Employment, the evidence-based practice (SE-EBP), to consumers who have a severe mental illness. Strategies for the VR and SE partnership are organized into three stages of collaboration.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Other
Topics
  • Customized Employment
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Ohio Mental Illness/Developmental Disabilities (MIDD) Coordinating Center of Excellence

“The MIDD CCOE promotes clinical best practices for individuals with mental illness and developmental disabilities. It is a collaborate effort involving ODMH, the Ohio Department of Developmental Disabilities, and the Ohio Developmental Disabilities Council.  With the goal of providing appropriate treatment for individuals with co-occurring mental illness and developmental disabilities, the CCOE assists local systems throughout Ohio to increase their service capacity and foster collaboration.”   Supported Employment “Supported Employment/Individual Placement and Support (SE/IPS) is an evidence-based practice that helps people with mental illness and other disabilities identify and acquire part-time or full-time jobs of their choice in the community with rapid job-search and placement services. It emphasizes that employment is not the result of treatment and recovery but integral to both. SE/IPS is different from traditional vocational rehabilitation. It emphasizes consumer choice and utilizes rapid job-search and placement services, time-unlimited and individualized follow-along services, and many other important strategies.”  
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Ohio NAMI Supported Employment Family Advocacy Project

“This collaboration between NAMI Ohio and the Ohio Department of Mental Health engages families of individuals with mental illness to advocate for, create and expand high-quality Individual Placement and Support (IPS) programs. Family involvement can strengthen the partnerships between providers, family members and consumers around SE services.”

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

Ohio Partnership for Employment First Guide

The Ohio Department of Developmental Disabilities, in partnership with Opportunities for Ohioans with Disabilities Agency, has announced a statewide initiative to expand community employment services for people with developmental disabilities. This opportunity will allow the state to maximize resources to support more people on their path to community employment, build system capacity, and strengthen the relationship between the developmental disability and vocational rehabilitation systems in Ohio.

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

Ohio Employment First Taskforce Common Principles

“The Ohio Employment First Taskforce agencies agree that community employment should be the first option for all working age adults and transition-age youth with developmental disabilities. Employment First is a philosophy of service that presumes that all Ohioans with significant disabilities can and should have opportunities to work in the community”.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Mental Health and Addiction Services (Ohio MHAS) Supported Employment Project - 07/01/2014

"Ohio Mental Health and Addiction Services (MHAS) and its partners are implementing the Supported Employment Project. This project reduces the high unemployment rates for young adults and adults with a severe and persistent mental illness who may have co-occurring substance use disorders.

Two local sites are implementing new programs, and a committee will oversee statewide training, policy changes, and evaluation. The evidence-based practice of Individual Placement and Support employment is being shared statewide through training and technical assistance."

Systems
  • Department of Mental Health
Topics
  • Mental Health

Workplace Initiative Ohio - 11/01/2013

"The Central Ohio Workplace Initiative has been renamed the Workplace initiative of Ohio (WIO) to reflect the expansion of the family foundation funded project across the state.  The purpose of the Workplace Initiative of Ohio (WIO) is to create demand among Ohio businesses for talented career seekers with disabilities in healthcare, hospitality, distribution, banking, retail, and other industries. Employers benefit from streamlined candidate sourcing, pre-screening, training assistance and more.

On November 1, 2013, OHBLN and Opportunities for Ohioans with Disabilities (OOD) began working on a project funded by a grant from a private foundation concerned about the high unemployment rate of individuals with disabilities. The purpose of WIO is to work with businesses to create demand for qualified job seekers with disabilities in distribution, retail, health care and other industries."

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

OCALI Customized Employment Project - 03/01/2009

"With funding from the Ohio Department of Developmental Disabilities (DODD), OCALI launched a customized employment project in March 2009 for two school based transition teams, Claymont High School with Tuscarawas County Board of Developmental Disabilities and Huber Heights High School with Montgomery County Board of Developmental Disabilities. The goal of the project was to increase community employment outcomes for transition aged youth using customized employment strategies and processes. Team members received training and consultation in the CE process, Social Security Work Incentives and working with employers. Teams included school, developmental disability, and vocational rehabilitation staff, plus a parent mentor. In November of 2009 the project received additional funding from DODD to add another team from Lucas County Board of Developmental Disabilities and to provide up to 40 paid internships for youth with disabilities using customized employment strategies and processes in the Lucas County and Montgomery County sites. The Tuscarawas County site obtained funding from DODD, “We Go To Work Grants” to fund resource ownership as an employment strategy."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • School-to-Work Transition

Ohio Disability Employment Initiative

The Disability Employment Initiative (DEI) is a three-year federal grant-funded program that improves education, training, employment opportunities, and employment outcomes for people with disabilities who are unemployed, underemployed, and/or receiving Social Security disability benefits. In 2011, was awarded a Round 2 DEI grant from the U.S. Department of Labor’s Employment Training Administration. This grant ended in 2014.

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
Topics
  • Customized Employment
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Ohio Medicaid Infrastructure Grant

“The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The…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”. 

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

Ohio Money Follows the Person

“The Money Follows the Person (MFP) Rebalancing Demonstration Grant helps states rebalance their Medicaid long-term care systems. Over 40,500 people with chronic conditions and disabilities have transitioned from institutions back into the community through MFP programs as of December 2013.  The Affordable Care Act of 2010 strengthened and expanded the MFP program allowing more states to apply.”

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

2017 Transformation Series: Building Innovative Service Models - 05/01/2017

“Ohio's continued efforts to assist every individual of working age to gain community-based employment is largely supported by provider agencies across the state. These agencies are collectively working through a systems change process that will enable the strengthening and support of community-based service options for individuals with disabilities. The 2017 Transformation Series provides an opportunity for provider agencies to gather and share ideas, strategies, and practices that will assist them as they move through the systems change process and help improve person-centered planning and employment opportunities for individuals across Ohio.

Efforts are focused on two face-to-face events in the spring of 2017:

Phase 1: Provider Agency Site Visits

Phase 2: 2017 Transformation Summit”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Provider Transformation

Ohio RSC Customized Employment, Griffin Hammis Associates, LLC - 01/25/2012

This video on the Ohio RSC Customized Employment Project includes testimonials from staff, leaders, and job seekers and business owners who have benefited from the program. It is both an interesting description of, and a compelling case for, Customized Employment.

Systems
  • Other
Topics
  • Customized Employment
  • Employer Engagement

Ohio Employment First Transition Framework

"Ohio Employment First Transition Framework is a critical component to the Ohio Employment First structure and is intended to address barriers to transition planning and services in order to achieve meaningful adult outcomes. The Framework was developed by stakeholders from multiple agencies to create processes and highlight practices that can be used by all agencies. These common processes assist professionals to plan, prepare, empower, educate, and connect across systems so as to consistently assist youth with disabilities to realize meaningful, community employment and other valued aspects of adult life.

The Framework is built on three non-negotiable foundational elements that together create a 'filter' to examine the practices and procedures used when working and supporting transition youth. The foundational elements for the activity and practices of the Framework are:

Person-centered. The youth is where the team efforts begin and end. Policies and practices must be flexible enough to respond to individual strengths and needs. Agency-neutral. As agencies come together to collaborate, activity should occur in a manner where all involved see value for the youth and no single agency policies or procedures are considered the priority. Outcome-focused. The common focus of the collaborative efforts are the meaningful adult life outcomes."
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Loop Ohio

"Welcome to Loop Ohio, Ohio’s virtual Community of Practice! This online community is dedicated to facilitating statewide and local, cross system collaboration and learning, with a focus on promoting best practices in community development and inclusion for people with disabilities. Ohio is a national leader in these efforts, primarily because of the innovative work being done all across the state, throughout our local communities. Loop Ohio provides a platform for community members and professionals to share ideas and resources, solve problems, break down barriers, connect across distance, and engage in ongoing learning. Loop Ohio is multi-functional, enabling people to have live virtual conversations, share resources, post events, lead and participate in webinars, use discussion boards, have online chat time with subject matter experts and more."

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
Citations

OH Job Seekers Toolkit

"The Job Seekers Guide will help you learn how to get a job and will give you some tools that will help along the way."

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • Customized Employment
  • School-to-Work Transition

Livin’ the Dream Toolkit

"Employment among people with mental illness is very low despite research that strongly supports the critical impact that work plays in promoting recovery. The Ohio Department of Mental Health and Addiction Services (OhioMHAS) is committed to helping individuals find and keep jobs that help them become independent and productive. Toward this goal, OhioMHAS supports technical assistance, consultation and training to provider organizations and consumer-operated peer centers.

The Main Place, a Consumer Operated Services (COS) organization, developed a non-proprietary curriculum and training materials that can be used by COS organizations statewide to address issues related the impact of poverty on the recovery of adults experiencing serious and persistent mental illness, as well as encourage consumers in obtaining employment. The working title for the Tool Kit is "Livin' the Dream". The Main Place trained staff and consumer volunteers as facilitators to implement the curriculum in Licking and Knox Counties. Consumers throughout the state can now have access to the workbooks for programming and services in their own communities."

Systems
  • Department of Mental Health
  • Other
Topics
  • Mental Health
  • 14(c)/Income Security

Customized Employment Training Series

The Ohio Department of Job and Family Services and Griffin-Hammis Associates are sponsoring classroom training, on-line instruction, special topics webinars, and technical assistance on Customized Employment for designated Job Center staff and partners, to support individuals with significant disabilities and complex barriers to employment.

 
Systems
  • Department of Workforce Development
Topics
  • Customized Employment

Orientation to Supported Employment Web Course

This Web-based training is an introduction to the competencies for effective supported employment. Please follow this link to register:

https://trn-store.com/trn-courses/entry/OHIntroductionRegister.php

Seven lessons will cover the following topics:

Values, Definitions, History Legislation, Funding, Ohio’s Employment First Roles and Rights Supported Employment Process and Benefits Career Planning, Discovery, Vocational Profile Marketing and Job Development Job Design and Training, Natural Supports
Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Employer Engagement

Customized Employment Guide

“This guide provides a look at the strategies used in Customized Employment (CE) and links to more information and resources for those who are just beginning to explore CE. It explains how CE might benefit individuals with disabilities seeking employment and students in transition from school to work. CE is based on several evidence based transition practices such as self-determination, using self-advocacy strategies, and providing community based instruction. Learn about OCALI’s experience with three teams in Ohio that served transition age youth. In addition to traditional funding sources these teams had access to funding for internships and resource ownership.”

Systems
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health

Customized Employment: Best Practice of Today

This presentation intertwines Customized Employment into Employment First as a key component to the state’s efforts in promoting community-based, integrated employment for people with disabilities.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Provider Transformation

Project SEARCH: Opening Doors to Employment for Young People with Disabilities (2009)

“In the mid-1990s, Cincinnati Children’s Hospital began a broad diversity campaign to build a stable, reliable workforce that represented the surrounding community. Although medical professionals make up about 70 percent of the hospital’s workforce, the remaining employees are support personnel who receive on-the-job training and tend to experience high turnover. As part of its diversity effort, the hospital formed a partnership with Great Oaks Career Campuses, a career technical school with a significant proportion of students (28 percent) with developmental disabilities (DD). The resulting job training and placement program was named Project SEARCH and focused on training high school students with DD who are making the transition from school to work. The Project SEARCH model is based on an active collaboration between the hospital, Great Oaks, and the Ohio Rehabilitation Services Commission, the state’s vocational rehabilitation agency (SVRA). Over the past 15 years, this model has been implemented in 140 additional sites in the United States and the United Kingdom, mostly in hospitals, although some programs have been implemented in banks, insurance companies, state and local government agencies, zoos, senior care facilities, and universities.”

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

Ohio Mental Health and Addiction Services, Support-Employment, Statewide Committee

The ability of all Ohioans to secure and maintain integrated competitive meaningful employment is a top priority of Governor Kasich. The Ohio Department of Mental Health & Addiction Services (OhioMHAS) and Opportunities for Ohioans with Disabilities (OOD) work daily in support of this goal specifically for people with disabilities – including people with a severe and persistent mental illness and/or co-occurring substance use disorders. OhioMHAS and OOD have partnered with multiple stakeholders to support employment access through the collaborative work of the Statewide Employment Committee. This committee was created to identify and remove employment barriers for individuals with severe and persistent mental illness and/or co-occurring substance use disorders that are served through the vocational rehabilitation system.  

Systems
  • Department of Mental Health
  • Other
Topics
  • Customized Employment
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Ohio Supported Employment Family Advocacy Summit Toolkit (2010)

In May 2010, NAMI Ohio hosted a two-day Summit on Supported Employment to educate advocates about the importance of supported employment to the recovery process. ..participants [were encouraged] to be more active in their local communities by promoting services to help individuals with mental illness find and retain meaningful employment”.  

Topics
  • Mental Health

Ohio Employment First Provider Support Trainings

Professional development activities are available to providers by the Ohio Employment First Initiative.  Trainings include, but are not limited to Mobile Technology as Employment Supports; Task Analysis for Job Coaches; The Role of the Occupational Therapist in Supporting Employment; Transformation: Sustaining Conversation, Raising the Bar and Changing Lives; Worksite Analysis for Job Coaches; Employment supports for those with IDD and Autism; andEmployment supports for those with Physical or Sensory involvement.

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Disability Rights OH, National Federation of the Blind, and Autistic Self Advocacy Network Celebrate Landmark Decision Ordering Fair Pay - 02/03/2016

COLUMBUS, OHIO – In a precedent-setting opinion issued by an administrative law judge from the U.S. Department of Labor (USDOL), three clients have been awarded minimum wage going forward and back pay from Seneca Re-Ad, a sheltered workshop run by the Seneca County Board of Developmental Disabilities. The original petition was filed by Disability Rights Ohio (DRO), the National Federation of the Blind, the Autistic Self Advocacy Network, and the Baltimore law firm of Brown, Goldstein & Levy, LLP.

Systems
  • Department of Workforce Development
  • Other

Fair Pay from Sheltered Workshops (2016) - 02/02/2016

This case arises under Section 214(c) of the Fair Labor Standards Act ("Act"), 29 U.S.C. §214(c). Ralph ("Joe") Magers, Pamela Steward and Mark Felton ("Petitioners") are employees of Seneca Re-Ad Industries ("Respondent"), which is located in Fostoria, Ohio. Each of the Petitioners has been diagnosed with one or more developmental disabilities and each receives services from the Seneca County (Ohio) Board of Developmental Disabilities ("DD").  Employment at Respondent's Fostoria manufacturing facility is one of the services provided by DD.  
Systems
  • Department of Workforce Development

Ohio Revised Code 5123:2-9-16 - Home and community-based services waivers - 04/01/2017

“This rule defines group employment support and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. The expected outcome of group employment support is paid employment and work experience leading to further career development and competitive integrated employment.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • 14(c)/Income Security
  • Segregated Day & Employment Services

DOL - 08/03/2016

WIASRD elements for IWT: Waiver to allow states to discontinue collection of 7 WIASRD data elements for incumbent workers. requested: 9/12 decided: 12/12 expires: 6/17

Systems
  • Department of Workforce Development
  • Other
Citations

Ohio ESEA Flexibility Request - 08/21/2015

“By submitting this updated ESEA flexibility request, the SEA renews its request for flexibility through waivers of the nine ESEA requirements listed below and their associated regulatory, administrative, and reporting requirements, as well as any optional waivers the SEA has chosen to request under ESEA flexibility…”

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

Ohio’s HCBS Transition Plan - 03/13/2015

“Governor John Kasich created the Office of Health Transformation (OHT) to lead the Administration’s efforts to modernize Medicaid and streamline health and human services programs. Using an innovative approach that involves collaboration among multiple state agency partners and a set of shared guiding principles, reform initiatives are improving services, thus enabling seniors and people with disabilities to live with dignity in the setting they prefer, especially their own home.”

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

Ohio Balancing Incentives Program - 06/15/2013

"The Ohio Department of Medicaid is committed to removing barriers and expanding access to long-term care received in home and community-based settings. In conjunction with the Governor’s Office of Health Transformation and additional state agencies, Ohio Medicaid is an active participant in the Balancing Incentive Program.

In June 2013, the Ohio Department of Medicaid was awarded more than $169 million in additional federal medical assistance percentage (FMAP) for its commitment to direct half of all Medicaid long-term care funding to home and community-based services (HCBS) by September 30, 2015."

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

Medicaid Buy-in for Workers with Disabilities - 04/01/2008

"Medicaid Buy-In for Workers with Disabilities (MBIWD) is an Ohio Medicaid program that provides health care coverage to working Ohioans with disabilities. Historically, people with disabilities were often discouraged from working because their earnings made them ineligible for Medicaid coverage. MBIWD was created to enable Ohioans with disabilities to work and still keep their health care coverage."

Systems
  • Medicaid Agencies
Topics
  • 14(c)/Income Security

Ohio Medicaid State Plan

The State Plan is a comprehensive written statement that describes the nature and scope of the Ohio Medicaid program and assures that it is administered in conformity with federal requirements and regulations.  The information provided on this page is for informational purposes only, and ODM disclaims any obligation or liability based upon its use. The formally adopted state plan, statutes, and rules governing the Ohio Medicaid program prevail over any conflicting information provided here.

Systems
  • Medicaid Agencies

Money Follows the Person

“The Money Follows the Person (MFP) Rebalancing Demonstration Grant helps states rebalance their Medicaid long-term care systems. Over 40,500 people with chronic conditions and disabilities have transitioned from institutions back into the community through MFP programs as of December 2013.  The Affordable Care Act of 2010 strengthened and expanded the MFP program allowing more states to apply.”

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

Ohio Medicaid Spending Comparison Charts

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

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

How Does Work Impact My Benefits?

“If you are receiving benefits from the government (money, services, staff, medical care), you may be worried that if you work, you will not get those services. This page can help you learn what will change as you start to make your own money. You will also learn about some special benefits for workers!”

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

OH Disability Benefits 101: Working with a Disability in Ohio

“Disability Benefits 101 gives you tools and information on health coverage, benefits, and employment. You can plan ahead and learn how work and benefits go together.”

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

Medicaid Infrastructure Grant

“The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The…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”. 

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

Ohio Self Empowered Life Funding (SELF) Waiver

“The SELF waiver is Ohio's first participant-directed waiver. Participant direction means individuals with developmental disabilities have authority to make decisions about their waiver services, and accept responsibility for taking a direct role in managing services.”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)

Ohio Medicaid Waiver: Level One (0877.R00.00)

“Provides community inclusion, residential respite, supported employment-enclave, participant-directed goods and services, participant/family stability assistance, support brokerage, clinical/therapeutic intervention, community respite, functional behavioral assessment, hab-adult day support, hab-vocational hab, integrated employment, non-medical transportation, remote monitoring equipment, remote monitoring for individuals w/MR/DD ages 0 - no max age.”

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

Ohio Medicaid Waiver: Individual Options (0231.R03.00)

“Provides homemaker/personal care, respite, adaptive and assistive equipment, adult family living, adult foster care, community respite, environmental accessibility adaptations, hab-adult day support, hab-vocational hab, home delivered meals, homemaker/personal care-daily billing unit, interpreter, non-medical transportation, nutrition, remote monitoring equipment, remote monitoring, residential respite, social work, supported employment-adapted equipment, supported employment-community, supported employment-enclave, transportation for individuals w/MR/DD ages 0 - no max age.”

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

States - Large Tablet

Snapshot

 In Ohio Employment First is for "Every person. Every talent. Every opportunity

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 Ohio’s Vocational VR Rates and Services

2015 State Population.
0.17%
Change from
2014 to 2015
11,613,423
2015 Number of people with disabilities (all disabilities, ages 18-64).
0.87%
Change from
2014 to 2015
847,932
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
2.55%
Change from
2014 to 2015
298,233
2015 Percentage of working age people who are employed (all disabilities).
1.71%
Change from
2014 to 2015
35.17%
2015 Percentage of working age people who are employed (NO disabilities).
0.85%
Change from
2014 to 2015
77.69%

State Data

General

2013 2014 2015
Population. 11,570,808 11,594,163 11,613,423
Number of people with disabilities (all disabilities, ages 18-64). 838,715 840,550 847,932
Number of people with disabilities who are employed (all disabilities, ages 18-64). 281,190 290,618 298,233
Number of people without disabilities who are employed (ages 18-64). 4,731,444 4,791,851 4,814,281
Percentage of working age people who are employed (all disabilities). 33.53% 34.57% 35.17%
Percentage of working age people who are employed (NO disabilities). 75.90% 77.03% 77.69%
Overall unemployment rate. 7.50% 5.70% 4.90%
Poverty Rate (all disabilities). 24.40% 24.50% 23.20%
Poverty Rate (NO disabilities). 14.60% 14.40% 13.50%
Number of males with disabilities (all ages). 757,422 757,995 758,987
Number of females with disabilities (all ages). 797,926 826,926 834,325
Number of Caucasians with disabilities (all ages). 1,280,507 1,299,416 1,310,817
Number of African Americans with disabilities (all ages). 213,961 219,636 215,042
Number of Hispanic/Latinos with disabilities (all ages). 38,208 43,002 42,867
Number of American Indians/Alaska Natives with disabilities (all ages). 4,711 5,074 4,523
Number of Asians with disabilities (all ages). 11,488 13,582 12,705
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A 507
Number of with multiple races disabilities (all ages). 35,647 37,460 40,094
Number of others with disabilities (all ages). 8,602 9,550 9,624

 

SSA OUTCOMES

2013 2014 2015
Number of SSI recipients with disabilities who work. 17,636 17,715 18,435
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 5.90% 5.90% 6.10%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 391,634 356,270 356,826

 

MENTAL HEALTH OUTCOMES

2013 2014 2015
Number of mental health services consumers who are employed. 15,173 13,078 10,079
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 45,183 37,954 28,199
Number of adults served who have a known employment status. 101,112 61,441 47,662
Percentage of all state mental health agency consumers served in the community who are employed. 15.00% 21.30% 21.10%
Percentage of supported employment services evidence based practices (EBP). 2.00% 2.40% 2.90%
Percentage of supported housing services evidence based practices (EBP). N/A N/A N/A
Percentage of assertive community treatment services evidence based practices (EBP). 1.70% 0.20% 2.60%
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. 2,195 2,684 3,450
Number of evidence based practices (EBP) supported housing services. N/A N/A N/A
Number of evidence based practices (EBP) assertive community treatment services. 1,866 228 3,037
Number of evidence based practices (EBP) medications management. N/A N/A N/A

 

WAGNER PEYSER OUTCOMES

2013 2014 2015
Number of registered job seekers with a disability. 7,029 1,747 719
Proportion of registered job seekers with a disability. 0.00 0.02 0.00

 

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. 124 114 135
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 78 80 85
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. 63.00% 70.00% 63.00%
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. 0.68 0.69 0.73

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
9,219
N/A
12,039
Number of people with visual impairments served under VR. 702 N/A 908
Number of people with communicative (hearing loss, deafness) impairments served under VR. 375 N/A 760
Number of people with physical impairments served under VR. 1,592 N/A 2,252
Number of people cognitive impairments served under VR. 220 N/A 3,533
Number of people psychosocial impairments served under VR. 3,369 N/A 3,718
Number of people with mental impairments served under VR. 979 N/A 868
Percentage of overall closures into employment under VR. 15.70% 20.40% N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 10,447 10,377
Number of eligible ticket to work beneficiaries. N/A 565,019 570,448
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 375 N/A N/A
Total number of ID competitive labor market closures. 537 684 N/A

 

IDD OUTCOMES

2012 2013 2014
Dollars spent on day/employment services for integrated employment funding. $94,107,000 $95,953,000 $91,872,000
Dollars spent on day/employment services for facility-based work funding. $152,373,000 $141,254,000 $132,663,000
Dollars spent on day/employment services for facility-based non-work funding. $505,222,000 $522,830,000 $539,890,000
Dollars spent on day/employment services for community based non-work funding. $0 $0 N/A
Percentage of people served in integrated employment. 22.00% 21.00% 22.00%
Number of people served in community based non-work. 0 0 N/A
Number of people served in facility based work. 17,686 18,591 17,902
Number of people served in facility based non-work. 13,707 14,218 13,537
Number supported in integrated employment per 100,000 individuals in the general state population. 60.90 63.40 64.70

 

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). 62.00% 62.81% 63.92%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 11.70% 11.83% 11.79%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 4.10% 4.33% 4.04%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 99.50% 99.26% 99.34%
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). 34.80% 33.70% 29.37%
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). 70.60% 69.87% 66.55%
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). 79.30% 78.38% 81.87%
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). 35.80% 36.17% 37.18%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 2,552,533
Number of overall total blind and SD workers. 4,128
Number of AbilityOne blind and SD hours (products). 175,646
Number of AbilityOne blind and SD hours (services). 500,082
Number of AbilityOne blind and SD hours (combined). 675,727
Number of AbilityOne blind and SD workers (products). 233
Number of AbilityOne blind and SD workers (services). 531
Number of AbilityOne blind and SD workers (combined). 764
AbilityOne wages (products). $1,787,410
AbilityOne wages (services). $6,697,054

 

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

2014 2016
Number of 14(c) certificate-holding businesses. 3 2
Number of 14(c) certificate-holding school work experience programs (SWEPs). 1 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 124 62
Number of 14(c) certificate holding patient workers. N/A 0
Total Number of 14(c) certificate holding entities. N/A 64
Reported number of people with disabilities working under 14(c) certificate-holding businesses. N/A 21
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 8,076
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 0
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 8,097

 

Legislation


Ohio Revised Code 5123:2-9-16 - Home and community-based services waivers - 04/01/2017

“This rule defines group employment support and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. The expected outcome of group employment support is paid employment and work experience leading to further career development and competitive integrated employment.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • 14(c)/Income Security
  • Segregated Day & Employment Services

Ohio HB 155 - 10/15/2015

A bill to amend section 2329.66 and to enact sections 113.50, 113.51, 113.52, 113.53, 113.54, 113.55, and 113.56 of the Revised Code to require the Treasurer of State to create a program [ABLE] offering federally tax-advantaged savings accounts used to pay for a person's qualified disability expenses and to disregard the value of and income from that account in determining whether that person is eligible for state or local means-tested public assistance.

 

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Ohio SB 316: IEP and Post-secondary Transition Requirements - 09/24/2012

Beginning not later than the first IEP to be in effect when the child is fourteen years of age, and update annually thereafter, a statement describing:

Appropriate measurable post-secondary goals based upon age-appropriate transition assessments related to training, education and independent living skills; Appropriate measurable post-secondary goals based on age-appropriate transition assessments related to employment in a competitive environment in which workers are integrated regardless of disability; The transition services including courses of study, needed to assist the child in reaching the goals described in divisions (H)(1) and (2) of this section.

 

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

Ohio Rev. Code §5126.05: County Board - Powers & Duties - 09/24/2012

“Implement an employment first policy that clearly identifies community employment as the desired outcome for every individual of working age who receives services from the board…”

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

5123.022 OH State Policy Regarding Community Employment for Disabled - 09/24/2012

“It is hereby declared to be the policy of this state that employment services for individuals with developmental disabilities be directed at community employment. Every individual with a developmental disability is presumed capable of community employment.”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

OH Rev. Code Ann. §§123.152 - Encouraging diversity, growth, and equity program. - 09/29/2005

As used in this section, "EDGE business enterprise" means a sole proprietorship, association, partnership, corporation, limited liability corporation, or joint venture certified as a participant in the encouraging diversity, growth, and equity program by the director of administrative services under this section of the Revised Code.   Social disadvantage based on any of the following:  - A rebuttable presumption when the business owner or owners demonstrate membership in a racial minority group or show personal disadvantage due to color, ethnic origin, gender, physical disability, long-term residence in an environment isolated from the mainstream of American society, location in an area of high unemployment;   
Topics
  • Self-Employment

Executive Orders


Ohio Employment First Executive Order - 03/19/2012

All state agencies providing supports and services to Ohio’s individuals with developmental disabilities are required to align policies and procedures to support community employment and fulfill the Employment First requirement that community employment is the preferred outcome for working-age adults.

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

Policy


Ohio 2016-2017 Budget: Historic Investments for Ohioans with Developmental Disabilities - 07/01/2016

"Governor Kasich’s historic budget invests $286 million ($116.5 million State share) over the next two years to increase opportunities for Ohioans with disabilities to live and work in the community. The initiatives in this budget expand supports for those who are waiting for services, increase opportunities for community participation, and improve the experience for those who are receiving services by modernizing our programs and strengthening the direct care force….

The budget continues to prioritize funding to reflect the growing demand for Home and Community-Based Services. Funding will allow DODD to add nursing services to the IO waiver to enable people with medical needs to live in community settings, provide for much-deserved increase for direct care staff, increase the availability of add-on services for individuals with complex needs and behavioral challenges, provide training for those who receive, plan, and deliver waiver services, and strengthen oversight and quality assurance efforts so the person-centered plan is delivering meaningful outcomes."

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

Employment First Project Update (February 2016) - 02/01/2016

“As part of the Centers for Medicare and Medicaid Services (CMS) Transition plan, services and rates are being updated for Adult Day waiver services. Input was gathered from community forums and stakeholder workgroups throughout 2014 and 2015. These new services will be focused on person centered planning and individual outcomes. New services will start being used on October 1, 2016.”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Ohio VR Provider Manual - 11/23/2015

The VR Provider Manual provides service descriptions and requirements for services including career exploration, job development, retention, job seeking skills training, and customized employment, among others.

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Provider Transformation

OH Vocational Rehabilitation Comprehensive Statewide Needs Assessment - 09/30/2015

“Opportunities for Ohioans with Disabilities (OOD), Division of Performance and Innovation (DPI), produced this 2015 Comprehensive Statewide Needs Assessment (CSNA) building upon the framework methodology developed from the 2012 CSNA, which was designed to assess the vocational rehabilitation (VR) service needs of individuals related to six primary disability categories. These disabilities include visual impairments, hearing impairments, communicative impairments, physical impairments, psychosocial impairments and cognitive impairments. This methodology focuses on penetration rates (of the extent to which OOD was serving prospective jobseekers with disabilities), and proportionality (how well OOD is balanced in serving the cross-section of individuals with disabilities who are seeking employment).” The VR sets forth 9 recommendations to be set as priorities over the next year in order to improve integrated employment opportunities and community inclusion.

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

Ohio Rehabilitation Services Commission State Plan (VR Rehabilitation Services Program) - FY 2015 - 09/30/2014

The State Plan for the State Vocational Rehabilitation Services Program and State Plan Supplement for the State Supported Employment Services Program: Ohio Rehabilitation Services Commission State Plan for Fiscal Year 2014 states that staff should build competencies on, and promote the employment practices such as customized employment, self-employment, and supported employment, among others.  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Guide to Policy and Procedure Development - 07/31/2014

"The Employment First Rule, 5123: 2-2-05, requires county boards to adopt and implement a local Employment First Policy which clearly identifies community employment as the desired outcome for every individual of working age. The following is guidance developed in response to multiple requests from county boards."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Funding System Re-Design for Ohio’s Employment First Initiative: Review of Promising Models from Other States - 06/02/2014

This report aims to provide DODD with a comparison of funding structures from multiple states with high rates of integrated employment, including at least one state with a local tax base funding structure. The first 3 Key Principles for establishing a funding system to support Employment First uphold that, “The system should be based upon a presumption of competency, employability and ‘zero reject’ for each person with a disability, regardless of complexity; The system should reward providers for best practice implementation of Individual Supported Employment; [and] The system should require provider standards and staff training/certification to assure equal statewide access to and opportunity for Individual Supported Employment.” There are 9 principles in total that guide that together guide the structure and implementation of Employment First.

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • School-to-Work Transition
  • Mental Health
  • Asset Development / Financial Capability
  • Resource Leveraging

Employment First Administrative Rule (5123: 2-2-05) - 04/01/2014

“The purpose of this rule is to implement the employment first policy in accordance with section 5123.022 of the Revised Code… This rule applies to county boards of developmental disabilities and providers responsible for planning, coordinating, or providing employment services, regardless of funding source, to individuals with developmental disabilities.”

·       Community Employment is competitive employment that takes place in an integrated setting

·       Every individual of working age will have a person-centered planning process to identify their desired employment outcome and their place on the path to community employment

·       Services and supports will be provided to help the individual move along the path to community employment

·       County boards are required to develop and implement an Employment First policy, set benchmarks to increase community employment outcomes, partner with schools to enhance transition planning, share information with individuals, families, schools, employers, providers and others in the community about Medicaid Buy-In, and collect employment data on individuals served

·       Providers are required to submit progress reports at least every 12 months to ensure the individual is moving along the path to community employment and collect employment data on individuals served

   
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Ohio's Path to Employment First - 02/01/2014

“Successful implementation of Employment First requires a multi-pronged approach and a long-term commitment to systems change…. A comprehensive approach must focus on key strategies; all designed to work synergistically to impact a service structure that better supports people to achieve community employment and directs more resources toward that preferred outcome.”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Ohio - “New Requirements for Secondary Transition Services for Students with Disabilities: Frequently Asked Questions” - 09/19/2012

The New Requirements state that IEPs must start at age 14, update annually and contain,

“Appropriate measurable post-secondary goals based upon age-appropriate transition assessments related to training, education and independent living skills;  Appropriate measurable post-secondary goals based on age-appropriate transition assessments related to employment in a competitive environment in which workers are integrated regardless of disability; and The transition services including courses of study, needed to assist the child in reaching the goals described [above]…”

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

OH Department of Education Job Training Coordinating Program Manual

This manual contains information on Individualized Education Plans (IEPs and school-to-work transition for students with disabilities. It recommends the use of Customized Employment as a good technique for harder to place students.

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

CMS Transition Plan: Employment and Day Services

“In January 2014, the federal Centers for Medicare and Medicaid Services (CMS) released new requirements for Home and Community Based Services (HCBS) waivers administered by states. Essentially, the rule says that federal Medicaid funds no longer can be used to pay for waiver services in settings that isolate people, including institutions, and settings next to public institutions…DODD is working to develop new service models that promote community employment and integrated day services. These new services will ensure that all individuals, regardless of where they choose to receive services, will have opportunities to be involved in community-based activities.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Segregated Day & Employment Services
  • Provider Transformation

Employment First Waiver Form

“It is the policy of the Self-Empowered Life Funding (SELF) waiver that emphasizes employment as the priority and preferred outcome for working-age adults with disabilities. Employment First recognizes the social and economic benefits of meaningful work for all individuals. Everyone, regardless of disability, should have the opportunity to earn at least minimum wage in integrated, community-based settings”

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

Ohio DD System Requirements

“In order to make community employment the expected and preferred outcome for people with developmental disabilities, the Ohio DD system is required to align policies, procedures, eligibility, enrollment, and planning for services across state agencies… Other requirements include development of universal tools for documentation, eligibility, selection, assessment, and planning of services. Identification of best practices, partnerships, funding sources, opportunities for shared services among County Boards of DD and other providers is required along with expanding model programs.”

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

Ohio Transition Planning Requirements in IEPs

“Transition assessment affords the opportunity for professionals from across agencies to co-plan and review information that will highlight the youth's preferences, interests, needs and skills relevant to building a profile of the youth as a future employee.  A  team approach to assessment –adult service personnel, educators, youth and family working collaboratively—results in a profile that informs the pathway to community employment that is the 'best fit' for the youth.”

Transition planning is required to begin formally and be documented in the Individualized Education Program (IEP) by age 14.  The IEP must include a post-secondary goal for employment that is based on age-appropriate transition assessments related to employment in a competitive environment in which workers are integrated regardless of disability.

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

Ohio Employment First Administrative Rule

The Administrative Rules assert that, “Community Employment is competitive employment that takes place in an integrated setting;

Every individual of working age will have a person-centered planning process to identify their desired employment outcome and their place on the path to community employment; and Services and supports will be provided to help the individual move along the path to community employment.” It also outlines the responsibilities of the County Boards and Providers.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Partnerships


Ohio Transition Support Partnership (OTSP) - 09/01/2015

"The Ohio Department of Education and Opportunities for Ohioans with Disabilities are partnering to improve post-secondary outcomes for students with disabilities, beginning at age 14. This innovative collaboration will change the nature and impact of transition services for students with disabilities in Ohio. The new model will help students with disabilities get a head start on becoming job ready and better prepared to enter the workforce with the skills necessary to be successful in today’s workforce."

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

People First of OH comments in response to "Ohio's Draft Plan to Comply with New Federal Horne and Community-Based Services Requirements” - 01/20/2015

ORO is submitting these comments to "Ohio's Draft Plan to Comply with New Federal Home and Community-Based Services Requirements," which was released to the public o n December 15, 2014.   The federal Centers for Medicare and Medicaid Services ("CMS") has issued new rules for states'1915( c) home and community-based services (" HCBS") waiver programs ("waiver programs"), defining for the first time "home and community-based settings" eligible for continued federal waiver funding. CMS has required states to create transition plans specifying how they will comply with these new rules and to allow the public to provide input on their proposed plans before they are finalized.”   
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

People First of Ohio Call to Action: “Blazing New Trails to Employment” - 04/25/2012

“People First's employment "Call to Action" and its regional forums brought together hundreds of self-advocates, family members, county board staff, providers, and staff from the Rehabilitation Services Commission and the Ohio Legal Rights Service, to understand Ohio's transition and job service systems; hear about the types of jobs and training people with developmental and intellectual disabilities (DD/ID) want; and plan for more job opportunities, and better wages and benefits for people with disabilities. People First fully supports the Governor's Executive Order 2012-0SK to make Ohio an "Employment First" state.” 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

VR SE Partnership

This booklet outlines implementation strategies for collaboration between local offices of state vocational rehabilitation (VR) services and mental health service organizations that provide Supported Employment, the evidence-based practice (SE-EBP), to consumers who have a severe mental illness. Strategies for the VR and SE partnership are organized into three stages of collaboration.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Other
Topics
  • Customized Employment
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Ohio Mental Illness/Developmental Disabilities (MIDD) Coordinating Center of Excellence

“The MIDD CCOE promotes clinical best practices for individuals with mental illness and developmental disabilities. It is a collaborate effort involving ODMH, the Ohio Department of Developmental Disabilities, and the Ohio Developmental Disabilities Council.  With the goal of providing appropriate treatment for individuals with co-occurring mental illness and developmental disabilities, the CCOE assists local systems throughout Ohio to increase their service capacity and foster collaboration.”   Supported Employment “Supported Employment/Individual Placement and Support (SE/IPS) is an evidence-based practice that helps people with mental illness and other disabilities identify and acquire part-time or full-time jobs of their choice in the community with rapid job-search and placement services. It emphasizes that employment is not the result of treatment and recovery but integral to both. SE/IPS is different from traditional vocational rehabilitation. It emphasizes consumer choice and utilizes rapid job-search and placement services, time-unlimited and individualized follow-along services, and many other important strategies.”  
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Ohio NAMI Supported Employment Family Advocacy Project

“This collaboration between NAMI Ohio and the Ohio Department of Mental Health engages families of individuals with mental illness to advocate for, create and expand high-quality Individual Placement and Support (IPS) programs. Family involvement can strengthen the partnerships between providers, family members and consumers around SE services.”

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

Ohio Partnership for Employment First Guide

The Ohio Department of Developmental Disabilities, in partnership with Opportunities for Ohioans with Disabilities Agency, has announced a statewide initiative to expand community employment services for people with developmental disabilities. This opportunity will allow the state to maximize resources to support more people on their path to community employment, build system capacity, and strengthen the relationship between the developmental disability and vocational rehabilitation systems in Ohio.

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

Ohio Employment First Taskforce Common Principles

“The Ohio Employment First Taskforce agencies agree that community employment should be the first option for all working age adults and transition-age youth with developmental disabilities. Employment First is a philosophy of service that presumes that all Ohioans with significant disabilities can and should have opportunities to work in the community”.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


Mental Health and Addiction Services (Ohio MHAS) Supported Employment Project - 07/01/2014

"Ohio Mental Health and Addiction Services (MHAS) and its partners are implementing the Supported Employment Project. This project reduces the high unemployment rates for young adults and adults with a severe and persistent mental illness who may have co-occurring substance use disorders.

Two local sites are implementing new programs, and a committee will oversee statewide training, policy changes, and evaluation. The evidence-based practice of Individual Placement and Support employment is being shared statewide through training and technical assistance."

Systems
  • Department of Mental Health
Topics
  • Mental Health

Workplace Initiative Ohio - 11/01/2013

"The Central Ohio Workplace Initiative has been renamed the Workplace initiative of Ohio (WIO) to reflect the expansion of the family foundation funded project across the state.  The purpose of the Workplace Initiative of Ohio (WIO) is to create demand among Ohio businesses for talented career seekers with disabilities in healthcare, hospitality, distribution, banking, retail, and other industries. Employers benefit from streamlined candidate sourcing, pre-screening, training assistance and more.

On November 1, 2013, OHBLN and Opportunities for Ohioans with Disabilities (OOD) began working on a project funded by a grant from a private foundation concerned about the high unemployment rate of individuals with disabilities. The purpose of WIO is to work with businesses to create demand for qualified job seekers with disabilities in distribution, retail, health care and other industries."

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

OCALI Customized Employment Project - 03/01/2009

"With funding from the Ohio Department of Developmental Disabilities (DODD), OCALI launched a customized employment project in March 2009 for two school based transition teams, Claymont High School with Tuscarawas County Board of Developmental Disabilities and Huber Heights High School with Montgomery County Board of Developmental Disabilities. The goal of the project was to increase community employment outcomes for transition aged youth using customized employment strategies and processes. Team members received training and consultation in the CE process, Social Security Work Incentives and working with employers. Teams included school, developmental disability, and vocational rehabilitation staff, plus a parent mentor. In November of 2009 the project received additional funding from DODD to add another team from Lucas County Board of Developmental Disabilities and to provide up to 40 paid internships for youth with disabilities using customized employment strategies and processes in the Lucas County and Montgomery County sites. The Tuscarawas County site obtained funding from DODD, “We Go To Work Grants” to fund resource ownership as an employment strategy."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • School-to-Work Transition

Ohio Disability Employment Initiative

The Disability Employment Initiative (DEI) is a three-year federal grant-funded program that improves education, training, employment opportunities, and employment outcomes for people with disabilities who are unemployed, underemployed, and/or receiving Social Security disability benefits. In 2011, was awarded a Round 2 DEI grant from the U.S. Department of Labor’s Employment Training Administration. This grant ended in 2014.

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
Topics
  • Customized Employment
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Ohio Medicaid Infrastructure Grant

“The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The…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”. 

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

Ohio Money Follows the Person

“The Money Follows the Person (MFP) Rebalancing Demonstration Grant helps states rebalance their Medicaid long-term care systems. Over 40,500 people with chronic conditions and disabilities have transitioned from institutions back into the community through MFP programs as of December 2013.  The Affordable Care Act of 2010 strengthened and expanded the MFP program allowing more states to apply.”

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

Training/Capacity Building


2017 Transformation Series: Building Innovative Service Models - 05/01/2017

“Ohio's continued efforts to assist every individual of working age to gain community-based employment is largely supported by provider agencies across the state. These agencies are collectively working through a systems change process that will enable the strengthening and support of community-based service options for individuals with disabilities. The 2017 Transformation Series provides an opportunity for provider agencies to gather and share ideas, strategies, and practices that will assist them as they move through the systems change process and help improve person-centered planning and employment opportunities for individuals across Ohio.

Efforts are focused on two face-to-face events in the spring of 2017:

Phase 1: Provider Agency Site Visits

Phase 2: 2017 Transformation Summit”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Provider Transformation

Ohio RSC Customized Employment, Griffin Hammis Associates, LLC - 01/25/2012

This video on the Ohio RSC Customized Employment Project includes testimonials from staff, leaders, and job seekers and business owners who have benefited from the program. It is both an interesting description of, and a compelling case for, Customized Employment.

Systems
  • Other
Topics
  • Customized Employment
  • Employer Engagement

Ohio Employment First Transition Framework

"Ohio Employment First Transition Framework is a critical component to the Ohio Employment First structure and is intended to address barriers to transition planning and services in order to achieve meaningful adult outcomes. The Framework was developed by stakeholders from multiple agencies to create processes and highlight practices that can be used by all agencies. These common processes assist professionals to plan, prepare, empower, educate, and connect across systems so as to consistently assist youth with disabilities to realize meaningful, community employment and other valued aspects of adult life.

The Framework is built on three non-negotiable foundational elements that together create a 'filter' to examine the practices and procedures used when working and supporting transition youth. The foundational elements for the activity and practices of the Framework are:

Person-centered. The youth is where the team efforts begin and end. Policies and practices must be flexible enough to respond to individual strengths and needs. Agency-neutral. As agencies come together to collaborate, activity should occur in a manner where all involved see value for the youth and no single agency policies or procedures are considered the priority. Outcome-focused. The common focus of the collaborative efforts are the meaningful adult life outcomes."
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Loop Ohio

"Welcome to Loop Ohio, Ohio’s virtual Community of Practice! This online community is dedicated to facilitating statewide and local, cross system collaboration and learning, with a focus on promoting best practices in community development and inclusion for people with disabilities. Ohio is a national leader in these efforts, primarily because of the innovative work being done all across the state, throughout our local communities. Loop Ohio provides a platform for community members and professionals to share ideas and resources, solve problems, break down barriers, connect across distance, and engage in ongoing learning. Loop Ohio is multi-functional, enabling people to have live virtual conversations, share resources, post events, lead and participate in webinars, use discussion boards, have online chat time with subject matter experts and more."

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
Citations

OH Job Seekers Toolkit

"The Job Seekers Guide will help you learn how to get a job and will give you some tools that will help along the way."

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • Customized Employment
  • School-to-Work Transition

Livin’ the Dream Toolkit

"Employment among people with mental illness is very low despite research that strongly supports the critical impact that work plays in promoting recovery. The Ohio Department of Mental Health and Addiction Services (OhioMHAS) is committed to helping individuals find and keep jobs that help them become independent and productive. Toward this goal, OhioMHAS supports technical assistance, consultation and training to provider organizations and consumer-operated peer centers.

The Main Place, a Consumer Operated Services (COS) organization, developed a non-proprietary curriculum and training materials that can be used by COS organizations statewide to address issues related the impact of poverty on the recovery of adults experiencing serious and persistent mental illness, as well as encourage consumers in obtaining employment. The working title for the Tool Kit is "Livin' the Dream". The Main Place trained staff and consumer volunteers as facilitators to implement the curriculum in Licking and Knox Counties. Consumers throughout the state can now have access to the workbooks for programming and services in their own communities."

Systems
  • Department of Mental Health
  • Other
Topics
  • Mental Health
  • 14(c)/Income Security

Customized Employment Training Series

The Ohio Department of Job and Family Services and Griffin-Hammis Associates are sponsoring classroom training, on-line instruction, special topics webinars, and technical assistance on Customized Employment for designated Job Center staff and partners, to support individuals with significant disabilities and complex barriers to employment.

 
Systems
  • Department of Workforce Development
Topics
  • Customized Employment

Orientation to Supported Employment Web Course

This Web-based training is an introduction to the competencies for effective supported employment. Please follow this link to register:

https://trn-store.com/trn-courses/entry/OHIntroductionRegister.php

Seven lessons will cover the following topics:

Values, Definitions, History Legislation, Funding, Ohio’s Employment First Roles and Rights Supported Employment Process and Benefits Career Planning, Discovery, Vocational Profile Marketing and Job Development Job Design and Training, Natural Supports
Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Employer Engagement

Customized Employment Guide

“This guide provides a look at the strategies used in Customized Employment (CE) and links to more information and resources for those who are just beginning to explore CE. It explains how CE might benefit individuals with disabilities seeking employment and students in transition from school to work. CE is based on several evidence based transition practices such as self-determination, using self-advocacy strategies, and providing community based instruction. Learn about OCALI’s experience with three teams in Ohio that served transition age youth. In addition to traditional funding sources these teams had access to funding for internships and resource ownership.”

Systems
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health

Customized Employment: Best Practice of Today

This presentation intertwines Customized Employment into Employment First as a key component to the state’s efforts in promoting community-based, integrated employment for people with disabilities.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Provider Transformation

Project SEARCH: Opening Doors to Employment for Young People with Disabilities (2009)

“In the mid-1990s, Cincinnati Children’s Hospital began a broad diversity campaign to build a stable, reliable workforce that represented the surrounding community. Although medical professionals make up about 70 percent of the hospital’s workforce, the remaining employees are support personnel who receive on-the-job training and tend to experience high turnover. As part of its diversity effort, the hospital formed a partnership with Great Oaks Career Campuses, a career technical school with a significant proportion of students (28 percent) with developmental disabilities (DD). The resulting job training and placement program was named Project SEARCH and focused on training high school students with DD who are making the transition from school to work. The Project SEARCH model is based on an active collaboration between the hospital, Great Oaks, and the Ohio Rehabilitation Services Commission, the state’s vocational rehabilitation agency (SVRA). Over the past 15 years, this model has been implemented in 140 additional sites in the United States and the United Kingdom, mostly in hospitals, although some programs have been implemented in banks, insurance companies, state and local government agencies, zoos, senior care facilities, and universities.”

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

Ohio Mental Health and Addiction Services, Support-Employment, Statewide Committee

The ability of all Ohioans to secure and maintain integrated competitive meaningful employment is a top priority of Governor Kasich. The Ohio Department of Mental Health & Addiction Services (OhioMHAS) and Opportunities for Ohioans with Disabilities (OOD) work daily in support of this goal specifically for people with disabilities – including people with a severe and persistent mental illness and/or co-occurring substance use disorders. OhioMHAS and OOD have partnered with multiple stakeholders to support employment access through the collaborative work of the Statewide Employment Committee. This committee was created to identify and remove employment barriers for individuals with severe and persistent mental illness and/or co-occurring substance use disorders that are served through the vocational rehabilitation system.  

Systems
  • Department of Mental Health
  • Other
Topics
  • Customized Employment
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Ohio Supported Employment Family Advocacy Summit Toolkit (2010)

In May 2010, NAMI Ohio hosted a two-day Summit on Supported Employment to educate advocates about the importance of supported employment to the recovery process. ..participants [were encouraged] to be more active in their local communities by promoting services to help individuals with mental illness find and retain meaningful employment”.  

Topics
  • Mental Health

Ohio Employment First Provider Support Trainings

Professional development activities are available to providers by the Ohio Employment First Initiative.  Trainings include, but are not limited to Mobile Technology as Employment Supports; Task Analysis for Job Coaches; The Role of the Occupational Therapist in Supporting Employment; Transformation: Sustaining Conversation, Raising the Bar and Changing Lives; Worksite Analysis for Job Coaches; Employment supports for those with IDD and Autism; andEmployment supports for those with Physical or Sensory involvement.

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Enforcement


Disability Rights OH, National Federation of the Blind, and Autistic Self Advocacy Network Celebrate Landmark Decision Ordering Fair Pay - 02/03/2016

COLUMBUS, OHIO – In a precedent-setting opinion issued by an administrative law judge from the U.S. Department of Labor (USDOL), three clients have been awarded minimum wage going forward and back pay from Seneca Re-Ad, a sheltered workshop run by the Seneca County Board of Developmental Disabilities. The original petition was filed by Disability Rights Ohio (DRO), the National Federation of the Blind, the Autistic Self Advocacy Network, and the Baltimore law firm of Brown, Goldstein & Levy, LLP.

Systems
  • Department of Workforce Development
  • Other

Fair Pay from Sheltered Workshops (2016) - 02/02/2016

This case arises under Section 214(c) of the Fair Labor Standards Act ("Act"), 29 U.S.C. §214(c). Ralph ("Joe") Magers, Pamela Steward and Mark Felton ("Petitioners") are employees of Seneca Re-Ad Industries ("Respondent"), which is located in Fostoria, Ohio. Each of the Petitioners has been diagnosed with one or more developmental disabilities and each receives services from the Seneca County (Ohio) Board of Developmental Disabilities ("DD").  Employment at Respondent's Fostoria manufacturing facility is one of the services provided by DD.  
Systems
  • Department of Workforce Development

Medicaid & Employment


Ohio Revised Code 5123:2-9-16 - Home and community-based services waivers - 04/01/2017

“This rule defines group employment support and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. The expected outcome of group employment support is paid employment and work experience leading to further career development and competitive integrated employment.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • 14(c)/Income Security
  • Segregated Day & Employment Services

DOL - 08/03/2016

WIASRD elements for IWT: Waiver to allow states to discontinue collection of 7 WIASRD data elements for incumbent workers. requested: 9/12 decided: 12/12 expires: 6/17

Systems
  • Department of Workforce Development
  • Other
Citations

Ohio ESEA Flexibility Request - 08/21/2015

“By submitting this updated ESEA flexibility request, the SEA renews its request for flexibility through waivers of the nine ESEA requirements listed below and their associated regulatory, administrative, and reporting requirements, as well as any optional waivers the SEA has chosen to request under ESEA flexibility…”

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

Ohio’s HCBS Transition Plan - 03/13/2015

“Governor John Kasich created the Office of Health Transformation (OHT) to lead the Administration’s efforts to modernize Medicaid and streamline health and human services programs. Using an innovative approach that involves collaboration among multiple state agency partners and a set of shared guiding principles, reform initiatives are improving services, thus enabling seniors and people with disabilities to live with dignity in the setting they prefer, especially their own home.”

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

Ohio Balancing Incentives Program - 06/15/2013

"The Ohio Department of Medicaid is committed to removing barriers and expanding access to long-term care received in home and community-based settings. In conjunction with the Governor’s Office of Health Transformation and additional state agencies, Ohio Medicaid is an active participant in the Balancing Incentive Program.

In June 2013, the Ohio Department of Medicaid was awarded more than $169 million in additional federal medical assistance percentage (FMAP) for its commitment to direct half of all Medicaid long-term care funding to home and community-based services (HCBS) by September 30, 2015."

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

Medicaid Buy-in for Workers with Disabilities - 04/01/2008

"Medicaid Buy-In for Workers with Disabilities (MBIWD) is an Ohio Medicaid program that provides health care coverage to working Ohioans with disabilities. Historically, people with disabilities were often discouraged from working because their earnings made them ineligible for Medicaid coverage. MBIWD was created to enable Ohioans with disabilities to work and still keep their health care coverage."

Systems
  • Medicaid Agencies
Topics
  • 14(c)/Income Security

Ohio Medicaid State Plan

The State Plan is a comprehensive written statement that describes the nature and scope of the Ohio Medicaid program and assures that it is administered in conformity with federal requirements and regulations.  The information provided on this page is for informational purposes only, and ODM disclaims any obligation or liability based upon its use. The formally adopted state plan, statutes, and rules governing the Ohio Medicaid program prevail over any conflicting information provided here.

Systems
  • Medicaid Agencies

Money Follows the Person

“The Money Follows the Person (MFP) Rebalancing Demonstration Grant helps states rebalance their Medicaid long-term care systems. Over 40,500 people with chronic conditions and disabilities have transitioned from institutions back into the community through MFP programs as of December 2013.  The Affordable Care Act of 2010 strengthened and expanded the MFP program allowing more states to apply.”

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

Ohio Medicaid Spending Comparison Charts

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

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

How Does Work Impact My Benefits?

“If you are receiving benefits from the government (money, services, staff, medical care), you may be worried that if you work, you will not get those services. This page can help you learn what will change as you start to make your own money. You will also learn about some special benefits for workers!”

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

OH Disability Benefits 101: Working with a Disability in Ohio

“Disability Benefits 101 gives you tools and information on health coverage, benefits, and employment. You can plan ahead and learn how work and benefits go together.”

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

Medicaid Infrastructure Grant

“The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The…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”. 

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

Ohio Self Empowered Life Funding (SELF) Waiver

“The SELF waiver is Ohio's first participant-directed waiver. Participant direction means individuals with developmental disabilities have authority to make decisions about their waiver services, and accept responsibility for taking a direct role in managing services.”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)

Ohio Medicaid Waiver: Level One (0877.R00.00)

“Provides community inclusion, residential respite, supported employment-enclave, participant-directed goods and services, participant/family stability assistance, support brokerage, clinical/therapeutic intervention, community respite, functional behavioral assessment, hab-adult day support, hab-vocational hab, integrated employment, non-medical transportation, remote monitoring equipment, remote monitoring for individuals w/MR/DD ages 0 - no max age.”

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

Ohio Medicaid Waiver: Individual Options (0231.R03.00)

“Provides homemaker/personal care, respite, adaptive and assistive equipment, adult family living, adult foster care, community respite, environmental accessibility adaptations, hab-adult day support, hab-vocational hab, home delivered meals, homemaker/personal care-daily billing unit, interpreter, non-medical transportation, nutrition, remote monitoring equipment, remote monitoring, residential respite, social work, supported employment-adapted equipment, supported employment-community, supported employment-enclave, transportation for individuals w/MR/DD ages 0 - no max age.”

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

States - Small Tablet

Snapshot

 In Ohio Employment First is for "Every person. Every talent. Every opportunity

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 Ohio’s Vocational VR Rates and Services

2015 State Population.
0.17%
Change from
2014 to 2015
11,613,423
2015 Number of people with disabilities (all disabilities, ages 18-64).
0.87%
Change from
2014 to 2015
847,932
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
2.55%
Change from
2014 to 2015
298,233
2015 Percentage of working age people who are employed (all disabilities).
1.71%
Change from
2014 to 2015
35.17%
2015 Percentage of working age people who are employed (NO disabilities).
0.85%
Change from
2014 to 2015
77.69%

State Data

General

2013 2014 2015
Population. 11,570,808 11,594,163 11,613,423
Number of people with disabilities (all disabilities, ages 18-64). 838,715 840,550 847,932
Number of people with disabilities who are employed (all disabilities, ages 18-64). 281,190 290,618 298,233
Number of people without disabilities who are employed (ages 18-64). 4,731,444 4,791,851 4,814,281
Percentage of working age people who are employed (all disabilities). 33.53% 34.57% 35.17%
Percentage of working age people who are employed (NO disabilities). 75.90% 77.03% 77.69%
Overall unemployment rate. 7.50% 5.70% 4.90%
Poverty Rate (all disabilities). 24.40% 24.50% 23.20%
Poverty Rate (NO disabilities). 14.60% 14.40% 13.50%
Number of males with disabilities (all ages). 757,422 757,995 758,987
Number of females with disabilities (all ages). 797,926 826,926 834,325
Number of Caucasians with disabilities (all ages). 1,280,507 1,299,416 1,310,817
Number of African Americans with disabilities (all ages). 213,961 219,636 215,042
Number of Hispanic/Latinos with disabilities (all ages). 38,208 43,002 42,867
Number of American Indians/Alaska Natives with disabilities (all ages). 4,711 5,074 4,523
Number of Asians with disabilities (all ages). 11,488 13,582 12,705
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A 507
Number of with multiple races disabilities (all ages). 35,647 37,460 40,094
Number of others with disabilities (all ages). 8,602 9,550 9,624

 

SSA OUTCOMES

2013 2014 2015
Number of SSI recipients with disabilities who work. 17,636 17,715 18,435
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 5.90% 5.90% 6.10%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 391,634 356,270 356,826

 

MENTAL HEALTH OUTCOMES

2013 2014 2015
Number of mental health services consumers who are employed. 15,173 13,078 10,079
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 45,183 37,954 28,199
Number of adults served who have a known employment status. 101,112 61,441 47,662
Percentage of all state mental health agency consumers served in the community who are employed. 15.00% 21.30% 21.10%
Percentage of supported employment services evidence based practices (EBP). 2.00% 2.40% 2.90%
Percentage of supported housing services evidence based practices (EBP). N/A N/A N/A
Percentage of assertive community treatment services evidence based practices (EBP). 1.70% 0.20% 2.60%
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. 2,195 2,684 3,450
Number of evidence based practices (EBP) supported housing services. N/A N/A N/A
Number of evidence based practices (EBP) assertive community treatment services. 1,866 228 3,037
Number of evidence based practices (EBP) medications management. N/A N/A N/A

 

WAGNER PEYSER OUTCOMES

2013 2014 2015
Number of registered job seekers with a disability. 7,029 1,747 719
Proportion of registered job seekers with a disability. 0.00 0.02 0.00

 

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. 124 114 135
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 78 80 85
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. 63.00% 70.00% 63.00%
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. 0.68 0.69 0.73

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
9,219
N/A
12,039
Number of people with visual impairments served under VR. 702 N/A 908
Number of people with communicative (hearing loss, deafness) impairments served under VR. 375 N/A 760
Number of people with physical impairments served under VR. 1,592 N/A 2,252
Number of people cognitive impairments served under VR. 220 N/A 3,533
Number of people psychosocial impairments served under VR. 3,369 N/A 3,718
Number of people with mental impairments served under VR. 979 N/A 868
Percentage of overall closures into employment under VR. 15.70% 20.40% N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 10,447 10,377
Number of eligible ticket to work beneficiaries. N/A 565,019 570,448
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 375 N/A N/A
Total number of ID competitive labor market closures. 537 684 N/A

 

IDD OUTCOMES

2012 2013 2014
Dollars spent on day/employment services for integrated employment funding. $94,107,000 $95,953,000 $91,872,000
Dollars spent on day/employment services for facility-based work funding. $152,373,000 $141,254,000 $132,663,000
Dollars spent on day/employment services for facility-based non-work funding. $505,222,000 $522,830,000 $539,890,000
Dollars spent on day/employment services for community based non-work funding. $0 $0 N/A
Percentage of people served in integrated employment. 22.00% 21.00% 22.00%
Number of people served in community based non-work. 0 0 N/A
Number of people served in facility based work. 17,686 18,591 17,902
Number of people served in facility based non-work. 13,707 14,218 13,537
Number supported in integrated employment per 100,000 individuals in the general state population. 60.90 63.40 64.70

 

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). 62.00% 62.81% 63.92%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 11.70% 11.83% 11.79%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 4.10% 4.33% 4.04%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 99.50% 99.26% 99.34%
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). 34.80% 33.70% 29.37%
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). 70.60% 69.87% 66.55%
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). 79.30% 78.38% 81.87%
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). 35.80% 36.17% 37.18%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 2,552,533
Number of overall total blind and SD workers. 4,128
Number of AbilityOne blind and SD hours (products). 175,646
Number of AbilityOne blind and SD hours (services). 500,082
Number of AbilityOne blind and SD hours (combined). 675,727
Number of AbilityOne blind and SD workers (products). 233
Number of AbilityOne blind and SD workers (services). 531
Number of AbilityOne blind and SD workers (combined). 764
AbilityOne wages (products). $1,787,410
AbilityOne wages (services). $6,697,054

 

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

2014 2016
Number of 14(c) certificate-holding businesses. 3 2
Number of 14(c) certificate-holding school work experience programs (SWEPs). 1 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 124 62
Number of 14(c) certificate holding patient workers. N/A 0
Total Number of 14(c) certificate holding entities. N/A 64
Reported number of people with disabilities working under 14(c) certificate-holding businesses. N/A 21
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 8,076
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 0
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 8,097

 

Legislation


Ohio Revised Code 5123:2-9-16 - Home and community-based services waivers - 04/01/2017

“This rule defines group employment support and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. The expected outcome of group employment support is paid employment and work experience leading to further career development and competitive integrated employment.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • 14(c)/Income Security
  • Segregated Day & Employment Services

Ohio HB 155 - 10/15/2015

A bill to amend section 2329.66 and to enact sections 113.50, 113.51, 113.52, 113.53, 113.54, 113.55, and 113.56 of the Revised Code to require the Treasurer of State to create a program [ABLE] offering federally tax-advantaged savings accounts used to pay for a person's qualified disability expenses and to disregard the value of and income from that account in determining whether that person is eligible for state or local means-tested public assistance.

 

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Ohio SB 316: IEP and Post-secondary Transition Requirements - 09/24/2012

Beginning not later than the first IEP to be in effect when the child is fourteen years of age, and update annually thereafter, a statement describing:

Appropriate measurable post-secondary goals based upon age-appropriate transition assessments related to training, education and independent living skills; Appropriate measurable post-secondary goals based on age-appropriate transition assessments related to employment in a competitive environment in which workers are integrated regardless of disability; The transition services including courses of study, needed to assist the child in reaching the goals described in divisions (H)(1) and (2) of this section.

 

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

Ohio Rev. Code §5126.05: County Board - Powers & Duties - 09/24/2012

“Implement an employment first policy that clearly identifies community employment as the desired outcome for every individual of working age who receives services from the board…”

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

5123.022 OH State Policy Regarding Community Employment for Disabled - 09/24/2012

“It is hereby declared to be the policy of this state that employment services for individuals with developmental disabilities be directed at community employment. Every individual with a developmental disability is presumed capable of community employment.”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

OH Rev. Code Ann. §§123.152 - Encouraging diversity, growth, and equity program. - 09/29/2005

As used in this section, "EDGE business enterprise" means a sole proprietorship, association, partnership, corporation, limited liability corporation, or joint venture certified as a participant in the encouraging diversity, growth, and equity program by the director of administrative services under this section of the Revised Code.   Social disadvantage based on any of the following:  - A rebuttable presumption when the business owner or owners demonstrate membership in a racial minority group or show personal disadvantage due to color, ethnic origin, gender, physical disability, long-term residence in an environment isolated from the mainstream of American society, location in an area of high unemployment;   
Topics
  • Self-Employment

Executive Orders


Ohio Employment First Executive Order - 03/19/2012

All state agencies providing supports and services to Ohio’s individuals with developmental disabilities are required to align policies and procedures to support community employment and fulfill the Employment First requirement that community employment is the preferred outcome for working-age adults.

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

Policy


Ohio 2016-2017 Budget: Historic Investments for Ohioans with Developmental Disabilities - 07/01/2016

"Governor Kasich’s historic budget invests $286 million ($116.5 million State share) over the next two years to increase opportunities for Ohioans with disabilities to live and work in the community. The initiatives in this budget expand supports for those who are waiting for services, increase opportunities for community participation, and improve the experience for those who are receiving services by modernizing our programs and strengthening the direct care force….

The budget continues to prioritize funding to reflect the growing demand for Home and Community-Based Services. Funding will allow DODD to add nursing services to the IO waiver to enable people with medical needs to live in community settings, provide for much-deserved increase for direct care staff, increase the availability of add-on services for individuals with complex needs and behavioral challenges, provide training for those who receive, plan, and deliver waiver services, and strengthen oversight and quality assurance efforts so the person-centered plan is delivering meaningful outcomes."

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

Employment First Project Update (February 2016) - 02/01/2016

“As part of the Centers for Medicare and Medicaid Services (CMS) Transition plan, services and rates are being updated for Adult Day waiver services. Input was gathered from community forums and stakeholder workgroups throughout 2014 and 2015. These new services will be focused on person centered planning and individual outcomes. New services will start being used on October 1, 2016.”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Ohio VR Provider Manual - 11/23/2015

The VR Provider Manual provides service descriptions and requirements for services including career exploration, job development, retention, job seeking skills training, and customized employment, among others.

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Provider Transformation

OH Vocational Rehabilitation Comprehensive Statewide Needs Assessment - 09/30/2015

“Opportunities for Ohioans with Disabilities (OOD), Division of Performance and Innovation (DPI), produced this 2015 Comprehensive Statewide Needs Assessment (CSNA) building upon the framework methodology developed from the 2012 CSNA, which was designed to assess the vocational rehabilitation (VR) service needs of individuals related to six primary disability categories. These disabilities include visual impairments, hearing impairments, communicative impairments, physical impairments, psychosocial impairments and cognitive impairments. This methodology focuses on penetration rates (of the extent to which OOD was serving prospective jobseekers with disabilities), and proportionality (how well OOD is balanced in serving the cross-section of individuals with disabilities who are seeking employment).” The VR sets forth 9 recommendations to be set as priorities over the next year in order to improve integrated employment opportunities and community inclusion.

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

Ohio Rehabilitation Services Commission State Plan (VR Rehabilitation Services Program) - FY 2015 - 09/30/2014

The State Plan for the State Vocational Rehabilitation Services Program and State Plan Supplement for the State Supported Employment Services Program: Ohio Rehabilitation Services Commission State Plan for Fiscal Year 2014 states that staff should build competencies on, and promote the employment practices such as customized employment, self-employment, and supported employment, among others.  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Guide to Policy and Procedure Development - 07/31/2014

"The Employment First Rule, 5123: 2-2-05, requires county boards to adopt and implement a local Employment First Policy which clearly identifies community employment as the desired outcome for every individual of working age. The following is guidance developed in response to multiple requests from county boards."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Funding System Re-Design for Ohio’s Employment First Initiative: Review of Promising Models from Other States - 06/02/2014

This report aims to provide DODD with a comparison of funding structures from multiple states with high rates of integrated employment, including at least one state with a local tax base funding structure. The first 3 Key Principles for establishing a funding system to support Employment First uphold that, “The system should be based upon a presumption of competency, employability and ‘zero reject’ for each person with a disability, regardless of complexity; The system should reward providers for best practice implementation of Individual Supported Employment; [and] The system should require provider standards and staff training/certification to assure equal statewide access to and opportunity for Individual Supported Employment.” There are 9 principles in total that guide that together guide the structure and implementation of Employment First.

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • School-to-Work Transition
  • Mental Health
  • Asset Development / Financial Capability
  • Resource Leveraging

Employment First Administrative Rule (5123: 2-2-05) - 04/01/2014

“The purpose of this rule is to implement the employment first policy in accordance with section 5123.022 of the Revised Code… This rule applies to county boards of developmental disabilities and providers responsible for planning, coordinating, or providing employment services, regardless of funding source, to individuals with developmental disabilities.”

·       Community Employment is competitive employment that takes place in an integrated setting

·       Every individual of working age will have a person-centered planning process to identify their desired employment outcome and their place on the path to community employment

·       Services and supports will be provided to help the individual move along the path to community employment

·       County boards are required to develop and implement an Employment First policy, set benchmarks to increase community employment outcomes, partner with schools to enhance transition planning, share information with individuals, families, schools, employers, providers and others in the community about Medicaid Buy-In, and collect employment data on individuals served

·       Providers are required to submit progress reports at least every 12 months to ensure the individual is moving along the path to community employment and collect employment data on individuals served

   
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Ohio's Path to Employment First - 02/01/2014

“Successful implementation of Employment First requires a multi-pronged approach and a long-term commitment to systems change…. A comprehensive approach must focus on key strategies; all designed to work synergistically to impact a service structure that better supports people to achieve community employment and directs more resources toward that preferred outcome.”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Ohio - “New Requirements for Secondary Transition Services for Students with Disabilities: Frequently Asked Questions” - 09/19/2012

The New Requirements state that IEPs must start at age 14, update annually and contain,

“Appropriate measurable post-secondary goals based upon age-appropriate transition assessments related to training, education and independent living skills;  Appropriate measurable post-secondary goals based on age-appropriate transition assessments related to employment in a competitive environment in which workers are integrated regardless of disability; and The transition services including courses of study, needed to assist the child in reaching the goals described [above]…”

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

OH Department of Education Job Training Coordinating Program Manual

This manual contains information on Individualized Education Plans (IEPs and school-to-work transition for students with disabilities. It recommends the use of Customized Employment as a good technique for harder to place students.

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

CMS Transition Plan: Employment and Day Services

“In January 2014, the federal Centers for Medicare and Medicaid Services (CMS) released new requirements for Home and Community Based Services (HCBS) waivers administered by states. Essentially, the rule says that federal Medicaid funds no longer can be used to pay for waiver services in settings that isolate people, including institutions, and settings next to public institutions…DODD is working to develop new service models that promote community employment and integrated day services. These new services will ensure that all individuals, regardless of where they choose to receive services, will have opportunities to be involved in community-based activities.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Segregated Day & Employment Services
  • Provider Transformation

Employment First Waiver Form

“It is the policy of the Self-Empowered Life Funding (SELF) waiver that emphasizes employment as the priority and preferred outcome for working-age adults with disabilities. Employment First recognizes the social and economic benefits of meaningful work for all individuals. Everyone, regardless of disability, should have the opportunity to earn at least minimum wage in integrated, community-based settings”

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

Ohio DD System Requirements

“In order to make community employment the expected and preferred outcome for people with developmental disabilities, the Ohio DD system is required to align policies, procedures, eligibility, enrollment, and planning for services across state agencies… Other requirements include development of universal tools for documentation, eligibility, selection, assessment, and planning of services. Identification of best practices, partnerships, funding sources, opportunities for shared services among County Boards of DD and other providers is required along with expanding model programs.”

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

Ohio Transition Planning Requirements in IEPs

“Transition assessment affords the opportunity for professionals from across agencies to co-plan and review information that will highlight the youth's preferences, interests, needs and skills relevant to building a profile of the youth as a future employee.  A  team approach to assessment –adult service personnel, educators, youth and family working collaboratively—results in a profile that informs the pathway to community employment that is the 'best fit' for the youth.”

Transition planning is required to begin formally and be documented in the Individualized Education Program (IEP) by age 14.  The IEP must include a post-secondary goal for employment that is based on age-appropriate transition assessments related to employment in a competitive environment in which workers are integrated regardless of disability.

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

Ohio Employment First Administrative Rule

The Administrative Rules assert that, “Community Employment is competitive employment that takes place in an integrated setting;

Every individual of working age will have a person-centered planning process to identify their desired employment outcome and their place on the path to community employment; and Services and supports will be provided to help the individual move along the path to community employment.” It also outlines the responsibilities of the County Boards and Providers.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Partnerships


Ohio Transition Support Partnership (OTSP) - 09/01/2015

"The Ohio Department of Education and Opportunities for Ohioans with Disabilities are partnering to improve post-secondary outcomes for students with disabilities, beginning at age 14. This innovative collaboration will change the nature and impact of transition services for students with disabilities in Ohio. The new model will help students with disabilities get a head start on becoming job ready and better prepared to enter the workforce with the skills necessary to be successful in today’s workforce."

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

People First of OH comments in response to "Ohio's Draft Plan to Comply with New Federal Horne and Community-Based Services Requirements” - 01/20/2015

ORO is submitting these comments to "Ohio's Draft Plan to Comply with New Federal Home and Community-Based Services Requirements," which was released to the public o n December 15, 2014.   The federal Centers for Medicare and Medicaid Services ("CMS") has issued new rules for states'1915( c) home and community-based services (" HCBS") waiver programs ("waiver programs"), defining for the first time "home and community-based settings" eligible for continued federal waiver funding. CMS has required states to create transition plans specifying how they will comply with these new rules and to allow the public to provide input on their proposed plans before they are finalized.”   
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

People First of Ohio Call to Action: “Blazing New Trails to Employment” - 04/25/2012

“People First's employment "Call to Action" and its regional forums brought together hundreds of self-advocates, family members, county board staff, providers, and staff from the Rehabilitation Services Commission and the Ohio Legal Rights Service, to understand Ohio's transition and job service systems; hear about the types of jobs and training people with developmental and intellectual disabilities (DD/ID) want; and plan for more job opportunities, and better wages and benefits for people with disabilities. People First fully supports the Governor's Executive Order 2012-0SK to make Ohio an "Employment First" state.” 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

VR SE Partnership

This booklet outlines implementation strategies for collaboration between local offices of state vocational rehabilitation (VR) services and mental health service organizations that provide Supported Employment, the evidence-based practice (SE-EBP), to consumers who have a severe mental illness. Strategies for the VR and SE partnership are organized into three stages of collaboration.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Other
Topics
  • Customized Employment
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Ohio Mental Illness/Developmental Disabilities (MIDD) Coordinating Center of Excellence

“The MIDD CCOE promotes clinical best practices for individuals with mental illness and developmental disabilities. It is a collaborate effort involving ODMH, the Ohio Department of Developmental Disabilities, and the Ohio Developmental Disabilities Council.  With the goal of providing appropriate treatment for individuals with co-occurring mental illness and developmental disabilities, the CCOE assists local systems throughout Ohio to increase their service capacity and foster collaboration.”   Supported Employment “Supported Employment/Individual Placement and Support (SE/IPS) is an evidence-based practice that helps people with mental illness and other disabilities identify and acquire part-time or full-time jobs of their choice in the community with rapid job-search and placement services. It emphasizes that employment is not the result of treatment and recovery but integral to both. SE/IPS is different from traditional vocational rehabilitation. It emphasizes consumer choice and utilizes rapid job-search and placement services, time-unlimited and individualized follow-along services, and many other important strategies.”  
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Ohio NAMI Supported Employment Family Advocacy Project

“This collaboration between NAMI Ohio and the Ohio Department of Mental Health engages families of individuals with mental illness to advocate for, create and expand high-quality Individual Placement and Support (IPS) programs. Family involvement can strengthen the partnerships between providers, family members and consumers around SE services.”

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

Ohio Partnership for Employment First Guide

The Ohio Department of Developmental Disabilities, in partnership with Opportunities for Ohioans with Disabilities Agency, has announced a statewide initiative to expand community employment services for people with developmental disabilities. This opportunity will allow the state to maximize resources to support more people on their path to community employment, build system capacity, and strengthen the relationship between the developmental disability and vocational rehabilitation systems in Ohio.

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

Ohio Employment First Taskforce Common Principles

“The Ohio Employment First Taskforce agencies agree that community employment should be the first option for all working age adults and transition-age youth with developmental disabilities. Employment First is a philosophy of service that presumes that all Ohioans with significant disabilities can and should have opportunities to work in the community”.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


Mental Health and Addiction Services (Ohio MHAS) Supported Employment Project - 07/01/2014

"Ohio Mental Health and Addiction Services (MHAS) and its partners are implementing the Supported Employment Project. This project reduces the high unemployment rates for young adults and adults with a severe and persistent mental illness who may have co-occurring substance use disorders.

Two local sites are implementing new programs, and a committee will oversee statewide training, policy changes, and evaluation. The evidence-based practice of Individual Placement and Support employment is being shared statewide through training and technical assistance."

Systems
  • Department of Mental Health
Topics
  • Mental Health

Workplace Initiative Ohio - 11/01/2013

"The Central Ohio Workplace Initiative has been renamed the Workplace initiative of Ohio (WIO) to reflect the expansion of the family foundation funded project across the state.  The purpose of the Workplace Initiative of Ohio (WIO) is to create demand among Ohio businesses for talented career seekers with disabilities in healthcare, hospitality, distribution, banking, retail, and other industries. Employers benefit from streamlined candidate sourcing, pre-screening, training assistance and more.

On November 1, 2013, OHBLN and Opportunities for Ohioans with Disabilities (OOD) began working on a project funded by a grant from a private foundation concerned about the high unemployment rate of individuals with disabilities. The purpose of WIO is to work with businesses to create demand for qualified job seekers with disabilities in distribution, retail, health care and other industries."

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

OCALI Customized Employment Project - 03/01/2009

"With funding from the Ohio Department of Developmental Disabilities (DODD), OCALI launched a customized employment project in March 2009 for two school based transition teams, Claymont High School with Tuscarawas County Board of Developmental Disabilities and Huber Heights High School with Montgomery County Board of Developmental Disabilities. The goal of the project was to increase community employment outcomes for transition aged youth using customized employment strategies and processes. Team members received training and consultation in the CE process, Social Security Work Incentives and working with employers. Teams included school, developmental disability, and vocational rehabilitation staff, plus a parent mentor. In November of 2009 the project received additional funding from DODD to add another team from Lucas County Board of Developmental Disabilities and to provide up to 40 paid internships for youth with disabilities using customized employment strategies and processes in the Lucas County and Montgomery County sites. The Tuscarawas County site obtained funding from DODD, “We Go To Work Grants” to fund resource ownership as an employment strategy."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • School-to-Work Transition

Ohio Disability Employment Initiative

The Disability Employment Initiative (DEI) is a three-year federal grant-funded program that improves education, training, employment opportunities, and employment outcomes for people with disabilities who are unemployed, underemployed, and/or receiving Social Security disability benefits. In 2011, was awarded a Round 2 DEI grant from the U.S. Department of Labor’s Employment Training Administration. This grant ended in 2014.

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
Topics
  • Customized Employment
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Ohio Medicaid Infrastructure Grant

“The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The…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”. 

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

Ohio Money Follows the Person

“The Money Follows the Person (MFP) Rebalancing Demonstration Grant helps states rebalance their Medicaid long-term care systems. Over 40,500 people with chronic conditions and disabilities have transitioned from institutions back into the community through MFP programs as of December 2013.  The Affordable Care Act of 2010 strengthened and expanded the MFP program allowing more states to apply.”

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

Training/Capacity Building


2017 Transformation Series: Building Innovative Service Models - 05/01/2017

“Ohio's continued efforts to assist every individual of working age to gain community-based employment is largely supported by provider agencies across the state. These agencies are collectively working through a systems change process that will enable the strengthening and support of community-based service options for individuals with disabilities. The 2017 Transformation Series provides an opportunity for provider agencies to gather and share ideas, strategies, and practices that will assist them as they move through the systems change process and help improve person-centered planning and employment opportunities for individuals across Ohio.

Efforts are focused on two face-to-face events in the spring of 2017:

Phase 1: Provider Agency Site Visits

Phase 2: 2017 Transformation Summit”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Provider Transformation

Ohio RSC Customized Employment, Griffin Hammis Associates, LLC - 01/25/2012

This video on the Ohio RSC Customized Employment Project includes testimonials from staff, leaders, and job seekers and business owners who have benefited from the program. It is both an interesting description of, and a compelling case for, Customized Employment.

Systems
  • Other
Topics
  • Customized Employment
  • Employer Engagement

Ohio Employment First Transition Framework

"Ohio Employment First Transition Framework is a critical component to the Ohio Employment First structure and is intended to address barriers to transition planning and services in order to achieve meaningful adult outcomes. The Framework was developed by stakeholders from multiple agencies to create processes and highlight practices that can be used by all agencies. These common processes assist professionals to plan, prepare, empower, educate, and connect across systems so as to consistently assist youth with disabilities to realize meaningful, community employment and other valued aspects of adult life.

The Framework is built on three non-negotiable foundational elements that together create a 'filter' to examine the practices and procedures used when working and supporting transition youth. The foundational elements for the activity and practices of the Framework are:

Person-centered. The youth is where the team efforts begin and end. Policies and practices must be flexible enough to respond to individual strengths and needs. Agency-neutral. As agencies come together to collaborate, activity should occur in a manner where all involved see value for the youth and no single agency policies or procedures are considered the priority. Outcome-focused. The common focus of the collaborative efforts are the meaningful adult life outcomes."
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Loop Ohio

"Welcome to Loop Ohio, Ohio’s virtual Community of Practice! This online community is dedicated to facilitating statewide and local, cross system collaboration and learning, with a focus on promoting best practices in community development and inclusion for people with disabilities. Ohio is a national leader in these efforts, primarily because of the innovative work being done all across the state, throughout our local communities. Loop Ohio provides a platform for community members and professionals to share ideas and resources, solve problems, break down barriers, connect across distance, and engage in ongoing learning. Loop Ohio is multi-functional, enabling people to have live virtual conversations, share resources, post events, lead and participate in webinars, use discussion boards, have online chat time with subject matter experts and more."

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
Citations

OH Job Seekers Toolkit

"The Job Seekers Guide will help you learn how to get a job and will give you some tools that will help along the way."

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • Customized Employment
  • School-to-Work Transition

Livin’ the Dream Toolkit

"Employment among people with mental illness is very low despite research that strongly supports the critical impact that work plays in promoting recovery. The Ohio Department of Mental Health and Addiction Services (OhioMHAS) is committed to helping individuals find and keep jobs that help them become independent and productive. Toward this goal, OhioMHAS supports technical assistance, consultation and training to provider organizations and consumer-operated peer centers.

The Main Place, a Consumer Operated Services (COS) organization, developed a non-proprietary curriculum and training materials that can be used by COS organizations statewide to address issues related the impact of poverty on the recovery of adults experiencing serious and persistent mental illness, as well as encourage consumers in obtaining employment. The working title for the Tool Kit is "Livin' the Dream". The Main Place trained staff and consumer volunteers as facilitators to implement the curriculum in Licking and Knox Counties. Consumers throughout the state can now have access to the workbooks for programming and services in their own communities."

Systems
  • Department of Mental Health
  • Other
Topics
  • Mental Health
  • 14(c)/Income Security

Customized Employment Training Series

The Ohio Department of Job and Family Services and Griffin-Hammis Associates are sponsoring classroom training, on-line instruction, special topics webinars, and technical assistance on Customized Employment for designated Job Center staff and partners, to support individuals with significant disabilities and complex barriers to employment.

 
Systems
  • Department of Workforce Development
Topics
  • Customized Employment

Orientation to Supported Employment Web Course

This Web-based training is an introduction to the competencies for effective supported employment. Please follow this link to register:

https://trn-store.com/trn-courses/entry/OHIntroductionRegister.php

Seven lessons will cover the following topics:

Values, Definitions, History Legislation, Funding, Ohio’s Employment First Roles and Rights Supported Employment Process and Benefits Career Planning, Discovery, Vocational Profile Marketing and Job Development Job Design and Training, Natural Supports
Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Employer Engagement

Customized Employment Guide

“This guide provides a look at the strategies used in Customized Employment (CE) and links to more information and resources for those who are just beginning to explore CE. It explains how CE might benefit individuals with disabilities seeking employment and students in transition from school to work. CE is based on several evidence based transition practices such as self-determination, using self-advocacy strategies, and providing community based instruction. Learn about OCALI’s experience with three teams in Ohio that served transition age youth. In addition to traditional funding sources these teams had access to funding for internships and resource ownership.”

Systems
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health

Customized Employment: Best Practice of Today

This presentation intertwines Customized Employment into Employment First as a key component to the state’s efforts in promoting community-based, integrated employment for people with disabilities.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Provider Transformation

Project SEARCH: Opening Doors to Employment for Young People with Disabilities (2009)

“In the mid-1990s, Cincinnati Children’s Hospital began a broad diversity campaign to build a stable, reliable workforce that represented the surrounding community. Although medical professionals make up about 70 percent of the hospital’s workforce, the remaining employees are support personnel who receive on-the-job training and tend to experience high turnover. As part of its diversity effort, the hospital formed a partnership with Great Oaks Career Campuses, a career technical school with a significant proportion of students (28 percent) with developmental disabilities (DD). The resulting job training and placement program was named Project SEARCH and focused on training high school students with DD who are making the transition from school to work. The Project SEARCH model is based on an active collaboration between the hospital, Great Oaks, and the Ohio Rehabilitation Services Commission, the state’s vocational rehabilitation agency (SVRA). Over the past 15 years, this model has been implemented in 140 additional sites in the United States and the United Kingdom, mostly in hospitals, although some programs have been implemented in banks, insurance companies, state and local government agencies, zoos, senior care facilities, and universities.”

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

Ohio Mental Health and Addiction Services, Support-Employment, Statewide Committee

The ability of all Ohioans to secure and maintain integrated competitive meaningful employment is a top priority of Governor Kasich. The Ohio Department of Mental Health & Addiction Services (OhioMHAS) and Opportunities for Ohioans with Disabilities (OOD) work daily in support of this goal specifically for people with disabilities – including people with a severe and persistent mental illness and/or co-occurring substance use disorders. OhioMHAS and OOD have partnered with multiple stakeholders to support employment access through the collaborative work of the Statewide Employment Committee. This committee was created to identify and remove employment barriers for individuals with severe and persistent mental illness and/or co-occurring substance use disorders that are served through the vocational rehabilitation system.  

Systems
  • Department of Mental Health
  • Other
Topics
  • Customized Employment
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Ohio Supported Employment Family Advocacy Summit Toolkit (2010)

In May 2010, NAMI Ohio hosted a two-day Summit on Supported Employment to educate advocates about the importance of supported employment to the recovery process. ..participants [were encouraged] to be more active in their local communities by promoting services to help individuals with mental illness find and retain meaningful employment”.  

Topics
  • Mental Health

Ohio Employment First Provider Support Trainings

Professional development activities are available to providers by the Ohio Employment First Initiative.  Trainings include, but are not limited to Mobile Technology as Employment Supports; Task Analysis for Job Coaches; The Role of the Occupational Therapist in Supporting Employment; Transformation: Sustaining Conversation, Raising the Bar and Changing Lives; Worksite Analysis for Job Coaches; Employment supports for those with IDD and Autism; andEmployment supports for those with Physical or Sensory involvement.

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Enforcement


Disability Rights OH, National Federation of the Blind, and Autistic Self Advocacy Network Celebrate Landmark Decision Ordering Fair Pay - 02/03/2016

COLUMBUS, OHIO – In a precedent-setting opinion issued by an administrative law judge from the U.S. Department of Labor (USDOL), three clients have been awarded minimum wage going forward and back pay from Seneca Re-Ad, a sheltered workshop run by the Seneca County Board of Developmental Disabilities. The original petition was filed by Disability Rights Ohio (DRO), the National Federation of the Blind, the Autistic Self Advocacy Network, and the Baltimore law firm of Brown, Goldstein & Levy, LLP.

Systems
  • Department of Workforce Development
  • Other

Fair Pay from Sheltered Workshops (2016) - 02/02/2016

This case arises under Section 214(c) of the Fair Labor Standards Act ("Act"), 29 U.S.C. §214(c). Ralph ("Joe") Magers, Pamela Steward and Mark Felton ("Petitioners") are employees of Seneca Re-Ad Industries ("Respondent"), which is located in Fostoria, Ohio. Each of the Petitioners has been diagnosed with one or more developmental disabilities and each receives services from the Seneca County (Ohio) Board of Developmental Disabilities ("DD").  Employment at Respondent's Fostoria manufacturing facility is one of the services provided by DD.  
Systems
  • Department of Workforce Development

Medicaid & Employment


Ohio Revised Code 5123:2-9-16 - Home and community-based services waivers - 04/01/2017

“This rule defines group employment support and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. The expected outcome of group employment support is paid employment and work experience leading to further career development and competitive integrated employment.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • 14(c)/Income Security
  • Segregated Day & Employment Services

DOL - 08/03/2016

WIASRD elements for IWT: Waiver to allow states to discontinue collection of 7 WIASRD data elements for incumbent workers. requested: 9/12 decided: 12/12 expires: 6/17

Systems
  • Department of Workforce Development
  • Other
Citations

Ohio ESEA Flexibility Request - 08/21/2015

“By submitting this updated ESEA flexibility request, the SEA renews its request for flexibility through waivers of the nine ESEA requirements listed below and their associated regulatory, administrative, and reporting requirements, as well as any optional waivers the SEA has chosen to request under ESEA flexibility…”

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

Ohio’s HCBS Transition Plan - 03/13/2015

“Governor John Kasich created the Office of Health Transformation (OHT) to lead the Administration’s efforts to modernize Medicaid and streamline health and human services programs. Using an innovative approach that involves collaboration among multiple state agency partners and a set of shared guiding principles, reform initiatives are improving services, thus enabling seniors and people with disabilities to live with dignity in the setting they prefer, especially their own home.”

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

Ohio Balancing Incentives Program - 06/15/2013

"The Ohio Department of Medicaid is committed to removing barriers and expanding access to long-term care received in home and community-based settings. In conjunction with the Governor’s Office of Health Transformation and additional state agencies, Ohio Medicaid is an active participant in the Balancing Incentive Program.

In June 2013, the Ohio Department of Medicaid was awarded more than $169 million in additional federal medical assistance percentage (FMAP) for its commitment to direct half of all Medicaid long-term care funding to home and community-based services (HCBS) by September 30, 2015."

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

Medicaid Buy-in for Workers with Disabilities - 04/01/2008

"Medicaid Buy-In for Workers with Disabilities (MBIWD) is an Ohio Medicaid program that provides health care coverage to working Ohioans with disabilities. Historically, people with disabilities were often discouraged from working because their earnings made them ineligible for Medicaid coverage. MBIWD was created to enable Ohioans with disabilities to work and still keep their health care coverage."

Systems
  • Medicaid Agencies
Topics
  • 14(c)/Income Security

Ohio Medicaid State Plan

The State Plan is a comprehensive written statement that describes the nature and scope of the Ohio Medicaid program and assures that it is administered in conformity with federal requirements and regulations.  The information provided on this page is for informational purposes only, and ODM disclaims any obligation or liability based upon its use. The formally adopted state plan, statutes, and rules governing the Ohio Medicaid program prevail over any conflicting information provided here.

Systems
  • Medicaid Agencies

Money Follows the Person

“The Money Follows the Person (MFP) Rebalancing Demonstration Grant helps states rebalance their Medicaid long-term care systems. Over 40,500 people with chronic conditions and disabilities have transitioned from institutions back into the community through MFP programs as of December 2013.  The Affordable Care Act of 2010 strengthened and expanded the MFP program allowing more states to apply.”

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

Ohio Medicaid Spending Comparison Charts

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

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

How Does Work Impact My Benefits?

“If you are receiving benefits from the government (money, services, staff, medical care), you may be worried that if you work, you will not get those services. This page can help you learn what will change as you start to make your own money. You will also learn about some special benefits for workers!”

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

OH Disability Benefits 101: Working with a Disability in Ohio

“Disability Benefits 101 gives you tools and information on health coverage, benefits, and employment. You can plan ahead and learn how work and benefits go together.”

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

Medicaid Infrastructure Grant

“The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The…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”. 

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

Ohio Self Empowered Life Funding (SELF) Waiver

“The SELF waiver is Ohio's first participant-directed waiver. Participant direction means individuals with developmental disabilities have authority to make decisions about their waiver services, and accept responsibility for taking a direct role in managing services.”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)

Ohio Medicaid Waiver: Level One (0877.R00.00)

“Provides community inclusion, residential respite, supported employment-enclave, participant-directed goods and services, participant/family stability assistance, support brokerage, clinical/therapeutic intervention, community respite, functional behavioral assessment, hab-adult day support, hab-vocational hab, integrated employment, non-medical transportation, remote monitoring equipment, remote monitoring for individuals w/MR/DD ages 0 - no max age.”

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

Ohio Medicaid Waiver: Individual Options (0231.R03.00)

“Provides homemaker/personal care, respite, adaptive and assistive equipment, adult family living, adult foster care, community respite, environmental accessibility adaptations, hab-adult day support, hab-vocational hab, home delivered meals, homemaker/personal care-daily billing unit, interpreter, non-medical transportation, nutrition, remote monitoring equipment, remote monitoring, residential respite, social work, supported employment-adapted equipment, supported employment-community, supported employment-enclave, transportation for individuals w/MR/DD ages 0 - no max age.”

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

States - Phablet

Snapshot

 In Ohio Employment First is for "Every person. Every talent. Every opportunity

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 Ohio’s Vocational VR Rates and Services

2015 State Population.
0.17%
Change from
2014 to 2015
11,613,423
2015 Number of people with disabilities (all disabilities, ages 18-64).
0.87%
Change from
2014 to 2015
847,932
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
2.55%
Change from
2014 to 2015
298,233
2015 Percentage of working age people who are employed (all disabilities).
1.71%
Change from
2014 to 2015
35.17%
2015 Percentage of working age people who are employed (NO disabilities).
0.85%
Change from
2014 to 2015
77.69%

State Data

General

2015
Population. 11,613,423
Number of people with disabilities (all disabilities, ages 18-64). 847,932
Number of people with disabilities who are employed (all disabilities, ages 18-64). 298,233
Number of people without disabilities who are employed (ages 18-64). 4,814,281
Percentage of working age people who are employed (all disabilities). 35.17%
Percentage of working age people who are employed (NO disabilities). 77.69%
Overall unemployment rate. 4.90%
Poverty Rate (all disabilities). 23.20%
Poverty Rate (NO disabilities). 13.50%
Number of males with disabilities (all ages). 758,987
Number of females with disabilities (all ages). 834,325
Number of Caucasians with disabilities (all ages). 1,310,817
Number of African Americans with disabilities (all ages). 215,042
Number of Hispanic/Latinos with disabilities (all ages). 42,867
Number of American Indians/Alaska Natives with disabilities (all ages). 4,523
Number of Asians with disabilities (all ages). 12,705
Number of Hawaiians/Pacific Islanders with disabilities (all ages). 507
Number of with multiple races disabilities (all ages). 40,094
Number of others with disabilities (all ages). 9,624

 

SSA OUTCOMES

2015
Number of SSI recipients with disabilities who work. 18,435
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 6.10%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 356,826

 

MENTAL HEALTH OUTCOMES

2015
Number of mental health services consumers who are employed. 10,079
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 28,199
Number of adults served who have a known employment status. 47,662
Percentage of all state mental health agency consumers served in the community who are employed. 21.10%
Percentage of supported employment services evidence based practices (EBP). 2.90%
Percentage of supported housing services evidence based practices (EBP). N/A
Percentage of assertive community treatment services evidence based practices (EBP). 2.60%
Percentage of medications management evidence based practices (EBP). N/A
Number of evidence based practices (EBP) supported employment services. 3,450
Number of evidence based practices (EBP) supported housing services. N/A
Number of evidence based practices (EBP) assertive community treatment services. 3,037
Number of evidence based practices (EBP) medications management. N/A

 

WAGNER PEYSER OUTCOMES

2015
Number of registered job seekers with a disability. 719
Proportion of registered job seekers with a disability. 0.00

 

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. 135
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 85
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. 63.00%
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. 0.73

 

VR OUTCOMES

2015
Total Number of people served under VR.
12,039
Number of people with visual impairments served under VR. 908
Number of people with communicative (hearing loss, deafness) impairments served under VR. 760
Number of people with physical impairments served under VR. 2,252
Number of people cognitive impairments served under VR. 3,533
Number of people psychosocial impairments served under VR. 3,718
Number of people with mental impairments served under VR. 868
Percentage of overall closures into employment under VR. N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 10,377
Number of eligible ticket to work beneficiaries. 570,448
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. $91,872,000
Dollars spent on day/employment services for facility-based work funding. $132,663,000
Dollars spent on day/employment services for facility-based non-work funding. $539,890,000
Dollars spent on day/employment services for community based non-work funding. N/A
Percentage of people served in integrated employment. 22.00%
Number of people served in community based non-work. N/A
Number of people served in facility based work. 17,902
Number of people served in facility based non-work. 13,537
Number supported in integrated employment per 100,000 individuals in the general state population. 64.70

 

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). 63.92%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 11.79%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 4.04%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 99.34%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 29.37%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 66.55%
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). 81.87%
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). 37.18%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 2,552,533
Number of overall total blind and SD workers. 4,128
Number of AbilityOne blind and SD hours (products). 175,646
Number of AbilityOne blind and SD hours (services). 500,082
Number of AbilityOne blind and SD hours (combined). 675,727
Number of AbilityOne blind and SD workers (products). 233
Number of AbilityOne blind and SD workers (services). 531
Number of AbilityOne blind and SD workers (combined). 764
AbilityOne wages (products). $1,787,410
AbilityOne wages (services). $6,697,054

 

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

2016
Number of 14(c) certificate-holding businesses. 2
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 62
Number of 14(c) certificate holding patient workers. 0
Total Number of 14(c) certificate holding entities. 64
Reported number of people with disabilities working under 14(c) certificate-holding businesses. 21
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). 8,076
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. 8,097

 

Legislation


Ohio Revised Code 5123:2-9-16 - Home and community-based services waivers - 04/01/2017

“This rule defines group employment support and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. The expected outcome of group employment support is paid employment and work experience leading to further career development and competitive integrated employment.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • 14(c)/Income Security
  • Segregated Day & Employment Services

Ohio HB 155 - 10/15/2015

A bill to amend section 2329.66 and to enact sections 113.50, 113.51, 113.52, 113.53, 113.54, 113.55, and 113.56 of the Revised Code to require the Treasurer of State to create a program [ABLE] offering federally tax-advantaged savings accounts used to pay for a person's qualified disability expenses and to disregard the value of and income from that account in determining whether that person is eligible for state or local means-tested public assistance.

 

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Ohio SB 316: IEP and Post-secondary Transition Requirements - 09/24/2012

Beginning not later than the first IEP to be in effect when the child is fourteen years of age, and update annually thereafter, a statement describing:

Appropriate measurable post-secondary goals based upon age-appropriate transition assessments related to training, education and independent living skills; Appropriate measurable post-secondary goals based on age-appropriate transition assessments related to employment in a competitive environment in which workers are integrated regardless of disability; The transition services including courses of study, needed to assist the child in reaching the goals described in divisions (H)(1) and (2) of this section.

 

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

Ohio Rev. Code §5126.05: County Board - Powers & Duties - 09/24/2012

“Implement an employment first policy that clearly identifies community employment as the desired outcome for every individual of working age who receives services from the board…”

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

5123.022 OH State Policy Regarding Community Employment for Disabled - 09/24/2012

“It is hereby declared to be the policy of this state that employment services for individuals with developmental disabilities be directed at community employment. Every individual with a developmental disability is presumed capable of community employment.”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

OH Rev. Code Ann. §§123.152 - Encouraging diversity, growth, and equity program. - 09/29/2005

As used in this section, "EDGE business enterprise" means a sole proprietorship, association, partnership, corporation, limited liability corporation, or joint venture certified as a participant in the encouraging diversity, growth, and equity program by the director of administrative services under this section of the Revised Code.   Social disadvantage based on any of the following:  - A rebuttable presumption when the business owner or owners demonstrate membership in a racial minority group or show personal disadvantage due to color, ethnic origin, gender, physical disability, long-term residence in an environment isolated from the mainstream of American society, location in an area of high unemployment;   
Topics
  • Self-Employment

Executive Orders


Ohio Employment First Executive Order - 03/19/2012

All state agencies providing supports and services to Ohio’s individuals with developmental disabilities are required to align policies and procedures to support community employment and fulfill the Employment First requirement that community employment is the preferred outcome for working-age adults.

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

Policy


Ohio 2016-2017 Budget: Historic Investments for Ohioans with Developmental Disabilities - 07/01/2016

"Governor Kasich’s historic budget invests $286 million ($116.5 million State share) over the next two years to increase opportunities for Ohioans with disabilities to live and work in the community. The initiatives in this budget expand supports for those who are waiting for services, increase opportunities for community participation, and improve the experience for those who are receiving services by modernizing our programs and strengthening the direct care force….

The budget continues to prioritize funding to reflect the growing demand for Home and Community-Based Services. Funding will allow DODD to add nursing services to the IO waiver to enable people with medical needs to live in community settings, provide for much-deserved increase for direct care staff, increase the availability of add-on services for individuals with complex needs and behavioral challenges, provide training for those who receive, plan, and deliver waiver services, and strengthen oversight and quality assurance efforts so the person-centered plan is delivering meaningful outcomes."

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

Employment First Project Update (February 2016) - 02/01/2016

“As part of the Centers for Medicare and Medicaid Services (CMS) Transition plan, services and rates are being updated for Adult Day waiver services. Input was gathered from community forums and stakeholder workgroups throughout 2014 and 2015. These new services will be focused on person centered planning and individual outcomes. New services will start being used on October 1, 2016.”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Ohio VR Provider Manual - 11/23/2015

The VR Provider Manual provides service descriptions and requirements for services including career exploration, job development, retention, job seeking skills training, and customized employment, among others.

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Provider Transformation

OH Vocational Rehabilitation Comprehensive Statewide Needs Assessment - 09/30/2015

“Opportunities for Ohioans with Disabilities (OOD), Division of Performance and Innovation (DPI), produced this 2015 Comprehensive Statewide Needs Assessment (CSNA) building upon the framework methodology developed from the 2012 CSNA, which was designed to assess the vocational rehabilitation (VR) service needs of individuals related to six primary disability categories. These disabilities include visual impairments, hearing impairments, communicative impairments, physical impairments, psychosocial impairments and cognitive impairments. This methodology focuses on penetration rates (of the extent to which OOD was serving prospective jobseekers with disabilities), and proportionality (how well OOD is balanced in serving the cross-section of individuals with disabilities who are seeking employment).” The VR sets forth 9 recommendations to be set as priorities over the next year in order to improve integrated employment opportunities and community inclusion.

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

Ohio Rehabilitation Services Commission State Plan (VR Rehabilitation Services Program) - FY 2015 - 09/30/2014

The State Plan for the State Vocational Rehabilitation Services Program and State Plan Supplement for the State Supported Employment Services Program: Ohio Rehabilitation Services Commission State Plan for Fiscal Year 2014 states that staff should build competencies on, and promote the employment practices such as customized employment, self-employment, and supported employment, among others.  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Guide to Policy and Procedure Development - 07/31/2014

"The Employment First Rule, 5123: 2-2-05, requires county boards to adopt and implement a local Employment First Policy which clearly identifies community employment as the desired outcome for every individual of working age. The following is guidance developed in response to multiple requests from county boards."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Funding System Re-Design for Ohio’s Employment First Initiative: Review of Promising Models from Other States - 06/02/2014

This report aims to provide DODD with a comparison of funding structures from multiple states with high rates of integrated employment, including at least one state with a local tax base funding structure. The first 3 Key Principles for establishing a funding system to support Employment First uphold that, “The system should be based upon a presumption of competency, employability and ‘zero reject’ for each person with a disability, regardless of complexity; The system should reward providers for best practice implementation of Individual Supported Employment; [and] The system should require provider standards and staff training/certification to assure equal statewide access to and opportunity for Individual Supported Employment.” There are 9 principles in total that guide that together guide the structure and implementation of Employment First.

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • School-to-Work Transition
  • Mental Health
  • Asset Development / Financial Capability
  • Resource Leveraging

Employment First Administrative Rule (5123: 2-2-05) - 04/01/2014

“The purpose of this rule is to implement the employment first policy in accordance with section 5123.022 of the Revised Code… This rule applies to county boards of developmental disabilities and providers responsible for planning, coordinating, or providing employment services, regardless of funding source, to individuals with developmental disabilities.”

·       Community Employment is competitive employment that takes place in an integrated setting

·       Every individual of working age will have a person-centered planning process to identify their desired employment outcome and their place on the path to community employment

·       Services and supports will be provided to help the individual move along the path to community employment

·       County boards are required to develop and implement an Employment First policy, set benchmarks to increase community employment outcomes, partner with schools to enhance transition planning, share information with individuals, families, schools, employers, providers and others in the community about Medicaid Buy-In, and collect employment data on individuals served

·       Providers are required to submit progress reports at least every 12 months to ensure the individual is moving along the path to community employment and collect employment data on individuals served

   
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Ohio's Path to Employment First - 02/01/2014

“Successful implementation of Employment First requires a multi-pronged approach and a long-term commitment to systems change…. A comprehensive approach must focus on key strategies; all designed to work synergistically to impact a service structure that better supports people to achieve community employment and directs more resources toward that preferred outcome.”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Ohio - “New Requirements for Secondary Transition Services for Students with Disabilities: Frequently Asked Questions” - 09/19/2012

The New Requirements state that IEPs must start at age 14, update annually and contain,

“Appropriate measurable post-secondary goals based upon age-appropriate transition assessments related to training, education and independent living skills;  Appropriate measurable post-secondary goals based on age-appropriate transition assessments related to employment in a competitive environment in which workers are integrated regardless of disability; and The transition services including courses of study, needed to assist the child in reaching the goals described [above]…”

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

OH Department of Education Job Training Coordinating Program Manual

This manual contains information on Individualized Education Plans (IEPs and school-to-work transition for students with disabilities. It recommends the use of Customized Employment as a good technique for harder to place students.

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

CMS Transition Plan: Employment and Day Services

“In January 2014, the federal Centers for Medicare and Medicaid Services (CMS) released new requirements for Home and Community Based Services (HCBS) waivers administered by states. Essentially, the rule says that federal Medicaid funds no longer can be used to pay for waiver services in settings that isolate people, including institutions, and settings next to public institutions…DODD is working to develop new service models that promote community employment and integrated day services. These new services will ensure that all individuals, regardless of where they choose to receive services, will have opportunities to be involved in community-based activities.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Segregated Day & Employment Services
  • Provider Transformation

Employment First Waiver Form

“It is the policy of the Self-Empowered Life Funding (SELF) waiver that emphasizes employment as the priority and preferred outcome for working-age adults with disabilities. Employment First recognizes the social and economic benefits of meaningful work for all individuals. Everyone, regardless of disability, should have the opportunity to earn at least minimum wage in integrated, community-based settings”

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

Ohio DD System Requirements

“In order to make community employment the expected and preferred outcome for people with developmental disabilities, the Ohio DD system is required to align policies, procedures, eligibility, enrollment, and planning for services across state agencies… Other requirements include development of universal tools for documentation, eligibility, selection, assessment, and planning of services. Identification of best practices, partnerships, funding sources, opportunities for shared services among County Boards of DD and other providers is required along with expanding model programs.”

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

Ohio Transition Planning Requirements in IEPs

“Transition assessment affords the opportunity for professionals from across agencies to co-plan and review information that will highlight the youth's preferences, interests, needs and skills relevant to building a profile of the youth as a future employee.  A  team approach to assessment –adult service personnel, educators, youth and family working collaboratively—results in a profile that informs the pathway to community employment that is the 'best fit' for the youth.”

Transition planning is required to begin formally and be documented in the Individualized Education Program (IEP) by age 14.  The IEP must include a post-secondary goal for employment that is based on age-appropriate transition assessments related to employment in a competitive environment in which workers are integrated regardless of disability.

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

Ohio Employment First Administrative Rule

The Administrative Rules assert that, “Community Employment is competitive employment that takes place in an integrated setting;

Every individual of working age will have a person-centered planning process to identify their desired employment outcome and their place on the path to community employment; and Services and supports will be provided to help the individual move along the path to community employment.” It also outlines the responsibilities of the County Boards and Providers.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Partnerships


Ohio Transition Support Partnership (OTSP) - 09/01/2015

"The Ohio Department of Education and Opportunities for Ohioans with Disabilities are partnering to improve post-secondary outcomes for students with disabilities, beginning at age 14. This innovative collaboration will change the nature and impact of transition services for students with disabilities in Ohio. The new model will help students with disabilities get a head start on becoming job ready and better prepared to enter the workforce with the skills necessary to be successful in today’s workforce."

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

People First of OH comments in response to "Ohio's Draft Plan to Comply with New Federal Horne and Community-Based Services Requirements” - 01/20/2015

ORO is submitting these comments to "Ohio's Draft Plan to Comply with New Federal Home and Community-Based Services Requirements," which was released to the public o n December 15, 2014.   The federal Centers for Medicare and Medicaid Services ("CMS") has issued new rules for states'1915( c) home and community-based services (" HCBS") waiver programs ("waiver programs"), defining for the first time "home and community-based settings" eligible for continued federal waiver funding. CMS has required states to create transition plans specifying how they will comply with these new rules and to allow the public to provide input on their proposed plans before they are finalized.”   
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

People First of Ohio Call to Action: “Blazing New Trails to Employment” - 04/25/2012

“People First's employment "Call to Action" and its regional forums brought together hundreds of self-advocates, family members, county board staff, providers, and staff from the Rehabilitation Services Commission and the Ohio Legal Rights Service, to understand Ohio's transition and job service systems; hear about the types of jobs and training people with developmental and intellectual disabilities (DD/ID) want; and plan for more job opportunities, and better wages and benefits for people with disabilities. People First fully supports the Governor's Executive Order 2012-0SK to make Ohio an "Employment First" state.” 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

VR SE Partnership

This booklet outlines implementation strategies for collaboration between local offices of state vocational rehabilitation (VR) services and mental health service organizations that provide Supported Employment, the evidence-based practice (SE-EBP), to consumers who have a severe mental illness. Strategies for the VR and SE partnership are organized into three stages of collaboration.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Other
Topics
  • Customized Employment
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Ohio Mental Illness/Developmental Disabilities (MIDD) Coordinating Center of Excellence

“The MIDD CCOE promotes clinical best practices for individuals with mental illness and developmental disabilities. It is a collaborate effort involving ODMH, the Ohio Department of Developmental Disabilities, and the Ohio Developmental Disabilities Council.  With the goal of providing appropriate treatment for individuals with co-occurring mental illness and developmental disabilities, the CCOE assists local systems throughout Ohio to increase their service capacity and foster collaboration.”   Supported Employment “Supported Employment/Individual Placement and Support (SE/IPS) is an evidence-based practice that helps people with mental illness and other disabilities identify and acquire part-time or full-time jobs of their choice in the community with rapid job-search and placement services. It emphasizes that employment is not the result of treatment and recovery but integral to both. SE/IPS is different from traditional vocational rehabilitation. It emphasizes consumer choice and utilizes rapid job-search and placement services, time-unlimited and individualized follow-along services, and many other important strategies.”  
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Ohio NAMI Supported Employment Family Advocacy Project

“This collaboration between NAMI Ohio and the Ohio Department of Mental Health engages families of individuals with mental illness to advocate for, create and expand high-quality Individual Placement and Support (IPS) programs. Family involvement can strengthen the partnerships between providers, family members and consumers around SE services.”

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

Ohio Partnership for Employment First Guide

The Ohio Department of Developmental Disabilities, in partnership with Opportunities for Ohioans with Disabilities Agency, has announced a statewide initiative to expand community employment services for people with developmental disabilities. This opportunity will allow the state to maximize resources to support more people on their path to community employment, build system capacity, and strengthen the relationship between the developmental disability and vocational rehabilitation systems in Ohio.

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

Ohio Employment First Taskforce Common Principles

“The Ohio Employment First Taskforce agencies agree that community employment should be the first option for all working age adults and transition-age youth with developmental disabilities. Employment First is a philosophy of service that presumes that all Ohioans with significant disabilities can and should have opportunities to work in the community”.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


Mental Health and Addiction Services (Ohio MHAS) Supported Employment Project - 07/01/2014

"Ohio Mental Health and Addiction Services (MHAS) and its partners are implementing the Supported Employment Project. This project reduces the high unemployment rates for young adults and adults with a severe and persistent mental illness who may have co-occurring substance use disorders.

Two local sites are implementing new programs, and a committee will oversee statewide training, policy changes, and evaluation. The evidence-based practice of Individual Placement and Support employment is being shared statewide through training and technical assistance."

Systems
  • Department of Mental Health
Topics
  • Mental Health

Workplace Initiative Ohio - 11/01/2013

"The Central Ohio Workplace Initiative has been renamed the Workplace initiative of Ohio (WIO) to reflect the expansion of the family foundation funded project across the state.  The purpose of the Workplace Initiative of Ohio (WIO) is to create demand among Ohio businesses for talented career seekers with disabilities in healthcare, hospitality, distribution, banking, retail, and other industries. Employers benefit from streamlined candidate sourcing, pre-screening, training assistance and more.

On November 1, 2013, OHBLN and Opportunities for Ohioans with Disabilities (OOD) began working on a project funded by a grant from a private foundation concerned about the high unemployment rate of individuals with disabilities. The purpose of WIO is to work with businesses to create demand for qualified job seekers with disabilities in distribution, retail, health care and other industries."

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

OCALI Customized Employment Project - 03/01/2009

"With funding from the Ohio Department of Developmental Disabilities (DODD), OCALI launched a customized employment project in March 2009 for two school based transition teams, Claymont High School with Tuscarawas County Board of Developmental Disabilities and Huber Heights High School with Montgomery County Board of Developmental Disabilities. The goal of the project was to increase community employment outcomes for transition aged youth using customized employment strategies and processes. Team members received training and consultation in the CE process, Social Security Work Incentives and working with employers. Teams included school, developmental disability, and vocational rehabilitation staff, plus a parent mentor. In November of 2009 the project received additional funding from DODD to add another team from Lucas County Board of Developmental Disabilities and to provide up to 40 paid internships for youth with disabilities using customized employment strategies and processes in the Lucas County and Montgomery County sites. The Tuscarawas County site obtained funding from DODD, “We Go To Work Grants” to fund resource ownership as an employment strategy."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • School-to-Work Transition

Ohio Disability Employment Initiative

The Disability Employment Initiative (DEI) is a three-year federal grant-funded program that improves education, training, employment opportunities, and employment outcomes for people with disabilities who are unemployed, underemployed, and/or receiving Social Security disability benefits. In 2011, was awarded a Round 2 DEI grant from the U.S. Department of Labor’s Employment Training Administration. This grant ended in 2014.

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
Topics
  • Customized Employment
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Ohio Medicaid Infrastructure Grant

“The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The…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”. 

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

Ohio Money Follows the Person

“The Money Follows the Person (MFP) Rebalancing Demonstration Grant helps states rebalance their Medicaid long-term care systems. Over 40,500 people with chronic conditions and disabilities have transitioned from institutions back into the community through MFP programs as of December 2013.  The Affordable Care Act of 2010 strengthened and expanded the MFP program allowing more states to apply.”

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

Training/Capacity Building


2017 Transformation Series: Building Innovative Service Models - 05/01/2017

“Ohio's continued efforts to assist every individual of working age to gain community-based employment is largely supported by provider agencies across the state. These agencies are collectively working through a systems change process that will enable the strengthening and support of community-based service options for individuals with disabilities. The 2017 Transformation Series provides an opportunity for provider agencies to gather and share ideas, strategies, and practices that will assist them as they move through the systems change process and help improve person-centered planning and employment opportunities for individuals across Ohio.

Efforts are focused on two face-to-face events in the spring of 2017:

Phase 1: Provider Agency Site Visits

Phase 2: 2017 Transformation Summit”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Provider Transformation

Ohio RSC Customized Employment, Griffin Hammis Associates, LLC - 01/25/2012

This video on the Ohio RSC Customized Employment Project includes testimonials from staff, leaders, and job seekers and business owners who have benefited from the program. It is both an interesting description of, and a compelling case for, Customized Employment.

Systems
  • Other
Topics
  • Customized Employment
  • Employer Engagement

Ohio Employment First Transition Framework

"Ohio Employment First Transition Framework is a critical component to the Ohio Employment First structure and is intended to address barriers to transition planning and services in order to achieve meaningful adult outcomes. The Framework was developed by stakeholders from multiple agencies to create processes and highlight practices that can be used by all agencies. These common processes assist professionals to plan, prepare, empower, educate, and connect across systems so as to consistently assist youth with disabilities to realize meaningful, community employment and other valued aspects of adult life.

The Framework is built on three non-negotiable foundational elements that together create a 'filter' to examine the practices and procedures used when working and supporting transition youth. The foundational elements for the activity and practices of the Framework are:

Person-centered. The youth is where the team efforts begin and end. Policies and practices must be flexible enough to respond to individual strengths and needs. Agency-neutral. As agencies come together to collaborate, activity should occur in a manner where all involved see value for the youth and no single agency policies or procedures are considered the priority. Outcome-focused. The common focus of the collaborative efforts are the meaningful adult life outcomes."
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Loop Ohio

"Welcome to Loop Ohio, Ohio’s virtual Community of Practice! This online community is dedicated to facilitating statewide and local, cross system collaboration and learning, with a focus on promoting best practices in community development and inclusion for people with disabilities. Ohio is a national leader in these efforts, primarily because of the innovative work being done all across the state, throughout our local communities. Loop Ohio provides a platform for community members and professionals to share ideas and resources, solve problems, break down barriers, connect across distance, and engage in ongoing learning. Loop Ohio is multi-functional, enabling people to have live virtual conversations, share resources, post events, lead and participate in webinars, use discussion boards, have online chat time with subject matter experts and more."

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
Citations

OH Job Seekers Toolkit

"The Job Seekers Guide will help you learn how to get a job and will give you some tools that will help along the way."

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • Customized Employment
  • School-to-Work Transition

Livin’ the Dream Toolkit

"Employment among people with mental illness is very low despite research that strongly supports the critical impact that work plays in promoting recovery. The Ohio Department of Mental Health and Addiction Services (OhioMHAS) is committed to helping individuals find and keep jobs that help them become independent and productive. Toward this goal, OhioMHAS supports technical assistance, consultation and training to provider organizations and consumer-operated peer centers.

The Main Place, a Consumer Operated Services (COS) organization, developed a non-proprietary curriculum and training materials that can be used by COS organizations statewide to address issues related the impact of poverty on the recovery of adults experiencing serious and persistent mental illness, as well as encourage consumers in obtaining employment. The working title for the Tool Kit is "Livin' the Dream". The Main Place trained staff and consumer volunteers as facilitators to implement the curriculum in Licking and Knox Counties. Consumers throughout the state can now have access to the workbooks for programming and services in their own communities."

Systems
  • Department of Mental Health
  • Other
Topics
  • Mental Health
  • 14(c)/Income Security

Customized Employment Training Series

The Ohio Department of Job and Family Services and Griffin-Hammis Associates are sponsoring classroom training, on-line instruction, special topics webinars, and technical assistance on Customized Employment for designated Job Center staff and partners, to support individuals with significant disabilities and complex barriers to employment.

 
Systems
  • Department of Workforce Development
Topics
  • Customized Employment

Orientation to Supported Employment Web Course

This Web-based training is an introduction to the competencies for effective supported employment. Please follow this link to register:

https://trn-store.com/trn-courses/entry/OHIntroductionRegister.php

Seven lessons will cover the following topics:

Values, Definitions, History Legislation, Funding, Ohio’s Employment First Roles and Rights Supported Employment Process and Benefits Career Planning, Discovery, Vocational Profile Marketing and Job Development Job Design and Training, Natural Supports
Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Employer Engagement

Customized Employment Guide

“This guide provides a look at the strategies used in Customized Employment (CE) and links to more information and resources for those who are just beginning to explore CE. It explains how CE might benefit individuals with disabilities seeking employment and students in transition from school to work. CE is based on several evidence based transition practices such as self-determination, using self-advocacy strategies, and providing community based instruction. Learn about OCALI’s experience with three teams in Ohio that served transition age youth. In addition to traditional funding sources these teams had access to funding for internships and resource ownership.”

Systems
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health

Customized Employment: Best Practice of Today

This presentation intertwines Customized Employment into Employment First as a key component to the state’s efforts in promoting community-based, integrated employment for people with disabilities.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Provider Transformation

Project SEARCH: Opening Doors to Employment for Young People with Disabilities (2009)

“In the mid-1990s, Cincinnati Children’s Hospital began a broad diversity campaign to build a stable, reliable workforce that represented the surrounding community. Although medical professionals make up about 70 percent of the hospital’s workforce, the remaining employees are support personnel who receive on-the-job training and tend to experience high turnover. As part of its diversity effort, the hospital formed a partnership with Great Oaks Career Campuses, a career technical school with a significant proportion of students (28 percent) with developmental disabilities (DD). The resulting job training and placement program was named Project SEARCH and focused on training high school students with DD who are making the transition from school to work. The Project SEARCH model is based on an active collaboration between the hospital, Great Oaks, and the Ohio Rehabilitation Services Commission, the state’s vocational rehabilitation agency (SVRA). Over the past 15 years, this model has been implemented in 140 additional sites in the United States and the United Kingdom, mostly in hospitals, although some programs have been implemented in banks, insurance companies, state and local government agencies, zoos, senior care facilities, and universities.”

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

Ohio Mental Health and Addiction Services, Support-Employment, Statewide Committee

The ability of all Ohioans to secure and maintain integrated competitive meaningful employment is a top priority of Governor Kasich. The Ohio Department of Mental Health & Addiction Services (OhioMHAS) and Opportunities for Ohioans with Disabilities (OOD) work daily in support of this goal specifically for people with disabilities – including people with a severe and persistent mental illness and/or co-occurring substance use disorders. OhioMHAS and OOD have partnered with multiple stakeholders to support employment access through the collaborative work of the Statewide Employment Committee. This committee was created to identify and remove employment barriers for individuals with severe and persistent mental illness and/or co-occurring substance use disorders that are served through the vocational rehabilitation system.  

Systems
  • Department of Mental Health
  • Other
Topics
  • Customized Employment
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Ohio Supported Employment Family Advocacy Summit Toolkit (2010)

In May 2010, NAMI Ohio hosted a two-day Summit on Supported Employment to educate advocates about the importance of supported employment to the recovery process. ..participants [were encouraged] to be more active in their local communities by promoting services to help individuals with mental illness find and retain meaningful employment”.  

Topics
  • Mental Health

Ohio Employment First Provider Support Trainings

Professional development activities are available to providers by the Ohio Employment First Initiative.  Trainings include, but are not limited to Mobile Technology as Employment Supports; Task Analysis for Job Coaches; The Role of the Occupational Therapist in Supporting Employment; Transformation: Sustaining Conversation, Raising the Bar and Changing Lives; Worksite Analysis for Job Coaches; Employment supports for those with IDD and Autism; andEmployment supports for those with Physical or Sensory involvement.

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Enforcement


Disability Rights OH, National Federation of the Blind, and Autistic Self Advocacy Network Celebrate Landmark Decision Ordering Fair Pay - 02/03/2016

COLUMBUS, OHIO – In a precedent-setting opinion issued by an administrative law judge from the U.S. Department of Labor (USDOL), three clients have been awarded minimum wage going forward and back pay from Seneca Re-Ad, a sheltered workshop run by the Seneca County Board of Developmental Disabilities. The original petition was filed by Disability Rights Ohio (DRO), the National Federation of the Blind, the Autistic Self Advocacy Network, and the Baltimore law firm of Brown, Goldstein & Levy, LLP.

Systems
  • Department of Workforce Development
  • Other

Fair Pay from Sheltered Workshops (2016) - 02/02/2016

This case arises under Section 214(c) of the Fair Labor Standards Act ("Act"), 29 U.S.C. §214(c). Ralph ("Joe") Magers, Pamela Steward and Mark Felton ("Petitioners") are employees of Seneca Re-Ad Industries ("Respondent"), which is located in Fostoria, Ohio. Each of the Petitioners has been diagnosed with one or more developmental disabilities and each receives services from the Seneca County (Ohio) Board of Developmental Disabilities ("DD").  Employment at Respondent's Fostoria manufacturing facility is one of the services provided by DD.  
Systems
  • Department of Workforce Development

Medicaid & Employment


Ohio Revised Code 5123:2-9-16 - Home and community-based services waivers - 04/01/2017

“This rule defines group employment support and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. The expected outcome of group employment support is paid employment and work experience leading to further career development and competitive integrated employment.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • 14(c)/Income Security
  • Segregated Day & Employment Services

DOL - 08/03/2016

WIASRD elements for IWT: Waiver to allow states to discontinue collection of 7 WIASRD data elements for incumbent workers. requested: 9/12 decided: 12/12 expires: 6/17

Systems
  • Department of Workforce Development
  • Other
Citations

Ohio ESEA Flexibility Request - 08/21/2015

“By submitting this updated ESEA flexibility request, the SEA renews its request for flexibility through waivers of the nine ESEA requirements listed below and their associated regulatory, administrative, and reporting requirements, as well as any optional waivers the SEA has chosen to request under ESEA flexibility…”

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

Ohio’s HCBS Transition Plan - 03/13/2015

“Governor John Kasich created the Office of Health Transformation (OHT) to lead the Administration’s efforts to modernize Medicaid and streamline health and human services programs. Using an innovative approach that involves collaboration among multiple state agency partners and a set of shared guiding principles, reform initiatives are improving services, thus enabling seniors and people with disabilities to live with dignity in the setting they prefer, especially their own home.”

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

Ohio Balancing Incentives Program - 06/15/2013

"The Ohio Department of Medicaid is committed to removing barriers and expanding access to long-term care received in home and community-based settings. In conjunction with the Governor’s Office of Health Transformation and additional state agencies, Ohio Medicaid is an active participant in the Balancing Incentive Program.

In June 2013, the Ohio Department of Medicaid was awarded more than $169 million in additional federal medical assistance percentage (FMAP) for its commitment to direct half of all Medicaid long-term care funding to home and community-based services (HCBS) by September 30, 2015."

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

Medicaid Buy-in for Workers with Disabilities - 04/01/2008

"Medicaid Buy-In for Workers with Disabilities (MBIWD) is an Ohio Medicaid program that provides health care coverage to working Ohioans with disabilities. Historically, people with disabilities were often discouraged from working because their earnings made them ineligible for Medicaid coverage. MBIWD was created to enable Ohioans with disabilities to work and still keep their health care coverage."

Systems
  • Medicaid Agencies
Topics
  • 14(c)/Income Security

Ohio Medicaid State Plan

The State Plan is a comprehensive written statement that describes the nature and scope of the Ohio Medicaid program and assures that it is administered in conformity with federal requirements and regulations.  The information provided on this page is for informational purposes only, and ODM disclaims any obligation or liability based upon its use. The formally adopted state plan, statutes, and rules governing the Ohio Medicaid program prevail over any conflicting information provided here.

Systems
  • Medicaid Agencies

Money Follows the Person

“The Money Follows the Person (MFP) Rebalancing Demonstration Grant helps states rebalance their Medicaid long-term care systems. Over 40,500 people with chronic conditions and disabilities have transitioned from institutions back into the community through MFP programs as of December 2013.  The Affordable Care Act of 2010 strengthened and expanded the MFP program allowing more states to apply.”

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

Ohio Medicaid Spending Comparison Charts

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

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

How Does Work Impact My Benefits?

“If you are receiving benefits from the government (money, services, staff, medical care), you may be worried that if you work, you will not get those services. This page can help you learn what will change as you start to make your own money. You will also learn about some special benefits for workers!”

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

OH Disability Benefits 101: Working with a Disability in Ohio

“Disability Benefits 101 gives you tools and information on health coverage, benefits, and employment. You can plan ahead and learn how work and benefits go together.”

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

Medicaid Infrastructure Grant

“The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The…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”. 

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

Ohio Self Empowered Life Funding (SELF) Waiver

“The SELF waiver is Ohio's first participant-directed waiver. Participant direction means individuals with developmental disabilities have authority to make decisions about their waiver services, and accept responsibility for taking a direct role in managing services.”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)

Ohio Medicaid Waiver: Level One (0877.R00.00)

“Provides community inclusion, residential respite, supported employment-enclave, participant-directed goods and services, participant/family stability assistance, support brokerage, clinical/therapeutic intervention, community respite, functional behavioral assessment, hab-adult day support, hab-vocational hab, integrated employment, non-medical transportation, remote monitoring equipment, remote monitoring for individuals w/MR/DD ages 0 - no max age.”

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

Ohio Medicaid Waiver: Individual Options (0231.R03.00)

“Provides homemaker/personal care, respite, adaptive and assistive equipment, adult family living, adult foster care, community respite, environmental accessibility adaptations, hab-adult day support, hab-vocational hab, home delivered meals, homemaker/personal care-daily billing unit, interpreter, non-medical transportation, nutrition, remote monitoring equipment, remote monitoring, residential respite, social work, supported employment-adapted equipment, supported employment-community, supported employment-enclave, transportation for individuals w/MR/DD ages 0 - no max age.”

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

States - Phone

Snapshot

 In Ohio Employment First is for "Every person. Every talent. Every opportunity

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 Ohio’s Vocational VR Rates and Services

2015 State Population.
0.17%
Change from
2014 to 2015
11,613,423
2015 Number of people with disabilities (all disabilities, ages 18-64).
0.87%
Change from
2014 to 2015
847,932
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
2.55%
Change from
2014 to 2015
298,233
2015 Percentage of working age people who are employed (all disabilities).
1.71%
Change from
2014 to 2015
35.17%
2015 Percentage of working age people who are employed (NO disabilities).
0.85%
Change from
2014 to 2015
77.69%

State Data

General

2015
Population. 11,613,423
Number of people with disabilities (all disabilities, ages 18-64). 847,932
Number of people with disabilities who are employed (all disabilities, ages 18-64). 298,233
Number of people without disabilities who are employed (ages 18-64). 4,814,281
Percentage of working age people who are employed (all disabilities). 35.17%
Percentage of working age people who are employed (NO disabilities). 77.69%
Overall unemployment rate. 4.90%
Poverty Rate (all disabilities). 23.20%
Poverty Rate (NO disabilities). 13.50%
Number of males with disabilities (all ages). 758,987
Number of females with disabilities (all ages). 834,325
Number of Caucasians with disabilities (all ages). 1,310,817
Number of African Americans with disabilities (all ages). 215,042
Number of Hispanic/Latinos with disabilities (all ages). 42,867
Number of American Indians/Alaska Natives with disabilities (all ages). 4,523
Number of Asians with disabilities (all ages). 12,705
Number of Hawaiians/Pacific Islanders with disabilities (all ages). 507
Number of with multiple races disabilities (all ages). 40,094
Number of others with disabilities (all ages). 9,624

 

SSA OUTCOMES

2015
Number of SSI recipients with disabilities who work. 18,435
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 6.10%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 356,826

 

MENTAL HEALTH OUTCOMES

2015
Number of mental health services consumers who are employed. 10,079
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 28,199
Number of adults served who have a known employment status. 47,662
Percentage of all state mental health agency consumers served in the community who are employed. 21.10%
Percentage of supported employment services evidence based practices (EBP). 2.90%
Percentage of supported housing services evidence based practices (EBP). N/A
Percentage of assertive community treatment services evidence based practices (EBP). 2.60%
Percentage of medications management evidence based practices (EBP). N/A
Number of evidence based practices (EBP) supported employment services. 3,450
Number of evidence based practices (EBP) supported housing services. N/A
Number of evidence based practices (EBP) assertive community treatment services. 3,037
Number of evidence based practices (EBP) medications management. N/A

 

WAGNER PEYSER OUTCOMES

2015
Number of registered job seekers with a disability. 719
Proportion of registered job seekers with a disability. 0.00

 

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. 135
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 85
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. 63.00%
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. 0.73

 

VR OUTCOMES

2015
Total Number of people served under VR.
12,039
Number of people with visual impairments served under VR. 908
Number of people with communicative (hearing loss, deafness) impairments served under VR. 760
Number of people with physical impairments served under VR. 2,252
Number of people cognitive impairments served under VR. 3,533
Number of people psychosocial impairments served under VR. 3,718
Number of people with mental impairments served under VR. 868
Percentage of overall closures into employment under VR. N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 10,377
Number of eligible ticket to work beneficiaries. 570,448
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. $91,872,000
Dollars spent on day/employment services for facility-based work funding. $132,663,000
Dollars spent on day/employment services for facility-based non-work funding. $539,890,000
Dollars spent on day/employment services for community based non-work funding. N/A
Percentage of people served in integrated employment. 22.00%
Number of people served in community based non-work. N/A
Number of people served in facility based work. 17,902
Number of people served in facility based non-work. 13,537
Number supported in integrated employment per 100,000 individuals in the general state population. 64.70

 

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). 63.92%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 11.79%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 4.04%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 99.34%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 29.37%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 66.55%
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). 81.87%
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). 37.18%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 2,552,533
Number of overall total blind and SD workers. 4,128
Number of AbilityOne blind and SD hours (products). 175,646
Number of AbilityOne blind and SD hours (services). 500,082
Number of AbilityOne blind and SD hours (combined). 675,727
Number of AbilityOne blind and SD workers (products). 233
Number of AbilityOne blind and SD workers (services). 531
Number of AbilityOne blind and SD workers (combined). 764
AbilityOne wages (products). $1,787,410
AbilityOne wages (services). $6,697,054

 

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

2016
Number of 14(c) certificate-holding businesses. 2
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 62
Number of 14(c) certificate holding patient workers. 0
Total Number of 14(c) certificate holding entities. 64
Reported number of people with disabilities working under 14(c) certificate-holding businesses. 21
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). 8,076
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. 8,097

 

Legislation


Ohio Revised Code 5123:2-9-16 - Home and community-based services waivers - 04/01/2017

“This rule defines group employment support and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. The expected outcome of group employment support is paid employment and work experience leading to further career development and competitive integrated employment.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • 14(c)/Income Security
  • Segregated Day & Employment Services

Ohio HB 155 - 10/15/2015

A bill to amend section 2329.66 and to enact sections 113.50, 113.51, 113.52, 113.53, 113.54, 113.55, and 113.56 of the Revised Code to require the Treasurer of State to create a program [ABLE] offering federally tax-advantaged savings accounts used to pay for a person's qualified disability expenses and to disregard the value of and income from that account in determining whether that person is eligible for state or local means-tested public assistance.

 

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Ohio SB 316: IEP and Post-secondary Transition Requirements - 09/24/2012

Beginning not later than the first IEP to be in effect when the child is fourteen years of age, and update annually thereafter, a statement describing:

Appropriate measurable post-secondary goals based upon age-appropriate transition assessments related to training, education and independent living skills; Appropriate measurable post-secondary goals based on age-appropriate transition assessments related to employment in a competitive environment in which workers are integrated regardless of disability; The transition services including courses of study, needed to assist the child in reaching the goals described in divisions (H)(1) and (2) of this section.

 

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

Ohio Rev. Code §5126.05: County Board - Powers & Duties - 09/24/2012

“Implement an employment first policy that clearly identifies community employment as the desired outcome for every individual of working age who receives services from the board…”

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

5123.022 OH State Policy Regarding Community Employment for Disabled - 09/24/2012

“It is hereby declared to be the policy of this state that employment services for individuals with developmental disabilities be directed at community employment. Every individual with a developmental disability is presumed capable of community employment.”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

OH Rev. Code Ann. §§123.152 - Encouraging diversity, growth, and equity program. - 09/29/2005

As used in this section, "EDGE business enterprise" means a sole proprietorship, association, partnership, corporation, limited liability corporation, or joint venture certified as a participant in the encouraging diversity, growth, and equity program by the director of administrative services under this section of the Revised Code.   Social disadvantage based on any of the following:  - A rebuttable presumption when the business owner or owners demonstrate membership in a racial minority group or show personal disadvantage due to color, ethnic origin, gender, physical disability, long-term residence in an environment isolated from the mainstream of American society, location in an area of high unemployment;   
Topics
  • Self-Employment

Executive Orders


Ohio Employment First Executive Order - 03/19/2012

All state agencies providing supports and services to Ohio’s individuals with developmental disabilities are required to align policies and procedures to support community employment and fulfill the Employment First requirement that community employment is the preferred outcome for working-age adults.

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

Policy


Ohio 2016-2017 Budget: Historic Investments for Ohioans with Developmental Disabilities - 07/01/2016

"Governor Kasich’s historic budget invests $286 million ($116.5 million State share) over the next two years to increase opportunities for Ohioans with disabilities to live and work in the community. The initiatives in this budget expand supports for those who are waiting for services, increase opportunities for community participation, and improve the experience for those who are receiving services by modernizing our programs and strengthening the direct care force….

The budget continues to prioritize funding to reflect the growing demand for Home and Community-Based Services. Funding will allow DODD to add nursing services to the IO waiver to enable people with medical needs to live in community settings, provide for much-deserved increase for direct care staff, increase the availability of add-on services for individuals with complex needs and behavioral challenges, provide training for those who receive, plan, and deliver waiver services, and strengthen oversight and quality assurance efforts so the person-centered plan is delivering meaningful outcomes."

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

Employment First Project Update (February 2016) - 02/01/2016

“As part of the Centers for Medicare and Medicaid Services (CMS) Transition plan, services and rates are being updated for Adult Day waiver services. Input was gathered from community forums and stakeholder workgroups throughout 2014 and 2015. These new services will be focused on person centered planning and individual outcomes. New services will start being used on October 1, 2016.”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Ohio VR Provider Manual - 11/23/2015

The VR Provider Manual provides service descriptions and requirements for services including career exploration, job development, retention, job seeking skills training, and customized employment, among others.

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Provider Transformation

OH Vocational Rehabilitation Comprehensive Statewide Needs Assessment - 09/30/2015

“Opportunities for Ohioans with Disabilities (OOD), Division of Performance and Innovation (DPI), produced this 2015 Comprehensive Statewide Needs Assessment (CSNA) building upon the framework methodology developed from the 2012 CSNA, which was designed to assess the vocational rehabilitation (VR) service needs of individuals related to six primary disability categories. These disabilities include visual impairments, hearing impairments, communicative impairments, physical impairments, psychosocial impairments and cognitive impairments. This methodology focuses on penetration rates (of the extent to which OOD was serving prospective jobseekers with disabilities), and proportionality (how well OOD is balanced in serving the cross-section of individuals with disabilities who are seeking employment).” The VR sets forth 9 recommendations to be set as priorities over the next year in order to improve integrated employment opportunities and community inclusion.

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

Ohio Rehabilitation Services Commission State Plan (VR Rehabilitation Services Program) - FY 2015 - 09/30/2014

The State Plan for the State Vocational Rehabilitation Services Program and State Plan Supplement for the State Supported Employment Services Program: Ohio Rehabilitation Services Commission State Plan for Fiscal Year 2014 states that staff should build competencies on, and promote the employment practices such as customized employment, self-employment, and supported employment, among others.  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Guide to Policy and Procedure Development - 07/31/2014

"The Employment First Rule, 5123: 2-2-05, requires county boards to adopt and implement a local Employment First Policy which clearly identifies community employment as the desired outcome for every individual of working age. The following is guidance developed in response to multiple requests from county boards."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Funding System Re-Design for Ohio’s Employment First Initiative: Review of Promising Models from Other States - 06/02/2014

This report aims to provide DODD with a comparison of funding structures from multiple states with high rates of integrated employment, including at least one state with a local tax base funding structure. The first 3 Key Principles for establishing a funding system to support Employment First uphold that, “The system should be based upon a presumption of competency, employability and ‘zero reject’ for each person with a disability, regardless of complexity; The system should reward providers for best practice implementation of Individual Supported Employment; [and] The system should require provider standards and staff training/certification to assure equal statewide access to and opportunity for Individual Supported Employment.” There are 9 principles in total that guide that together guide the structure and implementation of Employment First.

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • School-to-Work Transition
  • Mental Health
  • Asset Development / Financial Capability
  • Resource Leveraging

Employment First Administrative Rule (5123: 2-2-05) - 04/01/2014

“The purpose of this rule is to implement the employment first policy in accordance with section 5123.022 of the Revised Code… This rule applies to county boards of developmental disabilities and providers responsible for planning, coordinating, or providing employment services, regardless of funding source, to individuals with developmental disabilities.”

·       Community Employment is competitive employment that takes place in an integrated setting

·       Every individual of working age will have a person-centered planning process to identify their desired employment outcome and their place on the path to community employment

·       Services and supports will be provided to help the individual move along the path to community employment

·       County boards are required to develop and implement an Employment First policy, set benchmarks to increase community employment outcomes, partner with schools to enhance transition planning, share information with individuals, families, schools, employers, providers and others in the community about Medicaid Buy-In, and collect employment data on individuals served

·       Providers are required to submit progress reports at least every 12 months to ensure the individual is moving along the path to community employment and collect employment data on individuals served

   
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Ohio's Path to Employment First - 02/01/2014

“Successful implementation of Employment First requires a multi-pronged approach and a long-term commitment to systems change…. A comprehensive approach must focus on key strategies; all designed to work synergistically to impact a service structure that better supports people to achieve community employment and directs more resources toward that preferred outcome.”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Ohio - “New Requirements for Secondary Transition Services for Students with Disabilities: Frequently Asked Questions” - 09/19/2012

The New Requirements state that IEPs must start at age 14, update annually and contain,

“Appropriate measurable post-secondary goals based upon age-appropriate transition assessments related to training, education and independent living skills;  Appropriate measurable post-secondary goals based on age-appropriate transition assessments related to employment in a competitive environment in which workers are integrated regardless of disability; and The transition services including courses of study, needed to assist the child in reaching the goals described [above]…”

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

OH Department of Education Job Training Coordinating Program Manual

This manual contains information on Individualized Education Plans (IEPs and school-to-work transition for students with disabilities. It recommends the use of Customized Employment as a good technique for harder to place students.

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

CMS Transition Plan: Employment and Day Services

“In January 2014, the federal Centers for Medicare and Medicaid Services (CMS) released new requirements for Home and Community Based Services (HCBS) waivers administered by states. Essentially, the rule says that federal Medicaid funds no longer can be used to pay for waiver services in settings that isolate people, including institutions, and settings next to public institutions…DODD is working to develop new service models that promote community employment and integrated day services. These new services will ensure that all individuals, regardless of where they choose to receive services, will have opportunities to be involved in community-based activities.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Segregated Day & Employment Services
  • Provider Transformation

Employment First Waiver Form

“It is the policy of the Self-Empowered Life Funding (SELF) waiver that emphasizes employment as the priority and preferred outcome for working-age adults with disabilities. Employment First recognizes the social and economic benefits of meaningful work for all individuals. Everyone, regardless of disability, should have the opportunity to earn at least minimum wage in integrated, community-based settings”

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

Ohio DD System Requirements

“In order to make community employment the expected and preferred outcome for people with developmental disabilities, the Ohio DD system is required to align policies, procedures, eligibility, enrollment, and planning for services across state agencies… Other requirements include development of universal tools for documentation, eligibility, selection, assessment, and planning of services. Identification of best practices, partnerships, funding sources, opportunities for shared services among County Boards of DD and other providers is required along with expanding model programs.”

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

Ohio Transition Planning Requirements in IEPs

“Transition assessment affords the opportunity for professionals from across agencies to co-plan and review information that will highlight the youth's preferences, interests, needs and skills relevant to building a profile of the youth as a future employee.  A  team approach to assessment –adult service personnel, educators, youth and family working collaboratively—results in a profile that informs the pathway to community employment that is the 'best fit' for the youth.”

Transition planning is required to begin formally and be documented in the Individualized Education Program (IEP) by age 14.  The IEP must include a post-secondary goal for employment that is based on age-appropriate transition assessments related to employment in a competitive environment in which workers are integrated regardless of disability.

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

Ohio Employment First Administrative Rule

The Administrative Rules assert that, “Community Employment is competitive employment that takes place in an integrated setting;

Every individual of working age will have a person-centered planning process to identify their desired employment outcome and their place on the path to community employment; and Services and supports will be provided to help the individual move along the path to community employment.” It also outlines the responsibilities of the County Boards and Providers.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Partnerships


Ohio Transition Support Partnership (OTSP) - 09/01/2015

"The Ohio Department of Education and Opportunities for Ohioans with Disabilities are partnering to improve post-secondary outcomes for students with disabilities, beginning at age 14. This innovative collaboration will change the nature and impact of transition services for students with disabilities in Ohio. The new model will help students with disabilities get a head start on becoming job ready and better prepared to enter the workforce with the skills necessary to be successful in today’s workforce."

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

People First of OH comments in response to "Ohio's Draft Plan to Comply with New Federal Horne and Community-Based Services Requirements” - 01/20/2015

ORO is submitting these comments to "Ohio's Draft Plan to Comply with New Federal Home and Community-Based Services Requirements," which was released to the public o n December 15, 2014.   The federal Centers for Medicare and Medicaid Services ("CMS") has issued new rules for states'1915( c) home and community-based services (" HCBS") waiver programs ("waiver programs"), defining for the first time "home and community-based settings" eligible for continued federal waiver funding. CMS has required states to create transition plans specifying how they will comply with these new rules and to allow the public to provide input on their proposed plans before they are finalized.”   
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

People First of Ohio Call to Action: “Blazing New Trails to Employment” - 04/25/2012

“People First's employment "Call to Action" and its regional forums brought together hundreds of self-advocates, family members, county board staff, providers, and staff from the Rehabilitation Services Commission and the Ohio Legal Rights Service, to understand Ohio's transition and job service systems; hear about the types of jobs and training people with developmental and intellectual disabilities (DD/ID) want; and plan for more job opportunities, and better wages and benefits for people with disabilities. People First fully supports the Governor's Executive Order 2012-0SK to make Ohio an "Employment First" state.” 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

VR SE Partnership

This booklet outlines implementation strategies for collaboration between local offices of state vocational rehabilitation (VR) services and mental health service organizations that provide Supported Employment, the evidence-based practice (SE-EBP), to consumers who have a severe mental illness. Strategies for the VR and SE partnership are organized into three stages of collaboration.”

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Other
Topics
  • Customized Employment
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Ohio Mental Illness/Developmental Disabilities (MIDD) Coordinating Center of Excellence

“The MIDD CCOE promotes clinical best practices for individuals with mental illness and developmental disabilities. It is a collaborate effort involving ODMH, the Ohio Department of Developmental Disabilities, and the Ohio Developmental Disabilities Council.  With the goal of providing appropriate treatment for individuals with co-occurring mental illness and developmental disabilities, the CCOE assists local systems throughout Ohio to increase their service capacity and foster collaboration.”   Supported Employment “Supported Employment/Individual Placement and Support (SE/IPS) is an evidence-based practice that helps people with mental illness and other disabilities identify and acquire part-time or full-time jobs of their choice in the community with rapid job-search and placement services. It emphasizes that employment is not the result of treatment and recovery but integral to both. SE/IPS is different from traditional vocational rehabilitation. It emphasizes consumer choice and utilizes rapid job-search and placement services, time-unlimited and individualized follow-along services, and many other important strategies.”  
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Ohio NAMI Supported Employment Family Advocacy Project

“This collaboration between NAMI Ohio and the Ohio Department of Mental Health engages families of individuals with mental illness to advocate for, create and expand high-quality Individual Placement and Support (IPS) programs. Family involvement can strengthen the partnerships between providers, family members and consumers around SE services.”

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

Ohio Partnership for Employment First Guide

The Ohio Department of Developmental Disabilities, in partnership with Opportunities for Ohioans with Disabilities Agency, has announced a statewide initiative to expand community employment services for people with developmental disabilities. This opportunity will allow the state to maximize resources to support more people on their path to community employment, build system capacity, and strengthen the relationship between the developmental disability and vocational rehabilitation systems in Ohio.

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

Ohio Employment First Taskforce Common Principles

“The Ohio Employment First Taskforce agencies agree that community employment should be the first option for all working age adults and transition-age youth with developmental disabilities. Employment First is a philosophy of service that presumes that all Ohioans with significant disabilities can and should have opportunities to work in the community”.

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


Mental Health and Addiction Services (Ohio MHAS) Supported Employment Project - 07/01/2014

"Ohio Mental Health and Addiction Services (MHAS) and its partners are implementing the Supported Employment Project. This project reduces the high unemployment rates for young adults and adults with a severe and persistent mental illness who may have co-occurring substance use disorders.

Two local sites are implementing new programs, and a committee will oversee statewide training, policy changes, and evaluation. The evidence-based practice of Individual Placement and Support employment is being shared statewide through training and technical assistance."

Systems
  • Department of Mental Health
Topics
  • Mental Health

Workplace Initiative Ohio - 11/01/2013

"The Central Ohio Workplace Initiative has been renamed the Workplace initiative of Ohio (WIO) to reflect the expansion of the family foundation funded project across the state.  The purpose of the Workplace Initiative of Ohio (WIO) is to create demand among Ohio businesses for talented career seekers with disabilities in healthcare, hospitality, distribution, banking, retail, and other industries. Employers benefit from streamlined candidate sourcing, pre-screening, training assistance and more.

On November 1, 2013, OHBLN and Opportunities for Ohioans with Disabilities (OOD) began working on a project funded by a grant from a private foundation concerned about the high unemployment rate of individuals with disabilities. The purpose of WIO is to work with businesses to create demand for qualified job seekers with disabilities in distribution, retail, health care and other industries."

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

OCALI Customized Employment Project - 03/01/2009

"With funding from the Ohio Department of Developmental Disabilities (DODD), OCALI launched a customized employment project in March 2009 for two school based transition teams, Claymont High School with Tuscarawas County Board of Developmental Disabilities and Huber Heights High School with Montgomery County Board of Developmental Disabilities. The goal of the project was to increase community employment outcomes for transition aged youth using customized employment strategies and processes. Team members received training and consultation in the CE process, Social Security Work Incentives and working with employers. Teams included school, developmental disability, and vocational rehabilitation staff, plus a parent mentor. In November of 2009 the project received additional funding from DODD to add another team from Lucas County Board of Developmental Disabilities and to provide up to 40 paid internships for youth with disabilities using customized employment strategies and processes in the Lucas County and Montgomery County sites. The Tuscarawas County site obtained funding from DODD, “We Go To Work Grants” to fund resource ownership as an employment strategy."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • School-to-Work Transition

Ohio Disability Employment Initiative

The Disability Employment Initiative (DEI) is a three-year federal grant-funded program that improves education, training, employment opportunities, and employment outcomes for people with disabilities who are unemployed, underemployed, and/or receiving Social Security disability benefits. In 2011, was awarded a Round 2 DEI grant from the U.S. Department of Labor’s Employment Training Administration. This grant ended in 2014.

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
Topics
  • Customized Employment
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

Ohio Medicaid Infrastructure Grant

“The Medicaid Infrastructure Grant Program is authorized under Section 203 of the Ticket-to-Work and Work Incentives Improvement Act. The…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”. 

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

Ohio Money Follows the Person

“The Money Follows the Person (MFP) Rebalancing Demonstration Grant helps states rebalance their Medicaid long-term care systems. Over 40,500 people with chronic conditions and disabilities have transitioned from institutions back into the community through MFP programs as of December 2013.  The Affordable Care Act of 2010 strengthened and expanded the MFP program allowing more states to apply.”

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

Training/Capacity Building


2017 Transformation Series: Building Innovative Service Models - 05/01/2017

“Ohio's continued efforts to assist every individual of working age to gain community-based employment is largely supported by provider agencies across the state. These agencies are collectively working through a systems change process that will enable the strengthening and support of community-based service options for individuals with disabilities. The 2017 Transformation Series provides an opportunity for provider agencies to gather and share ideas, strategies, and practices that will assist them as they move through the systems change process and help improve person-centered planning and employment opportunities for individuals across Ohio.

Efforts are focused on two face-to-face events in the spring of 2017:

Phase 1: Provider Agency Site Visits

Phase 2: 2017 Transformation Summit”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Provider Transformation

Ohio RSC Customized Employment, Griffin Hammis Associates, LLC - 01/25/2012

This video on the Ohio RSC Customized Employment Project includes testimonials from staff, leaders, and job seekers and business owners who have benefited from the program. It is both an interesting description of, and a compelling case for, Customized Employment.

Systems
  • Other
Topics
  • Customized Employment
  • Employer Engagement

Ohio Employment First Transition Framework

"Ohio Employment First Transition Framework is a critical component to the Ohio Employment First structure and is intended to address barriers to transition planning and services in order to achieve meaningful adult outcomes. The Framework was developed by stakeholders from multiple agencies to create processes and highlight practices that can be used by all agencies. These common processes assist professionals to plan, prepare, empower, educate, and connect across systems so as to consistently assist youth with disabilities to realize meaningful, community employment and other valued aspects of adult life.

The Framework is built on three non-negotiable foundational elements that together create a 'filter' to examine the practices and procedures used when working and supporting transition youth. The foundational elements for the activity and practices of the Framework are:

Person-centered. The youth is where the team efforts begin and end. Policies and practices must be flexible enough to respond to individual strengths and needs. Agency-neutral. As agencies come together to collaborate, activity should occur in a manner where all involved see value for the youth and no single agency policies or procedures are considered the priority. Outcome-focused. The common focus of the collaborative efforts are the meaningful adult life outcomes."
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Loop Ohio

"Welcome to Loop Ohio, Ohio’s virtual Community of Practice! This online community is dedicated to facilitating statewide and local, cross system collaboration and learning, with a focus on promoting best practices in community development and inclusion for people with disabilities. Ohio is a national leader in these efforts, primarily because of the innovative work being done all across the state, throughout our local communities. Loop Ohio provides a platform for community members and professionals to share ideas and resources, solve problems, break down barriers, connect across distance, and engage in ongoing learning. Loop Ohio is multi-functional, enabling people to have live virtual conversations, share resources, post events, lead and participate in webinars, use discussion boards, have online chat time with subject matter experts and more."

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Employer Engagement
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships
Citations

OH Job Seekers Toolkit

"The Job Seekers Guide will help you learn how to get a job and will give you some tools that will help along the way."

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Medicaid Agencies
  • Other
Topics
  • Customized Employment
  • School-to-Work Transition

Livin’ the Dream Toolkit

"Employment among people with mental illness is very low despite research that strongly supports the critical impact that work plays in promoting recovery. The Ohio Department of Mental Health and Addiction Services (OhioMHAS) is committed to helping individuals find and keep jobs that help them become independent and productive. Toward this goal, OhioMHAS supports technical assistance, consultation and training to provider organizations and consumer-operated peer centers.

The Main Place, a Consumer Operated Services (COS) organization, developed a non-proprietary curriculum and training materials that can be used by COS organizations statewide to address issues related the impact of poverty on the recovery of adults experiencing serious and persistent mental illness, as well as encourage consumers in obtaining employment. The working title for the Tool Kit is "Livin' the Dream". The Main Place trained staff and consumer volunteers as facilitators to implement the curriculum in Licking and Knox Counties. Consumers throughout the state can now have access to the workbooks for programming and services in their own communities."

Systems
  • Department of Mental Health
  • Other
Topics
  • Mental Health
  • 14(c)/Income Security

Customized Employment Training Series

The Ohio Department of Job and Family Services and Griffin-Hammis Associates are sponsoring classroom training, on-line instruction, special topics webinars, and technical assistance on Customized Employment for designated Job Center staff and partners, to support individuals with significant disabilities and complex barriers to employment.

 
Systems
  • Department of Workforce Development
Topics
  • Customized Employment

Orientation to Supported Employment Web Course

This Web-based training is an introduction to the competencies for effective supported employment. Please follow this link to register:

https://trn-store.com/trn-courses/entry/OHIntroductionRegister.php

Seven lessons will cover the following topics:

Values, Definitions, History Legislation, Funding, Ohio’s Employment First Roles and Rights Supported Employment Process and Benefits Career Planning, Discovery, Vocational Profile Marketing and Job Development Job Design and Training, Natural Supports
Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Employer Engagement

Customized Employment Guide

“This guide provides a look at the strategies used in Customized Employment (CE) and links to more information and resources for those who are just beginning to explore CE. It explains how CE might benefit individuals with disabilities seeking employment and students in transition from school to work. CE is based on several evidence based transition practices such as self-determination, using self-advocacy strategies, and providing community based instruction. Learn about OCALI’s experience with three teams in Ohio that served transition age youth. In addition to traditional funding sources these teams had access to funding for internships and resource ownership.”

Systems
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health

Customized Employment: Best Practice of Today

This presentation intertwines Customized Employment into Employment First as a key component to the state’s efforts in promoting community-based, integrated employment for people with disabilities.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Provider Transformation

Project SEARCH: Opening Doors to Employment for Young People with Disabilities (2009)

“In the mid-1990s, Cincinnati Children’s Hospital began a broad diversity campaign to build a stable, reliable workforce that represented the surrounding community. Although medical professionals make up about 70 percent of the hospital’s workforce, the remaining employees are support personnel who receive on-the-job training and tend to experience high turnover. As part of its diversity effort, the hospital formed a partnership with Great Oaks Career Campuses, a career technical school with a significant proportion of students (28 percent) with developmental disabilities (DD). The resulting job training and placement program was named Project SEARCH and focused on training high school students with DD who are making the transition from school to work. The Project SEARCH model is based on an active collaboration between the hospital, Great Oaks, and the Ohio Rehabilitation Services Commission, the state’s vocational rehabilitation agency (SVRA). Over the past 15 years, this model has been implemented in 140 additional sites in the United States and the United Kingdom, mostly in hospitals, although some programs have been implemented in banks, insurance companies, state and local government agencies, zoos, senior care facilities, and universities.”

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

Ohio Mental Health and Addiction Services, Support-Employment, Statewide Committee

The ability of all Ohioans to secure and maintain integrated competitive meaningful employment is a top priority of Governor Kasich. The Ohio Department of Mental Health & Addiction Services (OhioMHAS) and Opportunities for Ohioans with Disabilities (OOD) work daily in support of this goal specifically for people with disabilities – including people with a severe and persistent mental illness and/or co-occurring substance use disorders. OhioMHAS and OOD have partnered with multiple stakeholders to support employment access through the collaborative work of the Statewide Employment Committee. This committee was created to identify and remove employment barriers for individuals with severe and persistent mental illness and/or co-occurring substance use disorders that are served through the vocational rehabilitation system.  

Systems
  • Department of Mental Health
  • Other
Topics
  • Customized Employment
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Ohio Supported Employment Family Advocacy Summit Toolkit (2010)

In May 2010, NAMI Ohio hosted a two-day Summit on Supported Employment to educate advocates about the importance of supported employment to the recovery process. ..participants [were encouraged] to be more active in their local communities by promoting services to help individuals with mental illness find and retain meaningful employment”.  

Topics
  • Mental Health

Ohio Employment First Provider Support Trainings

Professional development activities are available to providers by the Ohio Employment First Initiative.  Trainings include, but are not limited to Mobile Technology as Employment Supports; Task Analysis for Job Coaches; The Role of the Occupational Therapist in Supporting Employment; Transformation: Sustaining Conversation, Raising the Bar and Changing Lives; Worksite Analysis for Job Coaches; Employment supports for those with IDD and Autism; andEmployment supports for those with Physical or Sensory involvement.

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Medicaid Agencies
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Enforcement


Disability Rights OH, National Federation of the Blind, and Autistic Self Advocacy Network Celebrate Landmark Decision Ordering Fair Pay - 02/03/2016

COLUMBUS, OHIO – In a precedent-setting opinion issued by an administrative law judge from the U.S. Department of Labor (USDOL), three clients have been awarded minimum wage going forward and back pay from Seneca Re-Ad, a sheltered workshop run by the Seneca County Board of Developmental Disabilities. The original petition was filed by Disability Rights Ohio (DRO), the National Federation of the Blind, the Autistic Self Advocacy Network, and the Baltimore law firm of Brown, Goldstein & Levy, LLP.

Systems
  • Department of Workforce Development
  • Other

Fair Pay from Sheltered Workshops (2016) - 02/02/2016

This case arises under Section 214(c) of the Fair Labor Standards Act ("Act"), 29 U.S.C. §214(c). Ralph ("Joe") Magers, Pamela Steward and Mark Felton ("Petitioners") are employees of Seneca Re-Ad Industries ("Respondent"), which is located in Fostoria, Ohio. Each of the Petitioners has been diagnosed with one or more developmental disabilities and each receives services from the Seneca County (Ohio) Board of Developmental Disabilities ("DD").  Employment at Respondent's Fostoria manufacturing facility is one of the services provided by DD.  
Systems
  • Department of Workforce Development

Medicaid & Employment


Ohio Revised Code 5123:2-9-16 - Home and community-based services waivers - 04/01/2017

“This rule defines group employment support and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. The expected outcome of group employment support is paid employment and work experience leading to further career development and competitive integrated employment.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • 14(c)/Income Security
  • Segregated Day & Employment Services

DOL - 08/03/2016

WIASRD elements for IWT: Waiver to allow states to discontinue collection of 7 WIASRD data elements for incumbent workers. requested: 9/12 decided: 12/12 expires: 6/17

Systems
  • Department of Workforce Development
  • Other
Citations

Ohio ESEA Flexibility Request - 08/21/2015

“By submitting this updated ESEA flexibility request, the SEA renews its request for flexibility through waivers of the nine ESEA requirements listed below and their associated regulatory, administrative, and reporting requirements, as well as any optional waivers the SEA has chosen to request under ESEA flexibility…”

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

Ohio’s HCBS Transition Plan - 03/13/2015

“Governor John Kasich created the Office of Health Transformation (OHT) to lead the Administration’s efforts to modernize Medicaid and streamline health and human services programs. Using an innovative approach that involves collaboration among multiple state agency partners and a set of shared guiding principles, reform initiatives are improving services, thus enabling seniors and people with disabilities to live with dignity in the setting they prefer, especially their own home.”

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

Ohio Balancing Incentives Program - 06/15/2013

"The Ohio Department of Medicaid is committed to removing barriers and expanding access to long-term care received in home and community-based settings. In conjunction with the Governor’s Office of Health Transformation and additional state agencies, Ohio Medicaid is an active participant in the Balancing Incentive Program.

In June 2013, the Ohio Department of Medicaid was awarded more than $169 million in additional federal medical assistance percentage (FMAP) for its commitment to direct half of all Medicaid long-term care funding to home and community-based services (HCBS) by September 30, 2015."

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

Medicaid Buy-in for Workers with Disabilities - 04/01/2008

"Medicaid Buy-In for Workers with Disabilities (MBIWD) is an Ohio Medicaid program that provides health care coverage to working Ohioans with disabilities. Historically, people with disabilities were often discouraged from working because their earnings made them ineligible for Medicaid coverage. MBIWD was created to enable Ohioans with disabilities to work and still keep their health care coverage."

Systems
  • Medicaid Agencies
Topics
  • 14(c)/Income Security

Ohio Medicaid State Plan

The State Plan is a comprehensive written statement that describes the nature and scope of the Ohio Medicaid program and assures that it is administered in conformity with federal requirements and regulations.  The information provided on this page is for informational purposes only, and ODM disclaims any obligation or liability based upon its use. The formally adopted state plan, statutes, and rules governing the Ohio Medicaid program prevail over any conflicting information provided here.

Systems
  • Medicaid Agencies

Money Follows the Person

“The Money Follows the Person (MFP) Rebalancing Demonstration Grant helps states rebalance their Medicaid long-term care systems. Over 40,500 people with chronic conditions and disabilities have transitioned from institutions back into the community through MFP programs as of December 2013.  The Affordable Care Act of 2010 strengthened and expanded the MFP program allowing more states to apply.”

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

Ohio Medicaid Spending Comparison Charts

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

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