September 12, 2008

1. September 12, 2008 Medicaid Infrastructure Grant Task Force

2. Employment: A Right and a Responsibility

3. Everyone with a disability should have the opportunity and should be expected to work and earn income.

4. THE CONSEQUENCES OF CHOICE(particularly for people with severe disabilities) low status (unemployment); limited competence (little or no challenge); In the name of choice, Florida has supported services that promoted long-term dependence (poverty); and lack of respect (segregation)

5. FLORIDA COMMITMENT(includes people of working age with severe disabilities) Florida expects that working-age people will pursue and maintain gainful employment. The “day” service option available to working age people should be employment support – not “adult day training” or sheltered workshops.

6. Recent Statutory Language (2007) Section 393.13(2)(b)4, F.S. Reduce the use of sheltered workshops and other noncompetitive employment day activities and promote opportunities for gainful employment. Section 393.066(6), F.S. To promote independence and productivity, the agency shall provide supports and services, within available resources, to assist clients enrolled in Medicaid waivers who choose to pursue gainful employment.

7. Five Year Initiative A goal of 50% of the individuals receiving any day service being employed in 5 years A goal of 25% of individualsin a sheltered program working in the community within 5 years

9. On The Job in the U.S. 11.8 million Number of 16- to 64-year-olds who reported a medical condition that makes it difficult to find a job or remain employed. They comprise 6 percent of the population this age. 56% employed in past year Percentage of people 21 to 64 having some type of disability who were employed in the past year. The rate ranged from 82 percent of those with a non-severe disability to 43 percent with a severe disability. For those without a disability, the employment rate is 88 percent for the same period.

10. Floridians with Disabilities and Unemployment 1,122,010 Floridians with disabilities between the ages of 21-64, (according to the 2003 U.S. Census Bureau’s American Community Survey.) The estimated unemployment rate for these citizens is 62.4 percent or 700,134 Floridians without jobs. The 2004 National Organization on Disability, Harris survey found that two-thirds of unemployed Americans with disabilities want to work.

11. Veterans with Disabilities The Florida Division of Vocational Rehabilitation projects that 30,000-40,000 veterans with disabilities will return to Florida from Iraq and Afghanistan. Florida has the second largest veteran population but is projected to have the largest veteran population before 2020, according to the Florida Department of Veterans’ Affairs.

12. Younger veterans are seeking employment and educational opportunities, and it is estimated that one in five of the returning soldiers has at least one disability. Meanwhile, the American workforce is projected to shrink by 10,000,000 workers as baby boomers retire in large numbers.

13. Business Leadership Networks 14 BLNs in Florida 10 BLNs supported with MIG funds Miami, Lakeland, Tallahassee, Jacksonville, Orlando, Tampa, West Palm Beach, Gainesville, Ft. Myers, and Panama City 4 Independent BLNs - Pensacola, Destin/Ft. Walton, Brevard County, and Broward County

14. 56% of people 21 to 64 having some type of disability who were employed in the past year. The rate ranged from 82% of those with a non-severe disability to 43% with a severe disability. (67% unemployed) For those without a disability, the employment rate is 88% for the same period.

15. Full-time Employment 44% with non-severe disability Percentage of people with a non-severe disability who work full time, year-round. This compares with 53 percent without a disability and just 13% with a severe disability. Read more under “Resources of Interest” and access the issue at: http://www/releases/archives/facts for features special editions/019953.html http://www.census.gov/Press-Release/www/releases/archives/cb08ff-11.pdf

16. From 4 Pilot Sites to Statewide Coverage in 3 years Area 2 - Panama City -2007 Area 3 - Gainesville - 2007 Area 4 – Jacksonville - 2006 Area 7 – Orlando - 2006 Suncoast – Tampa - 2006 Area 8 - Ft. Myers - 2007 Area 9 - West Palm Beach - 2006 Area 10 - Ft. Lauderdale - 2007 Area 11 – Miami - 2007 New in 2008 Area 1 – Pensacola Area 2 - Tallahassee Area 12 – Daytona Beach Area 13 – Wildwood Area 14 – Lakeland Area 15 – Ft. Pierce

17. 2008 MIG Employment Coordinators: Jacksonville = Nancy Hanisch Tampa = Valerie Reed-Martin Orlando = Judy Dunning Ft. Lauderdale = Bob Wessels Miami = Vacant Position Tallahassee = LeeAnn Herman

18. Passage of Medicaid Buy-In (WIMC) “Work Incentive Medicaid Coverage” Expansion of PCA Ensuring Quality Providers of Employment Services through: Supported Employment and Social Security Work Incentives and Benefits Pre-Service Training and Advanced SE and SSWI/Benefits Training ADT SE Pilot Program Employment First Initiative MIG Strategies

19. SE Certification Training Ten 4-day sessions of Pre-Service SE training (2 days of SE and 2 days of Benefits) Conducted by Leslie Wilson of Wilson Resources, Inc. and Sharon Brent of the National Disability Institute

20. Social SecurityBenefits and Work Incentives (SSWI) Intensive Training National Disability Institute - Trainer of Ten-Day Intensive Training Session (3 classes completed = 78 graduates) Purpose: Creation of Florida Network able to Provide Referrals to Certified Experts in Benefits Analysis and Planning to ensure that SSA benefits are maintained as necessary while people with disabilities earn income and develop assets Florida Benefits Information Resource Network (F-BIRN)

21. Advanced Training w/MIG Florida Benefits Information Resource Network (F-BIRN) 78 Members Strong Creation of SSWI/Benefits Information Infrastructure DCF, DVR, DOE, FDDC, APD, AWI/DBNs, CILs, WIPAs, CWICs Florida’s two SSA AWICs

22. What about Self-Employment ? • Self-Employment Projects • Start-Up Florida & Start-Up USA • Micro-Enterprise Training and Technical Assistance (METTA) • Supported, Competitive, Integrated Employment Training Team (SCIETT)

23. What’s New for 2009 MIG ? Employment First Initiative Contact all students with disabilities who are leaving or finishing high school Document Employment Status If not employed, document reason not working Document reasons should be working Explain Employment Potential

24. ADT Pilot Program Three (3) Selected ADTs Each must have minimum of five (5) people transitioned to integrated, competitive employment by end of 2009

25. Creation of Florida MIG Website w/MIG Information and Updates Employment Connections Employee and Employer Friendly

26. Future Developments Expand MIG as a Resource for All Apply “Employment First” Initiative to All Disabilities Increase availability of Personal Care Assistance (PCA)

27. What Is My Role? • Making certain that MIG benefits all people with disabilities • Maximize opportunities of MIG through collaboration with others • Educate about Medicaid Buy-In and Effectuate Passage and Implementation in Florida

28. Helpful Web Sites www.partnershipforwork.com www.flapse.org www.flse.net www.flsupportedemployment.com www.rehabworks.org www.apdcares.com

29. APD MIG Staff Email AddressesJB_Black@apd.state.fl.usMelinda_Coulter@apd.state.fl.usNancy_Hanisch@apd.state.fl.usJudy_Dunning@apd.state.fl.usLeeAnn_Herman@apd.state.fl.usValerie_Reed-Martin@apd.state.fl.usRobert_Wessels@apd.state.fl.us

30. Thank you! Questions Comments Suggestions