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Fading in Supported Employment: What Should Funder Expectations Be?

Fading in Supported Employment: What Should Funder Expectations Be?. 2012 National APSE Conference Lisa Mills, Consultant on Employment Systems Change and Medicaid Waiver Employment Services. Important Note.

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Fading in Supported Employment: What Should Funder Expectations Be?

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  1. Fading in Supported Employment: What Should Funder Expectations Be? 2012 National APSE Conference Lisa Mills, Consultant on Employment Systems Change and Medicaid Waiver Employment Services

  2. Important Note • The following presentation is not complete. For a copy of the full presentation or to contact the presenter, see information below: Lisa A. Mills, PhD Consultant 608-225-4326 LMills67@charter.net

  3. history • Supported Employment very small part of Medicaid waiver expenditures – not a cost driver for overall system • Many states have had poor utilization management strategies for low-utilization services • Employment First and Employment for All goals place new emphasis on ensuring cost-effectiveness of Supported Employment

  4. history • Experience in Wisconsin and elsewhere showed two common approaches to authorizing job coaching: • Provider driven • Funder driven • Neither approach involved sophisticated and valid approach to utilization management • Result was either too much or too little service being authorized.

  5. Need Valid Method for assessing Job Coaching needs • Method should make sense to funding sources and providers • Method should not make SE unavailable to people with most significant disabilities • Method should allow for individualized service authorizations that can be adjusted over time

  6. Need Valid Method for assessing Job Coaching needs • Method should expect fading over time • Method should account for exceptional situations • Method should incorporate input from all involved – not just job coaching provider

  7. Key Question What do Funding Sources Need to Know in Order to Make Appropriate Job Coaching Authorizations?

  8. Key Question What guidance should those making Job Coaching authorization decisions have?

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