building a medicaid infrastructure grant task force what role do you see yourself playing?

Employment Opportunities Employment Opportunities

Building a

Medicaid Infrastructure Grant

Task Force

What role do you see yourself playing?What do you want to see MIG accomplish?

Who is missing from the group?


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 individuals in a sheltered program

working in the community within 5 years


8

Line Graph Showing the Progress of the Statewide Initiative: Number of Individuals Employed as of J uly 2008

3793.8

4476.8

2428

3151

4636 4490

5159.8

3110.8

5842

4869

4936

0

1000

2000

3000

4000

5000

6000

7000

Year

Num

ber

Em

plo

yed

Goal

Number Employed

Goal 3110.8 3793.8 4476.8 5159.8 5842

Number Employed 2428 3151 4636 4490 4869 4936

2004 2005 2006 2007 2008 2009

2009 Target

Good


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 2008Area 1 – PensacolaArea 2 - TallahasseeArea 12 – Daytona BeachArea 13 – WildwoodArea 14 – LakelandArea 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: 1. Supported Employment and Social Security Work

Incentives and Benefits Pre-Service Training

and

2. 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 Security Benefits 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 ?

1. 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

2. 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

3. Creation of Florida MIG Website

• w/MIG Information and Updates

• Employment Connections

• Employee and Employer Friendly


26

Funding Issues

Improve and Expand Incentives for Employment

DVR/APD/DOE Payment Issues

Increased Transportation Costs w/Reduced Rates

More Creative Payments


27

Future Developments

State Funding Development

Payment of Private Businesses

BLN Internships

Independent Providers


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 Addresses

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]


30

Thank you!

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building a medicaid infrastructure grant task force what role do you see yourself playing?

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