Thank you for that clarification. I checked our waiver and it appears that box is not checked, so this must not be a service provided under our waiver. We have supported employment though.

 

I guess that’s why the term was not familiar to me.

 

Carol

 

 

 

Carol,

When I mentioned pre-vocational services I was meaning the service category that is allowed under CMS guidance as a Medicaid reimbursable employment support service.  I think it can be provided in various ways as long as it (now) aligns with the new HCBS rules for integrated settings.  That’s what we are looking at anyway.

Tracy

 

 

 

New Hampshire has legislation pending to remove from our statutes authority to pay people with disabilities less than minimum wage.  I am not familiar with the terminology pre-vocational services. Is that another term for sheltered workshop or is that a different type of program? Even before the legislative initiative our State’s developmental services agency took the position that a sheltered workshop did not meet the standard for a day service, and that if families were participating they were doing so as a private choice not supported by the government. There was some question about what was actually happening, but we have been assured that no agencies or employers in our state are currently engaged in the practice.

 

Carol

 

 

 

Hi,

 

Responding to the CMS Home and Community Based Services Rule on integrated settings, how does your state propose to deal with sheltered workshops or pre-vocational services in your state’s transition plan?

 

Thanks,

 

Ed

 

Ed Holen
Executive Director

Developmental Disabilities Council

1-800-634-4473