There is a Employment First State Leadership Mentoring Project webinar today on rate restructuring for employment services that might be helpful. Sorry to get this out so late before it starts.  I just read through the presentation slides and thought it pertained to this NACDD discussion.  We are working on this in Idaho right now as well.

Here are the details:
Employment First State Leadership Mentoring Program
Community of Practice Monthly Webinar
August 14, 2019, 3:00-4:00 ET
http://econsys.adobeconnect.com/efslmpcopwebinars/

The Employment First State Leadership Mentoring Program (EFSLMP) Community of Practice (CoP) Webinar Series is structured to augment the technical assistance areas of primary focus in Employment First systems change (Capacity Building, Provider Transformation, School-to-Work Transition, Employer Engagement, and Policy/Funding Alignment). CoP participants will benefit from national subject matter experts (SMEs) presenting information and resources to support Employment First efforts.

Topic: Value-Based Payment Methodologies to Advance Employment First: A Mix of Inspiring Examples from Across the Country
The Employment First State Leadership Mentoring Program's comprehensive framework for advancing Employment First includes aligning payment methodologies and reimbursement rates with policy and practice that aims to increase competitive integrated employment opportunities and outcomes for individuals with disabilities receiving services from publicly funded programs. This webinar previews a comprehensive guide for payers including state Medicaid and Vocational Rehabilitation Agencies and managed care organizations that will be released by ODEP in September, 2019. The Guide, "Advancing Employment First Using Innovative Reimbursement Methodology and Rate Restructuring Strategies Across State Service Delivery Systems:  A Primer for States" includes a range of contemporary examples of reimbursement models and rate structures for employment services from states around the country, including managed care organizations leveraging the opportunities of managed care to design and implement value-based purchasing arrangements with providers of employment and related services. The guide also includes reflections from the author, Dr. Lisa Mills, on more than a decade of intense work in this area.  Dr. Mills discusses the reasons why she believes value-based payment methods are critical, indeed essential, for advancing Employment First. She also shares lessons learned and strategies specific to stakeholder engagement in the process of developing new payment methodologies and reimbursement rates designed to advance Employment First.

Tracy Warren
Idaho Council on Developmental Disabilities

-----Original Message-----
From: xxxxxx@nacdd.simplelists.com <xxxxxx@nacdd.simplelists.com> On Behalf Of Whyte, Alison (EOM)
Sent: Friday, August 2, 2019 11:39 AM
To: Jacobson, Eric <xxxxxx@gcdd.ga.gov>; Steve Gieber <xxxxxx@kcdd.org>; xxxxxx@nacdd.simplelists.com
Subject: RE: DD Councils Hcds wavier language on supported employment

Hi all,

In case it's helpful, I'm attaching DC's supported employment rule and all of our waiver rates from 2018 (I don't think they've changed a ton).

Alison

---
Alison Whyte
Executive Director
DC Developmental Disabilities Council
441 4th Street NW, Suite 729N
Washington, DC 20001
202-727-8005 (office)
202-340-8563 (cell)
202-727-9484 (fax)
xxxxxx@dc.gov

Pronouns: she, her, hers
To learn more about the importance of pronouns, visit https://goo.gl/mFPTKS

-----Original Message-----
From: xxxxxx@nacdd.simplelists.com [mailto:xxxxxx@nacdd.simplelists.com] On Behalf Of Jacobson, Eric
Sent: Friday, August 2, 2019 10:22 AM
To: Steve Gieber; xxxxxx@nacdd.simplelists.com
Subject: RE: DD Councils Hcds wavier language on supported employment

CAUTION: This email originated from outside of the DC Government. Do not click on links or open attachments unless you recognize the sender and know that the content is safe. If you believe that this email is suspicious, please forward to xxxxxx@dc.gov for additional analysis by OCTO Security Operations Center (SOC).

We are working on the same so I would appreciate any information

-----Original Message-----
From: xxxxxx@nacdd.simplelists.com <xxxxxx@nacdd.simplelists.com> On Behalf Of Steve Gieber
Sent: Wednesday, July 31, 2019 2:22 PM
To: xxxxxx@nacdd.simplelists.com
Subject: DD Councils Hcds wavier language on supported employment

CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.

Does any state have language and rates that are working and are getting providers to provide supported employment services?

Sent from my iPhone