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Employment development services

Page posted: 6/27/18

Page reviewed:

Page updated: 7/16/18

Legal authority

Federally approved BI, CAC, CADI and DD waiver plans, 42 C.F.R 5302(a)(22), Minn. Stat. §245D.03

Definitions

Employment development services: Individualized services designed to help a person achieve competitive, integrated employment, become self-employed or establish a microenterprise business in his/her community.

Microenterprise business: A commercial business with five or fewer employees, including the owner(s) of the business.

Competitive, integrated employment: Employment situation in which a person’s wages are at least minimum wage or at the industry’s standard with comparable benefits (e.g., health insurance, leave time, etc.).

Eligibility

To receive employment development services, a person must both:

  • • Be eligible for BI, CAC, CADI or DD waiver services
  • • Have employment development services as an assessed need in his/her coordinated services and supports plan (CSSP).
  • Covered services

    Employment development services consist of both job development services and self-employment/microenterprise development services.

    Job development services

    Requires direct contact

    Covered job development services that require direct contact with the person may include:

  • • Individualized, strengths-based assessments and employment opportunity discovery strategies (this phase should not exceed 120 days of service delivery)
  • • Support during new employee orientation for up to 30 days after a person starts a new job position
  • • In-service transportation
  • • Skills training to find and keep a job (e.g., interviewing, using community resources, resume writing, etc.)
  • • Progress review and reporting meetings.
  • Does not require direct contact

    Covered job development services that do not require direct contact with the person may include:

  • • Employment search assistance and support
  • • Benefit(s) fact-gathering, review and analysis to determine how benefits will interact with employment
  • • Help with negotiating and finalizing terms of employment
  • • Development of job applications, resume and cover letters
  • • Outreach with community businesses about available employment opportunities.
  • Self-employment and microenterprise business development services

    Requires direct contact

    Covered self-employment and microenterprise business development services that require direct contact with the person may include:

  • • Help with determining the type of business the person wants to establish
  • • Consultation with the person about all business development activities and plans
  • • Help with choosing and registering an available and marketable business name
  • • In-service transportation
  • • Progress review and reporting meetings.
  • Does not require direct contact

    Covered self-employment and microenterprise business development services that do not require direct contact may include collaborating with the person to:

  • • Write a business plan
  • • Find sources of start-up financing
  • • Establish a legal structure for the business
  • • Create a marketing and sales plan
  • • Find a location and get the appropriate certifications, licenses, permits and variances
  • • Purchase all necessary insurances
  • • Develop business forms, records, bookkeeping and accounting systems
  • • Perform benefit(s) fact gathering, review and analysis to determine how benefits will interact with self-employment.
  • Limitations

    Reauthorization

    Development services are time-limited and should end after a maximum of 12 months following the initial authorization of the services. In some circumstances, a person might need to receive continued development services after 12 months. The lead agency can reauthorize development services when the person:

  • • Has a verifiable change in employment (e.g., person lost his/her employment, faces reduced hours or wants to seek other employment opportunities)
  • • Experiences a debilitating health event or other circumstances that significantly interrupt service delivery
  • • Changes service providers.
  • Compensation

    Wage and benefit compensation must comply with all applicable federal laws and regulations, as well as state statute and rules.

    Microenterprise businesses

    Microenterprise businesses are restricted to five or fewer people. Service providers cannot be owners, partners, shareholders, operators, employees, independent contractors, subcontractors or otherwise a financial beneficiary of the microenterprise businesses they assist, support and serve.

    Non-covered services

    Development services do not cover:

  • • Incentive payments (e.g., payments to an employer to encourage or subsidize the employer’s participation in a development program)
  • • Payments for vocational training that is not directly related to the person’s development program
  • • Direct compensation to supplement a person’s wage
  • • Special education services available and funded under the Individuals with Disabilities Education Act (IDEA) (see CBSM – VRS, IDEA and HCBS employment services – Interim guidance)
  • • Vocational services available and funded under Section 110 of the Rehabilitation Act of 1973 (see CBSM – VRS, IDEA and HCBS employment services – Interim guidance)
  • • Vocational services in facility-based or sheltered workshop settings.
  • Secondary information

    Connection with other services

    A person can receive both employment development services and employment support services if he/she seeks other competitive integrated employment opportunities while currently employed (see CBSM – Employment support services).

    Provider standards and qualifications

    Development is a DHS enrollment-required service. Development service providers must:

  • • Enroll with Minnesota Health Care Programs (MHCP)
  • • Have a 245D license as an intensive support service provider.
  • For more information, see CBSM – Waiver/AC provider enrollment standards.

    All providers of employment services must ensure staff competency. For more information, see DHS – Employment specialist competencies (PDF).

    Reporting

    A provider licensed under 245D must report all uses of controlled procedures, emergency use of manual restraint and prohibited procedures according to Minn. Stat. §245D.06, subd. 5 to DHS via the Behavioral Intervention Report Form, DHS-5148.

    Background studies

    Minn. Stat. Chapter 245C requires a licensed program to conduct background studies. Providers who have direct contact with the person must have a completed background study (for a complete list, see Minn. Stat. §245D.03). A provider must complete and submit individual background studies using New Electronically Transmitted Study (NETStudy) through DHS licensing.

    Service authorization, rates and billing

    Development is a framework service. The lead agency uses the Rate Management System (RMS) to determine rates. For more information, see CBSM – Rate Management System.

    Employment services include in-service transportation. Transportation services occurring between the person’s place of residence and the site of service are not covered as part of this service and should be billed as waiver transportation (see CBSM – Transportation).

    Employment development services should not be billed as DT&H day service, prevocational services, structured day services or adult day services.

    DT&H day services, structured day services and adult day services must be authorized and reimbursed on a 15-minute unit basis when development services are provided during the same day as these services.

    Prevocational services must be authorized and reimbursed on a one-hour unit basis when development services are provided during the same day.

    Additional resources

    Employment services

    CBSM – Employment exploration services
    CBSM – Employment support services

    DHS – Employment First

    Day services

    CBSM – Adult day services
    CBSM – Day training and habilitation (DT&H)

    CBSM – Prevocational services

    CBSM – Structured day program

    Waiver services

    CBSM – BI, CAC, CADI and DD waiver general process and procedures
    CBSM – Waiver/AC provider enrollment and standards

    CBSM – Waiver programs overview

    CBSM – Transportation

    Other resources

    CBSM – VRS, IDEA and HCBS employment services – Interim guidance
    CBSM – Quick reference guide for authorizing HCBS employment services

    Briefcase resource document: Transportation and day and employment services

    Disability Hub MN

    Rate Management System (RMS) User Manual

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