Page posted: 6/27/18
Employment support services: Individualized services and supports that help people maintain paid employment in community businesses/settings. Employment support services occur in integrated community settings.
Microenterprise business: A commercial business with five or fewer employees, including the owner(s) of the business.
To be eligible for employment support services, a person must both:
Employment support services consist of both job support services and self-employment/microenterprise support services.
Job support services
Requires direct contact
Covered job support services that require direct contact with the person may include:
Does not require direct contact
Covered job support services that do not require direct contact with the person may include:
Self-employment and microenterprise business support services
Requires direct contact
Covered self-employment and microenterprise business support services that require direct contact with the person may include:
Does not require direct contact
Covered self-employment and microenterprise business support services that do not require direct contact with the person may include benefit(s) fact gathering, review and analysis to determine how a change in a person’s circumstances will affect benefits.
A person cannot receive support services in groups of more than six people.
A person cannot receive support services in a facility-based setting. Support services should involve opportunities and experiences for the people receiving the services to interact meaningfully with both coworkers and people in the community without disabilities.
Wage and benefit compensation must be compliant with all applicable federal laws and regulations, as well as state statute and rules.
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.
Service provider-owned businesses
Employment support services cannot be provided in businesses that are owned or operated by the same organization that is providing the person’s day and employment services.
Support services do not cover:
Determining individual support versus group support
A person can receive individual and/or group support services.
Individual support services provide services to one person at a time who works at a full-time or part-time, paid job position in a community business (including self-employment).
Group support services provide support to 2–6 people in a group who work together and share the tasks, duties and responsibilities of a job position in a community business. The group receives support while they:
A service is not group support if a provider delivers job-coaching support to multiple people who work at their own distinct job positions at different or dispersed locations in a community business. In this situation, the service would be an individual support service with a shared, job-coaching arrangement.
Connection with other services
A person can receive exploration services when receiving group (1:6) employment support services, but he/she cannot receive exploration services when receiving individual (1:1) employment support services (see CBSM – Employment exploration services).
A person can receive both employment support services and employment development services if he/she is seeking other competitive, integrated employment opportunities while currently employed. A person may return to development services if he/she loses his/her job (see CBSM – Employment development services).
Provider standards and qualifications
Support is a DHS enrollment-required service. Support service providers must:
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).
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.
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
Support 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).
Individual and group employment support 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 support services are provided during the same day as these services.
Prevocational services must be authorized and reimbursed on a one-hour unit basis when support services are provided during the same day.
CBSM – VRS, IDEA and HCBS employment services – Interim guidance