Minnesota Minnesota

Community-Based Services Manual (CBSM)

Community-Based Services Manual (CBSM)


Employment exploration services

Page posted: 6/27/18

Page reviewed:

Page updated: 2/5/21

Legal authority

Federally approved BI, CAC, CADI, and DD waiver plans, Minn. Stat. §245D.03

Definitions

Employment exploration services: Services that help a person gain a better understanding of competitive, integrated employment opportunities in their community. Exploration activities and experiences strengthen a person’s knowledge, interests and preferences so they can make informed decisions about competitive employment. Employment exploration includes:

  • · Individualized educational activities
  • · Learning opportunities
  • · Work experiences
  • · Additional related services identified in the person’s coordinated services and supports plan (CSSP).
  • Competitive, integrated employment: Employment that pays a minimum wage or an industry standard, customary or prevailing wage with comparable benefits (e.g., health insurance, leave time, etc.).

    Eligibility

    To receive employment exploration services, a person must both:

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

    Requires direct contact

    Covered employment exploration services that require direct contact with the person may include:

  • · Educational visits to community businesses to learn about various companies, products, services and employment opportunities.
  • · Career education activities to learn about specific types of occupations, job positions and work opportunities.
  • · Ongoing educational information and counseling assistance about jobs/careers that interest the person.
  • · Peer-to-peer mentoring opportunities to meet and learn from people with disabilities who are employed in competitive, community jobs.
  • · Job shadowing and try-out experiences for work involved in different occupations.
  • · Employment education support groups (e.g., job clubs).
  • · Individualized work experiences, including volunteer work experiences.
  • · Education about post-secondary educational opportunities that enhance employment, community employment resources and use of transportation services.
  • · In-service transportation.
  • · Progress review and reporting meetings.
  • Does not require direct contact

    Covered employment exploration services that do not require direct contact with the person may include:

  • · Performing benefit(s) fact gathering, review and analysis to determine how benefits will interact with employment.
  • · Planning and coordinating related to the person’s needs for assistive technology (e.g., ergonomic workstations, magnifiers, speech-to-text or text-to-speech software, captioning, audio or visual cueing, etc.).
  • · Planning and coordinating related to the person’s needs for adaptive accommodations (e.g., modified work tasks or responsibilities, flexible schedules, telecommuting, etc.).
  • Limitations

    Reauthorization

    Employment exploration 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 employment exploration services after 12 months. The lead agency can reauthorize employment exploration services when the person:

  • · Has not made an informed decision about competitive, integrated employment.
  • · Experiences a debilitating health condition or life event that significantly interrupts service delivery.
  • · Changes service providers.
  • Group size

    Group sizes may not exceed five people for all activities provided under employment exploration services.

    Non-covered services

    Employment exploration services do not cover:

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

    Employment exploration services can be delivered through remote support. Services delivered through remote support must meet all the requirements listed on CBSM – Remote support.

    Secondary information

    Group instruction

    Group instruction, including employment education and support groups of up to five people (e.g., job clubs), are covered and can only make up one small part of the full range of possible employment exploration services.

    Connection with other services

    Employment exploration is intended to help a person make an informed choice about pursuing competitive, integrated employment. If a person has already decided they would like to work competitively, then employment development services would be the most appropriate option for the person (refer to CBSM – Employment development services).

    A person can receive employment exploration services when receiving group (1:6) employment support services, but they cannot receive employment exploration services when receiving individual (1:1) employment support services (refer to CBSM – Employment support services).

    Provider standards and qualifications

    Employment exploration is a DHS enrollment-required service. Employment exploration service providers must:

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

    All providers of employment services must ensure staff competency. For more information, refer to DHS – Employment specialist competencies.

    Background study

    To provide employment exploration, providers must have a background study. For more information, refer to CBSM – Waiver/AC service provider overview – Required DHS background studies for direct-contact services.

    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.

    Service authorization, rates and billing

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

    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 (refer to CBSM – Transportation).

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

    DT&H day services, day support services, prevocational services, structured day services, group employment support services and adult day services must be authorized and reimbursed on a 15-minute unit basis when provided during the same day as employment exploration services.

    Additional resources

    Employment services

    CBSM – Employment development services
    CBSM – Employment support services
    DHS – Employment First

    Day services

    CBSM – Adult day services
    CBSM – Day support services
    CBSM – Prevocational services
    CBSM – Structured day program

    Waiver services

    CBSM – Waiver, AC and ECS general process and procedures
    CBSM – Waiver/AC provider enrollment and standardsCBSM – Waiver programs overview
    CBSM – Transportation

    Other resources

    CBSM – Remote support
    CBSM – Resource: Guidance for employment services authorization
    CBSM – Resource: Lead agency employment liaisons
    CBSM – Resource: Transportation and day and employment services
    Disability Hub MN
    Disability Hub MN – Benefits planning toolkit
    Disability Hub MN – Informed choice toolkit
    Rate Management System (RMS) User Manual
    RMS User Manual – Quick reference guide on billable indirect time

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