Medicaid Infrastructure Grants

Partnering with Business and the Partnering with Business and the Workforce System to Improve Workforce System to Improve Employment Opportunities for Employment Opportunities for

Individuals with DisabilitiesIndividuals with Disabilities

March 27, 2008March 27, 2008

Medicaid Infrastructure GrantsMedicaid Infrastructure Grants

Medicaid Infrastructure Grants

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Disability Program NavigatorsDisability Program Navigators

Nanette Relave (Moderator),Nanette Relave (Moderator),Director, Director,

Center for Workers with DisabilitiesCenter for Workers with DisabilitiesAmerican Public Human Services AssociationAmerican Public Human Services Association


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PresentersPresenters

Presenters: Damon Terzaghi, Center for Workers with

Disabilities, APHSA Jack Quigley, Virginia Department of Medical

Assistance Services Joseph Ashley, Virginia Department of

Rehabilitative Services Vicki Tanner, Governor's Office for Workforce

Development, Virginia Larry Glantz, University of Southern Maine Sara Kendall, Oregon Office of Vocational

Rehabilitation Services Lucy Baker, Oregon Business Leadership

NetworkModerator: Nanette Relave, Center for Workers with

Disabilities, APHSA


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Provide an overview of Disability Program Navigators (DPNs), Medicaid Infrastructure Grants (MIGs) and Medicaid Buy-in Programs

Highlight collaboration between MIGs and DPNs, workforce agencies, and the business community

Showcase innovative state practices that engage employers and the workforce system to promote employment of people with disabilities

Agenda/ObjectiveAgenda/Objective


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Disability Program Navigator Disability Program Navigator (DPN) Initiative(DPN) Initiative

The DPN Initiative is jointly sponsored by the U.S. Department of Labor’s Employment and Training Administration and the Social Security Administration’s Office of Program Development and Research. Since 2003, the DPN Initiative has been funded for approximately $81 million from ETA and $12 million from SSA.

A new position, the Disability Program Navigator, was established in One-Stop Career Centers throughout the country to better inform beneficiaries and other people with disabilities about the work support programs available at One-Stop Career Centers.

There are currently about 500 Navigators across forty-five states, the District of Columbia, and Puerto Rico.

The goal of the DPN initiative is to achieve more seamless, comprehensive, and integrated service delivery and supports that can expand the capacity of the workforce investment system to meet the employment objectives of customers with disabilities.


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A Disability Program Navigator: – Improves access to programs and services in the

One-Stop Career Center for job seekers with disabilities;

– Facilitates integrated, seamless, and comprehensive services and supports in One-Stop Career Centers to persons with disabilities.

– Improves linkages to the employer community and develops demand-responsive strategies to meet their recruitment and retention needs; and

– Brings together multiple partners to foster a collaborative effort by building Interagency Action Groups and Integrated Resource Teams.


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For more information, please contact:– Alexandra Kielty, Program Manager for

Disability and Older Worker Programs Phone: 202-693-3730 [email protected]

– Randee Chafkin, Senior Program Specialist for Disability Programs Phone: 202-693-2723 [email protected]

http://www.doleta.gov/disability



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MIGs and Medicaid Buy-insMIGs and Medicaid Buy-ins

Damon Terzaghi,Damon Terzaghi,Policy Associate, Policy Associate,

Center for Workers with Disabilities, Center for Workers with Disabilities, American Public Human Services AssociationAmerican Public Human Services Association


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Medicaid Buy-insMedicaid Buy-ins

Medicaid Buy-ins:– One primary employment concern of people with

disabilities: losing healthcare– The Medicaid Buy-in program allows states to

expand Medicaid coverage to working individuals with disabilities whose income and assets would otherwise make them ineligible

– Medicaid provides essential services often not available through private insurance

– Buy-in participants pay monthly premiums and receive full Medicaid benefits package

– Thirty three states had Medicaid Buy-ins as of 2006


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Medicaid Infrastructure Grants Medicaid Infrastructure Grants (MIGs)(MIGs)

Medicaid Infrastructure Grants:– Created by the Ticket to Work and Work Incentives

Improvement Act of 1999.– Funded from 2000 – 2011.– Support systems change in Medicaid agencies to

improve employment supports.•Medicaid Buy-ins.•Attendant Services.•“Comprehensive Employment Supports.”

– Mandated collaboration and coordination with employment and disability services.

– 40 states currently have a MIG.


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Medicaid Infrastructure Grants Medicaid Infrastructure Grants (MIGs)(MIGs)

Comprehensive MIG grants are intended to connect broader employment services and supports with Medicaid.

Examples of Activities:– Engaging Private Businesses and Employers.– Supporting coordination between agencies.– Benefits & Work Incentives Planning.– Education, Outreach and Training about Employment.– Research.

Today’s presenters highlight efforts around engaging Business Leaders & collaborating with the Workforce System.


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MIG & Buy-in StatesMIG & Buy-in States

Source: http://www.migrats.org

2006 Buy-in States; 2007 MIG states


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CWD Contact InformationCWD Contact Information

Center for Workers with Disabilities, American Public Human Services Association– Nanette Relave, Director

[email protected]; 202-682-0100, ext. 241

– Damon Terzaghi, Policy [email protected]; 202-682-0100, ext. 265


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Dr. Joseph Ashley, Assistant Commissioner, Grants & Special Programs,

Virginia Department of Rehabilitative ServicesVicki M. Tanner

Senior Planner, Lead DPN, Governor's Office for Workforce Development

Virginia – MIG and DPN Virginia – MIG and DPN CollaborationCollaboration

Jack Quigley, MIG Project Manager, Virginia Department of Medical

Assistance Services


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Common Goals / Common Sense :

MIG and DPN Collaboration inthe Commonwealth of Virginia


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Medicaid Infrastructure Grant Medicaid Infrastructure Grant (MIG)(MIG)

The Department of Medical Assistance Services (DMAS) was recently awarded a new four-year MIG.

DMAS has successfully partnered with the Department of Rehabilitative Services (DRS) for the past six years.


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Medicaid Infrastructure Grant Medicaid Infrastructure Grant (MIG)(MIG)

Section 1619(b) of the Social Security Act Work Incentive Training (WIT) program Work Incentive Specialist Training (WIST)

program Working Knowledge peer-based training

program on work incentives Merging employment with transportation

and housing planning Medicaid Buy-In


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Medicaid Infrastructure Grant (MIG) & Disability Medicaid Infrastructure Grant (MIG) & Disability Program Navigator (DPN) Initiatives in VirginiaProgram Navigator (DPN) Initiatives in Virginia

DPN initiatives support several defined MIG outcomes and key strategies– Increase use of Virginia's One-Stop

workforce system– Increase understanding of work incentives

and use of benefits counseling services– Provide information and conduct outreach

to employers throughout the state


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MIG & DPN Initiatives in VirginiaMIG & DPN Initiatives in Virginia

MIG funds assistive technology (AT) kits and video teleconferencing systems for targeted Virginia Workforce Centers– Augments those from the Work Incentive

Grant (WIG)– Placed in workforce areas not covered by

the WIG


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MIG supports the two Senior DPNs– Lead the effort to ensure that AT kits are

utilized in the Workforce Centers – Promote use of video teleconferencing

systems to connect the Centers and Work Incentives Planning Assistance (WIPA) projects

– Liaison to facilitate access between WIPAs and One-Stop customers and staff through the multi-partner video conferencing initiative

– Conduct comprehensive accessibility surveys at workforce centers



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MIG funds AT Business Displays– Targeted for business trade shows or venues

that include employers and business– Shows employers and staff how equipment can

make jobs “doable” – DPNs use as a part of employer outreach and

are part of the staff support for the displays: • DRS Business Development Managers• AT Engineers• Other partners from the Virginia Department

for the Blind and Vision Impaired



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Upcoming DPN InitiativeUpcoming DPN Initiative

“AT in the Workplace” in conjunction with the Region 3 Disability and Business Technical Assistance Center (DBTAC) –the Mid-Atlantic ADA Center– AT kits and training– 30, 60, 90 minute presentations


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Contact InformationContact Information

Jack Quigley, MIG Project Manager, Virginia Department of Medical Assistance Services– Email: [email protected]

Joseph Ashley, Assistant Commissioner, Grants & Special Programs, Virginia Department of Rehabilitative Services– Email: [email protected]

Vicki Tanner, Senior Planner, Lead DPN, Governor's Office for Workforce Development, Virginia– Email: [email protected]


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Larry Glantz,Larry Glantz,Senior Policy Analyst,

Muskie School of Public ServiceUniversity of Southern Maine

Maine – Employer EngagementMaine – Employer Engagement


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Maine MIG

Employer Engagement Strategies:– Business-to-Business Efforts


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Initial Strategic Research and Planning:– Hired several key consultants from

private sector– Conducted Employer-related Research– Conducted Annual Surveys of Business

Owners – 2005-7– Undertook BLN*-type group Feasibility

Study*BLN - Business

Leadership Network


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Findings: What would help? Lesson 1: Most employers have no idea,

but education is clearly needed– Most small business people have little

experience with people with disabilities, and many feel that people with disabilities cannot do the work.•Therefore, education about the

capabilities of people with disabilities is an important first step



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Lesson 2: Support and backup can provide reassurance to nervous employers– For businesses interested in employing

people with disabilities, readily-available and usable information on programs and legal issues is important, as is personal support from referring agencies.

– These matter more than financial subsidies.



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3 Themes from Research– The importance of changing employer

attitudes•Without which more money and

programs won’t make a difference.– The necessity of creating public-private

partnerships, based on personal connections, that include temporary staffing companies

– The need for quick, reliable, trustworthy answers to questions about liabilities, programs



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BLN Feasibility StudyBLN Feasibility Study– Maine BLN History:

•Several attempts to create a BLN failed–Has left scars (mostly in public sector)

•Also no Governor’s Committee on Employment of People with Disabilities

– Conversations with key employers•Trusted source for critical info needed

–Business-to-business network urged•Key disability-related themes emerging

–Timely response to this opportunity a must!


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BLN Feasibility Study – cont’dBLN Feasibility Study – cont’d– Emerging Disability Themes

•Overall workforce shortage•Aging of workforce – pending retirements•Injured veterans returning from Iraq

– Business Response Needed•Timely and reliable information•Integration with other diversity efforts•Many current resources in private sector to

link with related to disability and diversity


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Key Initial Links/Partners– Maine Society for Human Resources

Management (SHRM) Affiliates– Maine Businesses for Social Responsibility– Diversity Hiring Coalition of Maine – Business Partnership Effort Sponsors

• Large Insurance Companies (MEMIC, Unum, others)

– Some serve as portals to smaller businesses

• Key Manufacturing and Retail Businesses• Some Small Businesses

– Key but hard to recruit and engage



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Expanding Maine’s Workforce– Built Working Together – A Business Partnership Effort

• Sponsors (MEMIC, Unum, others)• Other Partners – large and small businesses• “Take the Pledge”

– Developed “branding”• A “look” – logo, colors, print and electronic products• Web site – ExpandingMainesWorkforce.com• Video – Employer Stories and Themes• Traveling road show – workshop and information booth

– Identified some key partner companies and coalitions• Large “friendly” companies• Closely related coalitions related to diversity and

disability



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The Working Together Pledge– "I certify that (company name) commits to the

following best employment practices to further the employment of people with disabilities”: • A commitment to employ individuals with

disabilities • A commitment to creating a corporate

environment that is disability friendly • A commitment to a recruiting and hiring

process that encourages people with disabilities to apply for posted positions”



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Employer Engagement Products– Project Newsletter

• Spotlight on Employers column– Employer Testimonial Video – 4 partner stories– Website: www.ExpandingMainesWorkforce.com– Traveling Information Booth– High Profile Partner Event each October



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Maine – Engaging the public Maine – Engaging the public workforce development systemworkforce development system

Disability Program Navigators – Business Outreach Partnership – 5 staff helping job seekers with disabilities to use Maine

One-Stop Centers– These staff will promote Working Together as they

engage employers– Hopefully will increase employers using One-Stops as a

primary source of workers and technical assistance– Also helping to collect business needs and best practice

information Local Workforce Investment Boards

– Using these boards as information hub to disseminate information on Working Together, but also refer employers in need to WT

– WorkReady Credentialing Program• Increase employer awareness and use of this

resource• http://www.workreadyforme.com


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Contact InformationContact Information

Larry Glantz, Senior Policy Analyst, Muskie School of Public Service University of Southern Maine– Email: [email protected]


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Sara Kendall,Sara Kendall,MIG Project Manager,

Oregon Department of Human Services

Oregon – Business EngagementOregon – Business Engagement

Lucy Baker,Lucy Baker,Executive Director,

Oregon Business Leadership Network


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DEVELOPING A SUCCESSFUL PARTNERSHIP WITH YOUR

BUSINESS LEADERSHIP NETWORK

THE OREGON BUSINESS LEADERSHIP NETWORK and

THE COMPETITIVE EMPLOYMENT PROJECT(OREGON’S MEDICAID INFRASTRUCTURE GRANT)

This presentation was sponsored in part by the Oregon Competitive Employment Project, which is part of the Oregon State Department of Human Services, Office of Vocational Rehabilitation Services. The project is funded through a Medicaid Infrastructure Grant from the U.S. Centers for Medicare and Medicaid Services (CFDA # 93.768).


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COLLABORATIONS BETWEEN THE OBLN AND THE MIG– Grant writer for Internship and Summer Hire Center

funding and evaluation;– Contractor to help develop Oregon’s first annual “OBLN

Tapping Fresh Talent Career Fair”;– Early investment in capacity building for OBLN; – MIG assistance in building relationships with OVRS &

OBLN; and– 2 videos (Oregon Business Plan co-sponsorship):

• VR Youth Transition Program video with City of Wilsonville

• Look at My Ability marketing video.


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The Internship and Summer Hire Center


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The Internship and Summer Hire Center– 2006: 4 businesses partners, 4 student interns.– 2007: 12 businesses partners, 10 student interns.– 2008: MIG providing staff to write 7 grant proposals

to gain fiscal support for website development and evaluation tools, resume database development and other capacity building support.• Website will go live in summer 2008 designed to

attract business and provide students with portals to internship opportunities.

• 2009 website and leadership expanded to support families and youth transition faculty.


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The Internship and Summer Hire Center (Cont’d)– SERVICE PARTNERS

• Oregon VR Services' Youth Transition Program (YTP);

• Oregon Commission for the Blind's Summer Work Experience Program (SWEP);

• Incight Scholars (gives scholarships nationwide for students with disabilities to further education);

• Business Education Compact (Oregon 3rd party payor for business internship opportunities);

• PSU Disabled Students Association (DACA); and• Oregon Independent Colleges Foundation.



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The OBLN First Annual Tapping Fresh Talent Career Fair

Held November 13, 2007 Lloyd Doubletree Hotel,

Portland, Oregon


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OBLN Tapping Fresh Talent Career Fair 2007 Paid Corporate Sponsors

– PLATINUM: • Precision Castparts/PCC Structurals, • Nike

– GOLD: • Oregon Health & Sciences University (OHSU),• Fred Meyer Stores (Kroger), • Portland General Electric, • USDA Forest Service, • PacifiCorp

– SILVER: • Kaiser Permanente Healthcare


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OBLN Tapping Fresh Talent Career Fair 2007– 400 job seekers including 200 working age

students with disabilities.– 18 recruiting booths: 16 business and 2

higher education.– 100% employer desire to return!– Special features of the Fair

• Student Central• Disability Etiquette 101 Training• Adaptive Tech & Universal Design Center • I-Match Skills demonstrations • The Affair After the Fair: Business

presentation


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OBLN Tapping Fresh Talent Career Fair 2007


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“I have been in Human Resources for almost twenty years and I have been to a lot of job fairs in a lot of different places.

This one was extremely well done.

Bringing the students in for some practical “magic” about how to look for jobs and how you need to prepare was especially helpful.

I found the job fair participants were much more prepared that those at many other job fairs.”

~ Janice Chandler, HR, Precision Castparts/PCC

Structurals

OBLN Tapping Fresh Talent Career Fair 2007


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Relationship Building and Early Investment in OBLN– MIG assisted Oregon VR (the initial funder of the

OBLN) in identifying measurable outcomes; understanding the role of the OBLN in the business community, and the necessity of the OVRS/OBLN partnership for people with disabilities.

– MIG provided fiscal support for contracted staff in developing OBLN’s programs and scope.

– MIG provides information about the OBLN and their activities in all presentations statewide and nationally.


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OBLN 2008 Leadership Initiatives– Lead the Oregon Business Plan Targeted Workforce

Needs Initiative around disability;– Expand business participation in the Internship

Center and evaluate its effectiveness;– Initiate mentoring opportunities between

businesses and students with disabilities;– Growing Salem OBLN Chapter; – Initiate a Portland OBLN Chapter;– Hosting the 2008 USBLN Annual Conference and

Career Fair;


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OBLN 2008 Leadership Initiatives (Cont’d)– Promoting Project Search as an exemplary

business model of inclusion for people with significant and developmental disabilities;

– Add on-line training modules to www.obln.org;– Develop partnerships with Oregon SHRM,

DMEC and EEO Chapters;– Grow the funding base in support of the

mission; and– Develop a business sponsored campaign

promoting hiring, retention and recruitment of Oregonians with disabilities.



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The OBLN Board of Directors– Jilma Meneses, OHSU, OBLN President - Healthcare– Keith Fuller, Fred Meyer Stores (Kroger) - Retail– Lisa Goddard, Portland General Electric - Power– Bill Kemp, Precision Castparts/PCC Structurals-

Manufacturing– Todd Londin, ABC Windows, Salem – Service Sector– Anthony Morgali, Morgali Films - Media– John Nagelmann, Kaiser Permanente - Healthcare– Scott Nichols, Intel – High Tech– Bill Prows, Portland State University, Business Outreach –

Education– Pat Haim, Littler, Mendelson PC – Labor Law


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OBLN/OBP Look at My Ability video– 2.5 minute video showcasing the work

ethic and skills of Oregonians with disabilities.

– Initial funding provided by Oregon MIG.– Co-sponsored by OBLN, the Oregon

Business Plan (Oregon’s economic development plan includes leading corporations and support from the Governor and legislators) & the Oregon Department of Human Services


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A Quick Peek at Some Major OBLN Players!


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WANT TO LEARN MORE?See us at www.obln.org or

http://www.oregon.gov/DHS/vr/cep/index.shtml

Or contact….

Lucy Baker,Lucy Baker, Executive Director, Oregon Business Leadership Network (OBLN) 1-503-281-1424 or [email protected]

Sara Kendall,Sara Kendall, Project Director, Competitive Employment Project, 1-503-945-5857 or [email protected]


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Stay Informed, Get Connected!Stay Informed, Get Connected!

Workforce3 One: Communities of practice Live web-based events Register for updates!

For more information about the workforce investment system: Visit www.careeronestop.org Call 1-877-US2-JOBS


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Save the DateSave the Date

Workforce Innovations 2008: Success DecodedJuly 15 – 17, 2008

New Orleans, Louisianawww.WorkforceInnovations.org

Back to Basics, Part II Data Processing and ReportingBack to Basics, Part II Data Processing and Reporting


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Medicaid Infrastructure Grants

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