Missouri

States - Big Screen

The Show Me State is expanding its efforts to deliver competitive, integrated employment options for individuals with disabilities through innovative strategies that propel Missouri's model, "Close to Home, Far from Ordinary."

State VR Rates and Services

A list of services offered by this state’s Vocational Rehabilitation agency, along with the standard rates paid for the performance of those services.

PDF icon Missouri’s VR Rates and Services

2016 State Population.
0.15%
Change from
2015 to 2016
6,093,000
2016 Number of people with disabilities (all disabilities, ages 18-64).
1.06%
Change from
2015 to 2016
468,140
2016 Number of people with disabilities who are employed (all disabilities, ages 18-64).
0.41%
Change from
2015 to 2016
164,243
2016 Percentage of working age people who are employed (all disabilities).
-0.68%
Change from
2015 to 2016
35.08%
2016 Percentage of working age people who are employed (NO disabilities).
0.48%
Change from
2015 to 2016
79.16%

General

2014 2015 2016
Population. 6,063,589 6,083,672 6,093,000
Number of people with disabilities (all disabilities, ages 18-64). 478,963 463,157 468,140
Number of people with disabilities who are employed (all disabilities, ages 18-64). 157,220 163,574 164,243
Number of people without disabilities who are employed (ages 18-64). 2,463,983 2,524,635 2,521,381
Percentage of working age people who are employed (all disabilities). 32.83% 35.32% 35.08%
Percentage of working age people who are employed (NO disabilities). 77.23% 78.78% 79.16%
Overall unemployment rate. 6.10% 5.00% 4.50%
Poverty Rate (all disabilities). 23.70% 21.90% 22.30%
Poverty Rate (NO disabilities). 14.10% 13.60% 12.60%
Number of males with disabilities (all ages). 429,482 430,732 426,359
Number of females with disabilities (all ages). 442,937 437,083 447,737
Number of Caucasians with disabilities (all ages). 730,644 728,775 729,010
Number of African Americans with disabilities (all ages). 101,370 102,581 104,789
Number of Hispanic/Latinos with disabilities (all ages). 20,128 21,074 21,980
Number of American Indians/Alaska Natives with disabilities (all ages). 6,371 5,727 7,155
Number of Asians with disabilities (all ages). 4,899 6,408 4,876
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A 870 1,009
Number of with multiple races disabilities (all ages). 22,706 18,411 22,891
Number of others with disabilities (all ages). 5,993 5,043 4,366

 

SSA OUTCOMES

2014 2015 2016
Number of SSI recipients with disabilities who work. 7,003 7,252 7,496
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 5.10% 5.40% 5.60%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 222,218 220,596 217,590

 

MENTAL HEALTH OUTCOMES

2014 2015 2016
Number of mental health services consumers who are employed. 4,226 6,032 6,268
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 8,782 12,624 11,390
Number of adults served who have a known employment status. 37,005 44,121 42,204
Percentage of all state mental health agency consumers served in the community who are employed. 11.40% 13.70% 14.90%
Percentage of supported employment services evidence based practices (EBP). 0.80% 1.60% 1.00%
Percentage of supported housing services evidence based practices (EBP). N/A N/A N/A
Percentage of assertive community treatment services evidence based practices (EBP). 1.20% 1.40% 1.30%
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. 406 832 500
Number of evidence based practices (EBP) supported housing services. N/A N/A N/A
Number of evidence based practices (EBP) assertive community treatment services. 654 712 684
Number of evidence based practices (EBP) medications management. N/A N/A N/A

 

WAGNER PEYSER OUTCOMES

2013 2014 2015
Number of registered job seekers with a disability. 10,345 7,417 5,450
Proportion of registered job seekers with a disability. 0.03 0.03 0.02

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2013 2014 2015
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 4,647 7,474 7,016
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 1,634 2,629 2,948
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 35.00% 35.00% 42.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 27.03 43.21 48.46

 

VR OUTCOMES

2015 2016 2017
Total Number of people served under VR.
8,301
8,600
N/A
Number of people with visual impairments served under VR. 50 58 N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 836 919 N/A
Number of people with physical impairments served under VR. 1,816 1,778 N/A
Number of people cognitive impairments served under VR. 2,264 2,405 N/A
Number of people psychosocial impairments served under VR. 2,579 2,697 N/A
Number of people with mental impairments served under VR. 756 743 N/A
Percentage of overall closures into employment under VR. 35.20% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 7,435 7,588 8,353
Number of eligible ticket to work beneficiaries. 318,047 318,214 313,618
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A N/A N/A
Total number of ID competitive labor market closures. 800 701 N/A

 

IDD OUTCOMES

2013 2014 2015
Dollars spent on day/employment services for integrated employment funding. $5,099,000 $7,012,000 $5,578,000
Dollars spent on day/employment services for facility-based work funding. $0 $0 $0
Dollars spent on day/employment services for facility-based non-work funding. $51,925,000 $38,353,000 $42,056,000
Dollars spent on day/employment services for community based non-work funding. $815,000 $18,291,000 $20,445,000
Percentage of people served in integrated employment. 12.00% 12.00% 10.00%
Number of people served in community based non-work. 334 3,644 4,027
Number of people served in facility based work. 0 0 0
Number of people served in facility based non-work. 5,009 3,352 3,744
Number supported in integrated employment per 100,000 individuals in the general state population. 11.40 11.40 9.90

 

EDUCATION OUTCOMES

2013 2014 2015
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 58.10% 57.65% 57.59%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 9.11% 8.92% 8.76%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 3.63% 3.66% 3.61%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 88.63% 88.58% 88.29%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 29.13% 31.03% 25.55%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 55.62% 59.49% 60.89%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 60.58% 64.79% 65.90%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 26.48% 28.46% 31.34%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 1,683,499
Number of overall total blind and SD workers. 1,704
Number of AbilityOne blind and SD hours (products). 129,942
Number of AbilityOne blind and SD hours (services). 245,601
Number of AbilityOne blind and SD hours (combined). 372,429
Number of AbilityOne blind and SD workers (products). 220
Number of AbilityOne blind and SD workers (services). 335
Number of AbilityOne blind and SD workers (combined). 555
AbilityOne wages (products). $1,055,603
AbilityOne wages (services). $3,245,518

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2015 2016 2017
Number of 14(c) certificate-holding businesses. 0 0 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 107 79 95
Number of 14(c) certificate holding patient workers. 4 3 3
Total Number of 14(c) certificate holding entities. 111 82 98
Reported number of people with disabilities working under 14(c) certificate-holding businesses. 0 0 0
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). 0 0 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). 8,020 6,396 7,487
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 326 237 237
Total reported number of people with disabilities working under 14(c) certificate holding entities. 8,346 6,633 7,724

 

WIOA Profile

 

The material cited below is taken directly from each state’s plan for WIOA implementation. These sections of the state plan were selected because of their relevance to youth and adults with disabilities. However, all programs and services under WIOA must be physically and programmatically accessible to individuals with disabilities.

Employment First State Leadership Mentoring Program/Employment First Initiative

Division of Developmental Disabilities has a statewide employment initiative, Employment First, for working age citizens with disabilities. Employment services include job preparation, job discovery, and community employment in a competitive integrated work setting that may include ongoing supports. The Division of Behavioral Health provides employment services to individuals with mental illnesses, histories of substance abuse, and/or criminal backgrounds. Clinical and vocational employment services are integrated through state–wide partnerships to help individuals who are interested in employment participate in the competitive labor market with the appropriate level of supports and services to be successful. RSB will continue to partner and collaborate with DMH programs in the delivery of employment services. (Page 244-245)

Customized Employment

VR’s workforce development activities are designed to assist individuals with disabilities in obtaining, maintaining, or advancing in competitive integrated employment. These activities include assessments, vocational guidance and counseling, job preparation activities, which can include disability awareness, resume writing, interviewing skills. Additionally, VR provides eligible individuals with training (OJT, apprenticeships, customized employment, funding for community colleges, universities).  (Page 47)

RSB has developed relationships with several employers across the state communicating directly with HR staff on employment needs, identify customized employment opportunities, and provide disability/blindness awareness and sensitivity training. Outreach activities have resulted in competitive integrated employment outcomes and work experience opportunities, both paid and unpaid, for youth and students with disabilities and adult clients. (Page 48)

MVR continually reviews its strategies to develop new employer relationships and support those who employ persons with disabilities. Some of its flexible strategies include increasing work–based learning opportunities, on–the–job training, internships and customized employment. (Page 182)

  • SE Services –– The nature of the service itself requires intensive one–on–one job training. Services are provided by CRPs and include job development, job coaching, natural supports, task analysis and assessment, counseling and advocacy services and customized employment. Usually, SE services will not exceed nine months, but MVR can provide up to 24 months of community–based job training. (Page 197)

Provide training opportunities to include the provision of pre–employment transition services and customized employment services. (Page 267)

Supported employment services are available not only to individuals after leaving their secondary education program, but to students whose IEP and IPE include these services as part of their transition plan and whose school district signs a cooperative work experience program agreement with RSB.  (Page 275)

RSB has developed relationships with several employers across the state communicating directly with HR staff on employment needs, identify customized employment opportunities, and provide disability/blindness awareness and sensitivity training. Outreach activities have resulted in competitive integrated employment outcomes and work experience opportunities, both paid and unpaid, for youth and students with disabilities and adult clients. (Pages 48,197)

RSB has developed relationships with several employers across the state communicating directly with HR staff on employment needs, identify customized employment opportunities, and provide disability/blindness awareness and sensitivity training. Outreach activities have resulted in competitive integrated employment outcomes and work experience opportunities, both paid and unpaid, for youth and students with disabilities and adult clients. (Page 242)

RSB has formal contract agreements with community rehabilitation providers to work with employers and assist clients with job search, job placement and customized employment opportunities. Other services include work based learning experiences, task analysis, and job coaching when needed. RSB contracts with Alphapointe Association for the Blind for an eight–week Summer Transition Employment Program (STEP) providing competitive work experience to high–school age youth. The goal is to provide each consumer with a foundation for the school–to–work transition, to enable each to practice personal independence through work and goal–setting experiences. (Pages 244, 266, 267)

Blending/ Braiding Resources

Missouri partners are committed to developing new career pathways for youth and adults with barriers to employment including individuals with disabilities. Missouri’s core partner program leaders regularly meet to collaborate on braiding services for work-based learning and education funding. Through sector strategy regional business meetings and partner engagement, Missouri will work with employers to identify opportunities and services available to assist in eliminating employment barriers. (Page 62)

Local level partners are conducting asset mapping, cross training and job shadowing to better understand each other’s services. These activities have led to collaborative practices such as co-enrollment and braiding of service funding. (Page 62)

Missouri’s core and mandatory partners will collaborate to share resources to create environments to foster partnering at the local level as well as maintain resource allocations that keep existing partnerships at the local level. Specific examples include: As part of their services to individuals with disabilities, VR may provide funding for post-secondary training. As partners seek to co-enroll their customers, this will provide opportunity for leveraging of these resources through braiding of both educational dollars, as well as supportive services to ensure the customer’s success. VR also provides guidance and counseling to the job seekers, to insure that access to comparable services funding is achieved, whether through partner agencies or through Federal funding, such as the Pell grant. (Page 87)

Missouri will improve the outcomes for out-of-school youth by ensuring the 14 elements allowed under WIOA are met through a braiding of partner resources which will best meet each individuals need. The 14 program elements will be available to OSY participants, and will be funded with WIOA title I youth funds or leveraged partner resources. An agreement will be established with the partner to offer the program element and ensure that the activity is connected and coordinated with the WIOA youth program. (Page 135)

SECTION 116 OF WIOA. The Missouri workforce development system comprised of all core WIOA partners has developed a Memorandum of Understanding on the implementation of WIOA and creating the partnerships to begin developing common referrals, the braiding of services, and data sharing. These collaborative efforts will enhance access for individuals with disabilities and improve performance for all partners. Performance accountability measures under section 116 of WIOA are new to vocational rehabilitation and have not yet been measured. RSB met all required federal performance indicators during the past two years prior to WIOA. RSB will apply the same quality of service utilized in meeting those indicators to achieve the new performance measures and provide that level of quality while moving forward. (Page 267)

DEI/DRC

No disability specific information found regarding this element.

Competitive Integrated Employment

No disability specific information found regarding this element.

Financial Literacy /Economic Advancement

Months, but can remain in the program for the life of the grant program (…in this case, six years). One adult must be working from the household. The family must make deposits monthly into their savings accounts, and they must attend financial literacy programs covering such topics as home ownership, economic education, career guidance, micro–enterprise development, etc. Successful IDA’s provide a great ‘return on investment’ by transforming a small contribution and hard work into a much larger payoff. Participants invest their IDA funds into their local communities, increase their incomes and become more self–sufficient. (Not disability specific but could be)  (Page 318)

School to Work Transition

MVR is collaboratively funding Disability Benefits 101 with DMH’s Division of Behavioral Health Services. Missouri Rehabilitation Services for the Blind. (Page 173)

  • Provided cross training with local CILs to include information regarding benefits planning; and
  • Is currently working in collaboration with DMH’s Division of Developmental Disabilities to provide cross training with MVR counselors and IDD case managers regarding their respective services. (Page 176)

Additional partnering activities include the sponsoring of an employment summit with the Missouri Coalition for Community Behavioral Healthcare to facilitate clinical integration of behavioral health and community employment efforts and MVR’s and DMH–DBH’s co–funding of the customized Missouri benefits planning website DB101. (Page 184)

MVR has statewide and regional specialists that have had extensive training and experience in their area of expertise, e.g., business specialists, mental health, autism, assistive technology, AgrAbility, benefits planning, brain injury, hearing impairments, vision impairments, learning disabilities and self–employment. These specialists are available to provide direct assistance to clients as well as consultation with counselors. All counselors, regardless of their tenure, have the opportunity to work with a mentor who has expertise and experience in an area that is of interest to them. (Pages 190,  232)

Recipients of SSI/SSDI who also receive other benefits from the DSA (Pages 255)

Career Pathways

Prepare for, obtain, maintain, advance in, or re–enter competitive integrated employment, including supported or customized employment. Extended services may be provided to youth with the most significant disabilities for a period not to exceed four years.

Supported employment services are available not only to individuals after leaving their secondary education program, but to students whose IEP and IPE include these services as part of their transition plan and whose school district signs a cooperative work experience program agreement with RSB. (Page 275)

RSB has one Job Development Specialist that works directly with employers to develop relationships and identify clients from various offices to meet employer needs. This position serves on several committees including the St. Louis Deafblind Taskforce, St. Louis County Disability Resource Committee, Employment Liaison Committee, Employment Working Group for Immigrants and refugees, St. Louis Transition Council, St. Louis Special School District Agency Collaborative, and the Urban League. This position receives and distributes job postings to VR staff and assists clients in the development of business plans required for self –employment vocational goals. (Page 48)

Research verifies that pathways from school to work or secondary to post–secondary education can be more difficult for individuals with disabilities therefore the need for transition career services and pre–employment transition services is great. (Page 202)

RSB has partnered with Lighthouse for the Blind and Alphapointe Association for the Blind through a contractual relationship to provide intensive specialized prevocational skills training to youth with disabilities who are blind or visually impaired. Lighthouse for the Blind’s summer program delivers a residential program for students who plan to live independently and seek competitive integrated employment or attend a vocational training program or college upon graduation from high school. Alphapointe offers an eight–week program providing competitive work experience to high–school age youth. The goal is to provide each consumer with a foundation for the school–to–work transition. (Pages 234)

Establishment of a task force on blind student academic and vocational performance to "develop goals and objectives to guide the improvement of...transition from school to work, rehabilitation services, independent living, and employment outcomes for eligible students.” Members are appointed by the Commissioner of Education in cooperation with the Director of the Department of Social Services (RSB’s parent agency).  (Page 23, 244, 49)

Work Incentives & Benefits

Occupational projections predict the number of workers needed in different educational and skill levels. In Missouri, the projections support the need for workers at all different skill and education levels. Through sector strategies, career pathways can minimize skills gaps since they are validated with the businesses in the area, leading to the success of the workforce. (Page 43)

Through sector strategies, partnerships between all parties within the workforce system are formed. Career pathways are developed through the collaboration of employers, the education system, and workforce system. Within the career pathways, an individual has multiple entry and exit points based on current skills and knowledge, as well as the person’s willingness and capacity to continue to learn on the job, or through formal classroom education and/or training programs. The continued efforts of all WIOA partners ensure that all eligible persons, including those with disabilities, obtain skills to become or remain employed in high-demand, well-paid occupations. (Page 44)

Special education, as determined by the eligible agency; Secondary school credit Integrated education and training; Career pathways; Concurrent enrollment; Peer tutoring and; Transition to re–entry initiatives and other post release services with the goal of reducing recidivism. (Page 47)

Missouri partners are committed to developing new career pathways for youth and adults with barriers to employment including individuals with disabilities. Missouri’s core partner program leaders regularly meet to collaborate on braiding services for work-based learning and education funding. Through sector strategy regional business meetings and partner engagement, Missouri will work with employers to identify opportunities and services available to assist in eliminating employment barriers. (Page 62)

  • In addition to training services, the Title I & Title IV partners have work based programs such as on-the-job training and work experience which offer the customers the opportunity to combine education, training and employment services. VR & Rehabilitation Services for the Blind supports career pathways by providing a variety of services to students, youth and adults with disabilities. (Page 75)

MVR is involved in sector strategies planning at the local and state levels to address skills gaps and create career pathways to better serve employers with their individual needs and to provide them with prepared candidates. It has been forming employment collaboratives at the local levels to ensure employers receive the best possible delivery of services. MVR will work with businesses to ensure they have resources for necessary workplace accommodations and rehabilitation technology. (Page 183)

Employer Engagement

Section identified but no detailed information specifically addressing disability focused implementation. (Page 283)

511

Establishment of a task force on blind student academic and vocational performance to "develop goals and objectives to guide the improvement of...transition from school to work, rehabilitation services, independent living, and employment outcomes for eligible students.” Members are appointed by the Commissioner of Education in cooperation with the Director of the Department of Social Services (RSB’s parent agency). (Page 237)

Mental Health

Describe how the one-stop delivery system (including one-stop center operators and the one-stop delivery system partners), will comply with section 188 of WIOA (if applicable) and applicable provisions of the Americans with Disabilities Act of 1990 (42 U.S.C. 12101 et seq.) with regard to the physical and programmatic accessibility of facilities, programs, services, technology, and materials for individuals with disabilities (sic). This also must include a description of compliance through providing staff training and support for addressing the needs of individuals with disabilities. Describe the State’s one-stop center certification policy, particularly the accessibility criteria.

Missouri has a committee to specifically focus on one-stop certification criteria. The committee has established the criteria for certification, including accessibility. This committee includes representatives from Vocational Rehabilitation, Rehabilitation Services for the Blind and the Centers for Independent Living (CILs) who will assist with training and technical assistance to ensure accessibility of facilities, programs, services, technology and materials for individuals with disabilities. Accessibility criteria for certification includes the accessibility requirements contained with Section 188; policy review, adaptive technology equipment availability, emergency procedures, (Pages 114)

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Community Transitions Manual for Support Coordinators and Community Coordinators - 02/19/2017

~~“MFP EligibilityIndividuals who transition from a Habilitation Center or nursing home may be eligible for MFP. MFP is a demonstration grant that supports efforts to:• Provide Medicaid eligible individuals the choice of where they live and receive services;• Allow qualified individuals living in nursing facilities or Habilitation Centers to move to the community; and• Promote a system that is person-centered, based on needs, and ensures high-quality services in the community.”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

“Empowering through Employment” - 01/24/2017

~~“The Empowering Through Employment initiative is designed to increase the number of individuals receiving employment supports and services.  This initiative has an established goal of 35% of all individuals receiving waiver services to have employment supports authorized and available for their use.  Empowering Through Employment has been deemed a priority based upon the gap between the percentage of Missourians with intellectual/developmental disabilities (I/DD) accessing employment services as compared to other day services. Missouri is focused on becoming one of the high performing states and ensuring that Missourians with I/DD have the same opportunities as other individuals.”

Systems
  • Department of Mental Health
Topics
  • Home and Community Based Services (HCBS)

Missouri Department of Mental Health Legislator Briefing “Mental Health Highlights and Issues" - 01/01/2017

~~“In October 2016, DD announced a goal to increase the utilization of employment services for individuals between the ages of 16 and 64. This new initiative, called Empowering through Employment, is a statewide effort involving the division’s regional offices, support coordination providers and employment service providers to get 3,700 more Missourians into employment services. This increase would mean that 35% of Missourians are accessing employment services (which mirror what is occurring in other states).”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities

Part B Compliance - 01/01/2017

~~“THE STATE COMPLIANCE PLAN FOR SPECIAL EDUCATION is being revised during the 2016-17 school year to reflect updates in the Every Student Succeeds Act (ESSA), provide clarification on a number of issues, and make substantive changes based on research and OSEP guidance. Proposed changes in both a summary chart and a mark-up of the proposed plan are posted on the DESE website at https://dese.mo.gov/special-education/state-plan-special-education  . The Public comment period ended on January 6, 2017. All comments received will be reviewed and a decision made to accept, accept with revisions, or reject the comment. A summary of the comments and decision will be posted on the website after January 24, 2017. The proposed plan will be presented to the State Board of Education during their February meeting.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Proposed Part B State Plan Changes for 2017 “Transition Services” - 01/01/2017

~~“A. beginning not later than the first IEP to be in effect when the child is sixteen (16), or younger if determined appropriate by the IEP team, and updated annually thereafter appropriate measurable postsecondary goals based upon age appropriate transition assessments related to training, education, employment, and, where appropriate, independent living skills; the transition services (including courses of study) needed to assist the child in reaching those goals, andB. beginning not later than one year before the student reaches age eighteen (18), a statement that the child has been informed of his or her rights under Part B of IDEA and that those rights will transfer to the student upon reaching the age of majority. “ 

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Equal Opportunity Demographics - 01/01/2017

~~“The Missouri Interagency Transition Team (MITT) established to increase collaboration at the state, regional and local levels with the shared vision of improving employment, independent living, and postsecondary outcomes for Missouri students with disabilities.• Show-Me Careers, a consortium of state agencies focused on supporting the seamless transition from school to inclusive employment or post-secondary education for youth and young adults ages 16-30 with intellectual and developmental disabilities.• A regional annual Accommodation for Success event in the St. Louis area to help businesses recruit and employ individuals with disabilities.”

Systems
  • Department of Workforce Development
Topics
  • School-to-Work Transition

Greater Kansas City - Disability Mentoring Day - 10/26/2016

“Join us for the 12th anniversary of Kansas City Disability Mentoring Day Events. Disability Mentoring Day promotes employment opportunities for all job seekers and students with disabilities through information and career exploration. As a person pursuing employment, this event gives you an excellent opportunity to: • •Increase and enhance your job readiness skills • •Network with employers to learn about different types of careers • •Visit with service organizations, providers, and government agencies to learn how they can help you in your job search • •Learn how to advocate for yourself”

Systems
  • Department of Workforce Development

Toward a Successful Transition: A Checklist for the First 21 Years - 09/01/2016

“To Parents of Children with Developmental Disabilities . . . It is our hope that as parents you will always consider yourselves the experts on your child. We hope that as you seek information, help and guidance you will see your child in “people first” terms—initially as a baby to love and nurture, then as a child to raise for as independent a life as he or she can attain. Whatever the disability involved, remember it is only a part of your child’s individuality. Build on his or her strengths. High expectations are a keynote in a family’s daring to act bravely and creatively.

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Missouri HCBS Statewide Transition Plan - 07/25/2016

“Missouri administers 10 Home and Community-Based Waivers through the single State Medicaid agency, the Department of Social Services, MO HealthNet Division (MHD). The day-to-day operation of the waivers is through formal cooperative agreements with the Missouri Department of Mental Health (DMH) and the Missouri Department of Health and Senior Services (DHSS). The Department of Health and Senior Services and the Department of Mental Health are the operational entities for the waivers. Missouri Medicaid Audit and Compliance (MMAC) is the unit within the Department of Social Services (DSS) charged with administering and maintaining Medicaid Title XIX audit and compliance initiatives, including utilization of Medicaid services and provider enrollment functions. MMAC will participate in the transition plan as described below.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Governor’s Council on Disability Employment Position Paper - 05/01/2016

“The Governor’s Council on Disability (GCD) recognizes that employment is a life defining activity/event for each of us, disabled or not. Employment provides income, a sense of belonging, mental and tangible benefits to a human, and status. As such, it is the position of the Governor’s Council that employment policies, practices, and implementation be inclusive and competitive"

Systems
  • Other
Topics
  • Employer Engagement
  • Provider Transformation
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SB66, Payment of temporary total disability or temporary partial disability benefits shall be paid throughout the rehabilitative process - 07/05/2017

“Temporary total disability or temporary partial disability benefits shall be paid throughout the rehabilitative process until the employee reaches maximum medical improvement, unless such benefits are terminated by the employee’s return to work or are terminated as otherwise specified in this chapter.

 

The permanency of the employee’s disability under sections 287.170 to 287.200 shall not be established or adjudicated while the employee is participating in rehabilitation services.

 

Refusal of the employee to accept rehabilitation services or submit to a vocational rehabilitation assessment as deemed necessary by the employer shall result in a fifty percent reduction in all disability payments to an employee, including temporary partial disability benefits paid pursuant to section 287.180, for each week of the period of refusal.”

Systems
  • Other
Topics
  • 14(c)/Income Security

Missouri SB 43, Modifying the Missouri Human Rights Act - 06/30/2017

“AN ACT To repeal sections 213.010, 213.040, 213.050, 213.055, 213.065, 213.070, 213.075, 213.101, and 213.111, RSMo, and to enact in lieu thereof ten new sections relating to unlawful discriminatory practices.”

 

It modifies the Missouri Human Rights Act. 

Systems
  • Other
Topics
  • Employer Engagement

Missouri SB 174 - 06/29/2015

"There is hereby created the 'Missouri Achieving a Better Life Experience [ABLE] Program'".

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

No Executive Orders have been entered for this state.

Displaying 11 - 18 of 18

MO Division of Developmental Disabilities Individual Support Plan Guidelines - 07/01/2014

The Division of Developmental Disabilities requires that each individual eligible for Division Supports have an Individual Support Plan. Individuals, their families, providers and facilitators who write plans in cooperation with all individuals receiving supports from the Division shall use this guide. Individual support planning encourages a team approach to involve the individual and community networks in planning for the future. The process involves developing a vision for the future, while coordinating resources and supports to make the vision a reality.   The Center for Medicare and Medicaid Supports (CMS) outcome for “participant-centered support planning and delivery” clarifies: “Supports are planned and effectively implemented in accordance with each participant’s unique needs, expressed preferences and decisions concerning his/her life in the community.”   The Individual Support Plan is an investment in an individual’s life and is driven by the individual, what is important to them as designed through outcomes identified in the support plan.
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Missouri DMH Employment Supports Guide - 07/05/2012

This guide includes information on the employment supports provided by the Missouri Department of Mental Health. It contains the service, a description, guidance, and the name of the affiliated agency and funding source.

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • Customized Employment
  • Mental Health

Division of Developmental Disabilities Employment First Policy - 01/01/2011

This policy establishes community integrated employment services and supports as the first service option and primary outcome for individuals (both youth and adults.) It also establishes employment planning (Career Planning) and supports as priorities to explore with all working adults who receive services in order to ensure that supports, services, and outcomes are consistent with what the person is seeking.

Each individual will be supported to pursue his or her own unique path to work, a career, and his or her contribution to/participation in community life. All individuals, regardless of the challenge of their disability, will be afforded an opportunity to pursue employment. Career planning, including job exploration and on-going person focused self discovery, is critical when assisting individuals in making informed choices about their future careers.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Segregated Day & Employment Services
  • Cross-Agency Collaboration / Partnerships

Missouri Developmental Disabilities Council position on employment and sub-minimum wage

“In partnership with others, the MODDC will promote competitive, community based employment which we define as: jobs that occur in the community for at least minimum wage, at typical community businesses where employees with and without disabilities work in close proximity to each other, and have the same benefits, responsibilities and expectations.  The MODDC believes that all people who want to work can work with the right supports.  That all people have a responsibility to share their abilities, strengths and talents with others in the community, to make their community a better place.”

Systems
  • Other
Topics
  • 14(c)/Income Security

Governor’s Council on Disability 2016 Annual Report

~~“EMPLOYMENT INITIATIVESGCD continues to provide support to the Business Leadership Network (BLN) which is an employer driven endeavor to promote best practices in disability employment. In Missouri, there are two regional locations: 1) St. Louis region—Greater St. Louis Business Leadership Network (STLBLN)—that covers Greater St. Louis region and eight of the Southern Illinois counties; and 2) Kansas City region—Greater Kansas City BLN (GKCBLN)—which covers the western Missouri and eastern Kansas area; and 3) Springfield BLN. Springfield is the newest BLN in the state and is currently building its infrastructure.” 

Systems
  • Other
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

MO Adult Learning/Rehabilitation Services - VR Providers

This website provides information on Missouri Vocational Rehabilitation services for people with disabilities with links to important, relevant resources.

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • Customized Employment
  • Mental Health

MO HealthNet Eligibility

 

“In response to concerns raised by Pilot Communities, the Division of DD and the Family Support Division within Social Services developed a new protocol allowing the Medicaid application to be submitted up to 90 days prior to a student’s 18th birthday. This will reduce gaps and delays in services at the time of transition.”

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition

MO Division of Developmental Disabilities - Employment First

 

“The Division of Developmental Disabilities is committed to enhancing community employment options for persons with developmental disabilities. The guiding principle of Employment First is that all individuals who want to work can work and contribute to their community when given opportunity, training, and supports that build upon their unique talents, skills and abilities.”

“Everyone of working age, and those supporting them, should consider employment as the first option prior to any other service options. As fully participating members of their community, individuals with developmental disabilities will be afforded the opportunity to earn a living wage and engage in work that makes sense to them. Career exploration and planning will be supported when assisting individuals in making informed choices in designing their unique pathway to increased independence, integration, inclusion, productivity, self-determination.”

 
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships
Displaying 11 - 18 of 18

Missouri Association of County Developmental Disabilities Services - 06/01/1979

The Missouri Association of County Developmental Disabilities Services (MACDDS) is a leader in local initiatives for people with developmental disabilities. The organization is comprised of 56 county boards (including the City of St. Louis), and 8 Related Private Organizations, that provide local services for people with developmental disabilities. MACDDS is dedicated to ensuring quality community supports are available for people with developmental disabilities.   MACDDS believes having local people solving local issues results in the best services for individuals with developmental disabilities. MACDDS works to assure services and supports for people with developmental disabilities continue to be planned and carried out at the local level.  
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Connections Career Development & Planning Program - 06/01/1971

 

“Missouri Connections is a comprehensive, online, career development and planning program that is provided free of charge to all Missouri citizens. Funded by the Missouri Department of Elementary and Secondary Education and the Missouri Division of Workforce Development, this program supports the career development efforts of schools, community organizations, and adult job seeker programs. Missouri Connections helps individuals learn about their talents, skills, and interests and makes the connection between planning for continued education and the work world.”

 
Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition

Missouri Developmental Disabilities Council Asset Development and Financial Education Initiative

“Persons with disabilities have a higher percentage of people who live in poverty than any other minority group in the country.  Missouri ranks in the bottom third of all states in the understanding of financial supports that assist persons with disabilities in working their way out of poverty.  Benefits planning and employment are just two pieces in this puzzle, the other pieces are asset development and financial education, therefore, the Missouri DD Council is partnering with the TACE, Region 7/University of MO-School of Health Professionals to promote Asset Development and Financial Education for persons with disabilities in our state by offering a variety of opportunities to learn more about this important piece of the puzzle and help people with disabilities learn more about asset development and financial education.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Missouri Interagency Transition Team

~~“The Missouri Interagency Transition Team (MITT) formed in 2007 by the Office of Special Education at the Missouri Department of Elementary & Secondary Education to increase interagency collaboration at the state, regional, and local levels. This state transition team has met quarterly to address data-driven goals for improvement and collaboration with the shared vision of improving employment, independent living, and postsecondary education outcomes for Missouri students with disabilities.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Missouri VR Connection

VR specializes in employment and training services that can assist you in becoming employed. A VR counselor will determine your eligibility for services. To be eligible, you need to have a physical or mental impairment that causes problems with working and need VR services to be successfully employed. Once eligible, you will work with a counselor who will help you develop a plan for your rehabilitation. We will give you vocational information and guidance allowing you to make informed choices about your vocational plan.   VR offers a wide range of services that are individualized for your needs. You and your counselor decide which services will help you become employed. Some of the services that may be available are:    • Guidance and Counseling    • Job-Seeking Skills and Job Placement    • Vocational Training   VR also provides assistance with Transition Services, Supported Employment Services,Assistive Technology Services, and the Ticket to Work Program  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Missouri State Chapter of ASPE

APSE-MO is the Missouri State Chapter of APSE The Association of People Supporting Employment First, a national organization committed to improving and expanding integrated employment opportunities, services, and outcomes for people experiencing disabilities. APSE-MO invites individuals with disabilities, their families, employment providers, funders, employers and others to join with us in making community employment a reality for ALL people with disabilities.

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Show Me Careers: Missouri's Transition-to-Employment Collaborative

 

“The Show-Me-Careers project targets youth ages 16-30 with I/DD who are transitioning from secondary or post-secondary educational settings to community employment. Show-Me-Careers is funded by the Administration on Intellectual and Developmental Disabilities and is one of eight grants awarded to state consortiums aimed at improving existing state systems to increase competitive employment outcomes for youth and young adults with I/DD.”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement

Missouri State Employment Leadership Network

The Missouri DD Council is partnering with the Missouri Department of Mental Health, Division of Developmental Disabilities, in bringing the State Employment Leadership Network (SELN) to Missouri.  This is a project started by the Institute for Community Inclusion out of Boston, Massachusetts.  SELN brings together state developmental disability agencies for sharing, educating and providing guidance on practices and policies around employment to its members. It is also an opportunity for the Division of Developmental Disabilities and other Missouri governmental agencies to evaluate their policies and procedures as they relate to assisting persons with developmental disabilities to become employed.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships
Displaying 11 - 12 of 12

MO Ticket to Work - 06/01/1999

The Ticket to Work and Work Incentive Act of 1999 established an employment program for people who want to go to work that receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits.  The program was designed to remove barriers that kept people with disabilities from choosing to work for fear of losing health care coverage.  The Ticket to Work program is voluntary, and it increases opportunities and choices for Social Security (SS) disability beneficiaries to obtain employment, vocational rehabilitation, and other support services from public and private providers, employers, or other organizations.  SS provides a ticket to disability benefits to use in obtaining services and jobs through Missouri Vocational Rehabilitation or from an approved Employment Network.  Though SS has the overall program authority, MAXIMUS, Inc. serves as the program manager.

 

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Missouri SAMHSA EDI (FY 2011 & 2012)

Goal 1: To strengthen peer delivered services in Missouri by leveraging Medicaid billing for services provided by Certified Peer Specialists in Consumer Operated Services Programs (COSP).   Goal 2: To introduce and begin implementation of peer delivered Individual Placement and Supports –Supported Employment (SE) – in Consumer Operated Services Programs.   Overall conclusions: Through this project Missouri has greatly increased its value of peers. 103 have been trained specifically under this project, with more on the way.  
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging
Displaying 11 - 15 of 15

Missouri DoE Regional Professional Development Center (RPDC) Consultant

Each of the nine regions of Missouri has a Regional Professional Development Center (RPDC) Consultant who specializes in transition. These consultants provide regional and local trainings on Transition Planning and the Updated Form C, Transition Assessment, and other transition topics. They also provide a range of other consulting and continuous improvement services to meet the needs of teachers, administrators and school districts.

Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri Assistive Technology Council

Missouri Assistive Technology strives to increase access to assistive technology for Missourians with all types of disabilities, of all ages. To the right are navigation links to the programs and initiatives of MoAT.

Systems
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)

MO VR Transition Brochure

“Transition is a process young adults with disabilities, like you, go through to prepare for whatever the future might hold – further education, specialized training, employment or other options you might choose on the road to increased independence… Career planning and transition services are designed to help you prepare for your future by exploring different jobs, identifying careers interesting to you, and developing an understanding of the skills and abilities necessary to be successful.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

MO Skills to Pay the Bills

"Skills to Pay the Bills: Mastering Soft Skills for Workplace Success," is a curriculum developed by ODEP focused on teaching "soft" or workforce readiness skills to youth, including youth with disabilities. Created for youth development professionals as an introduction to workplace interpersonal and professional skills, the curriculum is targeted for youth ages 14 to 21 in both in-school and out-of-school environments. The basic structure of the program is comprised of modular, hands-on, engaging activities that focus on six key skill areas: communication, enthusiasm and attitude, teamwork, networking, problem solving and critical thinking, and professionalism.

Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

MO Writing Quality Goals, Outcomes and Action Plans

 

An overview of how to effectively create a Career Plan, establish appropriate goals and desired outcomes, and initiate an Action Plan with Discovery and Fading Supports.

 
Systems
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Employer Engagement

No Enforcement have been entered for this state.

Displaying 1 - 9 of 9

Missouri Medicaid (MO HealthNet) Independent Living Waiver - 03/01/2017

“The Missouri Independent Living Waiver (ILW) provides home and community based services for adults who are physically disabled. With assistance via this program, individuals can continue to live independently in their homes, rather than require placement in a nursing homes. Benefits include home modifications, personal care services, such as assistance with bathing, grooming, mobility, toiletry, and eating, and specialized medical equipment and supplies.”

 

“As of 2017, a single individual is allowed up to 85% of the Federal Poverty Level, which mean an applicant cannot have a monthly income more than $856. For married couples, the monthly income cannot exceed $1,150. However, Missouri does allow applicants that have an income greater than the allowable amount to “spend-down” in order to become eligible.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Community Transitions Manual for Support Coordinators and Community Coordinators - 02/19/2017

~~“MFP EligibilityIndividuals who transition from a Habilitation Center or nursing home may be eligible for MFP. MFP is a demonstration grant that supports efforts to:• Provide Medicaid eligible individuals the choice of where they live and receive services;• Allow qualified individuals living in nursing facilities or Habilitation Centers to move to the community; and• Promote a system that is person-centered, based on needs, and ensures high-quality services in the community.”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri HCBS Statewide Transition Plan - 07/25/2016

“Missouri administers 10 Home and Community-Based Waivers through the single State Medicaid agency, the Department of Social Services, MO HealthNet Division (MHD). The day-to-day operation of the waivers is through formal cooperative agreements with the Missouri Department of Mental Health (DMH) and the Missouri Department of Health and Senior Services (DHSS). The Department of Health and Senior Services and the Department of Mental Health are the operational entities for the waivers. Missouri Medicaid Audit and Compliance (MMAC) is the unit within the Department of Social Services (DSS) charged with administering and maintaining Medicaid Title XIX audit and compliance initiatives, including utilization of Medicaid services and provider enrollment functions. MMAC will participate in the transition plan as described below.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO DoE ESEA Flexibility Request Approval - 06/08/2015

The Missouri Department of Secondary and Elementary Education's ESEA flexibility request was approved on June 29, 2012.

Systems
  • Department of Education
Topics
  • Home and Community Based Services (HCBS)
Citations

Missouri HCSB Transition Plan - 03/01/2014

In March 2014, the Center for Medicaid and Medicare Services (CMS) published a final rule regarding changes to Home and Community Based Waiver Services (HCBS Waiver). The rule defines home and community based settings and person-centered planning requirements in Medicaid HCBS Waiver programs. The rule requires demonstration of how state’s HCBS Waiver programs comply with the federal HCBS rules.   Missouri’s draft transition plan incorporates all HCBS Waivers administered by Department of Health and Senior Services (DHSS), Department of Mental Health (DMH), and Department of Social Services (DSS). The purpose of Missouri’s draft transition plan is to ensure that individuals receiving HCBS Waiver services are integrated and have access to supports in the community, including:    • opportunities to seek employment,    • work in competitive integrated settings,    • engage in community life,    • and control personal resources.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO Partnership for Hope Waiver (0841.R00.00) - 10/01/2013

The purpose of the Partnership for Hope waiver is to prevent or delay of institutional services for individuals who require minimal services in order to continue living in the community. The waiver will offer prevention services to stabilize individuals primarily living with family members who provide significant support, but are not able to meet all of the individual's needs. Goals To increase access to waiver services for children and adults at the local level in participating counties.    Objectives The objectives of the waiver are: 1) to increase the capacity of the State to meet the needs of individuals at risk of institutionalization who require minimal supports to continue living in integrated community settings; 2) to partner with local County Boards through Intergovernmental Agreements in the administration and funding of waiver services; and 3) to implement preventive services in a timely manner in order that eligible participants may continue living in the community with their families.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri Developmental Disabilities Waiver Manual - 07/01/2012

“The Missouri Department of Mental Health's Division of Developmental Disabilities (Division of DD) administers five Medicaid Home and Community Based (HCB) Waiver programs for individuals with developmental disabilities. The five waivers are the Comprehensive Waiver; Missouri Children with Developmental Disabilities Waiver (MOCDD or Lopez Waiver); Support Waiver; Partnership for Hope Waiver (PfH); and Autism Waiver.” This manual includes information on employment, on the job training and other pre-vocational services for people with disabilities.

Systems
  • Medicaid Agencies
Topics
  • Self-Employment
  • Mental Health

MO Div of Developmental Disabilities Community Support (0404.R03.00) - 07/01/2011

 

“Provides community employment, in home respite, job preparation, personal assistant, assistive technology, behavior analysis service, co-worker supports, communication skills instruction, community specialist services, counseling, crisis intervention, environmental accessibility adaptations-home mods, independent living skills development, job discovery, OT, out of home respite, person centered strategies consultation, PT, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/ID Developmental Disabilities ages 0 - no max age.”

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO MR Developmental Disabilities Comprehensive (0178.R06.00) - 07/01/2011

 

“Provides community employment, day service, group home, in home respite, individualized supported living, job preparation, personal assistant, assistive technology, behavior analysis service, communication skills instruction, community specialist services, community transition, counseling, crisis intervention, environmental accessibility adaptations, host home, job discovery, OT, out of home respite, PT, positive behavior support, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/MR Developmental Disabilities ages 0 - no max age.”

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

States - Large Tablet

Snapshot

The Show Me State is expanding its efforts to deliver competitive, integrated employment options for individuals with disabilities through innovative strategies that propel Missouri's model, "Close to Home, Far from Ordinary."

State VR Rates and Services

A list of services offered by this state’s Vocational Rehabilitation agency, along with the standard rates paid for the performance of those services.

PDF icon Missouri’s VR Rates and Services

2016 State Population.
0.15%
Change from
2015 to 2016
6,093,000
2016 Number of people with disabilities (all disabilities, ages 18-64).
1.06%
Change from
2015 to 2016
468,140
2016 Number of people with disabilities who are employed (all disabilities, ages 18-64).
0.41%
Change from
2015 to 2016
164,243
2016 Percentage of working age people who are employed (all disabilities).
-0.68%
Change from
2015 to 2016
35.08%
2016 Percentage of working age people who are employed (NO disabilities).
0.48%
Change from
2015 to 2016
79.16%

State Data

General

2014 2015 2016
Population. 6,063,589 6,083,672 6,093,000
Number of people with disabilities (all disabilities, ages 18-64). 478,963 463,157 468,140
Number of people with disabilities who are employed (all disabilities, ages 18-64). 157,220 163,574 164,243
Number of people without disabilities who are employed (ages 18-64). 2,463,983 2,524,635 2,521,381
Percentage of working age people who are employed (all disabilities). 32.83% 35.32% 35.08%
Percentage of working age people who are employed (NO disabilities). 77.23% 78.78% 79.16%
Overall unemployment rate. 6.10% 5.00% 4.50%
Poverty Rate (all disabilities). 23.70% 21.90% 22.30%
Poverty Rate (NO disabilities). 14.10% 13.60% 12.60%
Number of males with disabilities (all ages). 429,482 430,732 426,359
Number of females with disabilities (all ages). 442,937 437,083 447,737
Number of Caucasians with disabilities (all ages). 730,644 728,775 729,010
Number of African Americans with disabilities (all ages). 101,370 102,581 104,789
Number of Hispanic/Latinos with disabilities (all ages). 20,128 21,074 21,980
Number of American Indians/Alaska Natives with disabilities (all ages). 6,371 5,727 7,155
Number of Asians with disabilities (all ages). 4,899 6,408 4,876
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A 870 1,009
Number of with multiple races disabilities (all ages). 22,706 18,411 22,891
Number of others with disabilities (all ages). 5,993 5,043 4,366

 

SSA OUTCOMES

2014 2015 2016
Number of SSI recipients with disabilities who work. 7,003 7,252 7,496
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 5.10% 5.40% 5.60%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 222,218 220,596 217,590

 

MENTAL HEALTH OUTCOMES

2014 2015 2016
Number of mental health services consumers who are employed. 4,226 6,032 6,268
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 8,782 12,624 11,390
Number of adults served who have a known employment status. 37,005 44,121 42,204
Percentage of all state mental health agency consumers served in the community who are employed. 11.40% 13.70% 14.90%
Percentage of supported employment services evidence based practices (EBP). 0.80% 1.60% 1.00%
Percentage of supported housing services evidence based practices (EBP). N/A N/A N/A
Percentage of assertive community treatment services evidence based practices (EBP). 1.20% 1.40% 1.30%
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. 406 832 500
Number of evidence based practices (EBP) supported housing services. N/A N/A N/A
Number of evidence based practices (EBP) assertive community treatment services. 654 712 684
Number of evidence based practices (EBP) medications management. N/A N/A N/A

 

WAGNER PEYSER OUTCOMES

2013 2014 2015
Number of registered job seekers with a disability. 10,345 7,417 5,450
Proportion of registered job seekers with a disability. 0.03 0.03 0.02

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2013 2014 2015
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 4,647 7,474 7,016
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 1,634 2,629 2,948
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 35.00% 35.00% 42.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 27.03 43.21 48.46

 

VR OUTCOMES

2015 2016 2017
Total Number of people served under VR.
8,301
8,600
N/A
Number of people with visual impairments served under VR. 50 58 N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 836 919 N/A
Number of people with physical impairments served under VR. 1,816 1,778 N/A
Number of people cognitive impairments served under VR. 2,264 2,405 N/A
Number of people psychosocial impairments served under VR. 2,579 2,697 N/A
Number of people with mental impairments served under VR. 756 743 N/A
Percentage of overall closures into employment under VR. 35.20% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 7,435 7,588 8,353
Number of eligible ticket to work beneficiaries. 318,047 318,214 313,618
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A N/A N/A
Total number of ID competitive labor market closures. 800 701 N/A

 

IDD OUTCOMES

2013 2014 2015
Dollars spent on day/employment services for integrated employment funding. $5,099,000 $7,012,000 $5,578,000
Dollars spent on day/employment services for facility-based work funding. $0 $0 $0
Dollars spent on day/employment services for facility-based non-work funding. $51,925,000 $38,353,000 $42,056,000
Dollars spent on day/employment services for community based non-work funding. $815,000 $18,291,000 $20,445,000
Percentage of people served in integrated employment. 12.00% 12.00% 10.00%
Number of people served in community based non-work. 334 3,644 4,027
Number of people served in facility based work. 0 0 0
Number of people served in facility based non-work. 5,009 3,352 3,744
Number supported in integrated employment per 100,000 individuals in the general state population. 11.40 11.40 9.90

 

EDUCATION OUTCOMES

2013 2014 2015
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 58.10% 57.65% 57.59%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 9.11% 8.92% 8.76%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 3.63% 3.66% 3.61%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 88.63% 88.58% 88.29%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 29.13% 31.03% 25.55%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 55.62% 59.49% 60.89%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 60.58% 64.79% 65.90%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 26.48% 28.46% 31.34%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 1,683,499
Number of overall total blind and SD workers. 1,704
Number of AbilityOne blind and SD hours (products). 129,942
Number of AbilityOne blind and SD hours (services). 245,601
Number of AbilityOne blind and SD hours (combined). 372,429
Number of AbilityOne blind and SD workers (products). 220
Number of AbilityOne blind and SD workers (services). 335
Number of AbilityOne blind and SD workers (combined). 555
AbilityOne wages (products). $1,055,603
AbilityOne wages (services). $3,245,518

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2015 2016 2017
Number of 14(c) certificate-holding businesses. 0 0 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 107 79 95
Number of 14(c) certificate holding patient workers. 4 3 3
Total Number of 14(c) certificate holding entities. 111 82 98
Reported number of people with disabilities working under 14(c) certificate-holding businesses. 0 0 0
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). 0 0 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). 8,020 6,396 7,487
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 326 237 237
Total reported number of people with disabilities working under 14(c) certificate holding entities. 8,346 6,633 7,724

 

WIOA Profile

WIOA Profile

 

The material cited below is taken directly from each state’s plan for WIOA implementation. These sections of the state plan were selected because of their relevance to youth and adults with disabilities. However, all programs and services under WIOA must be physically and programmatically accessible to individuals with disabilities.

Employment First State Leadership Mentoring Program/Employment First Initiative

Division of Developmental Disabilities has a statewide employment initiative, Employment First, for working age citizens with disabilities. Employment services include job preparation, job discovery, and community employment in a competitive integrated work setting that may include ongoing supports. The Division of Behavioral Health provides employment services to individuals with mental illnesses, histories of substance abuse, and/or criminal backgrounds. Clinical and vocational employment services are integrated through state–wide partnerships to help individuals who are interested in employment participate in the competitive labor market with the appropriate level of supports and services to be successful. RSB will continue to partner and collaborate with DMH programs in the delivery of employment services. (Page 244-245)

Customized Employment

VR’s workforce development activities are designed to assist individuals with disabilities in obtaining, maintaining, or advancing in competitive integrated employment. These activities include assessments, vocational guidance and counseling, job preparation activities, which can include disability awareness, resume writing, interviewing skills. Additionally, VR provides eligible individuals with training (OJT, apprenticeships, customized employment, funding for community colleges, universities).  (Page 47)

RSB has developed relationships with several employers across the state communicating directly with HR staff on employment needs, identify customized employment opportunities, and provide disability/blindness awareness and sensitivity training. Outreach activities have resulted in competitive integrated employment outcomes and work experience opportunities, both paid and unpaid, for youth and students with disabilities and adult clients. (Page 48)

MVR continually reviews its strategies to develop new employer relationships and support those who employ persons with disabilities. Some of its flexible strategies include increasing work–based learning opportunities, on–the–job training, internships and customized employment. (Page 182)

  • SE Services –– The nature of the service itself requires intensive one–on–one job training. Services are provided by CRPs and include job development, job coaching, natural supports, task analysis and assessment, counseling and advocacy services and customized employment. Usually, SE services will not exceed nine months, but MVR can provide up to 24 months of community–based job training. (Page 197)

Provide training opportunities to include the provision of pre–employment transition services and customized employment services. (Page 267)

Supported employment services are available not only to individuals after leaving their secondary education program, but to students whose IEP and IPE include these services as part of their transition plan and whose school district signs a cooperative work experience program agreement with RSB.  (Page 275)

RSB has developed relationships with several employers across the state communicating directly with HR staff on employment needs, identify customized employment opportunities, and provide disability/blindness awareness and sensitivity training. Outreach activities have resulted in competitive integrated employment outcomes and work experience opportunities, both paid and unpaid, for youth and students with disabilities and adult clients. (Pages 48,197)

RSB has developed relationships with several employers across the state communicating directly with HR staff on employment needs, identify customized employment opportunities, and provide disability/blindness awareness and sensitivity training. Outreach activities have resulted in competitive integrated employment outcomes and work experience opportunities, both paid and unpaid, for youth and students with disabilities and adult clients. (Page 242)

RSB has formal contract agreements with community rehabilitation providers to work with employers and assist clients with job search, job placement and customized employment opportunities. Other services include work based learning experiences, task analysis, and job coaching when needed. RSB contracts with Alphapointe Association for the Blind for an eight–week Summer Transition Employment Program (STEP) providing competitive work experience to high–school age youth. The goal is to provide each consumer with a foundation for the school–to–work transition, to enable each to practice personal independence through work and goal–setting experiences. (Pages 244, 266, 267)

Blending/ Braiding Resources

Missouri partners are committed to developing new career pathways for youth and adults with barriers to employment including individuals with disabilities. Missouri’s core partner program leaders regularly meet to collaborate on braiding services for work-based learning and education funding. Through sector strategy regional business meetings and partner engagement, Missouri will work with employers to identify opportunities and services available to assist in eliminating employment barriers. (Page 62)

Local level partners are conducting asset mapping, cross training and job shadowing to better understand each other’s services. These activities have led to collaborative practices such as co-enrollment and braiding of service funding. (Page 62)

Missouri’s core and mandatory partners will collaborate to share resources to create environments to foster partnering at the local level as well as maintain resource allocations that keep existing partnerships at the local level. Specific examples include: As part of their services to individuals with disabilities, VR may provide funding for post-secondary training. As partners seek to co-enroll their customers, this will provide opportunity for leveraging of these resources through braiding of both educational dollars, as well as supportive services to ensure the customer’s success. VR also provides guidance and counseling to the job seekers, to insure that access to comparable services funding is achieved, whether through partner agencies or through Federal funding, such as the Pell grant. (Page 87)

Missouri will improve the outcomes for out-of-school youth by ensuring the 14 elements allowed under WIOA are met through a braiding of partner resources which will best meet each individuals need. The 14 program elements will be available to OSY participants, and will be funded with WIOA title I youth funds or leveraged partner resources. An agreement will be established with the partner to offer the program element and ensure that the activity is connected and coordinated with the WIOA youth program. (Page 135)

SECTION 116 OF WIOA. The Missouri workforce development system comprised of all core WIOA partners has developed a Memorandum of Understanding on the implementation of WIOA and creating the partnerships to begin developing common referrals, the braiding of services, and data sharing. These collaborative efforts will enhance access for individuals with disabilities and improve performance for all partners. Performance accountability measures under section 116 of WIOA are new to vocational rehabilitation and have not yet been measured. RSB met all required federal performance indicators during the past two years prior to WIOA. RSB will apply the same quality of service utilized in meeting those indicators to achieve the new performance measures and provide that level of quality while moving forward. (Page 267)

DEI/DRC

No disability specific information found regarding this element.

Competitive Integrated Employment

No disability specific information found regarding this element.

Financial Literacy /Economic Advancement

Months, but can remain in the program for the life of the grant program (…in this case, six years). One adult must be working from the household. The family must make deposits monthly into their savings accounts, and they must attend financial literacy programs covering such topics as home ownership, economic education, career guidance, micro–enterprise development, etc. Successful IDA’s provide a great ‘return on investment’ by transforming a small contribution and hard work into a much larger payoff. Participants invest their IDA funds into their local communities, increase their incomes and become more self–sufficient. (Not disability specific but could be)  (Page 318)

School to Work Transition

MVR is collaboratively funding Disability Benefits 101 with DMH’s Division of Behavioral Health Services. Missouri Rehabilitation Services for the Blind. (Page 173)

  • Provided cross training with local CILs to include information regarding benefits planning; and
  • Is currently working in collaboration with DMH’s Division of Developmental Disabilities to provide cross training with MVR counselors and IDD case managers regarding their respective services. (Page 176)

Additional partnering activities include the sponsoring of an employment summit with the Missouri Coalition for Community Behavioral Healthcare to facilitate clinical integration of behavioral health and community employment efforts and MVR’s and DMH–DBH’s co–funding of the customized Missouri benefits planning website DB101. (Page 184)

MVR has statewide and regional specialists that have had extensive training and experience in their area of expertise, e.g., business specialists, mental health, autism, assistive technology, AgrAbility, benefits planning, brain injury, hearing impairments, vision impairments, learning disabilities and self–employment. These specialists are available to provide direct assistance to clients as well as consultation with counselors. All counselors, regardless of their tenure, have the opportunity to work with a mentor who has expertise and experience in an area that is of interest to them. (Pages 190,  232)

Recipients of SSI/SSDI who also receive other benefits from the DSA (Pages 255)

Career Pathways

Prepare for, obtain, maintain, advance in, or re–enter competitive integrated employment, including supported or customized employment. Extended services may be provided to youth with the most significant disabilities for a period not to exceed four years.

Supported employment services are available not only to individuals after leaving their secondary education program, but to students whose IEP and IPE include these services as part of their transition plan and whose school district signs a cooperative work experience program agreement with RSB. (Page 275)

RSB has one Job Development Specialist that works directly with employers to develop relationships and identify clients from various offices to meet employer needs. This position serves on several committees including the St. Louis Deafblind Taskforce, St. Louis County Disability Resource Committee, Employment Liaison Committee, Employment Working Group for Immigrants and refugees, St. Louis Transition Council, St. Louis Special School District Agency Collaborative, and the Urban League. This position receives and distributes job postings to VR staff and assists clients in the development of business plans required for self –employment vocational goals. (Page 48)

Research verifies that pathways from school to work or secondary to post–secondary education can be more difficult for individuals with disabilities therefore the need for transition career services and pre–employment transition services is great. (Page 202)

RSB has partnered with Lighthouse for the Blind and Alphapointe Association for the Blind through a contractual relationship to provide intensive specialized prevocational skills training to youth with disabilities who are blind or visually impaired. Lighthouse for the Blind’s summer program delivers a residential program for students who plan to live independently and seek competitive integrated employment or attend a vocational training program or college upon graduation from high school. Alphapointe offers an eight–week program providing competitive work experience to high–school age youth. The goal is to provide each consumer with a foundation for the school–to–work transition. (Pages 234)

Establishment of a task force on blind student academic and vocational performance to "develop goals and objectives to guide the improvement of...transition from school to work, rehabilitation services, independent living, and employment outcomes for eligible students.” Members are appointed by the Commissioner of Education in cooperation with the Director of the Department of Social Services (RSB’s parent agency).  (Page 23, 244, 49)

Work Incentives & Benefits

Occupational projections predict the number of workers needed in different educational and skill levels. In Missouri, the projections support the need for workers at all different skill and education levels. Through sector strategies, career pathways can minimize skills gaps since they are validated with the businesses in the area, leading to the success of the workforce. (Page 43)

Through sector strategies, partnerships between all parties within the workforce system are formed. Career pathways are developed through the collaboration of employers, the education system, and workforce system. Within the career pathways, an individual has multiple entry and exit points based on current skills and knowledge, as well as the person’s willingness and capacity to continue to learn on the job, or through formal classroom education and/or training programs. The continued efforts of all WIOA partners ensure that all eligible persons, including those with disabilities, obtain skills to become or remain employed in high-demand, well-paid occupations. (Page 44)

Special education, as determined by the eligible agency; Secondary school credit Integrated education and training; Career pathways; Concurrent enrollment; Peer tutoring and; Transition to re–entry initiatives and other post release services with the goal of reducing recidivism. (Page 47)

Missouri partners are committed to developing new career pathways for youth and adults with barriers to employment including individuals with disabilities. Missouri’s core partner program leaders regularly meet to collaborate on braiding services for work-based learning and education funding. Through sector strategy regional business meetings and partner engagement, Missouri will work with employers to identify opportunities and services available to assist in eliminating employment barriers. (Page 62)

  • In addition to training services, the Title I & Title IV partners have work based programs such as on-the-job training and work experience which offer the customers the opportunity to combine education, training and employment services. VR & Rehabilitation Services for the Blind supports career pathways by providing a variety of services to students, youth and adults with disabilities. (Page 75)

MVR is involved in sector strategies planning at the local and state levels to address skills gaps and create career pathways to better serve employers with their individual needs and to provide them with prepared candidates. It has been forming employment collaboratives at the local levels to ensure employers receive the best possible delivery of services. MVR will work with businesses to ensure they have resources for necessary workplace accommodations and rehabilitation technology. (Page 183)

Employer Engagement

Section identified but no detailed information specifically addressing disability focused implementation. (Page 283)

511

Establishment of a task force on blind student academic and vocational performance to "develop goals and objectives to guide the improvement of...transition from school to work, rehabilitation services, independent living, and employment outcomes for eligible students.” Members are appointed by the Commissioner of Education in cooperation with the Director of the Department of Social Services (RSB’s parent agency). (Page 237)

Mental Health

Describe how the one-stop delivery system (including one-stop center operators and the one-stop delivery system partners), will comply with section 188 of WIOA (if applicable) and applicable provisions of the Americans with Disabilities Act of 1990 (42 U.S.C. 12101 et seq.) with regard to the physical and programmatic accessibility of facilities, programs, services, technology, and materials for individuals with disabilities (sic). This also must include a description of compliance through providing staff training and support for addressing the needs of individuals with disabilities. Describe the State’s one-stop center certification policy, particularly the accessibility criteria.

Missouri has a committee to specifically focus on one-stop certification criteria. The committee has established the criteria for certification, including accessibility. This committee includes representatives from Vocational Rehabilitation, Rehabilitation Services for the Blind and the Centers for Independent Living (CILs) who will assist with training and technical assistance to ensure accessibility of facilities, programs, services, technology and materials for individuals with disabilities. Accessibility criteria for certification includes the accessibility requirements contained with Section 188; policy review, adaptive technology equipment availability, emergency procedures, (Pages 114)

Policies and Initiatives

Displaying 11 - 20 of 75

Community Transitions Manual for Support Coordinators and Community Coordinators - 02/19/2017

~~“MFP EligibilityIndividuals who transition from a Habilitation Center or nursing home may be eligible for MFP. MFP is a demonstration grant that supports efforts to:• Provide Medicaid eligible individuals the choice of where they live and receive services;• Allow qualified individuals living in nursing facilities or Habilitation Centers to move to the community; and• Promote a system that is person-centered, based on needs, and ensures high-quality services in the community.”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

“Empowering through Employment” - 01/24/2017

~~“The Empowering Through Employment initiative is designed to increase the number of individuals receiving employment supports and services.  This initiative has an established goal of 35% of all individuals receiving waiver services to have employment supports authorized and available for their use.  Empowering Through Employment has been deemed a priority based upon the gap between the percentage of Missourians with intellectual/developmental disabilities (I/DD) accessing employment services as compared to other day services. Missouri is focused on becoming one of the high performing states and ensuring that Missourians with I/DD have the same opportunities as other individuals.”

Systems
  • Department of Mental Health
Topics
  • Home and Community Based Services (HCBS)

Missouri Department of Mental Health Legislator Briefing “Mental Health Highlights and Issues" - 01/01/2017

~~“In October 2016, DD announced a goal to increase the utilization of employment services for individuals between the ages of 16 and 64. This new initiative, called Empowering through Employment, is a statewide effort involving the division’s regional offices, support coordination providers and employment service providers to get 3,700 more Missourians into employment services. This increase would mean that 35% of Missourians are accessing employment services (which mirror what is occurring in other states).”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities

Part B Compliance - 01/01/2017

~~“THE STATE COMPLIANCE PLAN FOR SPECIAL EDUCATION is being revised during the 2016-17 school year to reflect updates in the Every Student Succeeds Act (ESSA), provide clarification on a number of issues, and make substantive changes based on research and OSEP guidance. Proposed changes in both a summary chart and a mark-up of the proposed plan are posted on the DESE website at https://dese.mo.gov/special-education/state-plan-special-education  . The Public comment period ended on January 6, 2017. All comments received will be reviewed and a decision made to accept, accept with revisions, or reject the comment. A summary of the comments and decision will be posted on the website after January 24, 2017. The proposed plan will be presented to the State Board of Education during their February meeting.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Proposed Part B State Plan Changes for 2017 “Transition Services” - 01/01/2017

~~“A. beginning not later than the first IEP to be in effect when the child is sixteen (16), or younger if determined appropriate by the IEP team, and updated annually thereafter appropriate measurable postsecondary goals based upon age appropriate transition assessments related to training, education, employment, and, where appropriate, independent living skills; the transition services (including courses of study) needed to assist the child in reaching those goals, andB. beginning not later than one year before the student reaches age eighteen (18), a statement that the child has been informed of his or her rights under Part B of IDEA and that those rights will transfer to the student upon reaching the age of majority. “ 

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Equal Opportunity Demographics - 01/01/2017

~~“The Missouri Interagency Transition Team (MITT) established to increase collaboration at the state, regional and local levels with the shared vision of improving employment, independent living, and postsecondary outcomes for Missouri students with disabilities.• Show-Me Careers, a consortium of state agencies focused on supporting the seamless transition from school to inclusive employment or post-secondary education for youth and young adults ages 16-30 with intellectual and developmental disabilities.• A regional annual Accommodation for Success event in the St. Louis area to help businesses recruit and employ individuals with disabilities.”

Systems
  • Department of Workforce Development
Topics
  • School-to-Work Transition

Greater Kansas City - Disability Mentoring Day - 10/26/2016

“Join us for the 12th anniversary of Kansas City Disability Mentoring Day Events. Disability Mentoring Day promotes employment opportunities for all job seekers and students with disabilities through information and career exploration. As a person pursuing employment, this event gives you an excellent opportunity to: • •Increase and enhance your job readiness skills • •Network with employers to learn about different types of careers • •Visit with service organizations, providers, and government agencies to learn how they can help you in your job search • •Learn how to advocate for yourself”

Systems
  • Department of Workforce Development

Toward a Successful Transition: A Checklist for the First 21 Years - 09/01/2016

“To Parents of Children with Developmental Disabilities . . . It is our hope that as parents you will always consider yourselves the experts on your child. We hope that as you seek information, help and guidance you will see your child in “people first” terms—initially as a baby to love and nurture, then as a child to raise for as independent a life as he or she can attain. Whatever the disability involved, remember it is only a part of your child’s individuality. Build on his or her strengths. High expectations are a keynote in a family’s daring to act bravely and creatively.

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Missouri HCBS Statewide Transition Plan - 07/25/2016

“Missouri administers 10 Home and Community-Based Waivers through the single State Medicaid agency, the Department of Social Services, MO HealthNet Division (MHD). The day-to-day operation of the waivers is through formal cooperative agreements with the Missouri Department of Mental Health (DMH) and the Missouri Department of Health and Senior Services (DHSS). The Department of Health and Senior Services and the Department of Mental Health are the operational entities for the waivers. Missouri Medicaid Audit and Compliance (MMAC) is the unit within the Department of Social Services (DSS) charged with administering and maintaining Medicaid Title XIX audit and compliance initiatives, including utilization of Medicaid services and provider enrollment functions. MMAC will participate in the transition plan as described below.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Governor’s Council on Disability Employment Position Paper - 05/01/2016

“The Governor’s Council on Disability (GCD) recognizes that employment is a life defining activity/event for each of us, disabled or not. Employment provides income, a sense of belonging, mental and tangible benefits to a human, and status. As such, it is the position of the Governor’s Council that employment policies, practices, and implementation be inclusive and competitive"

Systems
  • Other
Topics
  • Employer Engagement
  • Provider Transformation
Displaying 1 - 3 of 3

SB66, Payment of temporary total disability or temporary partial disability benefits shall be paid throughout the rehabilitative process - 07/05/2017

“Temporary total disability or temporary partial disability benefits shall be paid throughout the rehabilitative process until the employee reaches maximum medical improvement, unless such benefits are terminated by the employee’s return to work or are terminated as otherwise specified in this chapter.

 

The permanency of the employee’s disability under sections 287.170 to 287.200 shall not be established or adjudicated while the employee is participating in rehabilitation services.

 

Refusal of the employee to accept rehabilitation services or submit to a vocational rehabilitation assessment as deemed necessary by the employer shall result in a fifty percent reduction in all disability payments to an employee, including temporary partial disability benefits paid pursuant to section 287.180, for each week of the period of refusal.”

Systems
  • Other
Topics
  • 14(c)/Income Security

Missouri SB 43, Modifying the Missouri Human Rights Act - 06/30/2017

“AN ACT To repeal sections 213.010, 213.040, 213.050, 213.055, 213.065, 213.070, 213.075, 213.101, and 213.111, RSMo, and to enact in lieu thereof ten new sections relating to unlawful discriminatory practices.”

 

It modifies the Missouri Human Rights Act. 

Systems
  • Other
Topics
  • Employer Engagement

Missouri SB 174 - 06/29/2015

"There is hereby created the 'Missouri Achieving a Better Life Experience [ABLE] Program'".

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

No Executive Orders have been entered for this state.

Displaying 11 - 18 of 18

MO Division of Developmental Disabilities Individual Support Plan Guidelines - 07/01/2014

The Division of Developmental Disabilities requires that each individual eligible for Division Supports have an Individual Support Plan. Individuals, their families, providers and facilitators who write plans in cooperation with all individuals receiving supports from the Division shall use this guide. Individual support planning encourages a team approach to involve the individual and community networks in planning for the future. The process involves developing a vision for the future, while coordinating resources and supports to make the vision a reality.   The Center for Medicare and Medicaid Supports (CMS) outcome for “participant-centered support planning and delivery” clarifies: “Supports are planned and effectively implemented in accordance with each participant’s unique needs, expressed preferences and decisions concerning his/her life in the community.”   The Individual Support Plan is an investment in an individual’s life and is driven by the individual, what is important to them as designed through outcomes identified in the support plan.
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Missouri DMH Employment Supports Guide - 07/05/2012

This guide includes information on the employment supports provided by the Missouri Department of Mental Health. It contains the service, a description, guidance, and the name of the affiliated agency and funding source.

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • Customized Employment
  • Mental Health

Division of Developmental Disabilities Employment First Policy - 01/01/2011

This policy establishes community integrated employment services and supports as the first service option and primary outcome for individuals (both youth and adults.) It also establishes employment planning (Career Planning) and supports as priorities to explore with all working adults who receive services in order to ensure that supports, services, and outcomes are consistent with what the person is seeking.

Each individual will be supported to pursue his or her own unique path to work, a career, and his or her contribution to/participation in community life. All individuals, regardless of the challenge of their disability, will be afforded an opportunity to pursue employment. Career planning, including job exploration and on-going person focused self discovery, is critical when assisting individuals in making informed choices about their future careers.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Segregated Day & Employment Services
  • Cross-Agency Collaboration / Partnerships

Missouri Developmental Disabilities Council position on employment and sub-minimum wage

“In partnership with others, the MODDC will promote competitive, community based employment which we define as: jobs that occur in the community for at least minimum wage, at typical community businesses where employees with and without disabilities work in close proximity to each other, and have the same benefits, responsibilities and expectations.  The MODDC believes that all people who want to work can work with the right supports.  That all people have a responsibility to share their abilities, strengths and talents with others in the community, to make their community a better place.”

Systems
  • Other
Topics
  • 14(c)/Income Security

Governor’s Council on Disability 2016 Annual Report

~~“EMPLOYMENT INITIATIVESGCD continues to provide support to the Business Leadership Network (BLN) which is an employer driven endeavor to promote best practices in disability employment. In Missouri, there are two regional locations: 1) St. Louis region—Greater St. Louis Business Leadership Network (STLBLN)—that covers Greater St. Louis region and eight of the Southern Illinois counties; and 2) Kansas City region—Greater Kansas City BLN (GKCBLN)—which covers the western Missouri and eastern Kansas area; and 3) Springfield BLN. Springfield is the newest BLN in the state and is currently building its infrastructure.” 

Systems
  • Other
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

MO Adult Learning/Rehabilitation Services - VR Providers

This website provides information on Missouri Vocational Rehabilitation services for people with disabilities with links to important, relevant resources.

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • Customized Employment
  • Mental Health

MO HealthNet Eligibility

 

“In response to concerns raised by Pilot Communities, the Division of DD and the Family Support Division within Social Services developed a new protocol allowing the Medicaid application to be submitted up to 90 days prior to a student’s 18th birthday. This will reduce gaps and delays in services at the time of transition.”

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition

MO Division of Developmental Disabilities - Employment First

 

“The Division of Developmental Disabilities is committed to enhancing community employment options for persons with developmental disabilities. The guiding principle of Employment First is that all individuals who want to work can work and contribute to their community when given opportunity, training, and supports that build upon their unique talents, skills and abilities.”

“Everyone of working age, and those supporting them, should consider employment as the first option prior to any other service options. As fully participating members of their community, individuals with developmental disabilities will be afforded the opportunity to earn a living wage and engage in work that makes sense to them. Career exploration and planning will be supported when assisting individuals in making informed choices in designing their unique pathway to increased independence, integration, inclusion, productivity, self-determination.”

 
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships
Displaying 11 - 18 of 18

Missouri Association of County Developmental Disabilities Services - 06/01/1979

The Missouri Association of County Developmental Disabilities Services (MACDDS) is a leader in local initiatives for people with developmental disabilities. The organization is comprised of 56 county boards (including the City of St. Louis), and 8 Related Private Organizations, that provide local services for people with developmental disabilities. MACDDS is dedicated to ensuring quality community supports are available for people with developmental disabilities.   MACDDS believes having local people solving local issues results in the best services for individuals with developmental disabilities. MACDDS works to assure services and supports for people with developmental disabilities continue to be planned and carried out at the local level.  
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Connections Career Development & Planning Program - 06/01/1971

 

“Missouri Connections is a comprehensive, online, career development and planning program that is provided free of charge to all Missouri citizens. Funded by the Missouri Department of Elementary and Secondary Education and the Missouri Division of Workforce Development, this program supports the career development efforts of schools, community organizations, and adult job seeker programs. Missouri Connections helps individuals learn about their talents, skills, and interests and makes the connection between planning for continued education and the work world.”

 
Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition

Missouri Developmental Disabilities Council Asset Development and Financial Education Initiative

“Persons with disabilities have a higher percentage of people who live in poverty than any other minority group in the country.  Missouri ranks in the bottom third of all states in the understanding of financial supports that assist persons with disabilities in working their way out of poverty.  Benefits planning and employment are just two pieces in this puzzle, the other pieces are asset development and financial education, therefore, the Missouri DD Council is partnering with the TACE, Region 7/University of MO-School of Health Professionals to promote Asset Development and Financial Education for persons with disabilities in our state by offering a variety of opportunities to learn more about this important piece of the puzzle and help people with disabilities learn more about asset development and financial education.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Missouri Interagency Transition Team

~~“The Missouri Interagency Transition Team (MITT) formed in 2007 by the Office of Special Education at the Missouri Department of Elementary & Secondary Education to increase interagency collaboration at the state, regional, and local levels. This state transition team has met quarterly to address data-driven goals for improvement and collaboration with the shared vision of improving employment, independent living, and postsecondary education outcomes for Missouri students with disabilities.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Missouri VR Connection

VR specializes in employment and training services that can assist you in becoming employed. A VR counselor will determine your eligibility for services. To be eligible, you need to have a physical or mental impairment that causes problems with working and need VR services to be successfully employed. Once eligible, you will work with a counselor who will help you develop a plan for your rehabilitation. We will give you vocational information and guidance allowing you to make informed choices about your vocational plan.   VR offers a wide range of services that are individualized for your needs. You and your counselor decide which services will help you become employed. Some of the services that may be available are:    • Guidance and Counseling    • Job-Seeking Skills and Job Placement    • Vocational Training   VR also provides assistance with Transition Services, Supported Employment Services,Assistive Technology Services, and the Ticket to Work Program  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Missouri State Chapter of ASPE

APSE-MO is the Missouri State Chapter of APSE The Association of People Supporting Employment First, a national organization committed to improving and expanding integrated employment opportunities, services, and outcomes for people experiencing disabilities. APSE-MO invites individuals with disabilities, their families, employment providers, funders, employers and others to join with us in making community employment a reality for ALL people with disabilities.

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Show Me Careers: Missouri's Transition-to-Employment Collaborative

 

“The Show-Me-Careers project targets youth ages 16-30 with I/DD who are transitioning from secondary or post-secondary educational settings to community employment. Show-Me-Careers is funded by the Administration on Intellectual and Developmental Disabilities and is one of eight grants awarded to state consortiums aimed at improving existing state systems to increase competitive employment outcomes for youth and young adults with I/DD.”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement

Missouri State Employment Leadership Network

The Missouri DD Council is partnering with the Missouri Department of Mental Health, Division of Developmental Disabilities, in bringing the State Employment Leadership Network (SELN) to Missouri.  This is a project started by the Institute for Community Inclusion out of Boston, Massachusetts.  SELN brings together state developmental disability agencies for sharing, educating and providing guidance on practices and policies around employment to its members. It is also an opportunity for the Division of Developmental Disabilities and other Missouri governmental agencies to evaluate their policies and procedures as they relate to assisting persons with developmental disabilities to become employed.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships
Displaying 11 - 12 of 12

MO Ticket to Work - 06/01/1999

The Ticket to Work and Work Incentive Act of 1999 established an employment program for people who want to go to work that receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits.  The program was designed to remove barriers that kept people with disabilities from choosing to work for fear of losing health care coverage.  The Ticket to Work program is voluntary, and it increases opportunities and choices for Social Security (SS) disability beneficiaries to obtain employment, vocational rehabilitation, and other support services from public and private providers, employers, or other organizations.  SS provides a ticket to disability benefits to use in obtaining services and jobs through Missouri Vocational Rehabilitation or from an approved Employment Network.  Though SS has the overall program authority, MAXIMUS, Inc. serves as the program manager.

 

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Missouri SAMHSA EDI (FY 2011 & 2012)

Goal 1: To strengthen peer delivered services in Missouri by leveraging Medicaid billing for services provided by Certified Peer Specialists in Consumer Operated Services Programs (COSP).   Goal 2: To introduce and begin implementation of peer delivered Individual Placement and Supports –Supported Employment (SE) – in Consumer Operated Services Programs.   Overall conclusions: Through this project Missouri has greatly increased its value of peers. 103 have been trained specifically under this project, with more on the way.  
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging
Displaying 11 - 15 of 15

Missouri DoE Regional Professional Development Center (RPDC) Consultant

Each of the nine regions of Missouri has a Regional Professional Development Center (RPDC) Consultant who specializes in transition. These consultants provide regional and local trainings on Transition Planning and the Updated Form C, Transition Assessment, and other transition topics. They also provide a range of other consulting and continuous improvement services to meet the needs of teachers, administrators and school districts.

Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri Assistive Technology Council

Missouri Assistive Technology strives to increase access to assistive technology for Missourians with all types of disabilities, of all ages. To the right are navigation links to the programs and initiatives of MoAT.

Systems
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)

MO VR Transition Brochure

“Transition is a process young adults with disabilities, like you, go through to prepare for whatever the future might hold – further education, specialized training, employment or other options you might choose on the road to increased independence… Career planning and transition services are designed to help you prepare for your future by exploring different jobs, identifying careers interesting to you, and developing an understanding of the skills and abilities necessary to be successful.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

MO Skills to Pay the Bills

"Skills to Pay the Bills: Mastering Soft Skills for Workplace Success," is a curriculum developed by ODEP focused on teaching "soft" or workforce readiness skills to youth, including youth with disabilities. Created for youth development professionals as an introduction to workplace interpersonal and professional skills, the curriculum is targeted for youth ages 14 to 21 in both in-school and out-of-school environments. The basic structure of the program is comprised of modular, hands-on, engaging activities that focus on six key skill areas: communication, enthusiasm and attitude, teamwork, networking, problem solving and critical thinking, and professionalism.

Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

MO Writing Quality Goals, Outcomes and Action Plans

 

An overview of how to effectively create a Career Plan, establish appropriate goals and desired outcomes, and initiate an Action Plan with Discovery and Fading Supports.

 
Systems
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Employer Engagement

No Enforcement have been entered for this state.

Displaying 1 - 9 of 9

Missouri Medicaid (MO HealthNet) Independent Living Waiver - 03/01/2017

“The Missouri Independent Living Waiver (ILW) provides home and community based services for adults who are physically disabled. With assistance via this program, individuals can continue to live independently in their homes, rather than require placement in a nursing homes. Benefits include home modifications, personal care services, such as assistance with bathing, grooming, mobility, toiletry, and eating, and specialized medical equipment and supplies.”

 

“As of 2017, a single individual is allowed up to 85% of the Federal Poverty Level, which mean an applicant cannot have a monthly income more than $856. For married couples, the monthly income cannot exceed $1,150. However, Missouri does allow applicants that have an income greater than the allowable amount to “spend-down” in order to become eligible.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Community Transitions Manual for Support Coordinators and Community Coordinators - 02/19/2017

~~“MFP EligibilityIndividuals who transition from a Habilitation Center or nursing home may be eligible for MFP. MFP is a demonstration grant that supports efforts to:• Provide Medicaid eligible individuals the choice of where they live and receive services;• Allow qualified individuals living in nursing facilities or Habilitation Centers to move to the community; and• Promote a system that is person-centered, based on needs, and ensures high-quality services in the community.”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri HCBS Statewide Transition Plan - 07/25/2016

“Missouri administers 10 Home and Community-Based Waivers through the single State Medicaid agency, the Department of Social Services, MO HealthNet Division (MHD). The day-to-day operation of the waivers is through formal cooperative agreements with the Missouri Department of Mental Health (DMH) and the Missouri Department of Health and Senior Services (DHSS). The Department of Health and Senior Services and the Department of Mental Health are the operational entities for the waivers. Missouri Medicaid Audit and Compliance (MMAC) is the unit within the Department of Social Services (DSS) charged with administering and maintaining Medicaid Title XIX audit and compliance initiatives, including utilization of Medicaid services and provider enrollment functions. MMAC will participate in the transition plan as described below.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO DoE ESEA Flexibility Request Approval - 06/08/2015

The Missouri Department of Secondary and Elementary Education's ESEA flexibility request was approved on June 29, 2012.

Systems
  • Department of Education
Topics
  • Home and Community Based Services (HCBS)
Citations

Missouri HCSB Transition Plan - 03/01/2014

In March 2014, the Center for Medicaid and Medicare Services (CMS) published a final rule regarding changes to Home and Community Based Waiver Services (HCBS Waiver). The rule defines home and community based settings and person-centered planning requirements in Medicaid HCBS Waiver programs. The rule requires demonstration of how state’s HCBS Waiver programs comply with the federal HCBS rules.   Missouri’s draft transition plan incorporates all HCBS Waivers administered by Department of Health and Senior Services (DHSS), Department of Mental Health (DMH), and Department of Social Services (DSS). The purpose of Missouri’s draft transition plan is to ensure that individuals receiving HCBS Waiver services are integrated and have access to supports in the community, including:    • opportunities to seek employment,    • work in competitive integrated settings,    • engage in community life,    • and control personal resources.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO Partnership for Hope Waiver (0841.R00.00) - 10/01/2013

The purpose of the Partnership for Hope waiver is to prevent or delay of institutional services for individuals who require minimal services in order to continue living in the community. The waiver will offer prevention services to stabilize individuals primarily living with family members who provide significant support, but are not able to meet all of the individual's needs. Goals To increase access to waiver services for children and adults at the local level in participating counties.    Objectives The objectives of the waiver are: 1) to increase the capacity of the State to meet the needs of individuals at risk of institutionalization who require minimal supports to continue living in integrated community settings; 2) to partner with local County Boards through Intergovernmental Agreements in the administration and funding of waiver services; and 3) to implement preventive services in a timely manner in order that eligible participants may continue living in the community with their families.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri Developmental Disabilities Waiver Manual - 07/01/2012

“The Missouri Department of Mental Health's Division of Developmental Disabilities (Division of DD) administers five Medicaid Home and Community Based (HCB) Waiver programs for individuals with developmental disabilities. The five waivers are the Comprehensive Waiver; Missouri Children with Developmental Disabilities Waiver (MOCDD or Lopez Waiver); Support Waiver; Partnership for Hope Waiver (PfH); and Autism Waiver.” This manual includes information on employment, on the job training and other pre-vocational services for people with disabilities.

Systems
  • Medicaid Agencies
Topics
  • Self-Employment
  • Mental Health

MO Div of Developmental Disabilities Community Support (0404.R03.00) - 07/01/2011

 

“Provides community employment, in home respite, job preparation, personal assistant, assistive technology, behavior analysis service, co-worker supports, communication skills instruction, community specialist services, counseling, crisis intervention, environmental accessibility adaptations-home mods, independent living skills development, job discovery, OT, out of home respite, person centered strategies consultation, PT, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/ID Developmental Disabilities ages 0 - no max age.”

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO MR Developmental Disabilities Comprehensive (0178.R06.00) - 07/01/2011

 

“Provides community employment, day service, group home, in home respite, individualized supported living, job preparation, personal assistant, assistive technology, behavior analysis service, communication skills instruction, community specialist services, community transition, counseling, crisis intervention, environmental accessibility adaptations, host home, job discovery, OT, out of home respite, PT, positive behavior support, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/MR Developmental Disabilities ages 0 - no max age.”

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

States - Small Tablet

Snapshot

The Show Me State is expanding its efforts to deliver competitive, integrated employment options for individuals with disabilities through innovative strategies that propel Missouri's model, "Close to Home, Far from Ordinary."

State VR Rates and Services

A list of services offered by this state’s Vocational Rehabilitation agency, along with the standard rates paid for the performance of those services.

PDF icon Missouri’s VR Rates and Services

2016 State Population.
0.15%
Change from
2015 to 2016
6,093,000
2016 Number of people with disabilities (all disabilities, ages 18-64).
1.06%
Change from
2015 to 2016
468,140
2016 Number of people with disabilities who are employed (all disabilities, ages 18-64).
0.41%
Change from
2015 to 2016
164,243
2016 Percentage of working age people who are employed (all disabilities).
-0.68%
Change from
2015 to 2016
35.08%
2016 Percentage of working age people who are employed (NO disabilities).
0.48%
Change from
2015 to 2016
79.16%

State Data

General

2014 2015 2016
Population. 6,063,589 6,083,672 6,093,000
Number of people with disabilities (all disabilities, ages 18-64). 478,963 463,157 468,140
Number of people with disabilities who are employed (all disabilities, ages 18-64). 157,220 163,574 164,243
Number of people without disabilities who are employed (ages 18-64). 2,463,983 2,524,635 2,521,381
Percentage of working age people who are employed (all disabilities). 32.83% 35.32% 35.08%
Percentage of working age people who are employed (NO disabilities). 77.23% 78.78% 79.16%
Overall unemployment rate. 6.10% 5.00% 4.50%
Poverty Rate (all disabilities). 23.70% 21.90% 22.30%
Poverty Rate (NO disabilities). 14.10% 13.60% 12.60%
Number of males with disabilities (all ages). 429,482 430,732 426,359
Number of females with disabilities (all ages). 442,937 437,083 447,737
Number of Caucasians with disabilities (all ages). 730,644 728,775 729,010
Number of African Americans with disabilities (all ages). 101,370 102,581 104,789
Number of Hispanic/Latinos with disabilities (all ages). 20,128 21,074 21,980
Number of American Indians/Alaska Natives with disabilities (all ages). 6,371 5,727 7,155
Number of Asians with disabilities (all ages). 4,899 6,408 4,876
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A 870 1,009
Number of with multiple races disabilities (all ages). 22,706 18,411 22,891
Number of others with disabilities (all ages). 5,993 5,043 4,366

 

SSA OUTCOMES

2014 2015 2016
Number of SSI recipients with disabilities who work. 7,003 7,252 7,496
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 5.10% 5.40% 5.60%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 222,218 220,596 217,590

 

MENTAL HEALTH OUTCOMES

2014 2015 2016
Number of mental health services consumers who are employed. 4,226 6,032 6,268
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 8,782 12,624 11,390
Number of adults served who have a known employment status. 37,005 44,121 42,204
Percentage of all state mental health agency consumers served in the community who are employed. 11.40% 13.70% 14.90%
Percentage of supported employment services evidence based practices (EBP). 0.80% 1.60% 1.00%
Percentage of supported housing services evidence based practices (EBP). N/A N/A N/A
Percentage of assertive community treatment services evidence based practices (EBP). 1.20% 1.40% 1.30%
Percentage of medications management evidence based practices (EBP). N/A N/A N/A
Number of evidence based practices (EBP) supported employment services. 406 832 500
Number of evidence based practices (EBP) supported housing services. N/A N/A N/A
Number of evidence based practices (EBP) assertive community treatment services. 654 712 684
Number of evidence based practices (EBP) medications management. N/A N/A N/A

 

WAGNER PEYSER OUTCOMES

2013 2014 2015
Number of registered job seekers with a disability. 10,345 7,417 5,450
Proportion of registered job seekers with a disability. 0.03 0.03 0.02

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2013 2014 2015
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 4,647 7,474 7,016
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 1,634 2,629 2,948
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 35.00% 35.00% 42.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 27.03 43.21 48.46

 

VR OUTCOMES

2015 2016 2017
Total Number of people served under VR.
8,301
8,600
N/A
Number of people with visual impairments served under VR. 50 58 N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 836 919 N/A
Number of people with physical impairments served under VR. 1,816 1,778 N/A
Number of people cognitive impairments served under VR. 2,264 2,405 N/A
Number of people psychosocial impairments served under VR. 2,579 2,697 N/A
Number of people with mental impairments served under VR. 756 743 N/A
Percentage of overall closures into employment under VR. 35.20% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 7,435 7,588 8,353
Number of eligible ticket to work beneficiaries. 318,047 318,214 313,618
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A N/A N/A
Total number of ID competitive labor market closures. 800 701 N/A

 

IDD OUTCOMES

2013 2014 2015
Dollars spent on day/employment services for integrated employment funding. $5,099,000 $7,012,000 $5,578,000
Dollars spent on day/employment services for facility-based work funding. $0 $0 $0
Dollars spent on day/employment services for facility-based non-work funding. $51,925,000 $38,353,000 $42,056,000
Dollars spent on day/employment services for community based non-work funding. $815,000 $18,291,000 $20,445,000
Percentage of people served in integrated employment. 12.00% 12.00% 10.00%
Number of people served in community based non-work. 334 3,644 4,027
Number of people served in facility based work. 0 0 0
Number of people served in facility based non-work. 5,009 3,352 3,744
Number supported in integrated employment per 100,000 individuals in the general state population. 11.40 11.40 9.90

 

EDUCATION OUTCOMES

2013 2014 2015
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 58.10% 57.65% 57.59%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 9.11% 8.92% 8.76%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 3.63% 3.66% 3.61%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 88.63% 88.58% 88.29%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 29.13% 31.03% 25.55%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 55.62% 59.49% 60.89%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 60.58% 64.79% 65.90%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 26.48% 28.46% 31.34%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 1,683,499
Number of overall total blind and SD workers. 1,704
Number of AbilityOne blind and SD hours (products). 129,942
Number of AbilityOne blind and SD hours (services). 245,601
Number of AbilityOne blind and SD hours (combined). 372,429
Number of AbilityOne blind and SD workers (products). 220
Number of AbilityOne blind and SD workers (services). 335
Number of AbilityOne blind and SD workers (combined). 555
AbilityOne wages (products). $1,055,603
AbilityOne wages (services). $3,245,518

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2015 2016 2017
Number of 14(c) certificate-holding businesses. 0 0 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 107 79 95
Number of 14(c) certificate holding patient workers. 4 3 3
Total Number of 14(c) certificate holding entities. 111 82 98
Reported number of people with disabilities working under 14(c) certificate-holding businesses. 0 0 0
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). 0 0 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). 8,020 6,396 7,487
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 326 237 237
Total reported number of people with disabilities working under 14(c) certificate holding entities. 8,346 6,633 7,724

 

WIOA Profile

WIOA Profile

 

The material cited below is taken directly from each state’s plan for WIOA implementation. These sections of the state plan were selected because of their relevance to youth and adults with disabilities. However, all programs and services under WIOA must be physically and programmatically accessible to individuals with disabilities.

Employment First State Leadership Mentoring Program/Employment First Initiative

Division of Developmental Disabilities has a statewide employment initiative, Employment First, for working age citizens with disabilities. Employment services include job preparation, job discovery, and community employment in a competitive integrated work setting that may include ongoing supports. The Division of Behavioral Health provides employment services to individuals with mental illnesses, histories of substance abuse, and/or criminal backgrounds. Clinical and vocational employment services are integrated through state–wide partnerships to help individuals who are interested in employment participate in the competitive labor market with the appropriate level of supports and services to be successful. RSB will continue to partner and collaborate with DMH programs in the delivery of employment services. (Page 244-245)

Customized Employment

VR’s workforce development activities are designed to assist individuals with disabilities in obtaining, maintaining, or advancing in competitive integrated employment. These activities include assessments, vocational guidance and counseling, job preparation activities, which can include disability awareness, resume writing, interviewing skills. Additionally, VR provides eligible individuals with training (OJT, apprenticeships, customized employment, funding for community colleges, universities).  (Page 47)

RSB has developed relationships with several employers across the state communicating directly with HR staff on employment needs, identify customized employment opportunities, and provide disability/blindness awareness and sensitivity training. Outreach activities have resulted in competitive integrated employment outcomes and work experience opportunities, both paid and unpaid, for youth and students with disabilities and adult clients. (Page 48)

MVR continually reviews its strategies to develop new employer relationships and support those who employ persons with disabilities. Some of its flexible strategies include increasing work–based learning opportunities, on–the–job training, internships and customized employment. (Page 182)

  • SE Services –– The nature of the service itself requires intensive one–on–one job training. Services are provided by CRPs and include job development, job coaching, natural supports, task analysis and assessment, counseling and advocacy services and customized employment. Usually, SE services will not exceed nine months, but MVR can provide up to 24 months of community–based job training. (Page 197)

Provide training opportunities to include the provision of pre–employment transition services and customized employment services. (Page 267)

Supported employment services are available not only to individuals after leaving their secondary education program, but to students whose IEP and IPE include these services as part of their transition plan and whose school district signs a cooperative work experience program agreement with RSB.  (Page 275)

RSB has developed relationships with several employers across the state communicating directly with HR staff on employment needs, identify customized employment opportunities, and provide disability/blindness awareness and sensitivity training. Outreach activities have resulted in competitive integrated employment outcomes and work experience opportunities, both paid and unpaid, for youth and students with disabilities and adult clients. (Pages 48,197)

RSB has developed relationships with several employers across the state communicating directly with HR staff on employment needs, identify customized employment opportunities, and provide disability/blindness awareness and sensitivity training. Outreach activities have resulted in competitive integrated employment outcomes and work experience opportunities, both paid and unpaid, for youth and students with disabilities and adult clients. (Page 242)

RSB has formal contract agreements with community rehabilitation providers to work with employers and assist clients with job search, job placement and customized employment opportunities. Other services include work based learning experiences, task analysis, and job coaching when needed. RSB contracts with Alphapointe Association for the Blind for an eight–week Summer Transition Employment Program (STEP) providing competitive work experience to high–school age youth. The goal is to provide each consumer with a foundation for the school–to–work transition, to enable each to practice personal independence through work and goal–setting experiences. (Pages 244, 266, 267)

Blending/ Braiding Resources

Missouri partners are committed to developing new career pathways for youth and adults with barriers to employment including individuals with disabilities. Missouri’s core partner program leaders regularly meet to collaborate on braiding services for work-based learning and education funding. Through sector strategy regional business meetings and partner engagement, Missouri will work with employers to identify opportunities and services available to assist in eliminating employment barriers. (Page 62)

Local level partners are conducting asset mapping, cross training and job shadowing to better understand each other’s services. These activities have led to collaborative practices such as co-enrollment and braiding of service funding. (Page 62)

Missouri’s core and mandatory partners will collaborate to share resources to create environments to foster partnering at the local level as well as maintain resource allocations that keep existing partnerships at the local level. Specific examples include: As part of their services to individuals with disabilities, VR may provide funding for post-secondary training. As partners seek to co-enroll their customers, this will provide opportunity for leveraging of these resources through braiding of both educational dollars, as well as supportive services to ensure the customer’s success. VR also provides guidance and counseling to the job seekers, to insure that access to comparable services funding is achieved, whether through partner agencies or through Federal funding, such as the Pell grant. (Page 87)

Missouri will improve the outcomes for out-of-school youth by ensuring the 14 elements allowed under WIOA are met through a braiding of partner resources which will best meet each individuals need. The 14 program elements will be available to OSY participants, and will be funded with WIOA title I youth funds or leveraged partner resources. An agreement will be established with the partner to offer the program element and ensure that the activity is connected and coordinated with the WIOA youth program. (Page 135)

SECTION 116 OF WIOA. The Missouri workforce development system comprised of all core WIOA partners has developed a Memorandum of Understanding on the implementation of WIOA and creating the partnerships to begin developing common referrals, the braiding of services, and data sharing. These collaborative efforts will enhance access for individuals with disabilities and improve performance for all partners. Performance accountability measures under section 116 of WIOA are new to vocational rehabilitation and have not yet been measured. RSB met all required federal performance indicators during the past two years prior to WIOA. RSB will apply the same quality of service utilized in meeting those indicators to achieve the new performance measures and provide that level of quality while moving forward. (Page 267)

DEI/DRC

No disability specific information found regarding this element.

Competitive Integrated Employment

No disability specific information found regarding this element.

Financial Literacy /Economic Advancement

Months, but can remain in the program for the life of the grant program (…in this case, six years). One adult must be working from the household. The family must make deposits monthly into their savings accounts, and they must attend financial literacy programs covering such topics as home ownership, economic education, career guidance, micro–enterprise development, etc. Successful IDA’s provide a great ‘return on investment’ by transforming a small contribution and hard work into a much larger payoff. Participants invest their IDA funds into their local communities, increase their incomes and become more self–sufficient. (Not disability specific but could be)  (Page 318)

School to Work Transition

MVR is collaboratively funding Disability Benefits 101 with DMH’s Division of Behavioral Health Services. Missouri Rehabilitation Services for the Blind. (Page 173)

  • Provided cross training with local CILs to include information regarding benefits planning; and
  • Is currently working in collaboration with DMH’s Division of Developmental Disabilities to provide cross training with MVR counselors and IDD case managers regarding their respective services. (Page 176)

Additional partnering activities include the sponsoring of an employment summit with the Missouri Coalition for Community Behavioral Healthcare to facilitate clinical integration of behavioral health and community employment efforts and MVR’s and DMH–DBH’s co–funding of the customized Missouri benefits planning website DB101. (Page 184)

MVR has statewide and regional specialists that have had extensive training and experience in their area of expertise, e.g., business specialists, mental health, autism, assistive technology, AgrAbility, benefits planning, brain injury, hearing impairments, vision impairments, learning disabilities and self–employment. These specialists are available to provide direct assistance to clients as well as consultation with counselors. All counselors, regardless of their tenure, have the opportunity to work with a mentor who has expertise and experience in an area that is of interest to them. (Pages 190,  232)

Recipients of SSI/SSDI who also receive other benefits from the DSA (Pages 255)

Career Pathways

Prepare for, obtain, maintain, advance in, or re–enter competitive integrated employment, including supported or customized employment. Extended services may be provided to youth with the most significant disabilities for a period not to exceed four years.

Supported employment services are available not only to individuals after leaving their secondary education program, but to students whose IEP and IPE include these services as part of their transition plan and whose school district signs a cooperative work experience program agreement with RSB. (Page 275)

RSB has one Job Development Specialist that works directly with employers to develop relationships and identify clients from various offices to meet employer needs. This position serves on several committees including the St. Louis Deafblind Taskforce, St. Louis County Disability Resource Committee, Employment Liaison Committee, Employment Working Group for Immigrants and refugees, St. Louis Transition Council, St. Louis Special School District Agency Collaborative, and the Urban League. This position receives and distributes job postings to VR staff and assists clients in the development of business plans required for self –employment vocational goals. (Page 48)

Research verifies that pathways from school to work or secondary to post–secondary education can be more difficult for individuals with disabilities therefore the need for transition career services and pre–employment transition services is great. (Page 202)

RSB has partnered with Lighthouse for the Blind and Alphapointe Association for the Blind through a contractual relationship to provide intensive specialized prevocational skills training to youth with disabilities who are blind or visually impaired. Lighthouse for the Blind’s summer program delivers a residential program for students who plan to live independently and seek competitive integrated employment or attend a vocational training program or college upon graduation from high school. Alphapointe offers an eight–week program providing competitive work experience to high–school age youth. The goal is to provide each consumer with a foundation for the school–to–work transition. (Pages 234)

Establishment of a task force on blind student academic and vocational performance to "develop goals and objectives to guide the improvement of...transition from school to work, rehabilitation services, independent living, and employment outcomes for eligible students.” Members are appointed by the Commissioner of Education in cooperation with the Director of the Department of Social Services (RSB’s parent agency).  (Page 23, 244, 49)

Work Incentives & Benefits

Occupational projections predict the number of workers needed in different educational and skill levels. In Missouri, the projections support the need for workers at all different skill and education levels. Through sector strategies, career pathways can minimize skills gaps since they are validated with the businesses in the area, leading to the success of the workforce. (Page 43)

Through sector strategies, partnerships between all parties within the workforce system are formed. Career pathways are developed through the collaboration of employers, the education system, and workforce system. Within the career pathways, an individual has multiple entry and exit points based on current skills and knowledge, as well as the person’s willingness and capacity to continue to learn on the job, or through formal classroom education and/or training programs. The continued efforts of all WIOA partners ensure that all eligible persons, including those with disabilities, obtain skills to become or remain employed in high-demand, well-paid occupations. (Page 44)

Special education, as determined by the eligible agency; Secondary school credit Integrated education and training; Career pathways; Concurrent enrollment; Peer tutoring and; Transition to re–entry initiatives and other post release services with the goal of reducing recidivism. (Page 47)

Missouri partners are committed to developing new career pathways for youth and adults with barriers to employment including individuals with disabilities. Missouri’s core partner program leaders regularly meet to collaborate on braiding services for work-based learning and education funding. Through sector strategy regional business meetings and partner engagement, Missouri will work with employers to identify opportunities and services available to assist in eliminating employment barriers. (Page 62)

  • In addition to training services, the Title I & Title IV partners have work based programs such as on-the-job training and work experience which offer the customers the opportunity to combine education, training and employment services. VR & Rehabilitation Services for the Blind supports career pathways by providing a variety of services to students, youth and adults with disabilities. (Page 75)

MVR is involved in sector strategies planning at the local and state levels to address skills gaps and create career pathways to better serve employers with their individual needs and to provide them with prepared candidates. It has been forming employment collaboratives at the local levels to ensure employers receive the best possible delivery of services. MVR will work with businesses to ensure they have resources for necessary workplace accommodations and rehabilitation technology. (Page 183)

Employer Engagement

Section identified but no detailed information specifically addressing disability focused implementation. (Page 283)

511

Establishment of a task force on blind student academic and vocational performance to "develop goals and objectives to guide the improvement of...transition from school to work, rehabilitation services, independent living, and employment outcomes for eligible students.” Members are appointed by the Commissioner of Education in cooperation with the Director of the Department of Social Services (RSB’s parent agency). (Page 237)

Mental Health

Describe how the one-stop delivery system (including one-stop center operators and the one-stop delivery system partners), will comply with section 188 of WIOA (if applicable) and applicable provisions of the Americans with Disabilities Act of 1990 (42 U.S.C. 12101 et seq.) with regard to the physical and programmatic accessibility of facilities, programs, services, technology, and materials for individuals with disabilities (sic). This also must include a description of compliance through providing staff training and support for addressing the needs of individuals with disabilities. Describe the State’s one-stop center certification policy, particularly the accessibility criteria.

Missouri has a committee to specifically focus on one-stop certification criteria. The committee has established the criteria for certification, including accessibility. This committee includes representatives from Vocational Rehabilitation, Rehabilitation Services for the Blind and the Centers for Independent Living (CILs) who will assist with training and technical assistance to ensure accessibility of facilities, programs, services, technology and materials for individuals with disabilities. Accessibility criteria for certification includes the accessibility requirements contained with Section 188; policy review, adaptive technology equipment availability, emergency procedures, (Pages 114)

Policies and Initiatives

Displaying 11 - 20 of 75

Community Transitions Manual for Support Coordinators and Community Coordinators - 02/19/2017

~~“MFP EligibilityIndividuals who transition from a Habilitation Center or nursing home may be eligible for MFP. MFP is a demonstration grant that supports efforts to:• Provide Medicaid eligible individuals the choice of where they live and receive services;• Allow qualified individuals living in nursing facilities or Habilitation Centers to move to the community; and• Promote a system that is person-centered, based on needs, and ensures high-quality services in the community.”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

“Empowering through Employment” - 01/24/2017

~~“The Empowering Through Employment initiative is designed to increase the number of individuals receiving employment supports and services.  This initiative has an established goal of 35% of all individuals receiving waiver services to have employment supports authorized and available for their use.  Empowering Through Employment has been deemed a priority based upon the gap between the percentage of Missourians with intellectual/developmental disabilities (I/DD) accessing employment services as compared to other day services. Missouri is focused on becoming one of the high performing states and ensuring that Missourians with I/DD have the same opportunities as other individuals.”

Systems
  • Department of Mental Health
Topics
  • Home and Community Based Services (HCBS)

Missouri Department of Mental Health Legislator Briefing “Mental Health Highlights and Issues" - 01/01/2017

~~“In October 2016, DD announced a goal to increase the utilization of employment services for individuals between the ages of 16 and 64. This new initiative, called Empowering through Employment, is a statewide effort involving the division’s regional offices, support coordination providers and employment service providers to get 3,700 more Missourians into employment services. This increase would mean that 35% of Missourians are accessing employment services (which mirror what is occurring in other states).”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities

Part B Compliance - 01/01/2017

~~“THE STATE COMPLIANCE PLAN FOR SPECIAL EDUCATION is being revised during the 2016-17 school year to reflect updates in the Every Student Succeeds Act (ESSA), provide clarification on a number of issues, and make substantive changes based on research and OSEP guidance. Proposed changes in both a summary chart and a mark-up of the proposed plan are posted on the DESE website at https://dese.mo.gov/special-education/state-plan-special-education  . The Public comment period ended on January 6, 2017. All comments received will be reviewed and a decision made to accept, accept with revisions, or reject the comment. A summary of the comments and decision will be posted on the website after January 24, 2017. The proposed plan will be presented to the State Board of Education during their February meeting.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Proposed Part B State Plan Changes for 2017 “Transition Services” - 01/01/2017

~~“A. beginning not later than the first IEP to be in effect when the child is sixteen (16), or younger if determined appropriate by the IEP team, and updated annually thereafter appropriate measurable postsecondary goals based upon age appropriate transition assessments related to training, education, employment, and, where appropriate, independent living skills; the transition services (including courses of study) needed to assist the child in reaching those goals, andB. beginning not later than one year before the student reaches age eighteen (18), a statement that the child has been informed of his or her rights under Part B of IDEA and that those rights will transfer to the student upon reaching the age of majority. “ 

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Equal Opportunity Demographics - 01/01/2017

~~“The Missouri Interagency Transition Team (MITT) established to increase collaboration at the state, regional and local levels with the shared vision of improving employment, independent living, and postsecondary outcomes for Missouri students with disabilities.• Show-Me Careers, a consortium of state agencies focused on supporting the seamless transition from school to inclusive employment or post-secondary education for youth and young adults ages 16-30 with intellectual and developmental disabilities.• A regional annual Accommodation for Success event in the St. Louis area to help businesses recruit and employ individuals with disabilities.”

Systems
  • Department of Workforce Development
Topics
  • School-to-Work Transition

Greater Kansas City - Disability Mentoring Day - 10/26/2016

“Join us for the 12th anniversary of Kansas City Disability Mentoring Day Events. Disability Mentoring Day promotes employment opportunities for all job seekers and students with disabilities through information and career exploration. As a person pursuing employment, this event gives you an excellent opportunity to: • •Increase and enhance your job readiness skills • •Network with employers to learn about different types of careers • •Visit with service organizations, providers, and government agencies to learn how they can help you in your job search • •Learn how to advocate for yourself”

Systems
  • Department of Workforce Development

Toward a Successful Transition: A Checklist for the First 21 Years - 09/01/2016

“To Parents of Children with Developmental Disabilities . . . It is our hope that as parents you will always consider yourselves the experts on your child. We hope that as you seek information, help and guidance you will see your child in “people first” terms—initially as a baby to love and nurture, then as a child to raise for as independent a life as he or she can attain. Whatever the disability involved, remember it is only a part of your child’s individuality. Build on his or her strengths. High expectations are a keynote in a family’s daring to act bravely and creatively.

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Missouri HCBS Statewide Transition Plan - 07/25/2016

“Missouri administers 10 Home and Community-Based Waivers through the single State Medicaid agency, the Department of Social Services, MO HealthNet Division (MHD). The day-to-day operation of the waivers is through formal cooperative agreements with the Missouri Department of Mental Health (DMH) and the Missouri Department of Health and Senior Services (DHSS). The Department of Health and Senior Services and the Department of Mental Health are the operational entities for the waivers. Missouri Medicaid Audit and Compliance (MMAC) is the unit within the Department of Social Services (DSS) charged with administering and maintaining Medicaid Title XIX audit and compliance initiatives, including utilization of Medicaid services and provider enrollment functions. MMAC will participate in the transition plan as described below.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Governor’s Council on Disability Employment Position Paper - 05/01/2016

“The Governor’s Council on Disability (GCD) recognizes that employment is a life defining activity/event for each of us, disabled or not. Employment provides income, a sense of belonging, mental and tangible benefits to a human, and status. As such, it is the position of the Governor’s Council that employment policies, practices, and implementation be inclusive and competitive"

Systems
  • Other
Topics
  • Employer Engagement
  • Provider Transformation
Displaying 1 - 3 of 3

SB66, Payment of temporary total disability or temporary partial disability benefits shall be paid throughout the rehabilitative process - 07/05/2017

“Temporary total disability or temporary partial disability benefits shall be paid throughout the rehabilitative process until the employee reaches maximum medical improvement, unless such benefits are terminated by the employee’s return to work or are terminated as otherwise specified in this chapter.

 

The permanency of the employee’s disability under sections 287.170 to 287.200 shall not be established or adjudicated while the employee is participating in rehabilitation services.

 

Refusal of the employee to accept rehabilitation services or submit to a vocational rehabilitation assessment as deemed necessary by the employer shall result in a fifty percent reduction in all disability payments to an employee, including temporary partial disability benefits paid pursuant to section 287.180, for each week of the period of refusal.”

Systems
  • Other
Topics
  • 14(c)/Income Security

Missouri SB 43, Modifying the Missouri Human Rights Act - 06/30/2017

“AN ACT To repeal sections 213.010, 213.040, 213.050, 213.055, 213.065, 213.070, 213.075, 213.101, and 213.111, RSMo, and to enact in lieu thereof ten new sections relating to unlawful discriminatory practices.”

 

It modifies the Missouri Human Rights Act. 

Systems
  • Other
Topics
  • Employer Engagement

Missouri SB 174 - 06/29/2015

"There is hereby created the 'Missouri Achieving a Better Life Experience [ABLE] Program'".

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

No Executive Orders have been entered for this state.

Displaying 11 - 18 of 18

MO Division of Developmental Disabilities Individual Support Plan Guidelines - 07/01/2014

The Division of Developmental Disabilities requires that each individual eligible for Division Supports have an Individual Support Plan. Individuals, their families, providers and facilitators who write plans in cooperation with all individuals receiving supports from the Division shall use this guide. Individual support planning encourages a team approach to involve the individual and community networks in planning for the future. The process involves developing a vision for the future, while coordinating resources and supports to make the vision a reality.   The Center for Medicare and Medicaid Supports (CMS) outcome for “participant-centered support planning and delivery” clarifies: “Supports are planned and effectively implemented in accordance with each participant’s unique needs, expressed preferences and decisions concerning his/her life in the community.”   The Individual Support Plan is an investment in an individual’s life and is driven by the individual, what is important to them as designed through outcomes identified in the support plan.
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Missouri DMH Employment Supports Guide - 07/05/2012

This guide includes information on the employment supports provided by the Missouri Department of Mental Health. It contains the service, a description, guidance, and the name of the affiliated agency and funding source.

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • Customized Employment
  • Mental Health

Division of Developmental Disabilities Employment First Policy - 01/01/2011

This policy establishes community integrated employment services and supports as the first service option and primary outcome for individuals (both youth and adults.) It also establishes employment planning (Career Planning) and supports as priorities to explore with all working adults who receive services in order to ensure that supports, services, and outcomes are consistent with what the person is seeking.

Each individual will be supported to pursue his or her own unique path to work, a career, and his or her contribution to/participation in community life. All individuals, regardless of the challenge of their disability, will be afforded an opportunity to pursue employment. Career planning, including job exploration and on-going person focused self discovery, is critical when assisting individuals in making informed choices about their future careers.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Segregated Day & Employment Services
  • Cross-Agency Collaboration / Partnerships

Missouri Developmental Disabilities Council position on employment and sub-minimum wage

“In partnership with others, the MODDC will promote competitive, community based employment which we define as: jobs that occur in the community for at least minimum wage, at typical community businesses where employees with and without disabilities work in close proximity to each other, and have the same benefits, responsibilities and expectations.  The MODDC believes that all people who want to work can work with the right supports.  That all people have a responsibility to share their abilities, strengths and talents with others in the community, to make their community a better place.”

Systems
  • Other
Topics
  • 14(c)/Income Security

Governor’s Council on Disability 2016 Annual Report

~~“EMPLOYMENT INITIATIVESGCD continues to provide support to the Business Leadership Network (BLN) which is an employer driven endeavor to promote best practices in disability employment. In Missouri, there are two regional locations: 1) St. Louis region—Greater St. Louis Business Leadership Network (STLBLN)—that covers Greater St. Louis region and eight of the Southern Illinois counties; and 2) Kansas City region—Greater Kansas City BLN (GKCBLN)—which covers the western Missouri and eastern Kansas area; and 3) Springfield BLN. Springfield is the newest BLN in the state and is currently building its infrastructure.” 

Systems
  • Other
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

MO Adult Learning/Rehabilitation Services - VR Providers

This website provides information on Missouri Vocational Rehabilitation services for people with disabilities with links to important, relevant resources.

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • Customized Employment
  • Mental Health

MO HealthNet Eligibility

 

“In response to concerns raised by Pilot Communities, the Division of DD and the Family Support Division within Social Services developed a new protocol allowing the Medicaid application to be submitted up to 90 days prior to a student’s 18th birthday. This will reduce gaps and delays in services at the time of transition.”

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition

MO Division of Developmental Disabilities - Employment First

 

“The Division of Developmental Disabilities is committed to enhancing community employment options for persons with developmental disabilities. The guiding principle of Employment First is that all individuals who want to work can work and contribute to their community when given opportunity, training, and supports that build upon their unique talents, skills and abilities.”

“Everyone of working age, and those supporting them, should consider employment as the first option prior to any other service options. As fully participating members of their community, individuals with developmental disabilities will be afforded the opportunity to earn a living wage and engage in work that makes sense to them. Career exploration and planning will be supported when assisting individuals in making informed choices in designing their unique pathway to increased independence, integration, inclusion, productivity, self-determination.”

 
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships
Displaying 11 - 18 of 18

Missouri Association of County Developmental Disabilities Services - 06/01/1979

The Missouri Association of County Developmental Disabilities Services (MACDDS) is a leader in local initiatives for people with developmental disabilities. The organization is comprised of 56 county boards (including the City of St. Louis), and 8 Related Private Organizations, that provide local services for people with developmental disabilities. MACDDS is dedicated to ensuring quality community supports are available for people with developmental disabilities.   MACDDS believes having local people solving local issues results in the best services for individuals with developmental disabilities. MACDDS works to assure services and supports for people with developmental disabilities continue to be planned and carried out at the local level.  
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Connections Career Development & Planning Program - 06/01/1971

 

“Missouri Connections is a comprehensive, online, career development and planning program that is provided free of charge to all Missouri citizens. Funded by the Missouri Department of Elementary and Secondary Education and the Missouri Division of Workforce Development, this program supports the career development efforts of schools, community organizations, and adult job seeker programs. Missouri Connections helps individuals learn about their talents, skills, and interests and makes the connection between planning for continued education and the work world.”

 
Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition

Missouri Developmental Disabilities Council Asset Development and Financial Education Initiative

“Persons with disabilities have a higher percentage of people who live in poverty than any other minority group in the country.  Missouri ranks in the bottom third of all states in the understanding of financial supports that assist persons with disabilities in working their way out of poverty.  Benefits planning and employment are just two pieces in this puzzle, the other pieces are asset development and financial education, therefore, the Missouri DD Council is partnering with the TACE, Region 7/University of MO-School of Health Professionals to promote Asset Development and Financial Education for persons with disabilities in our state by offering a variety of opportunities to learn more about this important piece of the puzzle and help people with disabilities learn more about asset development and financial education.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Missouri Interagency Transition Team

~~“The Missouri Interagency Transition Team (MITT) formed in 2007 by the Office of Special Education at the Missouri Department of Elementary & Secondary Education to increase interagency collaboration at the state, regional, and local levels. This state transition team has met quarterly to address data-driven goals for improvement and collaboration with the shared vision of improving employment, independent living, and postsecondary education outcomes for Missouri students with disabilities.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Missouri VR Connection

VR specializes in employment and training services that can assist you in becoming employed. A VR counselor will determine your eligibility for services. To be eligible, you need to have a physical or mental impairment that causes problems with working and need VR services to be successfully employed. Once eligible, you will work with a counselor who will help you develop a plan for your rehabilitation. We will give you vocational information and guidance allowing you to make informed choices about your vocational plan.   VR offers a wide range of services that are individualized for your needs. You and your counselor decide which services will help you become employed. Some of the services that may be available are:    • Guidance and Counseling    • Job-Seeking Skills and Job Placement    • Vocational Training   VR also provides assistance with Transition Services, Supported Employment Services,Assistive Technology Services, and the Ticket to Work Program  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Missouri State Chapter of ASPE

APSE-MO is the Missouri State Chapter of APSE The Association of People Supporting Employment First, a national organization committed to improving and expanding integrated employment opportunities, services, and outcomes for people experiencing disabilities. APSE-MO invites individuals with disabilities, their families, employment providers, funders, employers and others to join with us in making community employment a reality for ALL people with disabilities.

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Show Me Careers: Missouri's Transition-to-Employment Collaborative

 

“The Show-Me-Careers project targets youth ages 16-30 with I/DD who are transitioning from secondary or post-secondary educational settings to community employment. Show-Me-Careers is funded by the Administration on Intellectual and Developmental Disabilities and is one of eight grants awarded to state consortiums aimed at improving existing state systems to increase competitive employment outcomes for youth and young adults with I/DD.”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement

Missouri State Employment Leadership Network

The Missouri DD Council is partnering with the Missouri Department of Mental Health, Division of Developmental Disabilities, in bringing the State Employment Leadership Network (SELN) to Missouri.  This is a project started by the Institute for Community Inclusion out of Boston, Massachusetts.  SELN brings together state developmental disability agencies for sharing, educating and providing guidance on practices and policies around employment to its members. It is also an opportunity for the Division of Developmental Disabilities and other Missouri governmental agencies to evaluate their policies and procedures as they relate to assisting persons with developmental disabilities to become employed.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships
Displaying 11 - 12 of 12

MO Ticket to Work - 06/01/1999

The Ticket to Work and Work Incentive Act of 1999 established an employment program for people who want to go to work that receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits.  The program was designed to remove barriers that kept people with disabilities from choosing to work for fear of losing health care coverage.  The Ticket to Work program is voluntary, and it increases opportunities and choices for Social Security (SS) disability beneficiaries to obtain employment, vocational rehabilitation, and other support services from public and private providers, employers, or other organizations.  SS provides a ticket to disability benefits to use in obtaining services and jobs through Missouri Vocational Rehabilitation or from an approved Employment Network.  Though SS has the overall program authority, MAXIMUS, Inc. serves as the program manager.

 

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Missouri SAMHSA EDI (FY 2011 & 2012)

Goal 1: To strengthen peer delivered services in Missouri by leveraging Medicaid billing for services provided by Certified Peer Specialists in Consumer Operated Services Programs (COSP).   Goal 2: To introduce and begin implementation of peer delivered Individual Placement and Supports –Supported Employment (SE) – in Consumer Operated Services Programs.   Overall conclusions: Through this project Missouri has greatly increased its value of peers. 103 have been trained specifically under this project, with more on the way.  
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging
Displaying 11 - 15 of 15

Missouri DoE Regional Professional Development Center (RPDC) Consultant

Each of the nine regions of Missouri has a Regional Professional Development Center (RPDC) Consultant who specializes in transition. These consultants provide regional and local trainings on Transition Planning and the Updated Form C, Transition Assessment, and other transition topics. They also provide a range of other consulting and continuous improvement services to meet the needs of teachers, administrators and school districts.

Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri Assistive Technology Council

Missouri Assistive Technology strives to increase access to assistive technology for Missourians with all types of disabilities, of all ages. To the right are navigation links to the programs and initiatives of MoAT.

Systems
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)

MO VR Transition Brochure

“Transition is a process young adults with disabilities, like you, go through to prepare for whatever the future might hold – further education, specialized training, employment or other options you might choose on the road to increased independence… Career planning and transition services are designed to help you prepare for your future by exploring different jobs, identifying careers interesting to you, and developing an understanding of the skills and abilities necessary to be successful.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

MO Skills to Pay the Bills

"Skills to Pay the Bills: Mastering Soft Skills for Workplace Success," is a curriculum developed by ODEP focused on teaching "soft" or workforce readiness skills to youth, including youth with disabilities. Created for youth development professionals as an introduction to workplace interpersonal and professional skills, the curriculum is targeted for youth ages 14 to 21 in both in-school and out-of-school environments. The basic structure of the program is comprised of modular, hands-on, engaging activities that focus on six key skill areas: communication, enthusiasm and attitude, teamwork, networking, problem solving and critical thinking, and professionalism.

Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

MO Writing Quality Goals, Outcomes and Action Plans

 

An overview of how to effectively create a Career Plan, establish appropriate goals and desired outcomes, and initiate an Action Plan with Discovery and Fading Supports.

 
Systems
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Employer Engagement

No Enforcement have been entered for this state.

Displaying 1 - 9 of 9

Missouri Medicaid (MO HealthNet) Independent Living Waiver - 03/01/2017

“The Missouri Independent Living Waiver (ILW) provides home and community based services for adults who are physically disabled. With assistance via this program, individuals can continue to live independently in their homes, rather than require placement in a nursing homes. Benefits include home modifications, personal care services, such as assistance with bathing, grooming, mobility, toiletry, and eating, and specialized medical equipment and supplies.”

 

“As of 2017, a single individual is allowed up to 85% of the Federal Poverty Level, which mean an applicant cannot have a monthly income more than $856. For married couples, the monthly income cannot exceed $1,150. However, Missouri does allow applicants that have an income greater than the allowable amount to “spend-down” in order to become eligible.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Community Transitions Manual for Support Coordinators and Community Coordinators - 02/19/2017

~~“MFP EligibilityIndividuals who transition from a Habilitation Center or nursing home may be eligible for MFP. MFP is a demonstration grant that supports efforts to:• Provide Medicaid eligible individuals the choice of where they live and receive services;• Allow qualified individuals living in nursing facilities or Habilitation Centers to move to the community; and• Promote a system that is person-centered, based on needs, and ensures high-quality services in the community.”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri HCBS Statewide Transition Plan - 07/25/2016

“Missouri administers 10 Home and Community-Based Waivers through the single State Medicaid agency, the Department of Social Services, MO HealthNet Division (MHD). The day-to-day operation of the waivers is through formal cooperative agreements with the Missouri Department of Mental Health (DMH) and the Missouri Department of Health and Senior Services (DHSS). The Department of Health and Senior Services and the Department of Mental Health are the operational entities for the waivers. Missouri Medicaid Audit and Compliance (MMAC) is the unit within the Department of Social Services (DSS) charged with administering and maintaining Medicaid Title XIX audit and compliance initiatives, including utilization of Medicaid services and provider enrollment functions. MMAC will participate in the transition plan as described below.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO DoE ESEA Flexibility Request Approval - 06/08/2015

The Missouri Department of Secondary and Elementary Education's ESEA flexibility request was approved on June 29, 2012.

Systems
  • Department of Education
Topics
  • Home and Community Based Services (HCBS)
Citations

Missouri HCSB Transition Plan - 03/01/2014

In March 2014, the Center for Medicaid and Medicare Services (CMS) published a final rule regarding changes to Home and Community Based Waiver Services (HCBS Waiver). The rule defines home and community based settings and person-centered planning requirements in Medicaid HCBS Waiver programs. The rule requires demonstration of how state’s HCBS Waiver programs comply with the federal HCBS rules.   Missouri’s draft transition plan incorporates all HCBS Waivers administered by Department of Health and Senior Services (DHSS), Department of Mental Health (DMH), and Department of Social Services (DSS). The purpose of Missouri’s draft transition plan is to ensure that individuals receiving HCBS Waiver services are integrated and have access to supports in the community, including:    • opportunities to seek employment,    • work in competitive integrated settings,    • engage in community life,    • and control personal resources.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO Partnership for Hope Waiver (0841.R00.00) - 10/01/2013

The purpose of the Partnership for Hope waiver is to prevent or delay of institutional services for individuals who require minimal services in order to continue living in the community. The waiver will offer prevention services to stabilize individuals primarily living with family members who provide significant support, but are not able to meet all of the individual's needs. Goals To increase access to waiver services for children and adults at the local level in participating counties.    Objectives The objectives of the waiver are: 1) to increase the capacity of the State to meet the needs of individuals at risk of institutionalization who require minimal supports to continue living in integrated community settings; 2) to partner with local County Boards through Intergovernmental Agreements in the administration and funding of waiver services; and 3) to implement preventive services in a timely manner in order that eligible participants may continue living in the community with their families.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri Developmental Disabilities Waiver Manual - 07/01/2012

“The Missouri Department of Mental Health's Division of Developmental Disabilities (Division of DD) administers five Medicaid Home and Community Based (HCB) Waiver programs for individuals with developmental disabilities. The five waivers are the Comprehensive Waiver; Missouri Children with Developmental Disabilities Waiver (MOCDD or Lopez Waiver); Support Waiver; Partnership for Hope Waiver (PfH); and Autism Waiver.” This manual includes information on employment, on the job training and other pre-vocational services for people with disabilities.

Systems
  • Medicaid Agencies
Topics
  • Self-Employment
  • Mental Health

MO Div of Developmental Disabilities Community Support (0404.R03.00) - 07/01/2011

 

“Provides community employment, in home respite, job preparation, personal assistant, assistive technology, behavior analysis service, co-worker supports, communication skills instruction, community specialist services, counseling, crisis intervention, environmental accessibility adaptations-home mods, independent living skills development, job discovery, OT, out of home respite, person centered strategies consultation, PT, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/ID Developmental Disabilities ages 0 - no max age.”

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO MR Developmental Disabilities Comprehensive (0178.R06.00) - 07/01/2011

 

“Provides community employment, day service, group home, in home respite, individualized supported living, job preparation, personal assistant, assistive technology, behavior analysis service, communication skills instruction, community specialist services, community transition, counseling, crisis intervention, environmental accessibility adaptations, host home, job discovery, OT, out of home respite, PT, positive behavior support, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/MR Developmental Disabilities ages 0 - no max age.”

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

States - Phablet

Snapshot

The Show Me State is expanding its efforts to deliver competitive, integrated employment options for individuals with disabilities through innovative strategies that propel Missouri's model, "Close to Home, Far from Ordinary."

State VR Rates and Services

A list of services offered by this state’s Vocational Rehabilitation agency, along with the standard rates paid for the performance of those services.

PDF icon Missouri’s VR Rates and Services

2016 State Population.
0.15%
Change from
2015 to 2016
6,093,000
2016 Number of people with disabilities (all disabilities, ages 18-64).
1.06%
Change from
2015 to 2016
468,140
2016 Number of people with disabilities who are employed (all disabilities, ages 18-64).
0.41%
Change from
2015 to 2016
164,243
2016 Percentage of working age people who are employed (all disabilities).
-0.68%
Change from
2015 to 2016
35.08%
2016 Percentage of working age people who are employed (NO disabilities).
0.48%
Change from
2015 to 2016
79.16%

State Data

General

2016
Population. 6,093,000
Number of people with disabilities (all disabilities, ages 18-64). 468,140
Number of people with disabilities who are employed (all disabilities, ages 18-64). 164,243
Number of people without disabilities who are employed (ages 18-64). 2,521,381
Percentage of working age people who are employed (all disabilities). 35.08%
Percentage of working age people who are employed (NO disabilities). 79.16%
Overall unemployment rate. 4.50%
Poverty Rate (all disabilities). 22.30%
Poverty Rate (NO disabilities). 12.60%
Number of males with disabilities (all ages). 426,359
Number of females with disabilities (all ages). 447,737
Number of Caucasians with disabilities (all ages). 729,010
Number of African Americans with disabilities (all ages). 104,789
Number of Hispanic/Latinos with disabilities (all ages). 21,980
Number of American Indians/Alaska Natives with disabilities (all ages). 7,155
Number of Asians with disabilities (all ages). 4,876
Number of Hawaiians/Pacific Islanders with disabilities (all ages). 1,009
Number of with multiple races disabilities (all ages). 22,891
Number of others with disabilities (all ages). 4,366

 

SSA OUTCOMES

2016
Number of SSI recipients with disabilities who work. 7,496
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 5.60%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 217,590

 

MENTAL HEALTH OUTCOMES

2016
Number of mental health services consumers who are employed. 6,268
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 11,390
Number of adults served who have a known employment status. 42,204
Percentage of all state mental health agency consumers served in the community who are employed. 14.90%
Percentage of supported employment services evidence based practices (EBP). 1.00%
Percentage of supported housing services evidence based practices (EBP). N/A
Percentage of assertive community treatment services evidence based practices (EBP). 1.30%
Percentage of medications management evidence based practices (EBP). N/A
Number of evidence based practices (EBP) supported employment services. 500
Number of evidence based practices (EBP) supported housing services. N/A
Number of evidence based practices (EBP) assertive community treatment services. 684
Number of evidence based practices (EBP) medications management. N/A

 

WAGNER PEYSER OUTCOMES

2015
Number of registered job seekers with a disability. 5,450
Proportion of registered job seekers with a disability. 0.02

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2015
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 7,016
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 2,948
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 42.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 48.46

 

VR OUTCOMES

2017
Total Number of people served under VR.
N/A
Number of people with visual impairments served under VR. N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. N/A
Number of people with physical impairments served under VR. N/A
Number of people cognitive impairments served under VR. N/A
Number of people psychosocial impairments served under VR. N/A
Number of people with mental impairments served under VR. N/A
Percentage of overall closures into employment under VR. N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 8,353
Number of eligible ticket to work beneficiaries. 313,618
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A
Total number of ID competitive labor market closures. N/A

 

IDD OUTCOMES

2015
Dollars spent on day/employment services for integrated employment funding. $5,578,000
Dollars spent on day/employment services for facility-based work funding. $0
Dollars spent on day/employment services for facility-based non-work funding. $42,056,000
Dollars spent on day/employment services for community based non-work funding. $20,445,000
Percentage of people served in integrated employment. 10.00%
Number of people served in community based non-work. 4,027
Number of people served in facility based work. 0
Number of people served in facility based non-work. 3,744
Number supported in integrated employment per 100,000 individuals in the general state population. 9.90

 

EDUCATION OUTCOMES

2015
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 57.59%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 8.76%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 3.61%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 88.29%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 25.55%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 60.89%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 65.90%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 31.34%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 1,683,499
Number of overall total blind and SD workers. 1,704
Number of AbilityOne blind and SD hours (products). 129,942
Number of AbilityOne blind and SD hours (services). 245,601
Number of AbilityOne blind and SD hours (combined). 372,429
Number of AbilityOne blind and SD workers (products). 220
Number of AbilityOne blind and SD workers (services). 335
Number of AbilityOne blind and SD workers (combined). 555
AbilityOne wages (products). $1,055,603
AbilityOne wages (services). $3,245,518

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2017
Number of 14(c) certificate-holding businesses. 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 95
Number of 14(c) certificate holding patient workers. 3
Total Number of 14(c) certificate holding entities. 98
Reported number of people with disabilities working under 14(c) certificate-holding businesses. 0
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). 7,487
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 237
Total reported number of people with disabilities working under 14(c) certificate holding entities. 7,724

 

WIOA Profile

WIOA Profile

 

The material cited below is taken directly from each state’s plan for WIOA implementation. These sections of the state plan were selected because of their relevance to youth and adults with disabilities. However, all programs and services under WIOA must be physically and programmatically accessible to individuals with disabilities.

Employment First State Leadership Mentoring Program/Employment First Initiative

Division of Developmental Disabilities has a statewide employment initiative, Employment First, for working age citizens with disabilities. Employment services include job preparation, job discovery, and community employment in a competitive integrated work setting that may include ongoing supports. The Division of Behavioral Health provides employment services to individuals with mental illnesses, histories of substance abuse, and/or criminal backgrounds. Clinical and vocational employment services are integrated through state–wide partnerships to help individuals who are interested in employment participate in the competitive labor market with the appropriate level of supports and services to be successful. RSB will continue to partner and collaborate with DMH programs in the delivery of employment services. (Page 244-245)

Customized Employment

VR’s workforce development activities are designed to assist individuals with disabilities in obtaining, maintaining, or advancing in competitive integrated employment. These activities include assessments, vocational guidance and counseling, job preparation activities, which can include disability awareness, resume writing, interviewing skills. Additionally, VR provides eligible individuals with training (OJT, apprenticeships, customized employment, funding for community colleges, universities).  (Page 47)

RSB has developed relationships with several employers across the state communicating directly with HR staff on employment needs, identify customized employment opportunities, and provide disability/blindness awareness and sensitivity training. Outreach activities have resulted in competitive integrated employment outcomes and work experience opportunities, both paid and unpaid, for youth and students with disabilities and adult clients. (Page 48)

MVR continually reviews its strategies to develop new employer relationships and support those who employ persons with disabilities. Some of its flexible strategies include increasing work–based learning opportunities, on–the–job training, internships and customized employment. (Page 182)

  • SE Services –– The nature of the service itself requires intensive one–on–one job training. Services are provided by CRPs and include job development, job coaching, natural supports, task analysis and assessment, counseling and advocacy services and customized employment. Usually, SE services will not exceed nine months, but MVR can provide up to 24 months of community–based job training. (Page 197)

Provide training opportunities to include the provision of pre–employment transition services and customized employment services. (Page 267)

Supported employment services are available not only to individuals after leaving their secondary education program, but to students whose IEP and IPE include these services as part of their transition plan and whose school district signs a cooperative work experience program agreement with RSB.  (Page 275)

RSB has developed relationships with several employers across the state communicating directly with HR staff on employment needs, identify customized employment opportunities, and provide disability/blindness awareness and sensitivity training. Outreach activities have resulted in competitive integrated employment outcomes and work experience opportunities, both paid and unpaid, for youth and students with disabilities and adult clients. (Pages 48,197)

RSB has developed relationships with several employers across the state communicating directly with HR staff on employment needs, identify customized employment opportunities, and provide disability/blindness awareness and sensitivity training. Outreach activities have resulted in competitive integrated employment outcomes and work experience opportunities, both paid and unpaid, for youth and students with disabilities and adult clients. (Page 242)

RSB has formal contract agreements with community rehabilitation providers to work with employers and assist clients with job search, job placement and customized employment opportunities. Other services include work based learning experiences, task analysis, and job coaching when needed. RSB contracts with Alphapointe Association for the Blind for an eight–week Summer Transition Employment Program (STEP) providing competitive work experience to high–school age youth. The goal is to provide each consumer with a foundation for the school–to–work transition, to enable each to practice personal independence through work and goal–setting experiences. (Pages 244, 266, 267)

Blending/ Braiding Resources

Missouri partners are committed to developing new career pathways for youth and adults with barriers to employment including individuals with disabilities. Missouri’s core partner program leaders regularly meet to collaborate on braiding services for work-based learning and education funding. Through sector strategy regional business meetings and partner engagement, Missouri will work with employers to identify opportunities and services available to assist in eliminating employment barriers. (Page 62)

Local level partners are conducting asset mapping, cross training and job shadowing to better understand each other’s services. These activities have led to collaborative practices such as co-enrollment and braiding of service funding. (Page 62)

Missouri’s core and mandatory partners will collaborate to share resources to create environments to foster partnering at the local level as well as maintain resource allocations that keep existing partnerships at the local level. Specific examples include: As part of their services to individuals with disabilities, VR may provide funding for post-secondary training. As partners seek to co-enroll their customers, this will provide opportunity for leveraging of these resources through braiding of both educational dollars, as well as supportive services to ensure the customer’s success. VR also provides guidance and counseling to the job seekers, to insure that access to comparable services funding is achieved, whether through partner agencies or through Federal funding, such as the Pell grant. (Page 87)

Missouri will improve the outcomes for out-of-school youth by ensuring the 14 elements allowed under WIOA are met through a braiding of partner resources which will best meet each individuals need. The 14 program elements will be available to OSY participants, and will be funded with WIOA title I youth funds or leveraged partner resources. An agreement will be established with the partner to offer the program element and ensure that the activity is connected and coordinated with the WIOA youth program. (Page 135)

SECTION 116 OF WIOA. The Missouri workforce development system comprised of all core WIOA partners has developed a Memorandum of Understanding on the implementation of WIOA and creating the partnerships to begin developing common referrals, the braiding of services, and data sharing. These collaborative efforts will enhance access for individuals with disabilities and improve performance for all partners. Performance accountability measures under section 116 of WIOA are new to vocational rehabilitation and have not yet been measured. RSB met all required federal performance indicators during the past two years prior to WIOA. RSB will apply the same quality of service utilized in meeting those indicators to achieve the new performance measures and provide that level of quality while moving forward. (Page 267)

DEI/DRC

No disability specific information found regarding this element.

Competitive Integrated Employment

No disability specific information found regarding this element.

Financial Literacy /Economic Advancement

Months, but can remain in the program for the life of the grant program (…in this case, six years). One adult must be working from the household. The family must make deposits monthly into their savings accounts, and they must attend financial literacy programs covering such topics as home ownership, economic education, career guidance, micro–enterprise development, etc. Successful IDA’s provide a great ‘return on investment’ by transforming a small contribution and hard work into a much larger payoff. Participants invest their IDA funds into their local communities, increase their incomes and become more self–sufficient. (Not disability specific but could be)  (Page 318)

School to Work Transition

MVR is collaboratively funding Disability Benefits 101 with DMH’s Division of Behavioral Health Services. Missouri Rehabilitation Services for the Blind. (Page 173)

  • Provided cross training with local CILs to include information regarding benefits planning; and
  • Is currently working in collaboration with DMH’s Division of Developmental Disabilities to provide cross training with MVR counselors and IDD case managers regarding their respective services. (Page 176)

Additional partnering activities include the sponsoring of an employment summit with the Missouri Coalition for Community Behavioral Healthcare to facilitate clinical integration of behavioral health and community employment efforts and MVR’s and DMH–DBH’s co–funding of the customized Missouri benefits planning website DB101. (Page 184)

MVR has statewide and regional specialists that have had extensive training and experience in their area of expertise, e.g., business specialists, mental health, autism, assistive technology, AgrAbility, benefits planning, brain injury, hearing impairments, vision impairments, learning disabilities and self–employment. These specialists are available to provide direct assistance to clients as well as consultation with counselors. All counselors, regardless of their tenure, have the opportunity to work with a mentor who has expertise and experience in an area that is of interest to them. (Pages 190,  232)

Recipients of SSI/SSDI who also receive other benefits from the DSA (Pages 255)

Career Pathways

Prepare for, obtain, maintain, advance in, or re–enter competitive integrated employment, including supported or customized employment. Extended services may be provided to youth with the most significant disabilities for a period not to exceed four years.

Supported employment services are available not only to individuals after leaving their secondary education program, but to students whose IEP and IPE include these services as part of their transition plan and whose school district signs a cooperative work experience program agreement with RSB. (Page 275)

RSB has one Job Development Specialist that works directly with employers to develop relationships and identify clients from various offices to meet employer needs. This position serves on several committees including the St. Louis Deafblind Taskforce, St. Louis County Disability Resource Committee, Employment Liaison Committee, Employment Working Group for Immigrants and refugees, St. Louis Transition Council, St. Louis Special School District Agency Collaborative, and the Urban League. This position receives and distributes job postings to VR staff and assists clients in the development of business plans required for self –employment vocational goals. (Page 48)

Research verifies that pathways from school to work or secondary to post–secondary education can be more difficult for individuals with disabilities therefore the need for transition career services and pre–employment transition services is great. (Page 202)

RSB has partnered with Lighthouse for the Blind and Alphapointe Association for the Blind through a contractual relationship to provide intensive specialized prevocational skills training to youth with disabilities who are blind or visually impaired. Lighthouse for the Blind’s summer program delivers a residential program for students who plan to live independently and seek competitive integrated employment or attend a vocational training program or college upon graduation from high school. Alphapointe offers an eight–week program providing competitive work experience to high–school age youth. The goal is to provide each consumer with a foundation for the school–to–work transition. (Pages 234)

Establishment of a task force on blind student academic and vocational performance to "develop goals and objectives to guide the improvement of...transition from school to work, rehabilitation services, independent living, and employment outcomes for eligible students.” Members are appointed by the Commissioner of Education in cooperation with the Director of the Department of Social Services (RSB’s parent agency).  (Page 23, 244, 49)

Work Incentives & Benefits

Occupational projections predict the number of workers needed in different educational and skill levels. In Missouri, the projections support the need for workers at all different skill and education levels. Through sector strategies, career pathways can minimize skills gaps since they are validated with the businesses in the area, leading to the success of the workforce. (Page 43)

Through sector strategies, partnerships between all parties within the workforce system are formed. Career pathways are developed through the collaboration of employers, the education system, and workforce system. Within the career pathways, an individual has multiple entry and exit points based on current skills and knowledge, as well as the person’s willingness and capacity to continue to learn on the job, or through formal classroom education and/or training programs. The continued efforts of all WIOA partners ensure that all eligible persons, including those with disabilities, obtain skills to become or remain employed in high-demand, well-paid occupations. (Page 44)

Special education, as determined by the eligible agency; Secondary school credit Integrated education and training; Career pathways; Concurrent enrollment; Peer tutoring and; Transition to re–entry initiatives and other post release services with the goal of reducing recidivism. (Page 47)

Missouri partners are committed to developing new career pathways for youth and adults with barriers to employment including individuals with disabilities. Missouri’s core partner program leaders regularly meet to collaborate on braiding services for work-based learning and education funding. Through sector strategy regional business meetings and partner engagement, Missouri will work with employers to identify opportunities and services available to assist in eliminating employment barriers. (Page 62)

  • In addition to training services, the Title I & Title IV partners have work based programs such as on-the-job training and work experience which offer the customers the opportunity to combine education, training and employment services. VR & Rehabilitation Services for the Blind supports career pathways by providing a variety of services to students, youth and adults with disabilities. (Page 75)

MVR is involved in sector strategies planning at the local and state levels to address skills gaps and create career pathways to better serve employers with their individual needs and to provide them with prepared candidates. It has been forming employment collaboratives at the local levels to ensure employers receive the best possible delivery of services. MVR will work with businesses to ensure they have resources for necessary workplace accommodations and rehabilitation technology. (Page 183)

Employer Engagement

Section identified but no detailed information specifically addressing disability focused implementation. (Page 283)

511

Establishment of a task force on blind student academic and vocational performance to "develop goals and objectives to guide the improvement of...transition from school to work, rehabilitation services, independent living, and employment outcomes for eligible students.” Members are appointed by the Commissioner of Education in cooperation with the Director of the Department of Social Services (RSB’s parent agency). (Page 237)

Mental Health

Describe how the one-stop delivery system (including one-stop center operators and the one-stop delivery system partners), will comply with section 188 of WIOA (if applicable) and applicable provisions of the Americans with Disabilities Act of 1990 (42 U.S.C. 12101 et seq.) with regard to the physical and programmatic accessibility of facilities, programs, services, technology, and materials for individuals with disabilities (sic). This also must include a description of compliance through providing staff training and support for addressing the needs of individuals with disabilities. Describe the State’s one-stop center certification policy, particularly the accessibility criteria.

Missouri has a committee to specifically focus on one-stop certification criteria. The committee has established the criteria for certification, including accessibility. This committee includes representatives from Vocational Rehabilitation, Rehabilitation Services for the Blind and the Centers for Independent Living (CILs) who will assist with training and technical assistance to ensure accessibility of facilities, programs, services, technology and materials for individuals with disabilities. Accessibility criteria for certification includes the accessibility requirements contained with Section 188; policy review, adaptive technology equipment availability, emergency procedures, (Pages 114)

Policies and Initiatives

Displaying 11 - 20 of 75

Community Transitions Manual for Support Coordinators and Community Coordinators - 02/19/2017

~~“MFP EligibilityIndividuals who transition from a Habilitation Center or nursing home may be eligible for MFP. MFP is a demonstration grant that supports efforts to:• Provide Medicaid eligible individuals the choice of where they live and receive services;• Allow qualified individuals living in nursing facilities or Habilitation Centers to move to the community; and• Promote a system that is person-centered, based on needs, and ensures high-quality services in the community.”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

“Empowering through Employment” - 01/24/2017

~~“The Empowering Through Employment initiative is designed to increase the number of individuals receiving employment supports and services.  This initiative has an established goal of 35% of all individuals receiving waiver services to have employment supports authorized and available for their use.  Empowering Through Employment has been deemed a priority based upon the gap between the percentage of Missourians with intellectual/developmental disabilities (I/DD) accessing employment services as compared to other day services. Missouri is focused on becoming one of the high performing states and ensuring that Missourians with I/DD have the same opportunities as other individuals.”

Systems
  • Department of Mental Health
Topics
  • Home and Community Based Services (HCBS)

Missouri Department of Mental Health Legislator Briefing “Mental Health Highlights and Issues" - 01/01/2017

~~“In October 2016, DD announced a goal to increase the utilization of employment services for individuals between the ages of 16 and 64. This new initiative, called Empowering through Employment, is a statewide effort involving the division’s regional offices, support coordination providers and employment service providers to get 3,700 more Missourians into employment services. This increase would mean that 35% of Missourians are accessing employment services (which mirror what is occurring in other states).”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities

Part B Compliance - 01/01/2017

~~“THE STATE COMPLIANCE PLAN FOR SPECIAL EDUCATION is being revised during the 2016-17 school year to reflect updates in the Every Student Succeeds Act (ESSA), provide clarification on a number of issues, and make substantive changes based on research and OSEP guidance. Proposed changes in both a summary chart and a mark-up of the proposed plan are posted on the DESE website at https://dese.mo.gov/special-education/state-plan-special-education  . The Public comment period ended on January 6, 2017. All comments received will be reviewed and a decision made to accept, accept with revisions, or reject the comment. A summary of the comments and decision will be posted on the website after January 24, 2017. The proposed plan will be presented to the State Board of Education during their February meeting.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Proposed Part B State Plan Changes for 2017 “Transition Services” - 01/01/2017

~~“A. beginning not later than the first IEP to be in effect when the child is sixteen (16), or younger if determined appropriate by the IEP team, and updated annually thereafter appropriate measurable postsecondary goals based upon age appropriate transition assessments related to training, education, employment, and, where appropriate, independent living skills; the transition services (including courses of study) needed to assist the child in reaching those goals, andB. beginning not later than one year before the student reaches age eighteen (18), a statement that the child has been informed of his or her rights under Part B of IDEA and that those rights will transfer to the student upon reaching the age of majority. “ 

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Equal Opportunity Demographics - 01/01/2017

~~“The Missouri Interagency Transition Team (MITT) established to increase collaboration at the state, regional and local levels with the shared vision of improving employment, independent living, and postsecondary outcomes for Missouri students with disabilities.• Show-Me Careers, a consortium of state agencies focused on supporting the seamless transition from school to inclusive employment or post-secondary education for youth and young adults ages 16-30 with intellectual and developmental disabilities.• A regional annual Accommodation for Success event in the St. Louis area to help businesses recruit and employ individuals with disabilities.”

Systems
  • Department of Workforce Development
Topics
  • School-to-Work Transition

Greater Kansas City - Disability Mentoring Day - 10/26/2016

“Join us for the 12th anniversary of Kansas City Disability Mentoring Day Events. Disability Mentoring Day promotes employment opportunities for all job seekers and students with disabilities through information and career exploration. As a person pursuing employment, this event gives you an excellent opportunity to: • •Increase and enhance your job readiness skills • •Network with employers to learn about different types of careers • •Visit with service organizations, providers, and government agencies to learn how they can help you in your job search • •Learn how to advocate for yourself”

Systems
  • Department of Workforce Development

Toward a Successful Transition: A Checklist for the First 21 Years - 09/01/2016

“To Parents of Children with Developmental Disabilities . . . It is our hope that as parents you will always consider yourselves the experts on your child. We hope that as you seek information, help and guidance you will see your child in “people first” terms—initially as a baby to love and nurture, then as a child to raise for as independent a life as he or she can attain. Whatever the disability involved, remember it is only a part of your child’s individuality. Build on his or her strengths. High expectations are a keynote in a family’s daring to act bravely and creatively.

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Missouri HCBS Statewide Transition Plan - 07/25/2016

“Missouri administers 10 Home and Community-Based Waivers through the single State Medicaid agency, the Department of Social Services, MO HealthNet Division (MHD). The day-to-day operation of the waivers is through formal cooperative agreements with the Missouri Department of Mental Health (DMH) and the Missouri Department of Health and Senior Services (DHSS). The Department of Health and Senior Services and the Department of Mental Health are the operational entities for the waivers. Missouri Medicaid Audit and Compliance (MMAC) is the unit within the Department of Social Services (DSS) charged with administering and maintaining Medicaid Title XIX audit and compliance initiatives, including utilization of Medicaid services and provider enrollment functions. MMAC will participate in the transition plan as described below.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Governor’s Council on Disability Employment Position Paper - 05/01/2016

“The Governor’s Council on Disability (GCD) recognizes that employment is a life defining activity/event for each of us, disabled or not. Employment provides income, a sense of belonging, mental and tangible benefits to a human, and status. As such, it is the position of the Governor’s Council that employment policies, practices, and implementation be inclusive and competitive"

Systems
  • Other
Topics
  • Employer Engagement
  • Provider Transformation
Displaying 1 - 3 of 3

SB66, Payment of temporary total disability or temporary partial disability benefits shall be paid throughout the rehabilitative process - 07/05/2017

“Temporary total disability or temporary partial disability benefits shall be paid throughout the rehabilitative process until the employee reaches maximum medical improvement, unless such benefits are terminated by the employee’s return to work or are terminated as otherwise specified in this chapter.

 

The permanency of the employee’s disability under sections 287.170 to 287.200 shall not be established or adjudicated while the employee is participating in rehabilitation services.

 

Refusal of the employee to accept rehabilitation services or submit to a vocational rehabilitation assessment as deemed necessary by the employer shall result in a fifty percent reduction in all disability payments to an employee, including temporary partial disability benefits paid pursuant to section 287.180, for each week of the period of refusal.”

Systems
  • Other
Topics
  • 14(c)/Income Security

Missouri SB 43, Modifying the Missouri Human Rights Act - 06/30/2017

“AN ACT To repeal sections 213.010, 213.040, 213.050, 213.055, 213.065, 213.070, 213.075, 213.101, and 213.111, RSMo, and to enact in lieu thereof ten new sections relating to unlawful discriminatory practices.”

 

It modifies the Missouri Human Rights Act. 

Systems
  • Other
Topics
  • Employer Engagement

Missouri SB 174 - 06/29/2015

"There is hereby created the 'Missouri Achieving a Better Life Experience [ABLE] Program'".

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

No Executive Orders have been entered for this state.

Displaying 11 - 18 of 18

MO Division of Developmental Disabilities Individual Support Plan Guidelines - 07/01/2014

The Division of Developmental Disabilities requires that each individual eligible for Division Supports have an Individual Support Plan. Individuals, their families, providers and facilitators who write plans in cooperation with all individuals receiving supports from the Division shall use this guide. Individual support planning encourages a team approach to involve the individual and community networks in planning for the future. The process involves developing a vision for the future, while coordinating resources and supports to make the vision a reality.   The Center for Medicare and Medicaid Supports (CMS) outcome for “participant-centered support planning and delivery” clarifies: “Supports are planned and effectively implemented in accordance with each participant’s unique needs, expressed preferences and decisions concerning his/her life in the community.”   The Individual Support Plan is an investment in an individual’s life and is driven by the individual, what is important to them as designed through outcomes identified in the support plan.
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Missouri DMH Employment Supports Guide - 07/05/2012

This guide includes information on the employment supports provided by the Missouri Department of Mental Health. It contains the service, a description, guidance, and the name of the affiliated agency and funding source.

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • Customized Employment
  • Mental Health

Division of Developmental Disabilities Employment First Policy - 01/01/2011

This policy establishes community integrated employment services and supports as the first service option and primary outcome for individuals (both youth and adults.) It also establishes employment planning (Career Planning) and supports as priorities to explore with all working adults who receive services in order to ensure that supports, services, and outcomes are consistent with what the person is seeking.

Each individual will be supported to pursue his or her own unique path to work, a career, and his or her contribution to/participation in community life. All individuals, regardless of the challenge of their disability, will be afforded an opportunity to pursue employment. Career planning, including job exploration and on-going person focused self discovery, is critical when assisting individuals in making informed choices about their future careers.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Segregated Day & Employment Services
  • Cross-Agency Collaboration / Partnerships

Missouri Developmental Disabilities Council position on employment and sub-minimum wage

“In partnership with others, the MODDC will promote competitive, community based employment which we define as: jobs that occur in the community for at least minimum wage, at typical community businesses where employees with and without disabilities work in close proximity to each other, and have the same benefits, responsibilities and expectations.  The MODDC believes that all people who want to work can work with the right supports.  That all people have a responsibility to share their abilities, strengths and talents with others in the community, to make their community a better place.”

Systems
  • Other
Topics
  • 14(c)/Income Security

Governor’s Council on Disability 2016 Annual Report

~~“EMPLOYMENT INITIATIVESGCD continues to provide support to the Business Leadership Network (BLN) which is an employer driven endeavor to promote best practices in disability employment. In Missouri, there are two regional locations: 1) St. Louis region—Greater St. Louis Business Leadership Network (STLBLN)—that covers Greater St. Louis region and eight of the Southern Illinois counties; and 2) Kansas City region—Greater Kansas City BLN (GKCBLN)—which covers the western Missouri and eastern Kansas area; and 3) Springfield BLN. Springfield is the newest BLN in the state and is currently building its infrastructure.” 

Systems
  • Other
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

MO Adult Learning/Rehabilitation Services - VR Providers

This website provides information on Missouri Vocational Rehabilitation services for people with disabilities with links to important, relevant resources.

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • Customized Employment
  • Mental Health

MO HealthNet Eligibility

 

“In response to concerns raised by Pilot Communities, the Division of DD and the Family Support Division within Social Services developed a new protocol allowing the Medicaid application to be submitted up to 90 days prior to a student’s 18th birthday. This will reduce gaps and delays in services at the time of transition.”

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition

MO Division of Developmental Disabilities - Employment First

 

“The Division of Developmental Disabilities is committed to enhancing community employment options for persons with developmental disabilities. The guiding principle of Employment First is that all individuals who want to work can work and contribute to their community when given opportunity, training, and supports that build upon their unique talents, skills and abilities.”

“Everyone of working age, and those supporting them, should consider employment as the first option prior to any other service options. As fully participating members of their community, individuals with developmental disabilities will be afforded the opportunity to earn a living wage and engage in work that makes sense to them. Career exploration and planning will be supported when assisting individuals in making informed choices in designing their unique pathway to increased independence, integration, inclusion, productivity, self-determination.”

 
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships
Displaying 11 - 18 of 18

Missouri Association of County Developmental Disabilities Services - 06/01/1979

The Missouri Association of County Developmental Disabilities Services (MACDDS) is a leader in local initiatives for people with developmental disabilities. The organization is comprised of 56 county boards (including the City of St. Louis), and 8 Related Private Organizations, that provide local services for people with developmental disabilities. MACDDS is dedicated to ensuring quality community supports are available for people with developmental disabilities.   MACDDS believes having local people solving local issues results in the best services for individuals with developmental disabilities. MACDDS works to assure services and supports for people with developmental disabilities continue to be planned and carried out at the local level.  
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Connections Career Development & Planning Program - 06/01/1971

 

“Missouri Connections is a comprehensive, online, career development and planning program that is provided free of charge to all Missouri citizens. Funded by the Missouri Department of Elementary and Secondary Education and the Missouri Division of Workforce Development, this program supports the career development efforts of schools, community organizations, and adult job seeker programs. Missouri Connections helps individuals learn about their talents, skills, and interests and makes the connection between planning for continued education and the work world.”

 
Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition

Missouri Developmental Disabilities Council Asset Development and Financial Education Initiative

“Persons with disabilities have a higher percentage of people who live in poverty than any other minority group in the country.  Missouri ranks in the bottom third of all states in the understanding of financial supports that assist persons with disabilities in working their way out of poverty.  Benefits planning and employment are just two pieces in this puzzle, the other pieces are asset development and financial education, therefore, the Missouri DD Council is partnering with the TACE, Region 7/University of MO-School of Health Professionals to promote Asset Development and Financial Education for persons with disabilities in our state by offering a variety of opportunities to learn more about this important piece of the puzzle and help people with disabilities learn more about asset development and financial education.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Missouri Interagency Transition Team

~~“The Missouri Interagency Transition Team (MITT) formed in 2007 by the Office of Special Education at the Missouri Department of Elementary & Secondary Education to increase interagency collaboration at the state, regional, and local levels. This state transition team has met quarterly to address data-driven goals for improvement and collaboration with the shared vision of improving employment, independent living, and postsecondary education outcomes for Missouri students with disabilities.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Missouri VR Connection

VR specializes in employment and training services that can assist you in becoming employed. A VR counselor will determine your eligibility for services. To be eligible, you need to have a physical or mental impairment that causes problems with working and need VR services to be successfully employed. Once eligible, you will work with a counselor who will help you develop a plan for your rehabilitation. We will give you vocational information and guidance allowing you to make informed choices about your vocational plan.   VR offers a wide range of services that are individualized for your needs. You and your counselor decide which services will help you become employed. Some of the services that may be available are:    • Guidance and Counseling    • Job-Seeking Skills and Job Placement    • Vocational Training   VR also provides assistance with Transition Services, Supported Employment Services,Assistive Technology Services, and the Ticket to Work Program  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Missouri State Chapter of ASPE

APSE-MO is the Missouri State Chapter of APSE The Association of People Supporting Employment First, a national organization committed to improving and expanding integrated employment opportunities, services, and outcomes for people experiencing disabilities. APSE-MO invites individuals with disabilities, their families, employment providers, funders, employers and others to join with us in making community employment a reality for ALL people with disabilities.

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Show Me Careers: Missouri's Transition-to-Employment Collaborative

 

“The Show-Me-Careers project targets youth ages 16-30 with I/DD who are transitioning from secondary or post-secondary educational settings to community employment. Show-Me-Careers is funded by the Administration on Intellectual and Developmental Disabilities and is one of eight grants awarded to state consortiums aimed at improving existing state systems to increase competitive employment outcomes for youth and young adults with I/DD.”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement

Missouri State Employment Leadership Network

The Missouri DD Council is partnering with the Missouri Department of Mental Health, Division of Developmental Disabilities, in bringing the State Employment Leadership Network (SELN) to Missouri.  This is a project started by the Institute for Community Inclusion out of Boston, Massachusetts.  SELN brings together state developmental disability agencies for sharing, educating and providing guidance on practices and policies around employment to its members. It is also an opportunity for the Division of Developmental Disabilities and other Missouri governmental agencies to evaluate their policies and procedures as they relate to assisting persons with developmental disabilities to become employed.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships
Displaying 11 - 12 of 12

MO Ticket to Work - 06/01/1999

The Ticket to Work and Work Incentive Act of 1999 established an employment program for people who want to go to work that receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits.  The program was designed to remove barriers that kept people with disabilities from choosing to work for fear of losing health care coverage.  The Ticket to Work program is voluntary, and it increases opportunities and choices for Social Security (SS) disability beneficiaries to obtain employment, vocational rehabilitation, and other support services from public and private providers, employers, or other organizations.  SS provides a ticket to disability benefits to use in obtaining services and jobs through Missouri Vocational Rehabilitation or from an approved Employment Network.  Though SS has the overall program authority, MAXIMUS, Inc. serves as the program manager.

 

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Missouri SAMHSA EDI (FY 2011 & 2012)

Goal 1: To strengthen peer delivered services in Missouri by leveraging Medicaid billing for services provided by Certified Peer Specialists in Consumer Operated Services Programs (COSP).   Goal 2: To introduce and begin implementation of peer delivered Individual Placement and Supports –Supported Employment (SE) – in Consumer Operated Services Programs.   Overall conclusions: Through this project Missouri has greatly increased its value of peers. 103 have been trained specifically under this project, with more on the way.  
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging
Displaying 11 - 15 of 15

Missouri DoE Regional Professional Development Center (RPDC) Consultant

Each of the nine regions of Missouri has a Regional Professional Development Center (RPDC) Consultant who specializes in transition. These consultants provide regional and local trainings on Transition Planning and the Updated Form C, Transition Assessment, and other transition topics. They also provide a range of other consulting and continuous improvement services to meet the needs of teachers, administrators and school districts.

Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri Assistive Technology Council

Missouri Assistive Technology strives to increase access to assistive technology for Missourians with all types of disabilities, of all ages. To the right are navigation links to the programs and initiatives of MoAT.

Systems
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)

MO VR Transition Brochure

“Transition is a process young adults with disabilities, like you, go through to prepare for whatever the future might hold – further education, specialized training, employment or other options you might choose on the road to increased independence… Career planning and transition services are designed to help you prepare for your future by exploring different jobs, identifying careers interesting to you, and developing an understanding of the skills and abilities necessary to be successful.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

MO Skills to Pay the Bills

"Skills to Pay the Bills: Mastering Soft Skills for Workplace Success," is a curriculum developed by ODEP focused on teaching "soft" or workforce readiness skills to youth, including youth with disabilities. Created for youth development professionals as an introduction to workplace interpersonal and professional skills, the curriculum is targeted for youth ages 14 to 21 in both in-school and out-of-school environments. The basic structure of the program is comprised of modular, hands-on, engaging activities that focus on six key skill areas: communication, enthusiasm and attitude, teamwork, networking, problem solving and critical thinking, and professionalism.

Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

MO Writing Quality Goals, Outcomes and Action Plans

 

An overview of how to effectively create a Career Plan, establish appropriate goals and desired outcomes, and initiate an Action Plan with Discovery and Fading Supports.

 
Systems
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Employer Engagement

No Enforcement have been entered for this state.

Displaying 1 - 9 of 9

Missouri Medicaid (MO HealthNet) Independent Living Waiver - 03/01/2017

“The Missouri Independent Living Waiver (ILW) provides home and community based services for adults who are physically disabled. With assistance via this program, individuals can continue to live independently in their homes, rather than require placement in a nursing homes. Benefits include home modifications, personal care services, such as assistance with bathing, grooming, mobility, toiletry, and eating, and specialized medical equipment and supplies.”

 

“As of 2017, a single individual is allowed up to 85% of the Federal Poverty Level, which mean an applicant cannot have a monthly income more than $856. For married couples, the monthly income cannot exceed $1,150. However, Missouri does allow applicants that have an income greater than the allowable amount to “spend-down” in order to become eligible.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Community Transitions Manual for Support Coordinators and Community Coordinators - 02/19/2017

~~“MFP EligibilityIndividuals who transition from a Habilitation Center or nursing home may be eligible for MFP. MFP is a demonstration grant that supports efforts to:• Provide Medicaid eligible individuals the choice of where they live and receive services;• Allow qualified individuals living in nursing facilities or Habilitation Centers to move to the community; and• Promote a system that is person-centered, based on needs, and ensures high-quality services in the community.”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri HCBS Statewide Transition Plan - 07/25/2016

“Missouri administers 10 Home and Community-Based Waivers through the single State Medicaid agency, the Department of Social Services, MO HealthNet Division (MHD). The day-to-day operation of the waivers is through formal cooperative agreements with the Missouri Department of Mental Health (DMH) and the Missouri Department of Health and Senior Services (DHSS). The Department of Health and Senior Services and the Department of Mental Health are the operational entities for the waivers. Missouri Medicaid Audit and Compliance (MMAC) is the unit within the Department of Social Services (DSS) charged with administering and maintaining Medicaid Title XIX audit and compliance initiatives, including utilization of Medicaid services and provider enrollment functions. MMAC will participate in the transition plan as described below.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO DoE ESEA Flexibility Request Approval - 06/08/2015

The Missouri Department of Secondary and Elementary Education's ESEA flexibility request was approved on June 29, 2012.

Systems
  • Department of Education
Topics
  • Home and Community Based Services (HCBS)
Citations

Missouri HCSB Transition Plan - 03/01/2014

In March 2014, the Center for Medicaid and Medicare Services (CMS) published a final rule regarding changes to Home and Community Based Waiver Services (HCBS Waiver). The rule defines home and community based settings and person-centered planning requirements in Medicaid HCBS Waiver programs. The rule requires demonstration of how state’s HCBS Waiver programs comply with the federal HCBS rules.   Missouri’s draft transition plan incorporates all HCBS Waivers administered by Department of Health and Senior Services (DHSS), Department of Mental Health (DMH), and Department of Social Services (DSS). The purpose of Missouri’s draft transition plan is to ensure that individuals receiving HCBS Waiver services are integrated and have access to supports in the community, including:    • opportunities to seek employment,    • work in competitive integrated settings,    • engage in community life,    • and control personal resources.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO Partnership for Hope Waiver (0841.R00.00) - 10/01/2013

The purpose of the Partnership for Hope waiver is to prevent or delay of institutional services for individuals who require minimal services in order to continue living in the community. The waiver will offer prevention services to stabilize individuals primarily living with family members who provide significant support, but are not able to meet all of the individual's needs. Goals To increase access to waiver services for children and adults at the local level in participating counties.    Objectives The objectives of the waiver are: 1) to increase the capacity of the State to meet the needs of individuals at risk of institutionalization who require minimal supports to continue living in integrated community settings; 2) to partner with local County Boards through Intergovernmental Agreements in the administration and funding of waiver services; and 3) to implement preventive services in a timely manner in order that eligible participants may continue living in the community with their families.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri Developmental Disabilities Waiver Manual - 07/01/2012

“The Missouri Department of Mental Health's Division of Developmental Disabilities (Division of DD) administers five Medicaid Home and Community Based (HCB) Waiver programs for individuals with developmental disabilities. The five waivers are the Comprehensive Waiver; Missouri Children with Developmental Disabilities Waiver (MOCDD or Lopez Waiver); Support Waiver; Partnership for Hope Waiver (PfH); and Autism Waiver.” This manual includes information on employment, on the job training and other pre-vocational services for people with disabilities.

Systems
  • Medicaid Agencies
Topics
  • Self-Employment
  • Mental Health

MO Div of Developmental Disabilities Community Support (0404.R03.00) - 07/01/2011

 

“Provides community employment, in home respite, job preparation, personal assistant, assistive technology, behavior analysis service, co-worker supports, communication skills instruction, community specialist services, counseling, crisis intervention, environmental accessibility adaptations-home mods, independent living skills development, job discovery, OT, out of home respite, person centered strategies consultation, PT, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/ID Developmental Disabilities ages 0 - no max age.”

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO MR Developmental Disabilities Comprehensive (0178.R06.00) - 07/01/2011

 

“Provides community employment, day service, group home, in home respite, individualized supported living, job preparation, personal assistant, assistive technology, behavior analysis service, communication skills instruction, community specialist services, community transition, counseling, crisis intervention, environmental accessibility adaptations, host home, job discovery, OT, out of home respite, PT, positive behavior support, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/MR Developmental Disabilities ages 0 - no max age.”

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

States - Phone

Snapshot

The Show Me State is expanding its efforts to deliver competitive, integrated employment options for individuals with disabilities through innovative strategies that propel Missouri's model, "Close to Home, Far from Ordinary."

State VR Rates and Services

A list of services offered by this state’s Vocational Rehabilitation agency, along with the standard rates paid for the performance of those services.

PDF icon Missouri’s VR Rates and Services

2016 State Population.
0.15%
Change from
2015 to 2016
6,093,000
2016 Number of people with disabilities (all disabilities, ages 18-64).
1.06%
Change from
2015 to 2016
468,140
2016 Number of people with disabilities who are employed (all disabilities, ages 18-64).
0.41%
Change from
2015 to 2016
164,243
2016 Percentage of working age people who are employed (all disabilities).
-0.68%
Change from
2015 to 2016
35.08%
2016 Percentage of working age people who are employed (NO disabilities).
0.48%
Change from
2015 to 2016
79.16%

State Data

General

2016
Population. 6,093,000
Number of people with disabilities (all disabilities, ages 18-64). 468,140
Number of people with disabilities who are employed (all disabilities, ages 18-64). 164,243
Number of people without disabilities who are employed (ages 18-64). 2,521,381
Percentage of working age people who are employed (all disabilities). 35.08%
Percentage of working age people who are employed (NO disabilities). 79.16%
Overall unemployment rate. 4.50%
Poverty Rate (all disabilities). 22.30%
Poverty Rate (NO disabilities). 12.60%
Number of males with disabilities (all ages). 426,359
Number of females with disabilities (all ages). 447,737
Number of Caucasians with disabilities (all ages). 729,010
Number of African Americans with disabilities (all ages). 104,789
Number of Hispanic/Latinos with disabilities (all ages). 21,980
Number of American Indians/Alaska Natives with disabilities (all ages). 7,155
Number of Asians with disabilities (all ages). 4,876
Number of Hawaiians/Pacific Islanders with disabilities (all ages). 1,009
Number of with multiple races disabilities (all ages). 22,891
Number of others with disabilities (all ages). 4,366

 

SSA OUTCOMES

2016
Number of SSI recipients with disabilities who work. 7,496
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 5.60%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 217,590

 

MENTAL HEALTH OUTCOMES

2016
Number of mental health services consumers who are employed. 6,268
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 11,390
Number of adults served who have a known employment status. 42,204
Percentage of all state mental health agency consumers served in the community who are employed. 14.90%
Percentage of supported employment services evidence based practices (EBP). 1.00%
Percentage of supported housing services evidence based practices (EBP). N/A
Percentage of assertive community treatment services evidence based practices (EBP). 1.30%
Percentage of medications management evidence based practices (EBP). N/A
Number of evidence based practices (EBP) supported employment services. 500
Number of evidence based practices (EBP) supported housing services. N/A
Number of evidence based practices (EBP) assertive community treatment services. 684
Number of evidence based practices (EBP) medications management. N/A

 

WAGNER PEYSER OUTCOMES

2015
Number of registered job seekers with a disability. 5,450
Proportion of registered job seekers with a disability. 0.02

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2015
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 7,016
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 2,948
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 42.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 48.46

 

VR OUTCOMES

2017
Total Number of people served under VR.
N/A
Number of people with visual impairments served under VR. N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. N/A
Number of people with physical impairments served under VR. N/A
Number of people cognitive impairments served under VR. N/A
Number of people psychosocial impairments served under VR. N/A
Number of people with mental impairments served under VR. N/A
Percentage of overall closures into employment under VR. N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 8,353
Number of eligible ticket to work beneficiaries. 313,618
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A
Total number of ID competitive labor market closures. N/A

 

IDD OUTCOMES

2015
Dollars spent on day/employment services for integrated employment funding. $5,578,000
Dollars spent on day/employment services for facility-based work funding. $0
Dollars spent on day/employment services for facility-based non-work funding. $42,056,000
Dollars spent on day/employment services for community based non-work funding. $20,445,000
Percentage of people served in integrated employment. 10.00%
Number of people served in community based non-work. 4,027
Number of people served in facility based work. 0
Number of people served in facility based non-work. 3,744
Number supported in integrated employment per 100,000 individuals in the general state population. 9.90

 

EDUCATION OUTCOMES

2015
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 57.59%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 8.76%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 3.61%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 88.29%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 25.55%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 60.89%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 65.90%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 31.34%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 1,683,499
Number of overall total blind and SD workers. 1,704
Number of AbilityOne blind and SD hours (products). 129,942
Number of AbilityOne blind and SD hours (services). 245,601
Number of AbilityOne blind and SD hours (combined). 372,429
Number of AbilityOne blind and SD workers (products). 220
Number of AbilityOne blind and SD workers (services). 335
Number of AbilityOne blind and SD workers (combined). 555
AbilityOne wages (products). $1,055,603
AbilityOne wages (services). $3,245,518

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2017
Number of 14(c) certificate-holding businesses. 0
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 95
Number of 14(c) certificate holding patient workers. 3
Total Number of 14(c) certificate holding entities. 98
Reported number of people with disabilities working under 14(c) certificate-holding businesses. 0
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). 7,487
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 237
Total reported number of people with disabilities working under 14(c) certificate holding entities. 7,724

 

WIOA Profile

WIOA Profile

 

The material cited below is taken directly from each state’s plan for WIOA implementation. These sections of the state plan were selected because of their relevance to youth and adults with disabilities. However, all programs and services under WIOA must be physically and programmatically accessible to individuals with disabilities.

Employment First State Leadership Mentoring Program/Employment First Initiative

Division of Developmental Disabilities has a statewide employment initiative, Employment First, for working age citizens with disabilities. Employment services include job preparation, job discovery, and community employment in a competitive integrated work setting that may include ongoing supports. The Division of Behavioral Health provides employment services to individuals with mental illnesses, histories of substance abuse, and/or criminal backgrounds. Clinical and vocational employment services are integrated through state–wide partnerships to help individuals who are interested in employment participate in the competitive labor market with the appropriate level of supports and services to be successful. RSB will continue to partner and collaborate with DMH programs in the delivery of employment services. (Page 244-245)

Customized Employment

VR’s workforce development activities are designed to assist individuals with disabilities in obtaining, maintaining, or advancing in competitive integrated employment. These activities include assessments, vocational guidance and counseling, job preparation activities, which can include disability awareness, resume writing, interviewing skills. Additionally, VR provides eligible individuals with training (OJT, apprenticeships, customized employment, funding for community colleges, universities).  (Page 47)

RSB has developed relationships with several employers across the state communicating directly with HR staff on employment needs, identify customized employment opportunities, and provide disability/blindness awareness and sensitivity training. Outreach activities have resulted in competitive integrated employment outcomes and work experience opportunities, both paid and unpaid, for youth and students with disabilities and adult clients. (Page 48)

MVR continually reviews its strategies to develop new employer relationships and support those who employ persons with disabilities. Some of its flexible strategies include increasing work–based learning opportunities, on–the–job training, internships and customized employment. (Page 182)

  • SE Services –– The nature of the service itself requires intensive one–on–one job training. Services are provided by CRPs and include job development, job coaching, natural supports, task analysis and assessment, counseling and advocacy services and customized employment. Usually, SE services will not exceed nine months, but MVR can provide up to 24 months of community–based job training. (Page 197)

Provide training opportunities to include the provision of pre–employment transition services and customized employment services. (Page 267)

Supported employment services are available not only to individuals after leaving their secondary education program, but to students whose IEP and IPE include these services as part of their transition plan and whose school district signs a cooperative work experience program agreement with RSB.  (Page 275)

RSB has developed relationships with several employers across the state communicating directly with HR staff on employment needs, identify customized employment opportunities, and provide disability/blindness awareness and sensitivity training. Outreach activities have resulted in competitive integrated employment outcomes and work experience opportunities, both paid and unpaid, for youth and students with disabilities and adult clients. (Pages 48,197)

RSB has developed relationships with several employers across the state communicating directly with HR staff on employment needs, identify customized employment opportunities, and provide disability/blindness awareness and sensitivity training. Outreach activities have resulted in competitive integrated employment outcomes and work experience opportunities, both paid and unpaid, for youth and students with disabilities and adult clients. (Page 242)

RSB has formal contract agreements with community rehabilitation providers to work with employers and assist clients with job search, job placement and customized employment opportunities. Other services include work based learning experiences, task analysis, and job coaching when needed. RSB contracts with Alphapointe Association for the Blind for an eight–week Summer Transition Employment Program (STEP) providing competitive work experience to high–school age youth. The goal is to provide each consumer with a foundation for the school–to–work transition, to enable each to practice personal independence through work and goal–setting experiences. (Pages 244, 266, 267)

Blending/ Braiding Resources

Missouri partners are committed to developing new career pathways for youth and adults with barriers to employment including individuals with disabilities. Missouri’s core partner program leaders regularly meet to collaborate on braiding services for work-based learning and education funding. Through sector strategy regional business meetings and partner engagement, Missouri will work with employers to identify opportunities and services available to assist in eliminating employment barriers. (Page 62)

Local level partners are conducting asset mapping, cross training and job shadowing to better understand each other’s services. These activities have led to collaborative practices such as co-enrollment and braiding of service funding. (Page 62)

Missouri’s core and mandatory partners will collaborate to share resources to create environments to foster partnering at the local level as well as maintain resource allocations that keep existing partnerships at the local level. Specific examples include: As part of their services to individuals with disabilities, VR may provide funding for post-secondary training. As partners seek to co-enroll their customers, this will provide opportunity for leveraging of these resources through braiding of both educational dollars, as well as supportive services to ensure the customer’s success. VR also provides guidance and counseling to the job seekers, to insure that access to comparable services funding is achieved, whether through partner agencies or through Federal funding, such as the Pell grant. (Page 87)

Missouri will improve the outcomes for out-of-school youth by ensuring the 14 elements allowed under WIOA are met through a braiding of partner resources which will best meet each individuals need. The 14 program elements will be available to OSY participants, and will be funded with WIOA title I youth funds or leveraged partner resources. An agreement will be established with the partner to offer the program element and ensure that the activity is connected and coordinated with the WIOA youth program. (Page 135)

SECTION 116 OF WIOA. The Missouri workforce development system comprised of all core WIOA partners has developed a Memorandum of Understanding on the implementation of WIOA and creating the partnerships to begin developing common referrals, the braiding of services, and data sharing. These collaborative efforts will enhance access for individuals with disabilities and improve performance for all partners. Performance accountability measures under section 116 of WIOA are new to vocational rehabilitation and have not yet been measured. RSB met all required federal performance indicators during the past two years prior to WIOA. RSB will apply the same quality of service utilized in meeting those indicators to achieve the new performance measures and provide that level of quality while moving forward. (Page 267)

DEI/DRC

No disability specific information found regarding this element.

Competitive Integrated Employment

No disability specific information found regarding this element.

Financial Literacy /Economic Advancement

Months, but can remain in the program for the life of the grant program (…in this case, six years). One adult must be working from the household. The family must make deposits monthly into their savings accounts, and they must attend financial literacy programs covering such topics as home ownership, economic education, career guidance, micro–enterprise development, etc. Successful IDA’s provide a great ‘return on investment’ by transforming a small contribution and hard work into a much larger payoff. Participants invest their IDA funds into their local communities, increase their incomes and become more self–sufficient. (Not disability specific but could be)  (Page 318)

School to Work Transition

MVR is collaboratively funding Disability Benefits 101 with DMH’s Division of Behavioral Health Services. Missouri Rehabilitation Services for the Blind. (Page 173)

  • Provided cross training with local CILs to include information regarding benefits planning; and
  • Is currently working in collaboration with DMH’s Division of Developmental Disabilities to provide cross training with MVR counselors and IDD case managers regarding their respective services. (Page 176)

Additional partnering activities include the sponsoring of an employment summit with the Missouri Coalition for Community Behavioral Healthcare to facilitate clinical integration of behavioral health and community employment efforts and MVR’s and DMH–DBH’s co–funding of the customized Missouri benefits planning website DB101. (Page 184)

MVR has statewide and regional specialists that have had extensive training and experience in their area of expertise, e.g., business specialists, mental health, autism, assistive technology, AgrAbility, benefits planning, brain injury, hearing impairments, vision impairments, learning disabilities and self–employment. These specialists are available to provide direct assistance to clients as well as consultation with counselors. All counselors, regardless of their tenure, have the opportunity to work with a mentor who has expertise and experience in an area that is of interest to them. (Pages 190,  232)

Recipients of SSI/SSDI who also receive other benefits from the DSA (Pages 255)

Career Pathways

Prepare for, obtain, maintain, advance in, or re–enter competitive integrated employment, including supported or customized employment. Extended services may be provided to youth with the most significant disabilities for a period not to exceed four years.

Supported employment services are available not only to individuals after leaving their secondary education program, but to students whose IEP and IPE include these services as part of their transition plan and whose school district signs a cooperative work experience program agreement with RSB. (Page 275)

RSB has one Job Development Specialist that works directly with employers to develop relationships and identify clients from various offices to meet employer needs. This position serves on several committees including the St. Louis Deafblind Taskforce, St. Louis County Disability Resource Committee, Employment Liaison Committee, Employment Working Group for Immigrants and refugees, St. Louis Transition Council, St. Louis Special School District Agency Collaborative, and the Urban League. This position receives and distributes job postings to VR staff and assists clients in the development of business plans required for self –employment vocational goals. (Page 48)

Research verifies that pathways from school to work or secondary to post–secondary education can be more difficult for individuals with disabilities therefore the need for transition career services and pre–employment transition services is great. (Page 202)

RSB has partnered with Lighthouse for the Blind and Alphapointe Association for the Blind through a contractual relationship to provide intensive specialized prevocational skills training to youth with disabilities who are blind or visually impaired. Lighthouse for the Blind’s summer program delivers a residential program for students who plan to live independently and seek competitive integrated employment or attend a vocational training program or college upon graduation from high school. Alphapointe offers an eight–week program providing competitive work experience to high–school age youth. The goal is to provide each consumer with a foundation for the school–to–work transition. (Pages 234)

Establishment of a task force on blind student academic and vocational performance to "develop goals and objectives to guide the improvement of...transition from school to work, rehabilitation services, independent living, and employment outcomes for eligible students.” Members are appointed by the Commissioner of Education in cooperation with the Director of the Department of Social Services (RSB’s parent agency).  (Page 23, 244, 49)

Work Incentives & Benefits

Occupational projections predict the number of workers needed in different educational and skill levels. In Missouri, the projections support the need for workers at all different skill and education levels. Through sector strategies, career pathways can minimize skills gaps since they are validated with the businesses in the area, leading to the success of the workforce. (Page 43)

Through sector strategies, partnerships between all parties within the workforce system are formed. Career pathways are developed through the collaboration of employers, the education system, and workforce system. Within the career pathways, an individual has multiple entry and exit points based on current skills and knowledge, as well as the person’s willingness and capacity to continue to learn on the job, or through formal classroom education and/or training programs. The continued efforts of all WIOA partners ensure that all eligible persons, including those with disabilities, obtain skills to become or remain employed in high-demand, well-paid occupations. (Page 44)

Special education, as determined by the eligible agency; Secondary school credit Integrated education and training; Career pathways; Concurrent enrollment; Peer tutoring and; Transition to re–entry initiatives and other post release services with the goal of reducing recidivism. (Page 47)

Missouri partners are committed to developing new career pathways for youth and adults with barriers to employment including individuals with disabilities. Missouri’s core partner program leaders regularly meet to collaborate on braiding services for work-based learning and education funding. Through sector strategy regional business meetings and partner engagement, Missouri will work with employers to identify opportunities and services available to assist in eliminating employment barriers. (Page 62)

  • In addition to training services, the Title I & Title IV partners have work based programs such as on-the-job training and work experience which offer the customers the opportunity to combine education, training and employment services. VR & Rehabilitation Services for the Blind supports career pathways by providing a variety of services to students, youth and adults with disabilities. (Page 75)

MVR is involved in sector strategies planning at the local and state levels to address skills gaps and create career pathways to better serve employers with their individual needs and to provide them with prepared candidates. It has been forming employment collaboratives at the local levels to ensure employers receive the best possible delivery of services. MVR will work with businesses to ensure they have resources for necessary workplace accommodations and rehabilitation technology. (Page 183)

Employer Engagement

Section identified but no detailed information specifically addressing disability focused implementation. (Page 283)

511

Establishment of a task force on blind student academic and vocational performance to "develop goals and objectives to guide the improvement of...transition from school to work, rehabilitation services, independent living, and employment outcomes for eligible students.” Members are appointed by the Commissioner of Education in cooperation with the Director of the Department of Social Services (RSB’s parent agency). (Page 237)

Mental Health

Describe how the one-stop delivery system (including one-stop center operators and the one-stop delivery system partners), will comply with section 188 of WIOA (if applicable) and applicable provisions of the Americans with Disabilities Act of 1990 (42 U.S.C. 12101 et seq.) with regard to the physical and programmatic accessibility of facilities, programs, services, technology, and materials for individuals with disabilities (sic). This also must include a description of compliance through providing staff training and support for addressing the needs of individuals with disabilities. Describe the State’s one-stop center certification policy, particularly the accessibility criteria.

Missouri has a committee to specifically focus on one-stop certification criteria. The committee has established the criteria for certification, including accessibility. This committee includes representatives from Vocational Rehabilitation, Rehabilitation Services for the Blind and the Centers for Independent Living (CILs) who will assist with training and technical assistance to ensure accessibility of facilities, programs, services, technology and materials for individuals with disabilities. Accessibility criteria for certification includes the accessibility requirements contained with Section 188; policy review, adaptive technology equipment availability, emergency procedures, (Pages 114)

Policies and Initiatives

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Community Transitions Manual for Support Coordinators and Community Coordinators - 02/19/2017

~~“MFP EligibilityIndividuals who transition from a Habilitation Center or nursing home may be eligible for MFP. MFP is a demonstration grant that supports efforts to:• Provide Medicaid eligible individuals the choice of where they live and receive services;• Allow qualified individuals living in nursing facilities or Habilitation Centers to move to the community; and• Promote a system that is person-centered, based on needs, and ensures high-quality services in the community.”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

“Empowering through Employment” - 01/24/2017

~~“The Empowering Through Employment initiative is designed to increase the number of individuals receiving employment supports and services.  This initiative has an established goal of 35% of all individuals receiving waiver services to have employment supports authorized and available for their use.  Empowering Through Employment has been deemed a priority based upon the gap between the percentage of Missourians with intellectual/developmental disabilities (I/DD) accessing employment services as compared to other day services. Missouri is focused on becoming one of the high performing states and ensuring that Missourians with I/DD have the same opportunities as other individuals.”

Systems
  • Department of Mental Health
Topics
  • Home and Community Based Services (HCBS)

Missouri Department of Mental Health Legislator Briefing “Mental Health Highlights and Issues" - 01/01/2017

~~“In October 2016, DD announced a goal to increase the utilization of employment services for individuals between the ages of 16 and 64. This new initiative, called Empowering through Employment, is a statewide effort involving the division’s regional offices, support coordination providers and employment service providers to get 3,700 more Missourians into employment services. This increase would mean that 35% of Missourians are accessing employment services (which mirror what is occurring in other states).”

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities

Part B Compliance - 01/01/2017

~~“THE STATE COMPLIANCE PLAN FOR SPECIAL EDUCATION is being revised during the 2016-17 school year to reflect updates in the Every Student Succeeds Act (ESSA), provide clarification on a number of issues, and make substantive changes based on research and OSEP guidance. Proposed changes in both a summary chart and a mark-up of the proposed plan are posted on the DESE website at https://dese.mo.gov/special-education/state-plan-special-education  . The Public comment period ended on January 6, 2017. All comments received will be reviewed and a decision made to accept, accept with revisions, or reject the comment. A summary of the comments and decision will be posted on the website after January 24, 2017. The proposed plan will be presented to the State Board of Education during their February meeting.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Proposed Part B State Plan Changes for 2017 “Transition Services” - 01/01/2017

~~“A. beginning not later than the first IEP to be in effect when the child is sixteen (16), or younger if determined appropriate by the IEP team, and updated annually thereafter appropriate measurable postsecondary goals based upon age appropriate transition assessments related to training, education, employment, and, where appropriate, independent living skills; the transition services (including courses of study) needed to assist the child in reaching those goals, andB. beginning not later than one year before the student reaches age eighteen (18), a statement that the child has been informed of his or her rights under Part B of IDEA and that those rights will transfer to the student upon reaching the age of majority. “ 

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Equal Opportunity Demographics - 01/01/2017

~~“The Missouri Interagency Transition Team (MITT) established to increase collaboration at the state, regional and local levels with the shared vision of improving employment, independent living, and postsecondary outcomes for Missouri students with disabilities.• Show-Me Careers, a consortium of state agencies focused on supporting the seamless transition from school to inclusive employment or post-secondary education for youth and young adults ages 16-30 with intellectual and developmental disabilities.• A regional annual Accommodation for Success event in the St. Louis area to help businesses recruit and employ individuals with disabilities.”

Systems
  • Department of Workforce Development
Topics
  • School-to-Work Transition

Greater Kansas City - Disability Mentoring Day - 10/26/2016

“Join us for the 12th anniversary of Kansas City Disability Mentoring Day Events. Disability Mentoring Day promotes employment opportunities for all job seekers and students with disabilities through information and career exploration. As a person pursuing employment, this event gives you an excellent opportunity to: • •Increase and enhance your job readiness skills • •Network with employers to learn about different types of careers • •Visit with service organizations, providers, and government agencies to learn how they can help you in your job search • •Learn how to advocate for yourself”

Systems
  • Department of Workforce Development

Toward a Successful Transition: A Checklist for the First 21 Years - 09/01/2016

“To Parents of Children with Developmental Disabilities . . . It is our hope that as parents you will always consider yourselves the experts on your child. We hope that as you seek information, help and guidance you will see your child in “people first” terms—initially as a baby to love and nurture, then as a child to raise for as independent a life as he or she can attain. Whatever the disability involved, remember it is only a part of your child’s individuality. Build on his or her strengths. High expectations are a keynote in a family’s daring to act bravely and creatively.

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Missouri HCBS Statewide Transition Plan - 07/25/2016

“Missouri administers 10 Home and Community-Based Waivers through the single State Medicaid agency, the Department of Social Services, MO HealthNet Division (MHD). The day-to-day operation of the waivers is through formal cooperative agreements with the Missouri Department of Mental Health (DMH) and the Missouri Department of Health and Senior Services (DHSS). The Department of Health and Senior Services and the Department of Mental Health are the operational entities for the waivers. Missouri Medicaid Audit and Compliance (MMAC) is the unit within the Department of Social Services (DSS) charged with administering and maintaining Medicaid Title XIX audit and compliance initiatives, including utilization of Medicaid services and provider enrollment functions. MMAC will participate in the transition plan as described below.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Governor’s Council on Disability Employment Position Paper - 05/01/2016

“The Governor’s Council on Disability (GCD) recognizes that employment is a life defining activity/event for each of us, disabled or not. Employment provides income, a sense of belonging, mental and tangible benefits to a human, and status. As such, it is the position of the Governor’s Council that employment policies, practices, and implementation be inclusive and competitive"

Systems
  • Other
Topics
  • Employer Engagement
  • Provider Transformation
Displaying 1 - 3 of 3

SB66, Payment of temporary total disability or temporary partial disability benefits shall be paid throughout the rehabilitative process - 07/05/2017

“Temporary total disability or temporary partial disability benefits shall be paid throughout the rehabilitative process until the employee reaches maximum medical improvement, unless such benefits are terminated by the employee’s return to work or are terminated as otherwise specified in this chapter.

 

The permanency of the employee’s disability under sections 287.170 to 287.200 shall not be established or adjudicated while the employee is participating in rehabilitation services.

 

Refusal of the employee to accept rehabilitation services or submit to a vocational rehabilitation assessment as deemed necessary by the employer shall result in a fifty percent reduction in all disability payments to an employee, including temporary partial disability benefits paid pursuant to section 287.180, for each week of the period of refusal.”

Systems
  • Other
Topics
  • 14(c)/Income Security

Missouri SB 43, Modifying the Missouri Human Rights Act - 06/30/2017

“AN ACT To repeal sections 213.010, 213.040, 213.050, 213.055, 213.065, 213.070, 213.075, 213.101, and 213.111, RSMo, and to enact in lieu thereof ten new sections relating to unlawful discriminatory practices.”

 

It modifies the Missouri Human Rights Act. 

Systems
  • Other
Topics
  • Employer Engagement

Missouri SB 174 - 06/29/2015

"There is hereby created the 'Missouri Achieving a Better Life Experience [ABLE] Program'".

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

No Executive Orders have been entered for this state.

Displaying 11 - 18 of 18

MO Division of Developmental Disabilities Individual Support Plan Guidelines - 07/01/2014

The Division of Developmental Disabilities requires that each individual eligible for Division Supports have an Individual Support Plan. Individuals, their families, providers and facilitators who write plans in cooperation with all individuals receiving supports from the Division shall use this guide. Individual support planning encourages a team approach to involve the individual and community networks in planning for the future. The process involves developing a vision for the future, while coordinating resources and supports to make the vision a reality.   The Center for Medicare and Medicaid Supports (CMS) outcome for “participant-centered support planning and delivery” clarifies: “Supports are planned and effectively implemented in accordance with each participant’s unique needs, expressed preferences and decisions concerning his/her life in the community.”   The Individual Support Plan is an investment in an individual’s life and is driven by the individual, what is important to them as designed through outcomes identified in the support plan.
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Missouri DMH Employment Supports Guide - 07/05/2012

This guide includes information on the employment supports provided by the Missouri Department of Mental Health. It contains the service, a description, guidance, and the name of the affiliated agency and funding source.

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • Customized Employment
  • Mental Health

Division of Developmental Disabilities Employment First Policy - 01/01/2011

This policy establishes community integrated employment services and supports as the first service option and primary outcome for individuals (both youth and adults.) It also establishes employment planning (Career Planning) and supports as priorities to explore with all working adults who receive services in order to ensure that supports, services, and outcomes are consistent with what the person is seeking.

Each individual will be supported to pursue his or her own unique path to work, a career, and his or her contribution to/participation in community life. All individuals, regardless of the challenge of their disability, will be afforded an opportunity to pursue employment. Career planning, including job exploration and on-going person focused self discovery, is critical when assisting individuals in making informed choices about their future careers.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Segregated Day & Employment Services
  • Cross-Agency Collaboration / Partnerships

Missouri Developmental Disabilities Council position on employment and sub-minimum wage

“In partnership with others, the MODDC will promote competitive, community based employment which we define as: jobs that occur in the community for at least minimum wage, at typical community businesses where employees with and without disabilities work in close proximity to each other, and have the same benefits, responsibilities and expectations.  The MODDC believes that all people who want to work can work with the right supports.  That all people have a responsibility to share their abilities, strengths and talents with others in the community, to make their community a better place.”

Systems
  • Other
Topics
  • 14(c)/Income Security

Governor’s Council on Disability 2016 Annual Report

~~“EMPLOYMENT INITIATIVESGCD continues to provide support to the Business Leadership Network (BLN) which is an employer driven endeavor to promote best practices in disability employment. In Missouri, there are two regional locations: 1) St. Louis region—Greater St. Louis Business Leadership Network (STLBLN)—that covers Greater St. Louis region and eight of the Southern Illinois counties; and 2) Kansas City region—Greater Kansas City BLN (GKCBLN)—which covers the western Missouri and eastern Kansas area; and 3) Springfield BLN. Springfield is the newest BLN in the state and is currently building its infrastructure.” 

Systems
  • Other
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

MO Adult Learning/Rehabilitation Services - VR Providers

This website provides information on Missouri Vocational Rehabilitation services for people with disabilities with links to important, relevant resources.

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • Customized Employment
  • Mental Health

MO HealthNet Eligibility

 

“In response to concerns raised by Pilot Communities, the Division of DD and the Family Support Division within Social Services developed a new protocol allowing the Medicaid application to be submitted up to 90 days prior to a student’s 18th birthday. This will reduce gaps and delays in services at the time of transition.”

 
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • School-to-Work Transition

MO Division of Developmental Disabilities - Employment First

 

“The Division of Developmental Disabilities is committed to enhancing community employment options for persons with developmental disabilities. The guiding principle of Employment First is that all individuals who want to work can work and contribute to their community when given opportunity, training, and supports that build upon their unique talents, skills and abilities.”

“Everyone of working age, and those supporting them, should consider employment as the first option prior to any other service options. As fully participating members of their community, individuals with developmental disabilities will be afforded the opportunity to earn a living wage and engage in work that makes sense to them. Career exploration and planning will be supported when assisting individuals in making informed choices in designing their unique pathway to increased independence, integration, inclusion, productivity, self-determination.”

 
Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships
Displaying 11 - 18 of 18

Missouri Association of County Developmental Disabilities Services - 06/01/1979

The Missouri Association of County Developmental Disabilities Services (MACDDS) is a leader in local initiatives for people with developmental disabilities. The organization is comprised of 56 county boards (including the City of St. Louis), and 8 Related Private Organizations, that provide local services for people with developmental disabilities. MACDDS is dedicated to ensuring quality community supports are available for people with developmental disabilities.   MACDDS believes having local people solving local issues results in the best services for individuals with developmental disabilities. MACDDS works to assure services and supports for people with developmental disabilities continue to be planned and carried out at the local level.  
Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Missouri Connections Career Development & Planning Program - 06/01/1971

 

“Missouri Connections is a comprehensive, online, career development and planning program that is provided free of charge to all Missouri citizens. Funded by the Missouri Department of Elementary and Secondary Education and the Missouri Division of Workforce Development, this program supports the career development efforts of schools, community organizations, and adult job seeker programs. Missouri Connections helps individuals learn about their talents, skills, and interests and makes the connection between planning for continued education and the work world.”

 
Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition

Missouri Developmental Disabilities Council Asset Development and Financial Education Initiative

“Persons with disabilities have a higher percentage of people who live in poverty than any other minority group in the country.  Missouri ranks in the bottom third of all states in the understanding of financial supports that assist persons with disabilities in working their way out of poverty.  Benefits planning and employment are just two pieces in this puzzle, the other pieces are asset development and financial education, therefore, the Missouri DD Council is partnering with the TACE, Region 7/University of MO-School of Health Professionals to promote Asset Development and Financial Education for persons with disabilities in our state by offering a variety of opportunities to learn more about this important piece of the puzzle and help people with disabilities learn more about asset development and financial education.”

Systems
  • Other
Topics
  • Asset Development / Financial Capability

Missouri Interagency Transition Team

~~“The Missouri Interagency Transition Team (MITT) formed in 2007 by the Office of Special Education at the Missouri Department of Elementary & Secondary Education to increase interagency collaboration at the state, regional, and local levels. This state transition team has met quarterly to address data-driven goals for improvement and collaboration with the shared vision of improving employment, independent living, and postsecondary education outcomes for Missouri students with disabilities.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition

Missouri VR Connection

VR specializes in employment and training services that can assist you in becoming employed. A VR counselor will determine your eligibility for services. To be eligible, you need to have a physical or mental impairment that causes problems with working and need VR services to be successfully employed. Once eligible, you will work with a counselor who will help you develop a plan for your rehabilitation. We will give you vocational information and guidance allowing you to make informed choices about your vocational plan.   VR offers a wide range of services that are individualized for your needs. You and your counselor decide which services will help you become employed. Some of the services that may be available are:    • Guidance and Counseling    • Job-Seeking Skills and Job Placement    • Vocational Training   VR also provides assistance with Transition Services, Supported Employment Services,Assistive Technology Services, and the Ticket to Work Program  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Missouri State Chapter of ASPE

APSE-MO is the Missouri State Chapter of APSE The Association of People Supporting Employment First, a national organization committed to improving and expanding integrated employment opportunities, services, and outcomes for people experiencing disabilities. APSE-MO invites individuals with disabilities, their families, employment providers, funders, employers and others to join with us in making community employment a reality for ALL people with disabilities.

Systems
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Show Me Careers: Missouri's Transition-to-Employment Collaborative

 

“The Show-Me-Careers project targets youth ages 16-30 with I/DD who are transitioning from secondary or post-secondary educational settings to community employment. Show-Me-Careers is funded by the Administration on Intellectual and Developmental Disabilities and is one of eight grants awarded to state consortiums aimed at improving existing state systems to increase competitive employment outcomes for youth and young adults with I/DD.”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement

Missouri State Employment Leadership Network

The Missouri DD Council is partnering with the Missouri Department of Mental Health, Division of Developmental Disabilities, in bringing the State Employment Leadership Network (SELN) to Missouri.  This is a project started by the Institute for Community Inclusion out of Boston, Massachusetts.  SELN brings together state developmental disability agencies for sharing, educating and providing guidance on practices and policies around employment to its members. It is also an opportunity for the Division of Developmental Disabilities and other Missouri governmental agencies to evaluate their policies and procedures as they relate to assisting persons with developmental disabilities to become employed.

Systems
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships
Displaying 11 - 12 of 12

MO Ticket to Work - 06/01/1999

The Ticket to Work and Work Incentive Act of 1999 established an employment program for people who want to go to work that receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits.  The program was designed to remove barriers that kept people with disabilities from choosing to work for fear of losing health care coverage.  The Ticket to Work program is voluntary, and it increases opportunities and choices for Social Security (SS) disability beneficiaries to obtain employment, vocational rehabilitation, and other support services from public and private providers, employers, or other organizations.  SS provides a ticket to disability benefits to use in obtaining services and jobs through Missouri Vocational Rehabilitation or from an approved Employment Network.  Though SS has the overall program authority, MAXIMUS, Inc. serves as the program manager.

 

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Missouri SAMHSA EDI (FY 2011 & 2012)

Goal 1: To strengthen peer delivered services in Missouri by leveraging Medicaid billing for services provided by Certified Peer Specialists in Consumer Operated Services Programs (COSP).   Goal 2: To introduce and begin implementation of peer delivered Individual Placement and Supports –Supported Employment (SE) – in Consumer Operated Services Programs.   Overall conclusions: Through this project Missouri has greatly increased its value of peers. 103 have been trained specifically under this project, with more on the way.  
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging
Displaying 11 - 15 of 15

Missouri DoE Regional Professional Development Center (RPDC) Consultant

Each of the nine regions of Missouri has a Regional Professional Development Center (RPDC) Consultant who specializes in transition. These consultants provide regional and local trainings on Transition Planning and the Updated Form C, Transition Assessment, and other transition topics. They also provide a range of other consulting and continuous improvement services to meet the needs of teachers, administrators and school districts.

Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Missouri Assistive Technology Council

Missouri Assistive Technology strives to increase access to assistive technology for Missourians with all types of disabilities, of all ages. To the right are navigation links to the programs and initiatives of MoAT.

Systems
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)

MO VR Transition Brochure

“Transition is a process young adults with disabilities, like you, go through to prepare for whatever the future might hold – further education, specialized training, employment or other options you might choose on the road to increased independence… Career planning and transition services are designed to help you prepare for your future by exploring different jobs, identifying careers interesting to you, and developing an understanding of the skills and abilities necessary to be successful.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

MO Skills to Pay the Bills

"Skills to Pay the Bills: Mastering Soft Skills for Workplace Success," is a curriculum developed by ODEP focused on teaching "soft" or workforce readiness skills to youth, including youth with disabilities. Created for youth development professionals as an introduction to workplace interpersonal and professional skills, the curriculum is targeted for youth ages 14 to 21 in both in-school and out-of-school environments. The basic structure of the program is comprised of modular, hands-on, engaging activities that focus on six key skill areas: communication, enthusiasm and attitude, teamwork, networking, problem solving and critical thinking, and professionalism.

Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

MO Writing Quality Goals, Outcomes and Action Plans

 

An overview of how to effectively create a Career Plan, establish appropriate goals and desired outcomes, and initiate an Action Plan with Discovery and Fading Supports.

 
Systems
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Employer Engagement

No Enforcement have been entered for this state.

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Missouri Medicaid (MO HealthNet) Independent Living Waiver - 03/01/2017

“The Missouri Independent Living Waiver (ILW) provides home and community based services for adults who are physically disabled. With assistance via this program, individuals can continue to live independently in their homes, rather than require placement in a nursing homes. Benefits include home modifications, personal care services, such as assistance with bathing, grooming, mobility, toiletry, and eating, and specialized medical equipment and supplies.”

 

“As of 2017, a single individual is allowed up to 85% of the Federal Poverty Level, which mean an applicant cannot have a monthly income more than $856. For married couples, the monthly income cannot exceed $1,150. However, Missouri does allow applicants that have an income greater than the allowable amount to “spend-down” in order to become eligible.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Community Transitions Manual for Support Coordinators and Community Coordinators - 02/19/2017

~~“MFP EligibilityIndividuals who transition from a Habilitation Center or nursing home may be eligible for MFP. MFP is a demonstration grant that supports efforts to:• Provide Medicaid eligible individuals the choice of where they live and receive services;• Allow qualified individuals living in nursing facilities or Habilitation Centers to move to the community; and• Promote a system that is person-centered, based on needs, and ensures high-quality services in the community.”

Systems
  • Department of Mental Health
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri HCBS Statewide Transition Plan - 07/25/2016

“Missouri administers 10 Home and Community-Based Waivers through the single State Medicaid agency, the Department of Social Services, MO HealthNet Division (MHD). The day-to-day operation of the waivers is through formal cooperative agreements with the Missouri Department of Mental Health (DMH) and the Missouri Department of Health and Senior Services (DHSS). The Department of Health and Senior Services and the Department of Mental Health are the operational entities for the waivers. Missouri Medicaid Audit and Compliance (MMAC) is the unit within the Department of Social Services (DSS) charged with administering and maintaining Medicaid Title XIX audit and compliance initiatives, including utilization of Medicaid services and provider enrollment functions. MMAC will participate in the transition plan as described below.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO DoE ESEA Flexibility Request Approval - 06/08/2015

The Missouri Department of Secondary and Elementary Education's ESEA flexibility request was approved on June 29, 2012.

Systems
  • Department of Education
Topics
  • Home and Community Based Services (HCBS)
Citations

Missouri HCSB Transition Plan - 03/01/2014

In March 2014, the Center for Medicaid and Medicare Services (CMS) published a final rule regarding changes to Home and Community Based Waiver Services (HCBS Waiver). The rule defines home and community based settings and person-centered planning requirements in Medicaid HCBS Waiver programs. The rule requires demonstration of how state’s HCBS Waiver programs comply with the federal HCBS rules.   Missouri’s draft transition plan incorporates all HCBS Waivers administered by Department of Health and Senior Services (DHSS), Department of Mental Health (DMH), and Department of Social Services (DSS). The purpose of Missouri’s draft transition plan is to ensure that individuals receiving HCBS Waiver services are integrated and have access to supports in the community, including:    • opportunities to seek employment,    • work in competitive integrated settings,    • engage in community life,    • and control personal resources.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO Partnership for Hope Waiver (0841.R00.00) - 10/01/2013

The purpose of the Partnership for Hope waiver is to prevent or delay of institutional services for individuals who require minimal services in order to continue living in the community. The waiver will offer prevention services to stabilize individuals primarily living with family members who provide significant support, but are not able to meet all of the individual's needs. Goals To increase access to waiver services for children and adults at the local level in participating counties.    Objectives The objectives of the waiver are: 1) to increase the capacity of the State to meet the needs of individuals at risk of institutionalization who require minimal supports to continue living in integrated community settings; 2) to partner with local County Boards through Intergovernmental Agreements in the administration and funding of waiver services; and 3) to implement preventive services in a timely manner in order that eligible participants may continue living in the community with their families.  
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Missouri Developmental Disabilities Waiver Manual - 07/01/2012

“The Missouri Department of Mental Health's Division of Developmental Disabilities (Division of DD) administers five Medicaid Home and Community Based (HCB) Waiver programs for individuals with developmental disabilities. The five waivers are the Comprehensive Waiver; Missouri Children with Developmental Disabilities Waiver (MOCDD or Lopez Waiver); Support Waiver; Partnership for Hope Waiver (PfH); and Autism Waiver.” This manual includes information on employment, on the job training and other pre-vocational services for people with disabilities.

Systems
  • Medicaid Agencies
Topics
  • Self-Employment
  • Mental Health

MO Div of Developmental Disabilities Community Support (0404.R03.00) - 07/01/2011

 

“Provides community employment, in home respite, job preparation, personal assistant, assistive technology, behavior analysis service, co-worker supports, communication skills instruction, community specialist services, counseling, crisis intervention, environmental accessibility adaptations-home mods, independent living skills development, job discovery, OT, out of home respite, person centered strategies consultation, PT, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/ID Developmental Disabilities ages 0 - no max age.”

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

MO MR Developmental Disabilities Comprehensive (0178.R06.00) - 07/01/2011

 

“Provides community employment, day service, group home, in home respite, individualized supported living, job preparation, personal assistant, assistive technology, behavior analysis service, communication skills instruction, community specialist services, community transition, counseling, crisis intervention, environmental accessibility adaptations, host home, job discovery, OT, out of home respite, PT, positive behavior support, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, support broker, transportation for individuals w/MR Developmental Disabilities ages 0 - no max age.”

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)