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Special Terms and Conditions <br />(b) Community Access services will focus on activities that are typically experienced by the <br />general public. Support to participate in segregated activities and/or specialized activities <br />will not be reimbursed, <br />(c) A Client receiving Community Access services will not receive employment support <br />simultaneously. <br />(d) A Client receiving Community Access services may at any time choose to leave Community <br />Access to pursue work and receive employment support. <br />(2) Clients in an employment program will be supported to work towards a living wage, A living <br />wage is the amount needed to enable an individual to meet or exceed his/her living expenses, <br />Clients should average twenty (20) hours of community work per week or eighty-six (86) hours <br />per month. The amount of service a Client receives will be based on his/her demonstrated need, <br />acuity level and work history per WAC 388-828. <br />(3) Prior to beginning service or prior to an expected change in service, the provider will clearly <br />communicate to the Client and the County the maximum service hours per month the Client can <br />expect to receive. Service changes will not occur until the Client has received proper <br />notification from DDA. <br />(a) The Client's DDA ISP is the driver for service, The CMIS County Service Authorization and <br />updated Planned Rates information will not exceed the Client's DDA ISP. <br />(b) The amount of service the Client receives should match with the CMIS County Service <br />Authorization and updated Planned Rates information <br />(4) All Clients will have an individualized plan to identify Client's preferences. Minimum plan <br />elements are outlined in the reference document "Criteria for an Evaluation." A copy of the <br />Client's individualized plan will be provided to their CRM, guardian and others as appropriate, <br />(5) Semi-annual progress reports that describe the outcomes of activities will be provided by the <br />provider or the County to the CRM, guardian and others as appropriate. The report will <br />summarize the progress made towards the Client's individualized goals. <br />(6) All Clients will be contacted by their service provider according to Client need and at least once <br />per month. <br />(7) If Clients in Individual Employment, Group Supported Employment, or Prevocational services <br />have not obtained paid employment at minimum wage or better within six (6) months, the <br />County will assure the following steps are taken: <br />(a) Review the progress toward employment goals; <br />(b) Provide evidence of consultation with the family/Client; and <br />(c) Develop additional strategies with the family/Client, county staff, employment support staff <br />and the case manager. Strategies may include providing technical assistance, changing to <br />a new provider, and/or providing additional resources as needed to support the individual's <br />pursuit of employment. The additional strategies will be documented for each Client and <br />kept in the Client's file(s). <br />(8) If after twelve (12) months the Client remains unemployed, an additional review will be <br />Page 10 <br />DSHS Central Contract Services <br />1769CS County Agreement 7-14-2015 <br />