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Special Terms and Conditions <br />conducted. The provider will address steps outlined in the previous six month progress report in <br />the next six month progress report. The Client may request to participate in Community Access <br />activities or the Client may choose to remain in an employment program. When requesting to <br />participate in Community Access services, the Client shall communicate directly with his or her <br />DDA Case Manager, The DDA Case Manager is responsible for authorizing Community <br />Access services. <br />(9) For Individual Employment where the service provider is also the Client's employer long term <br />funding will remain available to the service provider / employer for six months after the <br />employee / DDA Client's date of hire. At the end of the six month period, if the DDA Client <br />continues to need support on the job, another service provider who is not the employer of record <br />must provide the support unless the County issues prior written approval for the service provider <br />to continue to provide long-term supports if needed. <br />(10) For Group Supported Employment, Clients must have paid work or paid training. The total <br />number of direct service staff hours provided to the group should be equal to or greater than the <br />group's collective amount of individual support monthly base hours. If the direct service staff <br />hours are less than the collective amount, then the provider will be reimbursed only for the <br />number of hours staff actually provided. <br />(11) For Prevocational services, Clients will receive training and skill development in groups as well <br />as individual support in the community. The total number of direct service staff hours provided <br />to the group should be equal to or greater than the group's collective amount of individual <br />support monthly base hours. If the direct service staff hours are less than the collective amount, <br />then the provider will be reimbursed only for the number of hours staff actually provided. <br />(12) Employment and day services must adhere to the Home and Community Based settings <br />(HCBS) requirements of 42CFR 441 530(a)(1), including that: <br />(a) The setting is integrated in the greater community and supports individuals to have full <br />access to the greater community; <br />(b) Ensures the individual receives services in the community to the same degree of access as <br />individuals not receiving Medicaid HCBS; <br />(c) The setting provides opportunities to seek employment and work in competitive integrated <br />settings; and <br />(d) The setting facilitates individual choice regarding services and supports, and who provides <br />them. <br />Quality Assurance and Service Evaluation: The County shall develop and have available an <br />evaluation system to review services. The evaluation system must have both a Quality Assurance <br />and a Quality Improvement component, and both must include objective measures, The County's <br />service evaluation system shall serve as the method by which current providers demonstrate that <br />they continue to be qualified providers. A copy of such evaluation system shall be provided upon <br />request to DDA for review and approval. <br />m. On -Site Evaluation: The County shall evaluate and review services delivered to reasonably assure <br />compliance and quality. The County shall conduct at least one on-site visit to each subcontractor <br />during the biennium. The County shall maintain written documentation of all evaluations, <br />recommendations and corrective action plans for each subcontractor. Copies of such <br />Page 11 <br />DSHS Central Contract Services <br />1769CS County Agreement 7-14-2015 <br />