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(b)Provide evidence of consultation with the family/Client;and <br />(c)Develop additional strategies with the family/Client,county staff, <br />employmentsupport staff and the case manager.Strategies may include <br />providing technical assistance,changing to a new provider,and/or <br />providing additional resources as needed to support the individual's <br />pursuit of employment.The additional strategies will be documented for <br />each Client and kept in the Client's file(s). <br />(8)If after twelve (12)months the Client remains unemployed,an additional <br />review will be conducted.The provider will address steps outlined in the <br />previous six month progress report in the nextsix month progress report.The <br />Client may request to participate in Community Inclusion activities or the <br />Client may choose to remain in an employmentprogram.When requesting to <br />participate in Community Inclusion services,the Client shall communicate <br />directly with his or her DDA Case Manager.The DDA Case Manager is <br />responsible for authorizing Community inclusion services. <br />(9)For Individual Employment where the service provider is also the Client's <br />employer long term funding will remain availableto the service provider I <br />employerfor six (6)monthsafter the employee /DDA Client's date of hire. <br />At the end of the six month period,if the DDA Client continues to need <br />support on the job,another service provider who is not the employer of <br />record must provide the support unless the County issues prior written <br />approval for the service provider to continue to provide long-term supports if <br />needed. <br />(10)For Group Supported Employment,Clients must have paid work or paid <br />training.The total number of direct service staff hours provided to the group <br />should be equal to or greater than the group's collective amountof <br />individual support monthly base hours.If the direct service staff hours are <br />less than the collectiveamount,then the provider will be reimbursed only <br />for the number of hours staff actually provided. <br />(11)Employmentand day services must adhere to the Home and Community <br />Based settings (HCBS)requirements of 42CFR 441 530(a)(1),including <br />that: <br />(a)The setting is integrated in the greater community and supports <br />individuals to have full access to the greater community; <br />(b)Ensures the individual receives services in the community to the same <br />degree of access as individuals not receiving Medicaid HCBS; <br />Professional Services Agreement <br />Page 23