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providing technical assistance, changing to a new provider, and/or <br />providing additional resources as needed to support the individual's <br />pursuit Jt urptoyment. The additional strategies will be documented for <br />each Client and kept in the Client's file(s)' <br />(8) lf after twelv e (12) months the client remains unemployed, a1 additional <br />review will be ionducted. The provider will address steps outlined in the <br />previous six month progress report in the next six month progress report' The <br />Client may requesi to-participate in Community lnclusion activities or the <br />Client may choose to remain in an employment program Wngl requesting to <br />participate in community lnclusion services, the client shall communicate <br />Oirecly with his or her bOn Case Manager. The DDA Case Manager is <br />responsible for authorizing community lnclusion services' <br />(9) For lndividual Employment where the service provider is also the Client's <br />employer long term flnding will remain available to the service provider / <br />employer tor iix (6) monthi after 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 provloe the support unless the county issues prior written <br />approval for ihe service provider to continue to provide longterm supports if <br />needed. <br />(10) For Group supported Employment, clients must have paid work or paid <br />training. The toial number'of birect service staff hours provided to the group <br />should be equal to or greater than the group's collective amount of <br />individual support ronlhly base hours. lf the direct service staff hours are <br />less than the collective amount, then the provider will be reimbursed only <br />for the number of hours staff actually provided' <br />(1 1) Employment and 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 />individualJto nave 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 />(c) The setting provides opportunities to seek employment and work in <br />competitive integrated settings; and <br />Professional Services Agreement <br />Page23