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for working age individuals who have received nine months of employment support. <br />(c)Child Development Services are designed to meet the developmental needs of each eligible <br />child and the needs of the family related to enhancing the child's development.Services <br />may include specialized instruction,speech-language pathology,occupational therapy, <br />physical therapy,assistive technology,and vision services.Services are provided in natural <br />environments to the maximum extent appropriate. <br />(d)Individual Supported Employment services are a part of a Client's pathway to employment <br />and are tailored to individual needs,interests,and abilities to promote career development. <br />These are individualized services necessary to help persons with developmental disabilities <br />obtain and continue integrated employment at or above the state's minimum wage in the <br />general workforce.These services may include intake,discovery,assessment,job <br />preparation,job marketing,job supports,record keeping and support to maintain a job (per <br />the Individual Employment Phases &Billable Activities) <br />(e)Individualized Technical Assistance services are a part of a Client's pathway to employment <br />or community inclusion.This service provides assessment and consultation to the provider <br />to identify and address existing barriers to employment or community inclusion.This is in <br />addition to supports received through supported employment or community inclusion <br />services for individuals who have not yet achieved their goal. <br />(f)Group Supported Employment services are a part of a Client's pathway to integrated jobs in <br />typical community employment.These services are intended to be short term and offer <br />ongoing supervised employment for groups of no more than eight (8)workers with <br />disabilities in the same setting.The service outcome is sustained paid employment leading <br />to further career development in integrated employment at or above minimum wage. <br />Examples include enclaves,mobile crews,and other business models employing small <br />groups of workers with disabilities in integrated employment community settings. <br />b.Reimbursement for the state Fiscal Year shall not exceed the total amount listed in Exhibit B to this <br />Program Agreement.However,with a Program Agreement amendment,the parties may increase <br />or decrease the Program Agreement amount.Counties will work with DDA HQ on amendments to <br />the Program Agreement. <br />c.Monthly Invoice with Signed Documentation:All requests for reimbursement amounts must beenteredandpostedintotheAWAsystem.The Contractor may post a combined claim of all <br />programs/services covered by this Program Agreement.DSHS shall make all payments due to theContractorforallinvoicessubmittedpursuanttothissectionwithinforty-five (45)days following <br />posting of required information. <br />d.Clients will be assisted in accessing DVR services per the DDA/DVR MOU.Client services shall not <br />be reimbursed under this Program Agreement when the same services are paid for under the <br />Rehabilitation Act of 1973 by DVR,Public Law 94-142 or any other source of public or private <br />funding. <br />e.Reimbursement of Client Services:A claim for each Client is made on the AWA system by <br />indicating the number of service units delivered to each Client listed and the fee per unit.Units aredefinedas: <br />(1)An "Hour"is at least fifty (50)minutes of direct service.Partial hour to the quarter may be <br />recorded. <br />(2)A "Day"is at least four (4)hours of direct service and will only be used in connection with Adult <br />DSHS Central Contract Services <br />1769CP Contract Amendment (12-10-21)Page 15