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Special Terms and Conditions <br />and December 2003 in Adult Day Health agencies and were subsequenly determinedineligible for Level ll or lll services (Adult Diy Health). Level ll and lll services are licensedrehabilitation and skilled nursing services along with socialization. Level lservices (AdultDay care) are supervised day frograms wherd frail and disabled adults can participate insocial, educational, and recreational programs without the need for skilled nursing, <br />(b) Community lnclusion Services are individualized and provided in integrated communitysettings with other individuals without disabilities. The activities are based on Clientinterests and provide opportunities typically experienced by the general public of similar agein their local community, accessible <br />-by <br />prutic tiansit or a reasonable commute from theirhome' The goal of the service is to support Clients to participate, contribute, and developrelationships with. community membeis who are not paid staff. Tirese r"*i.", may beauthorized for individuals age 62 and older. These services may be <br />"umoii."c in addition toor instead of employment support (lndividual Employment or Group Supported Employment)for working age individuals who have received niire months of employment support. <br />(c) child Development Seruices are designed to meet the developmental needs of each eligiblechild and lhe needs of the family related to enhancing the child's oeueroprnent. Servicesmay include specialized instruction, speech-languagE pathology, o..up;tional therapy,physicaltherapy, assistive technology, and visiin s6rice". s"i"i""rlr" fiovioeo in naturalenvironments to the maximum exteni appropriate. <br />(d) lndividual supported Employment services are a part of a client's pathway to employmentand are tailored to individual needs, interests, and abilities to promote <br />""16", development.These are individualized services necessary to help persons with developmentaldisabilitiesobtain and co-ntinue integrated employmeniat or above the state's mininium wage in thegeneralworkforce. These services may include intake, discovery, assessment, jobpreparation, job marketing, job suppo[g, recold keeping and sufport to maintain a job (perth" Indiuidu"r Erorou*nt ph"r.b'& Birirbr" Artiuitibri <br />(e) lndividualized Technical Assistance services are a part of a Client's pathway to employmentor community inclusion' This service provides assessment and consultation'to ttre irovioer <br />- <br />to identifu and address existing barriers to employment or communiry incluiion. This is inaddition to supports received through supported employment or community inclusionservices for individuals who have not yeiachieved theiigoar. "--""-' <br />(f) Group supported Employment services are a part of a client's pathway to integrated jobs intypicalcommunity employment. These services are intended to be short term and offerongoing supervised employment for groups of no more than eight (a) woikers withdisabilities in the same setting. The iervice outcome is sustained paid employment leadingto further c.arqer development in integrated employmenl at or above minimlm wage.Examples include enclaves, mobile crews, and'other business rooeis <br />"rproying smallgroups 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 thisProgram Agreement. However, with a Program Agreemeniamendment, the parties may increaseor decrease the Program Agreemenl amount. cou-nties willwork with DDA HQ on amendments tothe Program Agreement. <br />c' Monthly lnvoice with Signed Documentation: All requests for reimbursement amounts must beentered and posted into theAWA system. The County may post a combined claim of allprograms/services covered by this Program Agreement, o-s'ns snatt makJarr-Gvnrents due to the <br />DSHS Central Gontract Services <br />1 769CS County Agreement 05-1 6-2023 <br />Page 15