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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 spe'lialized 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) lndividual Supported Employment services are a part of a Client's pathway to employment <br />and are tailored lo individual needs, interests, and abilities to promote career development. <br />These are individualized services necessary to help persons with developmental disabilities <br />obtain and contirrue 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 lndividual Erployment Phases & Billable Activities) <br />(e) lndividualized Technical Assistance services are a parl of a Client's pathway to employment <br />or community indusion. 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 supporls 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 pad 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 3ame setting. The service outcome is sustained paid employment leading <br />to furlher 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 s.ate Fiscal Year shall not exceed the total amount listed in Exhibit B to this <br />Program Agreement. Hourever, with a Program Agreement amendment, the parties may increase <br />or decrease the Program Agreement amount. Counties willwork with DDA HQ on amendments to <br />the Program Agreement. <br />Monthly lnvoice with Sigred Documentation: All requests for reimbursement amounts must be <br />entered and posted into tre AWA system. The Contractor may post a combined claim of all <br />programs/services covered by this Program Agreement DSHS shall make all payments due to the <br />Contractor for all invoices submitted pursuant to this section within forty-five (45) days following <br />posting of required infornation. <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 o'f 1973 by DVR, Public Law g4-142 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 are <br />defined as: <br />(1) An "Hour" is at least fily (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 />1 769CP Contract Amendment (1 2-l 0-21 )Page 15