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Special Terms and Conditions and December 2003 in Adult Day Health agencies and we-e subsequently determined ineligible for Level II or III services (Adult Day Health:,. Level II and III services are licensed rehabilitation and skilled nursing services along with sociaization. Level I services (Adult Day Care) are supervised day programs where frail and disabled adults can participate in social, educational, and recreational programs without the need for skilled nursing. (b) Community inclusion Services are individualized and provided in integrated community settings with other individuals withou- disabilities. The activities are based on Client interests and provide opportunities typically experienced by the general public of similar age in their local community, accessible by public transit or a reasonable commute from their home. The goal of the service is to support Clients to participate, contribute, and develop relationships with community members who are not paid staff. These services may be authorized fir individuals age 62 and older. These services may be authorized in addition to or instead o- employment support (Individual Employment or Group Supported Employment) for working ale individuals who have received nine months of employment support. (c) Child Development Services are desgned to meet the developmental needs of each eligible child and the needs of the family related to enhancing the child's development. Services may include specialized instruction, speech -language pathology, occupational therapy, physical therapy, assistive technolog-/, and vision services Services are provided in natural environments to the maximum extent appropriate. (d) Individual Supported Emp oyment se vices are a part of a Client's pathway to employment and are tailcr--d to individual needs, interests, and abilities to promote career development. These are individualized services necessary to help persons with developmental disabilities obtain and ccntinue integrated employment at or above the state's minimum wage in the general workforce. These services may include intalae, discovery, assessment, job preparation, jab marketing, job supperts, record keeping and support to maintain a job (per the Individual Erniolovmem. Phases & Billable ctivlties) (e) Individualizec Technical Assistance services are a part of a Client's pathway to employment or community inclusion. This service provides assessment and consultation to the provider to identify and address existing barriers to employment or community inclusion. This is in addition to sipports received through supported emp oyment or community inclusion services for rod ividuats who have not yet achieved their goal. (f) Group Supported Employment services are a part of a Client's pathway to integrated jobs in typical community employment. These services are intended to be short term and offer ongoing supervised employment for croups of no more than eight (8) workers with disabilities it *,he same setting. The Service outcome is sustained paid employment leading to further career development in integrated employment at or above minimum wage. Examples in :ude enclaves, mobile crews, and other business models employing small groups of workers with disabilities in integrated emplcymerrt community settings. b. Reimbursement for the state Fiscal Year shall not exceed the total amount listed in Exhibit B to this Program Agreement. However, with a Program Agreement amendment, the parties may increase or decrease the Program Agreement amount Counties will work with DDA HQ on amendments to the Program Agreement. C. Monthly Invoice witl- Signed Documentation: All requests for reimbursement amounts must be entered and posted into the AWA system. The County may post a combined claim of all programs/services covered by this Program Agreement. DSHS shall make all payments due to the DSHS Central Contract Services Page 15 1769CS County Agreement 05-16-20«