Texas

States - Big Screen

Everything's Bigger in Texas, including the number of job options in integrated settings at competitive wages for individuals with disabilities. The Lone Star state is a place where anyone, including those with disabilities, can live the American Dream… Deep in the Heart of Texas! 

2014 State Population.
1.89%
Change from
2013 to 2014
26,956,958
2014 Number of people with disabilities (all disabilities, ages 18-64).
0.85%
Change from
2013 to 2014
1,616,223
2014 Number of people with disabilities who are employed (all disabilities, ages 18-64).
-0.98%
Change from
2013 to 2014
613,660
2014 Percentage of working age people who are employed (all disabilities).
-1.84%
Change from
2013 to 2014
37.97%
2014 Percentage of working age people who are employed (NO disabilities).
0.8%
Change from
2013 to 2014
75.29%

General

2012 2013 2014
Population. 26,059,203 26,448,193 26,956,958
Number of people with disabilities (all disabilities, ages 18-64). 1,590,079 1,602,460 1,616,223
Number of people with disabilities who are employed (all disabilities, ages 18-64). 587,548 619,692 613,660
Number of people without disabilities who are employed (ages 18-64). 10,537,118 10,802,460 11,106,300
Percentage of working age people who are employed (all disabilities). 36.95% 38.67% 37.97%
Percentage of working age people who are employed (NO disabilities). 73.85% 74.69% 75.29%
Overall unemployment rate. 6.70% 6.20% 5.10%
Poverty Rate (all disabilities). 23.30% 23.00% 22.10%
Poverty Rate (NO disabilities). 17.20% 16.80% 16.60%
Number of males with disabilities (all ages). 1,445,371 1,489,714 1,497,762
Number of females with disabilities (all ages). 1,520,068 1,557,444 1,603,277
Number of Caucasians with disabilities (all ages). 2,265,409 2,333,668 2,392,261
Number of African Americans with disabilities (all ages). 408,490 412,755 422,849
Number of Hispanic/Latinos with disabilities (all ages). 938,032 964,494 978,202
Number of American Indians/Alaska Natives with disabilities (all ages). 18,950 19,256 18,845
Number of Asians with disabilities (all ages). 55,234 61,371 64,338
Number of Hawaiians/Pacific Islanders with disabilities (all ages). 900 2,576 1,771
Number of with multiple races disabilities (all ages). 72,091 71,164 69,100
Number of others with disabilities (all ages). 144,365 146,368 131,875

 

SSA OUTCOMES

2012 2013 2014
Number of SSI recipients with disabilities who work. 16,840 17,346 18,624
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 3.00% 3.10% 3.30%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 567,705 574,276 574,012

 

MENTAL HEALTH OUTCOMES

2012 2013 2014
Number of mental health services consumers who are employed. 24,141 24,957 30,553
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 54,416 53,929 60,533
Number of adults served who have a known employment status. 167,810 165,862 173,707
Percentage of all state mental health agency consumers served in the community who are employed. 14.40% 15.00% 17.60%
Percentage of supported employment services evidence based practices (EBP). 2.00% 3.20% 4.60%
Percentage of supported housing services evidence based practices (EBP). 2.20% 3.10% 4.80%
Percentage of assertive community treatment services evidence based practices (EBP). 1.40% 1.40% 1.70%
Percentage of medications management evidence based practices (EBP). 43.50% 44.00% 43.50%
Number of evidence based practices (EBP) supported employment services. 4,525 7,341 11,116
Number of evidence based practices (EBP) supported housing services. 5,077 7,286 11,549
Number of evidence based practices (EBP) assertive community treatment services. 3,335 3,250 4,148
Number of evidence based practices (EBP) medications management. 100,786 102,092 104,481

 

WAGNER PEYSER OUTCOMES

2012 2013 2014
Number of registered job seekers with a disability. 44,627 45,361 53,307
Proportion of registered job seekers with a disability. 0.03 0.04 0.04

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2011 2012 2013
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 374 483 687
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 181 232 346
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 48.00% 48.00% 50.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 0.70 0.89 1.31

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
20,692
N/A
N/A
Number of people with visual impairments served under VR. 14 N/A N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 3,999 N/A N/A
Number of people with physical impairments served under VR. 7,132 N/A N/A
Number of people cognitive impairments served under VR. 5,018 N/A N/A
Number of people psychosocial impairments served under VR. 3,408 N/A N/A
Number of people with mental impairments served under VR. 1,121 N/A N/A
Percentage of overall closures into employment under VR. 37.70% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 21,430 19,773
Number of eligible ticket to work beneficiaries. N/A 914,022 916,755
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 780 N/A N/A
Total number of ID competitive labor market closures. 607 N/A N/A

 

IDD OUTCOMES

2011 2012 2013
Dollars spent on day/employment services for integrated employment funding. $7,616,000 $4,236,000 $966,000
Dollars spent on day/employment services for facility-based work funding. $0 $0 $0
Dollars spent on day/employment services for facility-based non-work funding. $0 $0 $99,239,000
Dollars spent on day/employment services for community based non-work funding. $163,531,000 $142,770,000 $0
Percentage of people served in integrated employment. 5.00% 4.00% 8.00%
Number of people served in community based non-work. 16,731 15,706 0
Number of people served in facility based work. N/A N/A 616
Number of people served in facility based non-work. N/A N/A 24,650
Number supported in integrated employment per 100,000 individuals in the general state population. 8.50 7.50 14.40

 

EDUCATION OUTCOMES

2011 2012 2013
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 67.00% 66.00% 66.17%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 13.00% 14.00% 13.93%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.00% 1.00% 1.19%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 99.30% 99.70% 99.74%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 22.00% 27.00% 26.77%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 57.00% 59.00% 61.55%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 69.00% 69.00% 71.65%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 35.00% 32.00% 34.77%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 7,034,752
Number of overall total blind and SD workers. 6,822
Number of AbilityOne blind and SD hours (products). 1,436,521
Number of AbilityOne blind and SD hours (services). 4,235,134
Number of AbilityOne blind and SD hours (combined). 5,671,655
Number of AbilityOne blind and SD workers (products). 1,090
Number of AbilityOne blind and SD workers (services). 3,482
Number of AbilityOne blind and SD workers (combined). 4,572
AbilityOne wages (products). $12,142,783
AbilityOne wages (services). $54,025,955

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2014 2015
Number of 14(c) certificate-holding private businesses. 1 2
Number of 14(c) certificate-holding school work experience programs (SWEPs). 6 1
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 104 105
Number of 14(c) certificate holding patient workers. N/A 4
Total Number of 14(c) certificate holding entities. N/A 112
Reported number of people with disabilities working under 14(c) certificate holding private businesses. N/A 1
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 19
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 8,938
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 856
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 9,814

 


TX Health and Human Services Commission: General Provisions - 09/01/2015

“It is the policy of the state that earning a living wage through competitive employment in the general workforce is the priority and preferred outcome for working-age individuals with disabilities who receive public benefits.”

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Employer Engagement
  • 14(c)/Income Security
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Texas SB 1664 (ABLE Act) - 06/19/2015

"An act relating to the establishment of the Texas Achieving a Better Life Experience (ABLE) Program…(1) to encourage and assist individuals and families in saving funds for the purpose of supporting individuals with disabilities to maintain health, independence, and quality of life, and (2) to provide secure funding for qualified disability expenses on behalf of designated beneficiaries with disabilities that will supplement, but not supplant, benefits provided through private insurance, the Medicaid program under title XIX of the Social Security Act, the Supplemental Security Income program under title XVI of the Social Security Act, the beneficiary's employment, and other sources."

Systems
  • Department of Education
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Texas SB 1664 - 06/19/2015

"An act relating to the establishment of the Texas Achieving a Better Life Experience (ABLE) Program…(1) to encourage and assist individuals and families in saving funds for the purpose of supporting individuals with disabilities to maintain health, independence, and quality of life, and (2) to provide secure funding for qualified disability expenses on behalf of designated beneficiaries with disabilities that will supplement, but not supplant, benefits provided through private insurance, the Medicaid program under title XIX of the Social Security Act, the Supplemental Security Income program under title XVI of the Social Security Act, the beneficiary's employment, and other sources."

 

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

2013 Employment Assistance and Supported Employment Bill - 06/14/2013

This acts relates to the provision of employment assistance and supported employment to certain Medicaid waiver program participants. Assistance includes providing assistance to an individual that helps them locate paid employment in the community.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Employer Engagement

Texas 2013 Employment First Bill (S.B 1226) - 06/14/2013

The act establishes an employment-first policy and task force to promote integrated competitive employment opportunities that provide a living wage for individuals with disabilities. The Texas Education Agency and the Texas Workforce Commission will jointly adopt and implement the policy.

Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Human Resources Code Section 32.075 (Employment Assistance)

This code defines “Employment assistance” as, “assistance provided to an individual to help the individual locate paid employment in the community.” It defines “Supported employment” as, “assistance provided, in order to sustain paid employment, to an individual who, because of a disability, requires intensive, ongoing support to be self-employed, work from home, or perform in a work setting at which individuals without disabilities are employed. Supported employment includes adaptations, supervision, and training related to an individual's diagnosis.” It also lists the medical assistance waivers to which Supported Employment applies.

Systems
  • Medicaid Agencies
  • Other
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation

Texas Human Resources Code, Section 121.003

This code addresses discrimination that is prohibited by law in the state of Texas, especially pertaining to people with disabilities. Among other measures, it specifically states that, “It is the policy of the state that persons with disabilities be employed by the state, by political subdivisions of the state, in the public schools, and in all other employment supported in whole or in part by public funds on the same terms and conditions as persons without disabilities, unless it is shown that there is no reasonable accommodation that would enable a person with a disability to perform the essential elements of a job.”

Systems
  • Other
Topics
  • Employer Engagement

Texas Labor Code, Sections 21.051 - 21.061 (Disability Discrimination)

This labor code states that an employer, employment agency or labor organization commits an unlawful act if it discriminates against individuals due to a disability or segregates or classifies them in a manner that would deprive them of an employment opportunity or otherwise adversely affect their status as an employee.

Systems
  • Other
Topics
  • Employer Engagement

No Executive Orders have been entered for this state.


Texas Council of Developmental Disability: State Plan Goals 2017-2021 - 01/01/2017

“Goal 1: Create and support promising practices that enable people with developmental disabilities to be fully included in their communities and to have control over their own lives by September 30, 2021.

Goal 2: Improve and/or expand community-based systems to better support people with developmental disabilities or families of children with developmental disabilities to be fully included in their communities by September 30, 2021.

Goal 3: Increase the access that individuals with developmental disabilities and families of individuals with developmental disabilities have to information, training, and support to advocate for themselves and/or to collaborate with allies to impact public policy, service systems, and community supports.

Goal 4: Ensure there is ongoing support and technical assistance for the Council to identify and engage in issues according to the Council’s priorities and mission.”

 

Systems
  • Other
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Health and Human Services Transformation - 09/01/2016

“In 2015, Texas Health and Human Services (HHS) began a transformation effort to produce a more efficient, effective, and responsive system. In September of 2016 the first phase of that effort became operational.

The goals of the transformation are to create a system that:

Is easier to navigate for people who need information, benefits, or services Aligns with the HHS mission, business, and statutory responsibilities Breaks down operational silos to create greater program integration Creates clear lines of accountability within the organization Develops clearly defined and objective performance metrics for all areas of the organization”
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Provider Transformation

Texas Department of Aging and Disabilities (DADs) Guide to Employment for People with Disabilities - 05/01/2015

“The purpose of this guide is to provide information on how to support and assist working-age people with disabilities who are receiving DADS services to obtain and maintain competitive, integrated employment. Through this guide, DADS intends to provide information on best practices and resources that can help improve employment outcomes for people with disabilities. The guide includes success stories of people with disabilities who, as a result of receiving the appropriate supports and services, have secured fulfilling employment...”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Education Agency Employment First Policy - 03/25/2015

“TEA hereby adopts the state's policy that earning a living wage through competitive employment in the general workforce is the priority and preferred outcome for working age individuals with disabilities who receive public benefits. TEA will evaluate recommendations made by the Employment-First Task Force and will adopt rules as necessary that are consistent with the policy.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • 14(c)/Income Security
  • Cross-Agency Collaboration / Partnerships

Texas FY 2015 Plans for Vocational Rehabilitation and Supported Employment Services Programs - 09/30/2014

“The Division for Rehabilitation Services (DRS) recognizes that collaboration with community organizations and other state agencies is essential to achieving successful employment outcomes for consumers with the most significant disabilities. DRS seeks opportunities to identify, develop, and implement cooperative agreements with other state agencies and appropriate entities, particularly when these agreements establish a framework to assist with the provision of supported employment services and extended services for consumers with the most significant disabilities.

Plans for Improving Supported Employment Services: DRS plans to…develop and implement an improved benchmark system for the provision of specific supported employment services statewide; explore complimentary services for specific populations like persons with autism and mental health diagnoses; develop a supported employment technical assistance training model for DRS staff members to improve their ability to determine when supported employment services are needed; and develop tools that will help staff members monitor and provide guidance to supported employment contract providers.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

DARS Provider Supported Self-Employment Diagram - 02/15/2011

This diagram serves as a guide for Dept. of Assistive and Rehabilitation Services providers for the process of supported employment, It contains guidelines and benchmarks, including an emphasis on the process of Discovery.

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Provider Transformation

Texas Council for Developmental Disabilities Annual Impact Report 2014

Systems
  • Other

Texas Workforce Commission Employment First Policy

“TWC will promote competitive employment of individuals with disabilities and the expectation that they are able to meet the same employment standards, responsibilities and expectations as other working-age adults. TWC acknowledges that it is the policy of the state, as set forth in Texas Government Code §531.02447, ‘that earning a living wage through competitive employment in the general workforce is the priority and preferred outcome for working-age individuals with disabilities who receive public benefits.’”

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement
  • 14(c)/Income Security
  • Cross-Agency Collaboration / Partnerships

Guide For Hiring People With Disability

The Texas Department of Assistive and Rehabilitative Services (DARS), in conjunction with Office of the Federal Contract Compliance Program (OFCCP) and a group of local businesses has produced this guide on attracting and hiring people with disabilities. DARS works in partnership with Texans with disabilities and families with children who have developmental delays to improve the quality of their lives and to enable their full participation in society. The DARS Vocational Rehabilitation (VR) program helps people with disabilities to prepare for, find and keep employment. DARS services can reduce the need for support from other public benefits and services.

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Comprehensive Need Assessment Of Texans With Disability (2014)

This document represents findings from a comprehensive state needs assessment of the rehabilitation needs of individuals with disabilities. The Rehabilitation Act of 1973 as amended calls for periodic comprehensive statewide needs assessments that will result in recommendations to the goals, priorities, and strategies of the state plan. Two divisions within the Department of Assistive and Rehabilitative Services (DARS), the Division for Rehabilitation Services (DRS) and the Division for Blind Services (DBS) contracted with the Child and Family Research Institute at The University of Texas at Austin to conduct this needs assessment. This needs assessment addresses the federal requirements related to the Title I state plan for vocational rehabilitation (VR) services and its title VI B supplement related to supported employment services by including: 1. The results of the needs assessment describing the rehabilitation needs of individuals with disabilities residing within the state, particularly the vocational rehabilitation services needs of: a. individuals with the most significant disabilities, including their need for supported employment; b. individuals with disabilities who are minorities; c. individuals with disabilities who have been unserved and underserved by the VR program; and d. individuals with disabilities served through other components of the statewide workforce investment system (other than the VR program), as identified by such individuals and personnel assisting such individuals through the components. 2. An assessment of the need to: a. establish community rehabilitation programs (CRPs); b. develop CRPs; or c. improve CRPs within the state.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Data Sharing

Standards Manual for Consumer Services Contract Providers

This manual contains information on supported employment services provided by the Division for Blind Services Consumer Services Contract Providers. It defines Supported Employment as, “a ‘place then train’ model, which is a two-part process: 1) place a consumer with the most significant disabilities in a competitive job, and then, 2) provide training and support directly related to the job.   Unlike the traditional VR model, which provides job readiness and other training activities to prepare a consumer for employment, this model is more appropriate for consumers with the most significant disabilities. Problems transferring knowledge from an artificial training situation to a real job are eliminated, because the focus is on finding the best job match and providing training for that particular job.”  
Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Provider Transformation

DRS: Standards for Providers

This policy manual contains up to date information on the Texas Department of Assistive and Rehabilitation Services standards for providers. The employment services mentioned included work readiness services, jot skills training, supported employment services, and supported self-employment services, among others. The services also address a wide range of disabilities including acute brain injury, deaf, and speech and hearing impaired.

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Division for Blind Services (DBS): Vocational Rehabilitation Manual

This policy manual contains up to date information on the Vocational Rehabilitation services provided by the Division for Blind Services (DBS). The services include community rehabilitation programs, employment assistance, job readiness training and job placement, job coach services, and on-the-job training, among many others.

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Texas Dept of Assistive and Rehabilitation Services (DRS): Rehabilitation Policy Manual

This policy manual contains up to date information on the services provided by the Dept. of Assistive and Rehabilitation Services. The employment services in particular include job readiness, counselor-directed placement, on the job training, apprenticeship opportunities, supported employment, job coaching and self-employment services, among others.

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Customized Employment Texas Policy Summary

“The Texas Department of Assistive and Rehabilitative Services' (DARS) Division for Rehabilitation Services (DRS) and Division of Blind Services (DBS) have implemented a detailed Discovery process, one of the key elements of Customized Employment (CE), as the center point of the agency's person-centered planning mechanism. By adding depth and direction to the basic concept of Discovery in its policy, the agencies incorporated a more thorough and person-centered planning process in the field. DRS and DBS contract with Community Rehabilitation Providers (CRPs) for delivery of all Supported Employment services, including CE.”

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation

Employment Protections

• Texas law explicitly prohibits the employment-related discrimination due to disability; “Promotes competitive employment opportunities for people with disabilities,… Requires the Health and Human Service Commission (HHSC), the Texas Education Agency (TEA) and the Texas Workforce Commission (TWC) to adopt and implement an employment policy that ensure that all working-age people with disabilities are offered information and trainings about employment and assist employers, community providers, public school staff and vocational service programs with achieving the employment policy goals; [and] Provides assistance finding and sustaining employment to individuals in specific Medicaid waiver programs.”

Systems
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Transition in Texas “Texas Transition and Employment Guide” November 2014

“Transition is the term used for the time when you are changing from a student to an adult. You, your parents, and your school begin to plan for transition while you are still a student.

Your parents and the school need to understand your wants and needs to make sure they are included in your plan. You need to talk to your parents and your teachers about how you can become more involved in making decisions about your educational program and your plans for the future.

There are several work choices:

          • competitive employment – a job done by a person with a disability, in the same job setting, and at a pay rate that is the same as a worker without a disability

          • customized employment - a job based on what people know how to do, their needs, what they like, and that is designed to meet the specific needs of the employer

          • integrated employment – a job at a work site at which the person routinely interacts with people without disabilities in addition to the work site supervisor or service providers

          • supported employment - a job with supports by service providers done by a person with a disability in the same job setting as a worker without a disability

          • self-employment – making money from services or products a person provides to his or her customers instead of working for someone else.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Texas Employment First Task Force Home Page

The Employment First Task Force, authorized by Senate Bill 1226 (83rd Legislature, Regular Session, 2013), was established by the Texas Health and Human Services Commission executive commissioner to promote competitive employment of people with disabilities and the expectation that individuals with disabilities are able to meet the same employment standards, responsibilities, and expectations as any other working-age adult.”

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Texas Employment First Policy and Texas Employment First Task Force Report - Fall 2014

“Senate Bill 1226 (S.B. 1226), 83rd Legislature, Regular Session, 2013, promotes employment for individuals with disabilities by establishing an Employment First policy for the state of Texas and also creating an Employment First Task Force (the Task Force). …” “’Employment First’” is an approach to facilitating the full inclusion of individuals with disabilities in the workplace. This approach states that integrated, competitive employment should be the first option considered for individuals with disabilities and should be the expected outcome of education and publicly-funded services for working-age youth and adults.”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • 14(c)/Income Security
  • Cross-Agency Collaboration / Partnerships

Texas Combined State Plan for The Workforce Innovation and Opportunity Act (WIOA) - 07/01/2016

"Texas proposes through this Combined State Plan (plan) to implement jointly administered activities concerning the following core programs and two optional programs authorized by the Workforce Innovation and Opportunity Act (WIOA):

The Adult, Dislocated Worker, and Youth programs The Wagner-Peyser Employment Service (ES) program, including the Agricultural Outreach Plan The Adult Education and Family Literacy Act program The Vocational Rehabilitation program The Senior Community Service Employment Program"
Systems
  • Department of Rehabilitation Services
  • Department of Education

Texas State Plans for VR Services and Supported Employment Services Programs - 09/30/2014

“The Division for Rehabilitation Services (DRS) recognizes that collaboration with community organizations and other state agencies is essential to achieving successful employment outcomes for consumers with the most significant disabilities. DRS seeks opportunities to identify, develop, and implement cooperative agreements with other state agencies and appropriate entities, particularly when these agreements establish a framework to assist with the provision of supported employment services and extended services for consumers with the most significant disabilities.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Employment First Task Force Home Page

The Employment First Task Force, authorized by Senate Bill 1226 (83rd Legislature, Regular Session, 2013), was established by the Texas Health and Human Services Commission executive commissioner to promote competitive employment of people with disabilities and the expectation that individuals with disabilities are able to meet the same employment standards, responsibilities, and expectations as any other working-age adult.”

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Texas Dept of Assistive and Rehabilitative Services and Dept of Aging and Disability Services MOA

Recognizing the need to coordinate the provision of services to individuals receiving services from the Texas Department of Aging and Disability Services (DADS) who may be eligible for or are receiving Vocational Rehabilitation (VR) or Independent Living (IL) services from the Texas Department of Assistive and Rehabilitative Services (DARS), DARS and DADS enter into this Memorandum of Agreement (MOA) in accordance with the provisions of CFR §361.53(d) and 111.0525(b) of the Texas Human Resources Code. 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Employment Development Initiative - 10/01/2012

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).

This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project.”

In FY2012, Texas was awarded an EDI grant for an expansion of supported employment through Consumer Operated Services Programs.

Systems
  • Department of Mental Health
Topics
  • Mental Health

Texas Medicaid Balancing Incentives Program - 09/04/2012

The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) partner in implementing The Balancing Incentive Program (BIP), which “increases the Federal Matching Assistance Percentage to participating states through September 2015 in exchange for states making certain structural reforms to increase access to Medicaid community based long-term services and supports (LTSS).”    “These required structural reforms include…   • implementing a "no wrong door" eligibility and enrollment system;    • developing core standardized assessment instruments; and    • ensuring case management activities are conflict free.”   
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Ticket to Work - 06/25/2008

“Under the Ticket to Work Program and Title II and Title XVI of the Act, SSA issues “tickets” to SSDI and SSI blind or disabled beneficiaries. In this voluntary program, each beneficiary who receives a ticket can use it to obtain services from a provider, known as an employment network (EN), or from a state vocational rehabilitation (VR) agency. The VR agency in Texas is the Texas Department of Assistive and Rehabilitative Services (DARS)…

The intent of the Ticket to Work Program is to…establish a system in which qualified ENs provide employment and other support services (e.g., case management, benefits counseling, and job training); provide individualized tickets to beneficiaries for the “purchase” of services from approved ENs; and give beneficiaries a real choice in obtaining the services, education, and technology needed to find, enter, and maintain employment within an expanding universe of service providers.”

Systems
  • Department of Rehabilitation Services
Topics
  • Cross-Agency Collaboration / Partnerships
Citations

Customized Employment Grant (Transition Adjustment and Career Education/TACE)

The demonstration project was conducted in local workforce development centers across the state.  It was designed to, “To enhance the capability of One-Stop Career Centers to deliver services to people with disabilities, bridging education and job development with customized employment services” by integrating customized employment services with existing services, creating customized employment opportunities for people with disabilities and increasing the capacity of centers and its partners to provide high-quality customized employment services through intensive staff training (e.g., developing a capacity building curriculum).

Systems
  • Department of Workforce Development
Topics
  • Customized Employment
  • School-to-Work Transition
  • Provider Transformation

Texas Training and Technical Assistance to Providers (T-TAP)

“T-TAP is a national training and technical assistance center to help community rehabilitation providers make the transition from providing segregated employment services to finding people with disabilities jobs in the community. The specific target audience is employment agencies that hold 14(c) subminimum wage certificates, which allow employers to pay people less than minimum wage and are typically used in the disability field to pay workers piece rates at sheltered workshops. Activities include online courses, satellite telecasts, regional employment forums, intensive consultation to selected agencies, and policy research. The Institute for Community Inclusion and Virginia Commonwealth University work in partnership on this project. T-TAP [was] funded from 2002 to 2007 by the Office of Disability and Employment Policy at the U.S. Department of Labor.”

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement
  • 14(c)/Income Security
  • Segregated Day & Employment Services
  • Cross-Agency Collaboration / Partnerships

Texas Customized Employment Grant (Transition Adjustment and Career Education/TACE)

The demonstration project was conducted in local workforce development centers across the state. It was designed to, “To enhance the capability of One-Stop Career Centers to deliver services to people with disabilities, bridging education and job development with customized employment services” by integrating customized employment services with existing services, creating customized employment opportunities for people with disabilities and increasing the capacity of centers and its partners to provide high-quality customized employment services through intensive staff training (e.g., developing a capacity building curriculum).

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Texas Medicaid Buy-In Program

The program “offers low-cost Medicaid health care services — including community-based services and supports to working people with a disability. Some people might have to pay a monthly fee” to receive services which include but not limited to:  • Doctor / clinic visits  • Mental health care  • Occupational therapy (help learning how to do everyday tasks)  • X-rays  • Physical therapy (help learning how to move around better or become stronger)

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Money Follows The Person

“The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) will receive approximately $33.6 million in new funding over the next five years, which will be paired with existing state and federal funding for a total of $143 million. The agency will use the money to enhance its successful Money Follows the Person (MFP) initiative and expand its effort for persons with intellectual and developmental disabilities, and persons with behavioral health needs.

The MFP initiative helps people who are receiving long-term services and supports in a nursing facility return to the community to receive their services without having to be placed on a community services interest list.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

The Texas Customized Self-Employment Project: The Customized Employment Plan Design

This presentation describes Customized Employment as “a flexible process designed to personalize the employment relationship between a job candidate and an employer in a way that meets the needs of both.”  It focuses heavily on the processes and value of Discovery in the employment process.

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Employer Engagement
  • Provider Transformation

The Texas Customized Self-Employment Project

This presentation presents Self-Employment as a viable employment option for people with disabilities.

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Self-Employment

Texas Department of Assistive & Rehabilitative Services (DARS) Customized Self-Employment System Development Initiative

“This proposal is designed to support and implement the phased development of a financially, technically and programmatically viable system of TX DARS for prospective business owners in TX with disabilities, who require customized employment services and are applying for, or receiving, DARS counseling and services to develop small businesses.   Specifically, this initiative is designed to research, identify and develop an outcome payment model and rate structure for customized self-employment, including: DARS Counselor CRC certification level, online and onsite training and technical assistance; and, intensive multi-certification, online and onsite training for DARS vendors throughout the state of Texas.”  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment

Texas Transition and Employment Guide

This transition and employment guide is for you, the student in Texas public school, who may have received special education services due to a disability. It also provides helpful information for your parents. This guide has steps you and your parents can take to make sure you are able to find the right work or educational choices for you after high school. It also tells you where to get the services you will need after high school.    The guide is divided into sections on Self Advocacy, Transition Services, Employment and Supported Employment, Social Security Programs, Community and Long Term Services and Supports, Postsecondary Educational Programs and Services, Information Sharing, and Guardianship and Alternatives. Each section has phone numbers, emails, and websites to help you find what you need. At the end of each section and at the end of the guide, you will find a timeline of steps that you and your parents can take as you make the transition from student to adult.”  
Systems
  • Department of Education
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health

Wal-Mart to Pay $150,000 to Settle EEOC Age and Disability Discrimination Suit - 02/19/2015

“Under the terms of the two-year consent decree settling the case, Wal-Mart will pay $150,000 in relief to Moorman. In addition, Wal-Mart agreed to provide training for employees on the ADA and the ADEA. The training will include an instruction on the kind of conduct that may constitute unlawful discrimination or harassment, as well as an instruction on Wal-Mart's procedures for handling requests for reasonable accommodations under the ADA. Wal-Mart will also report to the EEOC regarding its compliance with the consent decree and post a notice to employees about the settlement.”

Systems
  • Other
Topics
  • Employer Engagement

Texas Wendy’s Consent Decree - 10/10/2012

“Under the terms of the two-year consent decree settling the case, Wendy's will pay $41,500 in relief to a person who applied to a job with the company, but was denied despite his qualifications. “In addition, Wendy's has agreed to provide training for all managers and supervisory employees, including its company president, on the ADA. The training will include a discussion related to hiring individuals with disabilities. In addition, the training will include a specific instruction on communication devices, such as the use of the Texas Relay System or video relay service regarding communication between Wendy's employees and applicants with hearing impairments.’“

Systems
  • Other
Topics
  • Employer Engagement

Texas Steward et. al. v. Perry et. al (2013)

“On August 19, 2013, the United States, private Plaintiffs and the State of Texas filed an Interim Settlement Agreement to enable Texans with intellectual and other developmental disabilities to live in the community rather than nursing facilities. The Interim Settlement Agreement is awaiting court approval…[It] partially addresses the Civil Rights Division's finding that the State of Texas failed to serve individuals with intellectual and developmental disabilities in the most integrated setting appropriate to those individuals' needs, in violation of the Americans with Disabilities Act (ADA) and Olmstead v. L.C.” “

Systems
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Texas Home Living Program (TxHmL) - Amended Rules Effective 3/2016 - 03/20/2016

“The Texas Home Living (TxHmL) program provides selected essential services and supports to people with an intellectual disability or a related condition who live in their own home or their family's home.”

Systems
  • Medicaid Agencies
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Texas Youth Empowerment Services (YES) Waiver Program Payment Rates - 03/15/2016

Public comments will be received on proposed payment rates for Supported Employment and Employment Assistance provided under the Youth Empowerment Services (YES) waiver program operated by the Department of State Health Services (DSHS). The revised payment rates are proposed to be effective March 15, 2016

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Balancing Incentives Program - 09/04/2012

The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) partner in implementing The Balancing Incentive Program (BIP), which “increases the Federal Matching Assistance Percentage to participating states through September 2015 in exchange for states making certain structural reforms to increase access to Medicaid community based long-term services and supports (LTSS).”    “These required structural reforms include…implementing a "no wrong door" eligibility and enrollment system; developing core standardized assessment instruments; and ensuring case management activities are conflict free.”   
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Medicaid Buy-In Program

The program “offers low-cost Medicaid health care services — including community-based services and supports to working people with a disability. Some people might have to pay a monthly fee” to receive services which include but not limited to:    • Doctor / clinic visits     • Mental health care     • Occupational therapy (help learning how to do everyday tasks)    • X-rays     • Physical therapy (help learning how to move around better or become stronger)  
Systems
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Money Follows The Person

“The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) will receive approximately $33.6 million in new funding over the next five years, which will be paired with existing state and federal funding for a total of $143 million. The agency will use the money to enhance its successful Money Follows the Person (MFP) initiative and expand its effort for persons with intellectual and developmental disabilities, and persons with behavioral health needs.”   “The MFP initiative helps people who are receiving long-term services and supports in a nursing facility return to the community to receive their services without having to be placed on a community services interest list.”  
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Medicaid State Plan

The state plan is the officially recognized document describing the nature and scope of the State of Texas Medicaid program. As required under Section 1902 of the Social Security Act, the plan was developed by the state and approved by the U.S. Department of Health and Human Services. Essentially, the plan is the state's agreement that it will conform to the requirements of the Social Security Act and the official issuances of the U.S. Department of Health and Human Services

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas HCBS Transition Plan

The Centers for Medicare and Medicaid Services (CMS) has released a final rule that defines the settings in which states can offer Medicaid Home and Community Based Services (HCBS). This website will serve as a place where you can submit comments about the rule and the way its provisions will be set up within Texas Medicaid.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Texas Youth Empowerment Services

“The Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS) developed the Youth Empowerment Services (YES) Waiver, which provides comprehensive home and community-based mental health services to youth between the ages of 3 and 18, up to a youth's 19th birthday, who have a serious emotional disturbance. The YES Waiver not only provides flexible supports and specialized services to children and youth at risk of institutionalization and/or out-of-home placement due to their serious emotional disturbance, but also strives to provide hope to families by offering services aimed at keeping children and youth in their homes and communities.”

Systems
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Home and Community Based Services (HCBS)

“HCS provides individualized services and supports to persons with intellectual and developmental disabilities who are living with their family, in their own home or in other community settings, such as small group homes.”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Texas Community Living Assistance and Support Services (CLASS)

“CLASS provides home- and community-based services to people with related conditions as a cost-effective alternative to placement in an Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF-IID).”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Texas Community Based Alternatives (CBA)

“This program provides home- and community-based services to people who are elderly and to adults with disabilities as a cost-effective alternative to living in a nursing home.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

States - Large Tablet

Snapshot

Everything's Bigger in Texas, including the number of job options in integrated settings at competitive wages for individuals with disabilities. The Lone Star state is a place where anyone, including those with disabilities, can live the American Dream… Deep in the Heart of Texas! 

2014 State Population.
1.89%
Change from
2013 to 2014
26,956,958
2014 Number of people with disabilities (all disabilities, ages 18-64).
0.85%
Change from
2013 to 2014
1,616,223
2014 Number of people with disabilities who are employed (all disabilities, ages 18-64).
-0.98%
Change from
2013 to 2014
613,660
2014 Percentage of working age people who are employed (all disabilities).
-1.84%
Change from
2013 to 2014
37.97%
2014 Percentage of working age people who are employed (NO disabilities).
0.8%
Change from
2013 to 2014
75.29%

State Data

General

2012 2013 2014
Population. 26,059,203 26,448,193 26,956,958
Number of people with disabilities (all disabilities, ages 18-64). 1,590,079 1,602,460 1,616,223
Number of people with disabilities who are employed (all disabilities, ages 18-64). 587,548 619,692 613,660
Number of people without disabilities who are employed (ages 18-64). 10,537,118 10,802,460 11,106,300
Percentage of working age people who are employed (all disabilities). 36.95% 38.67% 37.97%
Percentage of working age people who are employed (NO disabilities). 73.85% 74.69% 75.29%
Overall unemployment rate. 6.70% 6.20% 5.10%
Poverty Rate (all disabilities). 23.30% 23.00% 22.10%
Poverty Rate (NO disabilities). 17.20% 16.80% 16.60%
Number of males with disabilities (all ages). 1,445,371 1,489,714 1,497,762
Number of females with disabilities (all ages). 1,520,068 1,557,444 1,603,277
Number of Caucasians with disabilities (all ages). 2,265,409 2,333,668 2,392,261
Number of African Americans with disabilities (all ages). 408,490 412,755 422,849
Number of Hispanic/Latinos with disabilities (all ages). 938,032 964,494 978,202
Number of American Indians/Alaska Natives with disabilities (all ages). 18,950 19,256 18,845
Number of Asians with disabilities (all ages). 55,234 61,371 64,338
Number of Hawaiians/Pacific Islanders with disabilities (all ages). 900 2,576 1,771
Number of with multiple races disabilities (all ages). 72,091 71,164 69,100
Number of others with disabilities (all ages). 144,365 146,368 131,875

 

SSA OUTCOMES

2012 2013 2014
Number of SSI recipients with disabilities who work. 16,840 17,346 18,624
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 3.00% 3.10% 3.30%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 567,705 574,276 574,012

 

MENTAL HEALTH OUTCOMES

2012 2013 2014
Number of mental health services consumers who are employed. 24,141 24,957 30,553
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 54,416 53,929 60,533
Number of adults served who have a known employment status. 167,810 165,862 173,707
Percentage of all state mental health agency consumers served in the community who are employed. 14.40% 15.00% 17.60%
Percentage of supported employment services evidence based practices (EBP). 2.00% 3.20% 4.60%
Percentage of supported housing services evidence based practices (EBP). 2.20% 3.10% 4.80%
Percentage of assertive community treatment services evidence based practices (EBP). 1.40% 1.40% 1.70%
Percentage of medications management evidence based practices (EBP). 43.50% 44.00% 43.50%
Number of evidence based practices (EBP) supported employment services. 4,525 7,341 11,116
Number of evidence based practices (EBP) supported housing services. 5,077 7,286 11,549
Number of evidence based practices (EBP) assertive community treatment services. 3,335 3,250 4,148
Number of evidence based practices (EBP) medications management. 100,786 102,092 104,481

 

WAGNER PEYSER OUTCOMES

2012 2013 2014
Number of registered job seekers with a disability. 44,627 45,361 53,307
Proportion of registered job seekers with a disability. 0.03 0.04 0.04

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2011 2012 2013
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 374 483 687
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 181 232 346
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 48.00% 48.00% 50.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 0.70 0.89 1.31

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
20,692
N/A
N/A
Number of people with visual impairments served under VR. 14 N/A N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 3,999 N/A N/A
Number of people with physical impairments served under VR. 7,132 N/A N/A
Number of people cognitive impairments served under VR. 5,018 N/A N/A
Number of people psychosocial impairments served under VR. 3,408 N/A N/A
Number of people with mental impairments served under VR. 1,121 N/A N/A
Percentage of overall closures into employment under VR. 37.70% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 21,430 19,773
Number of eligible ticket to work beneficiaries. N/A 914,022 916,755
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 780 N/A N/A
Total number of ID competitive labor market closures. 607 N/A N/A

 

IDD OUTCOMES

2011 2012 2013
Dollars spent on day/employment services for integrated employment funding. $7,616,000 $4,236,000 $966,000
Dollars spent on day/employment services for facility-based work funding. $0 $0 $0
Dollars spent on day/employment services for facility-based non-work funding. $0 $0 $99,239,000
Dollars spent on day/employment services for community based non-work funding. $163,531,000 $142,770,000 $0
Percentage of people served in integrated employment. 5.00% 4.00% 8.00%
Number of people served in community based non-work. 16,731 15,706 0
Number of people served in facility based work. N/A N/A 616
Number of people served in facility based non-work. N/A N/A 24,650
Number supported in integrated employment per 100,000 individuals in the general state population. 8.50 7.50 14.40

 

EDUCATION OUTCOMES

2011 2012 2013
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 67.00% 66.00% 66.17%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 13.00% 14.00% 13.93%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.00% 1.00% 1.19%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 99.30% 99.70% 99.74%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 22.00% 27.00% 26.77%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 57.00% 59.00% 61.55%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 69.00% 69.00% 71.65%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 35.00% 32.00% 34.77%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 7,034,752
Number of overall total blind and SD workers. 6,822
Number of AbilityOne blind and SD hours (products). 1,436,521
Number of AbilityOne blind and SD hours (services). 4,235,134
Number of AbilityOne blind and SD hours (combined). 5,671,655
Number of AbilityOne blind and SD workers (products). 1,090
Number of AbilityOne blind and SD workers (services). 3,482
Number of AbilityOne blind and SD workers (combined). 4,572
AbilityOne wages (products). $12,142,783
AbilityOne wages (services). $54,025,955

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2014 2015
Number of 14(c) certificate-holding private businesses. 1 2
Number of 14(c) certificate-holding school work experience programs (SWEPs). 6 1
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 104 105
Number of 14(c) certificate holding patient workers. N/A 4
Total Number of 14(c) certificate holding entities. N/A 112
Reported number of people with disabilities working under 14(c) certificate holding private businesses. N/A 1
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 19
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 8,938
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 856
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 9,814

 

Legislation


TX Health and Human Services Commission: General Provisions - 09/01/2015

“It is the policy of the state that earning a living wage through competitive employment in the general workforce is the priority and preferred outcome for working-age individuals with disabilities who receive public benefits.”

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Employer Engagement
  • 14(c)/Income Security
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Texas SB 1664 (ABLE Act) - 06/19/2015

"An act relating to the establishment of the Texas Achieving a Better Life Experience (ABLE) Program…(1) to encourage and assist individuals and families in saving funds for the purpose of supporting individuals with disabilities to maintain health, independence, and quality of life, and (2) to provide secure funding for qualified disability expenses on behalf of designated beneficiaries with disabilities that will supplement, but not supplant, benefits provided through private insurance, the Medicaid program under title XIX of the Social Security Act, the Supplemental Security Income program under title XVI of the Social Security Act, the beneficiary's employment, and other sources."

Systems
  • Department of Education
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Texas SB 1664 - 06/19/2015

"An act relating to the establishment of the Texas Achieving a Better Life Experience (ABLE) Program…(1) to encourage and assist individuals and families in saving funds for the purpose of supporting individuals with disabilities to maintain health, independence, and quality of life, and (2) to provide secure funding for qualified disability expenses on behalf of designated beneficiaries with disabilities that will supplement, but not supplant, benefits provided through private insurance, the Medicaid program under title XIX of the Social Security Act, the Supplemental Security Income program under title XVI of the Social Security Act, the beneficiary's employment, and other sources."

 

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

2013 Employment Assistance and Supported Employment Bill - 06/14/2013

This acts relates to the provision of employment assistance and supported employment to certain Medicaid waiver program participants. Assistance includes providing assistance to an individual that helps them locate paid employment in the community.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Employer Engagement

Texas 2013 Employment First Bill (S.B 1226) - 06/14/2013

The act establishes an employment-first policy and task force to promote integrated competitive employment opportunities that provide a living wage for individuals with disabilities. The Texas Education Agency and the Texas Workforce Commission will jointly adopt and implement the policy.

Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Human Resources Code Section 32.075 (Employment Assistance)

This code defines “Employment assistance” as, “assistance provided to an individual to help the individual locate paid employment in the community.” It defines “Supported employment” as, “assistance provided, in order to sustain paid employment, to an individual who, because of a disability, requires intensive, ongoing support to be self-employed, work from home, or perform in a work setting at which individuals without disabilities are employed. Supported employment includes adaptations, supervision, and training related to an individual's diagnosis.” It also lists the medical assistance waivers to which Supported Employment applies.

Systems
  • Medicaid Agencies
  • Other
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation

Texas Human Resources Code, Section 121.003

This code addresses discrimination that is prohibited by law in the state of Texas, especially pertaining to people with disabilities. Among other measures, it specifically states that, “It is the policy of the state that persons with disabilities be employed by the state, by political subdivisions of the state, in the public schools, and in all other employment supported in whole or in part by public funds on the same terms and conditions as persons without disabilities, unless it is shown that there is no reasonable accommodation that would enable a person with a disability to perform the essential elements of a job.”

Systems
  • Other
Topics
  • Employer Engagement

Texas Labor Code, Sections 21.051 - 21.061 (Disability Discrimination)

This labor code states that an employer, employment agency or labor organization commits an unlawful act if it discriminates against individuals due to a disability or segregates or classifies them in a manner that would deprive them of an employment opportunity or otherwise adversely affect their status as an employee.

Systems
  • Other
Topics
  • Employer Engagement

Executive Orders

No Executive Orders have been entered for this state.

Policy


Texas Council of Developmental Disability: State Plan Goals 2017-2021 - 01/01/2017

“Goal 1: Create and support promising practices that enable people with developmental disabilities to be fully included in their communities and to have control over their own lives by September 30, 2021.

Goal 2: Improve and/or expand community-based systems to better support people with developmental disabilities or families of children with developmental disabilities to be fully included in their communities by September 30, 2021.

Goal 3: Increase the access that individuals with developmental disabilities and families of individuals with developmental disabilities have to information, training, and support to advocate for themselves and/or to collaborate with allies to impact public policy, service systems, and community supports.

Goal 4: Ensure there is ongoing support and technical assistance for the Council to identify and engage in issues according to the Council’s priorities and mission.”

 

Systems
  • Other
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Health and Human Services Transformation - 09/01/2016

“In 2015, Texas Health and Human Services (HHS) began a transformation effort to produce a more efficient, effective, and responsive system. In September of 2016 the first phase of that effort became operational.

The goals of the transformation are to create a system that:

Is easier to navigate for people who need information, benefits, or services Aligns with the HHS mission, business, and statutory responsibilities Breaks down operational silos to create greater program integration Creates clear lines of accountability within the organization Develops clearly defined and objective performance metrics for all areas of the organization”
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Provider Transformation

Texas Department of Aging and Disabilities (DADs) Guide to Employment for People with Disabilities - 05/01/2015

“The purpose of this guide is to provide information on how to support and assist working-age people with disabilities who are receiving DADS services to obtain and maintain competitive, integrated employment. Through this guide, DADS intends to provide information on best practices and resources that can help improve employment outcomes for people with disabilities. The guide includes success stories of people with disabilities who, as a result of receiving the appropriate supports and services, have secured fulfilling employment...”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Education Agency Employment First Policy - 03/25/2015

“TEA hereby adopts the state's policy that earning a living wage through competitive employment in the general workforce is the priority and preferred outcome for working age individuals with disabilities who receive public benefits. TEA will evaluate recommendations made by the Employment-First Task Force and will adopt rules as necessary that are consistent with the policy.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • 14(c)/Income Security
  • Cross-Agency Collaboration / Partnerships

Texas FY 2015 Plans for Vocational Rehabilitation and Supported Employment Services Programs - 09/30/2014

“The Division for Rehabilitation Services (DRS) recognizes that collaboration with community organizations and other state agencies is essential to achieving successful employment outcomes for consumers with the most significant disabilities. DRS seeks opportunities to identify, develop, and implement cooperative agreements with other state agencies and appropriate entities, particularly when these agreements establish a framework to assist with the provision of supported employment services and extended services for consumers with the most significant disabilities.

Plans for Improving Supported Employment Services: DRS plans to…develop and implement an improved benchmark system for the provision of specific supported employment services statewide; explore complimentary services for specific populations like persons with autism and mental health diagnoses; develop a supported employment technical assistance training model for DRS staff members to improve their ability to determine when supported employment services are needed; and develop tools that will help staff members monitor and provide guidance to supported employment contract providers.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

DARS Provider Supported Self-Employment Diagram - 02/15/2011

This diagram serves as a guide for Dept. of Assistive and Rehabilitation Services providers for the process of supported employment, It contains guidelines and benchmarks, including an emphasis on the process of Discovery.

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Provider Transformation

Texas Council for Developmental Disabilities Annual Impact Report 2014

Systems
  • Other

Texas Workforce Commission Employment First Policy

“TWC will promote competitive employment of individuals with disabilities and the expectation that they are able to meet the same employment standards, responsibilities and expectations as other working-age adults. TWC acknowledges that it is the policy of the state, as set forth in Texas Government Code §531.02447, ‘that earning a living wage through competitive employment in the general workforce is the priority and preferred outcome for working-age individuals with disabilities who receive public benefits.’”

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement
  • 14(c)/Income Security
  • Cross-Agency Collaboration / Partnerships

Guide For Hiring People With Disability

The Texas Department of Assistive and Rehabilitative Services (DARS), in conjunction with Office of the Federal Contract Compliance Program (OFCCP) and a group of local businesses has produced this guide on attracting and hiring people with disabilities. DARS works in partnership with Texans with disabilities and families with children who have developmental delays to improve the quality of their lives and to enable their full participation in society. The DARS Vocational Rehabilitation (VR) program helps people with disabilities to prepare for, find and keep employment. DARS services can reduce the need for support from other public benefits and services.

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Comprehensive Need Assessment Of Texans With Disability (2014)

This document represents findings from a comprehensive state needs assessment of the rehabilitation needs of individuals with disabilities. The Rehabilitation Act of 1973 as amended calls for periodic comprehensive statewide needs assessments that will result in recommendations to the goals, priorities, and strategies of the state plan. Two divisions within the Department of Assistive and Rehabilitative Services (DARS), the Division for Rehabilitation Services (DRS) and the Division for Blind Services (DBS) contracted with the Child and Family Research Institute at The University of Texas at Austin to conduct this needs assessment. This needs assessment addresses the federal requirements related to the Title I state plan for vocational rehabilitation (VR) services and its title VI B supplement related to supported employment services by including: 1. The results of the needs assessment describing the rehabilitation needs of individuals with disabilities residing within the state, particularly the vocational rehabilitation services needs of: a. individuals with the most significant disabilities, including their need for supported employment; b. individuals with disabilities who are minorities; c. individuals with disabilities who have been unserved and underserved by the VR program; and d. individuals with disabilities served through other components of the statewide workforce investment system (other than the VR program), as identified by such individuals and personnel assisting such individuals through the components. 2. An assessment of the need to: a. establish community rehabilitation programs (CRPs); b. develop CRPs; or c. improve CRPs within the state.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Data Sharing

Standards Manual for Consumer Services Contract Providers

This manual contains information on supported employment services provided by the Division for Blind Services Consumer Services Contract Providers. It defines Supported Employment as, “a ‘place then train’ model, which is a two-part process: 1) place a consumer with the most significant disabilities in a competitive job, and then, 2) provide training and support directly related to the job.   Unlike the traditional VR model, which provides job readiness and other training activities to prepare a consumer for employment, this model is more appropriate for consumers with the most significant disabilities. Problems transferring knowledge from an artificial training situation to a real job are eliminated, because the focus is on finding the best job match and providing training for that particular job.”  
Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Provider Transformation

DRS: Standards for Providers

This policy manual contains up to date information on the Texas Department of Assistive and Rehabilitation Services standards for providers. The employment services mentioned included work readiness services, jot skills training, supported employment services, and supported self-employment services, among others. The services also address a wide range of disabilities including acute brain injury, deaf, and speech and hearing impaired.

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Division for Blind Services (DBS): Vocational Rehabilitation Manual

This policy manual contains up to date information on the Vocational Rehabilitation services provided by the Division for Blind Services (DBS). The services include community rehabilitation programs, employment assistance, job readiness training and job placement, job coach services, and on-the-job training, among many others.

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Texas Dept of Assistive and Rehabilitation Services (DRS): Rehabilitation Policy Manual

This policy manual contains up to date information on the services provided by the Dept. of Assistive and Rehabilitation Services. The employment services in particular include job readiness, counselor-directed placement, on the job training, apprenticeship opportunities, supported employment, job coaching and self-employment services, among others.

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Customized Employment Texas Policy Summary

“The Texas Department of Assistive and Rehabilitative Services' (DARS) Division for Rehabilitation Services (DRS) and Division of Blind Services (DBS) have implemented a detailed Discovery process, one of the key elements of Customized Employment (CE), as the center point of the agency's person-centered planning mechanism. By adding depth and direction to the basic concept of Discovery in its policy, the agencies incorporated a more thorough and person-centered planning process in the field. DRS and DBS contract with Community Rehabilitation Providers (CRPs) for delivery of all Supported Employment services, including CE.”

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation

Employment Protections

• Texas law explicitly prohibits the employment-related discrimination due to disability; “Promotes competitive employment opportunities for people with disabilities,… Requires the Health and Human Service Commission (HHSC), the Texas Education Agency (TEA) and the Texas Workforce Commission (TWC) to adopt and implement an employment policy that ensure that all working-age people with disabilities are offered information and trainings about employment and assist employers, community providers, public school staff and vocational service programs with achieving the employment policy goals; [and] Provides assistance finding and sustaining employment to individuals in specific Medicaid waiver programs.”

Systems
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Transition in Texas “Texas Transition and Employment Guide” November 2014

“Transition is the term used for the time when you are changing from a student to an adult. You, your parents, and your school begin to plan for transition while you are still a student.

Your parents and the school need to understand your wants and needs to make sure they are included in your plan. You need to talk to your parents and your teachers about how you can become more involved in making decisions about your educational program and your plans for the future.

There are several work choices:

          • competitive employment – a job done by a person with a disability, in the same job setting, and at a pay rate that is the same as a worker without a disability

          • customized employment - a job based on what people know how to do, their needs, what they like, and that is designed to meet the specific needs of the employer

          • integrated employment – a job at a work site at which the person routinely interacts with people without disabilities in addition to the work site supervisor or service providers

          • supported employment - a job with supports by service providers done by a person with a disability in the same job setting as a worker without a disability

          • self-employment – making money from services or products a person provides to his or her customers instead of working for someone else.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Texas Employment First Task Force Home Page

The Employment First Task Force, authorized by Senate Bill 1226 (83rd Legislature, Regular Session, 2013), was established by the Texas Health and Human Services Commission executive commissioner to promote competitive employment of people with disabilities and the expectation that individuals with disabilities are able to meet the same employment standards, responsibilities, and expectations as any other working-age adult.”

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Texas Employment First Policy and Texas Employment First Task Force Report - Fall 2014

“Senate Bill 1226 (S.B. 1226), 83rd Legislature, Regular Session, 2013, promotes employment for individuals with disabilities by establishing an Employment First policy for the state of Texas and also creating an Employment First Task Force (the Task Force). …” “’Employment First’” is an approach to facilitating the full inclusion of individuals with disabilities in the workplace. This approach states that integrated, competitive employment should be the first option considered for individuals with disabilities and should be the expected outcome of education and publicly-funded services for working-age youth and adults.”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • 14(c)/Income Security
  • Cross-Agency Collaboration / Partnerships

Partnerships


Texas Combined State Plan for The Workforce Innovation and Opportunity Act (WIOA) - 07/01/2016

"Texas proposes through this Combined State Plan (plan) to implement jointly administered activities concerning the following core programs and two optional programs authorized by the Workforce Innovation and Opportunity Act (WIOA):

The Adult, Dislocated Worker, and Youth programs The Wagner-Peyser Employment Service (ES) program, including the Agricultural Outreach Plan The Adult Education and Family Literacy Act program The Vocational Rehabilitation program The Senior Community Service Employment Program"
Systems
  • Department of Rehabilitation Services
  • Department of Education

Texas State Plans for VR Services and Supported Employment Services Programs - 09/30/2014

“The Division for Rehabilitation Services (DRS) recognizes that collaboration with community organizations and other state agencies is essential to achieving successful employment outcomes for consumers with the most significant disabilities. DRS seeks opportunities to identify, develop, and implement cooperative agreements with other state agencies and appropriate entities, particularly when these agreements establish a framework to assist with the provision of supported employment services and extended services for consumers with the most significant disabilities.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Employment First Task Force Home Page

The Employment First Task Force, authorized by Senate Bill 1226 (83rd Legislature, Regular Session, 2013), was established by the Texas Health and Human Services Commission executive commissioner to promote competitive employment of people with disabilities and the expectation that individuals with disabilities are able to meet the same employment standards, responsibilities, and expectations as any other working-age adult.”

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Texas Dept of Assistive and Rehabilitative Services and Dept of Aging and Disability Services MOA

Recognizing the need to coordinate the provision of services to individuals receiving services from the Texas Department of Aging and Disability Services (DADS) who may be eligible for or are receiving Vocational Rehabilitation (VR) or Independent Living (IL) services from the Texas Department of Assistive and Rehabilitative Services (DARS), DARS and DADS enter into this Memorandum of Agreement (MOA) in accordance with the provisions of CFR §361.53(d) and 111.0525(b) of the Texas Human Resources Code. 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


Texas Employment Development Initiative - 10/01/2012

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).

This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project.”

In FY2012, Texas was awarded an EDI grant for an expansion of supported employment through Consumer Operated Services Programs.

Systems
  • Department of Mental Health
Topics
  • Mental Health

Texas Medicaid Balancing Incentives Program - 09/04/2012

The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) partner in implementing The Balancing Incentive Program (BIP), which “increases the Federal Matching Assistance Percentage to participating states through September 2015 in exchange for states making certain structural reforms to increase access to Medicaid community based long-term services and supports (LTSS).”    “These required structural reforms include…   • implementing a "no wrong door" eligibility and enrollment system;    • developing core standardized assessment instruments; and    • ensuring case management activities are conflict free.”   
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Ticket to Work - 06/25/2008

“Under the Ticket to Work Program and Title II and Title XVI of the Act, SSA issues “tickets” to SSDI and SSI blind or disabled beneficiaries. In this voluntary program, each beneficiary who receives a ticket can use it to obtain services from a provider, known as an employment network (EN), or from a state vocational rehabilitation (VR) agency. The VR agency in Texas is the Texas Department of Assistive and Rehabilitative Services (DARS)…

The intent of the Ticket to Work Program is to…establish a system in which qualified ENs provide employment and other support services (e.g., case management, benefits counseling, and job training); provide individualized tickets to beneficiaries for the “purchase” of services from approved ENs; and give beneficiaries a real choice in obtaining the services, education, and technology needed to find, enter, and maintain employment within an expanding universe of service providers.”

Systems
  • Department of Rehabilitation Services
Topics
  • Cross-Agency Collaboration / Partnerships
Citations

Customized Employment Grant (Transition Adjustment and Career Education/TACE)

The demonstration project was conducted in local workforce development centers across the state.  It was designed to, “To enhance the capability of One-Stop Career Centers to deliver services to people with disabilities, bridging education and job development with customized employment services” by integrating customized employment services with existing services, creating customized employment opportunities for people with disabilities and increasing the capacity of centers and its partners to provide high-quality customized employment services through intensive staff training (e.g., developing a capacity building curriculum).

Systems
  • Department of Workforce Development
Topics
  • Customized Employment
  • School-to-Work Transition
  • Provider Transformation

Texas Training and Technical Assistance to Providers (T-TAP)

“T-TAP is a national training and technical assistance center to help community rehabilitation providers make the transition from providing segregated employment services to finding people with disabilities jobs in the community. The specific target audience is employment agencies that hold 14(c) subminimum wage certificates, which allow employers to pay people less than minimum wage and are typically used in the disability field to pay workers piece rates at sheltered workshops. Activities include online courses, satellite telecasts, regional employment forums, intensive consultation to selected agencies, and policy research. The Institute for Community Inclusion and Virginia Commonwealth University work in partnership on this project. T-TAP [was] funded from 2002 to 2007 by the Office of Disability and Employment Policy at the U.S. Department of Labor.”

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement
  • 14(c)/Income Security
  • Segregated Day & Employment Services
  • Cross-Agency Collaboration / Partnerships

Texas Customized Employment Grant (Transition Adjustment and Career Education/TACE)

The demonstration project was conducted in local workforce development centers across the state. It was designed to, “To enhance the capability of One-Stop Career Centers to deliver services to people with disabilities, bridging education and job development with customized employment services” by integrating customized employment services with existing services, creating customized employment opportunities for people with disabilities and increasing the capacity of centers and its partners to provide high-quality customized employment services through intensive staff training (e.g., developing a capacity building curriculum).

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Texas Medicaid Buy-In Program

The program “offers low-cost Medicaid health care services — including community-based services and supports to working people with a disability. Some people might have to pay a monthly fee” to receive services which include but not limited to:  • Doctor / clinic visits  • Mental health care  • Occupational therapy (help learning how to do everyday tasks)  • X-rays  • Physical therapy (help learning how to move around better or become stronger)

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Money Follows The Person

“The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) will receive approximately $33.6 million in new funding over the next five years, which will be paired with existing state and federal funding for a total of $143 million. The agency will use the money to enhance its successful Money Follows the Person (MFP) initiative and expand its effort for persons with intellectual and developmental disabilities, and persons with behavioral health needs.

The MFP initiative helps people who are receiving long-term services and supports in a nursing facility return to the community to receive their services without having to be placed on a community services interest list.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Training/Capacity Building


The Texas Customized Self-Employment Project: The Customized Employment Plan Design

This presentation describes Customized Employment as “a flexible process designed to personalize the employment relationship between a job candidate and an employer in a way that meets the needs of both.”  It focuses heavily on the processes and value of Discovery in the employment process.

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Employer Engagement
  • Provider Transformation

The Texas Customized Self-Employment Project

This presentation presents Self-Employment as a viable employment option for people with disabilities.

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Self-Employment

Texas Department of Assistive & Rehabilitative Services (DARS) Customized Self-Employment System Development Initiative

“This proposal is designed to support and implement the phased development of a financially, technically and programmatically viable system of TX DARS for prospective business owners in TX with disabilities, who require customized employment services and are applying for, or receiving, DARS counseling and services to develop small businesses.   Specifically, this initiative is designed to research, identify and develop an outcome payment model and rate structure for customized self-employment, including: DARS Counselor CRC certification level, online and onsite training and technical assistance; and, intensive multi-certification, online and onsite training for DARS vendors throughout the state of Texas.”  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment

Texas Transition and Employment Guide

This transition and employment guide is for you, the student in Texas public school, who may have received special education services due to a disability. It also provides helpful information for your parents. This guide has steps you and your parents can take to make sure you are able to find the right work or educational choices for you after high school. It also tells you where to get the services you will need after high school.    The guide is divided into sections on Self Advocacy, Transition Services, Employment and Supported Employment, Social Security Programs, Community and Long Term Services and Supports, Postsecondary Educational Programs and Services, Information Sharing, and Guardianship and Alternatives. Each section has phone numbers, emails, and websites to help you find what you need. At the end of each section and at the end of the guide, you will find a timeline of steps that you and your parents can take as you make the transition from student to adult.”  
Systems
  • Department of Education
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health

Enforcement


Wal-Mart to Pay $150,000 to Settle EEOC Age and Disability Discrimination Suit - 02/19/2015

“Under the terms of the two-year consent decree settling the case, Wal-Mart will pay $150,000 in relief to Moorman. In addition, Wal-Mart agreed to provide training for employees on the ADA and the ADEA. The training will include an instruction on the kind of conduct that may constitute unlawful discrimination or harassment, as well as an instruction on Wal-Mart's procedures for handling requests for reasonable accommodations under the ADA. Wal-Mart will also report to the EEOC regarding its compliance with the consent decree and post a notice to employees about the settlement.”

Systems
  • Other
Topics
  • Employer Engagement

Texas Wendy’s Consent Decree - 10/10/2012

“Under the terms of the two-year consent decree settling the case, Wendy's will pay $41,500 in relief to a person who applied to a job with the company, but was denied despite his qualifications. “In addition, Wendy's has agreed to provide training for all managers and supervisory employees, including its company president, on the ADA. The training will include a discussion related to hiring individuals with disabilities. In addition, the training will include a specific instruction on communication devices, such as the use of the Texas Relay System or video relay service regarding communication between Wendy's employees and applicants with hearing impairments.’“

Systems
  • Other
Topics
  • Employer Engagement

Texas Steward et. al. v. Perry et. al (2013)

“On August 19, 2013, the United States, private Plaintiffs and the State of Texas filed an Interim Settlement Agreement to enable Texans with intellectual and other developmental disabilities to live in the community rather than nursing facilities. The Interim Settlement Agreement is awaiting court approval…[It] partially addresses the Civil Rights Division's finding that the State of Texas failed to serve individuals with intellectual and developmental disabilities in the most integrated setting appropriate to those individuals' needs, in violation of the Americans with Disabilities Act (ADA) and Olmstead v. L.C.” “

Systems
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Medicaid & Employment


Texas Home Living Program (TxHmL) - Amended Rules Effective 3/2016 - 03/20/2016

“The Texas Home Living (TxHmL) program provides selected essential services and supports to people with an intellectual disability or a related condition who live in their own home or their family's home.”

Systems
  • Medicaid Agencies
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Texas Youth Empowerment Services (YES) Waiver Program Payment Rates - 03/15/2016

Public comments will be received on proposed payment rates for Supported Employment and Employment Assistance provided under the Youth Empowerment Services (YES) waiver program operated by the Department of State Health Services (DSHS). The revised payment rates are proposed to be effective March 15, 2016

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Balancing Incentives Program - 09/04/2012

The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) partner in implementing The Balancing Incentive Program (BIP), which “increases the Federal Matching Assistance Percentage to participating states through September 2015 in exchange for states making certain structural reforms to increase access to Medicaid community based long-term services and supports (LTSS).”    “These required structural reforms include…implementing a "no wrong door" eligibility and enrollment system; developing core standardized assessment instruments; and ensuring case management activities are conflict free.”   
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Medicaid Buy-In Program

The program “offers low-cost Medicaid health care services — including community-based services and supports to working people with a disability. Some people might have to pay a monthly fee” to receive services which include but not limited to:    • Doctor / clinic visits     • Mental health care     • Occupational therapy (help learning how to do everyday tasks)    • X-rays     • Physical therapy (help learning how to move around better or become stronger)  
Systems
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Money Follows The Person

“The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) will receive approximately $33.6 million in new funding over the next five years, which will be paired with existing state and federal funding for a total of $143 million. The agency will use the money to enhance its successful Money Follows the Person (MFP) initiative and expand its effort for persons with intellectual and developmental disabilities, and persons with behavioral health needs.”   “The MFP initiative helps people who are receiving long-term services and supports in a nursing facility return to the community to receive their services without having to be placed on a community services interest list.”  
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Medicaid State Plan

The state plan is the officially recognized document describing the nature and scope of the State of Texas Medicaid program. As required under Section 1902 of the Social Security Act, the plan was developed by the state and approved by the U.S. Department of Health and Human Services. Essentially, the plan is the state's agreement that it will conform to the requirements of the Social Security Act and the official issuances of the U.S. Department of Health and Human Services

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas HCBS Transition Plan

The Centers for Medicare and Medicaid Services (CMS) has released a final rule that defines the settings in which states can offer Medicaid Home and Community Based Services (HCBS). This website will serve as a place where you can submit comments about the rule and the way its provisions will be set up within Texas Medicaid.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Texas Youth Empowerment Services

“The Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS) developed the Youth Empowerment Services (YES) Waiver, which provides comprehensive home and community-based mental health services to youth between the ages of 3 and 18, up to a youth's 19th birthday, who have a serious emotional disturbance. The YES Waiver not only provides flexible supports and specialized services to children and youth at risk of institutionalization and/or out-of-home placement due to their serious emotional disturbance, but also strives to provide hope to families by offering services aimed at keeping children and youth in their homes and communities.”

Systems
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Home and Community Based Services (HCBS)

“HCS provides individualized services and supports to persons with intellectual and developmental disabilities who are living with their family, in their own home or in other community settings, such as small group homes.”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Texas Community Living Assistance and Support Services (CLASS)

“CLASS provides home- and community-based services to people with related conditions as a cost-effective alternative to placement in an Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF-IID).”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Texas Community Based Alternatives (CBA)

“This program provides home- and community-based services to people who are elderly and to adults with disabilities as a cost-effective alternative to living in a nursing home.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

States - Small Tablet

Snapshot

Everything's Bigger in Texas, including the number of job options in integrated settings at competitive wages for individuals with disabilities. The Lone Star state is a place where anyone, including those with disabilities, can live the American Dream… Deep in the Heart of Texas! 

2014 State Population.
1.89%
Change from
2013 to 2014
26,956,958
2014 Number of people with disabilities (all disabilities, ages 18-64).
0.85%
Change from
2013 to 2014
1,616,223
2014 Number of people with disabilities who are employed (all disabilities, ages 18-64).
-0.98%
Change from
2013 to 2014
613,660
2014 Percentage of working age people who are employed (all disabilities).
-1.84%
Change from
2013 to 2014
37.97%
2014 Percentage of working age people who are employed (NO disabilities).
0.8%
Change from
2013 to 2014
75.29%

State Data

General

2012 2013 2014
Population. 26,059,203 26,448,193 26,956,958
Number of people with disabilities (all disabilities, ages 18-64). 1,590,079 1,602,460 1,616,223
Number of people with disabilities who are employed (all disabilities, ages 18-64). 587,548 619,692 613,660
Number of people without disabilities who are employed (ages 18-64). 10,537,118 10,802,460 11,106,300
Percentage of working age people who are employed (all disabilities). 36.95% 38.67% 37.97%
Percentage of working age people who are employed (NO disabilities). 73.85% 74.69% 75.29%
Overall unemployment rate. 6.70% 6.20% 5.10%
Poverty Rate (all disabilities). 23.30% 23.00% 22.10%
Poverty Rate (NO disabilities). 17.20% 16.80% 16.60%
Number of males with disabilities (all ages). 1,445,371 1,489,714 1,497,762
Number of females with disabilities (all ages). 1,520,068 1,557,444 1,603,277
Number of Caucasians with disabilities (all ages). 2,265,409 2,333,668 2,392,261
Number of African Americans with disabilities (all ages). 408,490 412,755 422,849
Number of Hispanic/Latinos with disabilities (all ages). 938,032 964,494 978,202
Number of American Indians/Alaska Natives with disabilities (all ages). 18,950 19,256 18,845
Number of Asians with disabilities (all ages). 55,234 61,371 64,338
Number of Hawaiians/Pacific Islanders with disabilities (all ages). 900 2,576 1,771
Number of with multiple races disabilities (all ages). 72,091 71,164 69,100
Number of others with disabilities (all ages). 144,365 146,368 131,875

 

SSA OUTCOMES

2012 2013 2014
Number of SSI recipients with disabilities who work. 16,840 17,346 18,624
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 3.00% 3.10% 3.30%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 567,705 574,276 574,012

 

MENTAL HEALTH OUTCOMES

2012 2013 2014
Number of mental health services consumers who are employed. 24,141 24,957 30,553
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 54,416 53,929 60,533
Number of adults served who have a known employment status. 167,810 165,862 173,707
Percentage of all state mental health agency consumers served in the community who are employed. 14.40% 15.00% 17.60%
Percentage of supported employment services evidence based practices (EBP). 2.00% 3.20% 4.60%
Percentage of supported housing services evidence based practices (EBP). 2.20% 3.10% 4.80%
Percentage of assertive community treatment services evidence based practices (EBP). 1.40% 1.40% 1.70%
Percentage of medications management evidence based practices (EBP). 43.50% 44.00% 43.50%
Number of evidence based practices (EBP) supported employment services. 4,525 7,341 11,116
Number of evidence based practices (EBP) supported housing services. 5,077 7,286 11,549
Number of evidence based practices (EBP) assertive community treatment services. 3,335 3,250 4,148
Number of evidence based practices (EBP) medications management. 100,786 102,092 104,481

 

WAGNER PEYSER OUTCOMES

2012 2013 2014
Number of registered job seekers with a disability. 44,627 45,361 53,307
Proportion of registered job seekers with a disability. 0.03 0.04 0.04

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2011 2012 2013
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 374 483 687
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 181 232 346
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 48.00% 48.00% 50.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 0.70 0.89 1.31

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
20,692
N/A
N/A
Number of people with visual impairments served under VR. 14 N/A N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. 3,999 N/A N/A
Number of people with physical impairments served under VR. 7,132 N/A N/A
Number of people cognitive impairments served under VR. 5,018 N/A N/A
Number of people psychosocial impairments served under VR. 3,408 N/A N/A
Number of people with mental impairments served under VR. 1,121 N/A N/A
Percentage of overall closures into employment under VR. 37.70% N/A N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 21,430 19,773
Number of eligible ticket to work beneficiaries. N/A 914,022 916,755
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 780 N/A N/A
Total number of ID competitive labor market closures. 607 N/A N/A

 

IDD OUTCOMES

2011 2012 2013
Dollars spent on day/employment services for integrated employment funding. $7,616,000 $4,236,000 $966,000
Dollars spent on day/employment services for facility-based work funding. $0 $0 $0
Dollars spent on day/employment services for facility-based non-work funding. $0 $0 $99,239,000
Dollars spent on day/employment services for community based non-work funding. $163,531,000 $142,770,000 $0
Percentage of people served in integrated employment. 5.00% 4.00% 8.00%
Number of people served in community based non-work. 16,731 15,706 0
Number of people served in facility based work. N/A N/A 616
Number of people served in facility based non-work. N/A N/A 24,650
Number supported in integrated employment per 100,000 individuals in the general state population. 8.50 7.50 14.40

 

EDUCATION OUTCOMES

2011 2012 2013
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 67.00% 66.00% 66.17%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 13.00% 14.00% 13.93%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.00% 1.00% 1.19%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 99.30% 99.70% 99.74%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 22.00% 27.00% 26.77%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 57.00% 59.00% 61.55%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 69.00% 69.00% 71.65%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 35.00% 32.00% 34.77%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 7,034,752
Number of overall total blind and SD workers. 6,822
Number of AbilityOne blind and SD hours (products). 1,436,521
Number of AbilityOne blind and SD hours (services). 4,235,134
Number of AbilityOne blind and SD hours (combined). 5,671,655
Number of AbilityOne blind and SD workers (products). 1,090
Number of AbilityOne blind and SD workers (services). 3,482
Number of AbilityOne blind and SD workers (combined). 4,572
AbilityOne wages (products). $12,142,783
AbilityOne wages (services). $54,025,955

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2014 2015
Number of 14(c) certificate-holding private businesses. 1 2
Number of 14(c) certificate-holding school work experience programs (SWEPs). 6 1
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 104 105
Number of 14(c) certificate holding patient workers. N/A 4
Total Number of 14(c) certificate holding entities. N/A 112
Reported number of people with disabilities working under 14(c) certificate holding private businesses. N/A 1
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 19
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 8,938
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 856
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 9,814

 

Legislation


TX Health and Human Services Commission: General Provisions - 09/01/2015

“It is the policy of the state that earning a living wage through competitive employment in the general workforce is the priority and preferred outcome for working-age individuals with disabilities who receive public benefits.”

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Employer Engagement
  • 14(c)/Income Security
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Texas SB 1664 (ABLE Act) - 06/19/2015

"An act relating to the establishment of the Texas Achieving a Better Life Experience (ABLE) Program…(1) to encourage and assist individuals and families in saving funds for the purpose of supporting individuals with disabilities to maintain health, independence, and quality of life, and (2) to provide secure funding for qualified disability expenses on behalf of designated beneficiaries with disabilities that will supplement, but not supplant, benefits provided through private insurance, the Medicaid program under title XIX of the Social Security Act, the Supplemental Security Income program under title XVI of the Social Security Act, the beneficiary's employment, and other sources."

Systems
  • Department of Education
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Texas SB 1664 - 06/19/2015

"An act relating to the establishment of the Texas Achieving a Better Life Experience (ABLE) Program…(1) to encourage and assist individuals and families in saving funds for the purpose of supporting individuals with disabilities to maintain health, independence, and quality of life, and (2) to provide secure funding for qualified disability expenses on behalf of designated beneficiaries with disabilities that will supplement, but not supplant, benefits provided through private insurance, the Medicaid program under title XIX of the Social Security Act, the Supplemental Security Income program under title XVI of the Social Security Act, the beneficiary's employment, and other sources."

 

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

2013 Employment Assistance and Supported Employment Bill - 06/14/2013

This acts relates to the provision of employment assistance and supported employment to certain Medicaid waiver program participants. Assistance includes providing assistance to an individual that helps them locate paid employment in the community.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Employer Engagement

Texas 2013 Employment First Bill (S.B 1226) - 06/14/2013

The act establishes an employment-first policy and task force to promote integrated competitive employment opportunities that provide a living wage for individuals with disabilities. The Texas Education Agency and the Texas Workforce Commission will jointly adopt and implement the policy.

Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Human Resources Code Section 32.075 (Employment Assistance)

This code defines “Employment assistance” as, “assistance provided to an individual to help the individual locate paid employment in the community.” It defines “Supported employment” as, “assistance provided, in order to sustain paid employment, to an individual who, because of a disability, requires intensive, ongoing support to be self-employed, work from home, or perform in a work setting at which individuals without disabilities are employed. Supported employment includes adaptations, supervision, and training related to an individual's diagnosis.” It also lists the medical assistance waivers to which Supported Employment applies.

Systems
  • Medicaid Agencies
  • Other
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation

Texas Human Resources Code, Section 121.003

This code addresses discrimination that is prohibited by law in the state of Texas, especially pertaining to people with disabilities. Among other measures, it specifically states that, “It is the policy of the state that persons with disabilities be employed by the state, by political subdivisions of the state, in the public schools, and in all other employment supported in whole or in part by public funds on the same terms and conditions as persons without disabilities, unless it is shown that there is no reasonable accommodation that would enable a person with a disability to perform the essential elements of a job.”

Systems
  • Other
Topics
  • Employer Engagement

Texas Labor Code, Sections 21.051 - 21.061 (Disability Discrimination)

This labor code states that an employer, employment agency or labor organization commits an unlawful act if it discriminates against individuals due to a disability or segregates or classifies them in a manner that would deprive them of an employment opportunity or otherwise adversely affect their status as an employee.

Systems
  • Other
Topics
  • Employer Engagement

Executive Orders

No Executive Orders have been entered for this state.

Policy


Texas Council of Developmental Disability: State Plan Goals 2017-2021 - 01/01/2017

“Goal 1: Create and support promising practices that enable people with developmental disabilities to be fully included in their communities and to have control over their own lives by September 30, 2021.

Goal 2: Improve and/or expand community-based systems to better support people with developmental disabilities or families of children with developmental disabilities to be fully included in their communities by September 30, 2021.

Goal 3: Increase the access that individuals with developmental disabilities and families of individuals with developmental disabilities have to information, training, and support to advocate for themselves and/or to collaborate with allies to impact public policy, service systems, and community supports.

Goal 4: Ensure there is ongoing support and technical assistance for the Council to identify and engage in issues according to the Council’s priorities and mission.”

 

Systems
  • Other
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Health and Human Services Transformation - 09/01/2016

“In 2015, Texas Health and Human Services (HHS) began a transformation effort to produce a more efficient, effective, and responsive system. In September of 2016 the first phase of that effort became operational.

The goals of the transformation are to create a system that:

Is easier to navigate for people who need information, benefits, or services Aligns with the HHS mission, business, and statutory responsibilities Breaks down operational silos to create greater program integration Creates clear lines of accountability within the organization Develops clearly defined and objective performance metrics for all areas of the organization”
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Provider Transformation

Texas Department of Aging and Disabilities (DADs) Guide to Employment for People with Disabilities - 05/01/2015

“The purpose of this guide is to provide information on how to support and assist working-age people with disabilities who are receiving DADS services to obtain and maintain competitive, integrated employment. Through this guide, DADS intends to provide information on best practices and resources that can help improve employment outcomes for people with disabilities. The guide includes success stories of people with disabilities who, as a result of receiving the appropriate supports and services, have secured fulfilling employment...”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Education Agency Employment First Policy - 03/25/2015

“TEA hereby adopts the state's policy that earning a living wage through competitive employment in the general workforce is the priority and preferred outcome for working age individuals with disabilities who receive public benefits. TEA will evaluate recommendations made by the Employment-First Task Force and will adopt rules as necessary that are consistent with the policy.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • 14(c)/Income Security
  • Cross-Agency Collaboration / Partnerships

Texas FY 2015 Plans for Vocational Rehabilitation and Supported Employment Services Programs - 09/30/2014

“The Division for Rehabilitation Services (DRS) recognizes that collaboration with community organizations and other state agencies is essential to achieving successful employment outcomes for consumers with the most significant disabilities. DRS seeks opportunities to identify, develop, and implement cooperative agreements with other state agencies and appropriate entities, particularly when these agreements establish a framework to assist with the provision of supported employment services and extended services for consumers with the most significant disabilities.

Plans for Improving Supported Employment Services: DRS plans to…develop and implement an improved benchmark system for the provision of specific supported employment services statewide; explore complimentary services for specific populations like persons with autism and mental health diagnoses; develop a supported employment technical assistance training model for DRS staff members to improve their ability to determine when supported employment services are needed; and develop tools that will help staff members monitor and provide guidance to supported employment contract providers.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

DARS Provider Supported Self-Employment Diagram - 02/15/2011

This diagram serves as a guide for Dept. of Assistive and Rehabilitation Services providers for the process of supported employment, It contains guidelines and benchmarks, including an emphasis on the process of Discovery.

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Provider Transformation

Texas Council for Developmental Disabilities Annual Impact Report 2014

Systems
  • Other

Texas Workforce Commission Employment First Policy

“TWC will promote competitive employment of individuals with disabilities and the expectation that they are able to meet the same employment standards, responsibilities and expectations as other working-age adults. TWC acknowledges that it is the policy of the state, as set forth in Texas Government Code §531.02447, ‘that earning a living wage through competitive employment in the general workforce is the priority and preferred outcome for working-age individuals with disabilities who receive public benefits.’”

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement
  • 14(c)/Income Security
  • Cross-Agency Collaboration / Partnerships

Guide For Hiring People With Disability

The Texas Department of Assistive and Rehabilitative Services (DARS), in conjunction with Office of the Federal Contract Compliance Program (OFCCP) and a group of local businesses has produced this guide on attracting and hiring people with disabilities. DARS works in partnership with Texans with disabilities and families with children who have developmental delays to improve the quality of their lives and to enable their full participation in society. The DARS Vocational Rehabilitation (VR) program helps people with disabilities to prepare for, find and keep employment. DARS services can reduce the need for support from other public benefits and services.

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Comprehensive Need Assessment Of Texans With Disability (2014)

This document represents findings from a comprehensive state needs assessment of the rehabilitation needs of individuals with disabilities. The Rehabilitation Act of 1973 as amended calls for periodic comprehensive statewide needs assessments that will result in recommendations to the goals, priorities, and strategies of the state plan. Two divisions within the Department of Assistive and Rehabilitative Services (DARS), the Division for Rehabilitation Services (DRS) and the Division for Blind Services (DBS) contracted with the Child and Family Research Institute at The University of Texas at Austin to conduct this needs assessment. This needs assessment addresses the federal requirements related to the Title I state plan for vocational rehabilitation (VR) services and its title VI B supplement related to supported employment services by including: 1. The results of the needs assessment describing the rehabilitation needs of individuals with disabilities residing within the state, particularly the vocational rehabilitation services needs of: a. individuals with the most significant disabilities, including their need for supported employment; b. individuals with disabilities who are minorities; c. individuals with disabilities who have been unserved and underserved by the VR program; and d. individuals with disabilities served through other components of the statewide workforce investment system (other than the VR program), as identified by such individuals and personnel assisting such individuals through the components. 2. An assessment of the need to: a. establish community rehabilitation programs (CRPs); b. develop CRPs; or c. improve CRPs within the state.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Data Sharing

Standards Manual for Consumer Services Contract Providers

This manual contains information on supported employment services provided by the Division for Blind Services Consumer Services Contract Providers. It defines Supported Employment as, “a ‘place then train’ model, which is a two-part process: 1) place a consumer with the most significant disabilities in a competitive job, and then, 2) provide training and support directly related to the job.   Unlike the traditional VR model, which provides job readiness and other training activities to prepare a consumer for employment, this model is more appropriate for consumers with the most significant disabilities. Problems transferring knowledge from an artificial training situation to a real job are eliminated, because the focus is on finding the best job match and providing training for that particular job.”  
Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Provider Transformation

DRS: Standards for Providers

This policy manual contains up to date information on the Texas Department of Assistive and Rehabilitation Services standards for providers. The employment services mentioned included work readiness services, jot skills training, supported employment services, and supported self-employment services, among others. The services also address a wide range of disabilities including acute brain injury, deaf, and speech and hearing impaired.

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Division for Blind Services (DBS): Vocational Rehabilitation Manual

This policy manual contains up to date information on the Vocational Rehabilitation services provided by the Division for Blind Services (DBS). The services include community rehabilitation programs, employment assistance, job readiness training and job placement, job coach services, and on-the-job training, among many others.

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Texas Dept of Assistive and Rehabilitation Services (DRS): Rehabilitation Policy Manual

This policy manual contains up to date information on the services provided by the Dept. of Assistive and Rehabilitation Services. The employment services in particular include job readiness, counselor-directed placement, on the job training, apprenticeship opportunities, supported employment, job coaching and self-employment services, among others.

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Customized Employment Texas Policy Summary

“The Texas Department of Assistive and Rehabilitative Services' (DARS) Division for Rehabilitation Services (DRS) and Division of Blind Services (DBS) have implemented a detailed Discovery process, one of the key elements of Customized Employment (CE), as the center point of the agency's person-centered planning mechanism. By adding depth and direction to the basic concept of Discovery in its policy, the agencies incorporated a more thorough and person-centered planning process in the field. DRS and DBS contract with Community Rehabilitation Providers (CRPs) for delivery of all Supported Employment services, including CE.”

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation

Employment Protections

• Texas law explicitly prohibits the employment-related discrimination due to disability; “Promotes competitive employment opportunities for people with disabilities,… Requires the Health and Human Service Commission (HHSC), the Texas Education Agency (TEA) and the Texas Workforce Commission (TWC) to adopt and implement an employment policy that ensure that all working-age people with disabilities are offered information and trainings about employment and assist employers, community providers, public school staff and vocational service programs with achieving the employment policy goals; [and] Provides assistance finding and sustaining employment to individuals in specific Medicaid waiver programs.”

Systems
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Transition in Texas “Texas Transition and Employment Guide” November 2014

“Transition is the term used for the time when you are changing from a student to an adult. You, your parents, and your school begin to plan for transition while you are still a student.

Your parents and the school need to understand your wants and needs to make sure they are included in your plan. You need to talk to your parents and your teachers about how you can become more involved in making decisions about your educational program and your plans for the future.

There are several work choices:

          • competitive employment – a job done by a person with a disability, in the same job setting, and at a pay rate that is the same as a worker without a disability

          • customized employment - a job based on what people know how to do, their needs, what they like, and that is designed to meet the specific needs of the employer

          • integrated employment – a job at a work site at which the person routinely interacts with people without disabilities in addition to the work site supervisor or service providers

          • supported employment - a job with supports by service providers done by a person with a disability in the same job setting as a worker without a disability

          • self-employment – making money from services or products a person provides to his or her customers instead of working for someone else.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Texas Employment First Task Force Home Page

The Employment First Task Force, authorized by Senate Bill 1226 (83rd Legislature, Regular Session, 2013), was established by the Texas Health and Human Services Commission executive commissioner to promote competitive employment of people with disabilities and the expectation that individuals with disabilities are able to meet the same employment standards, responsibilities, and expectations as any other working-age adult.”

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Texas Employment First Policy and Texas Employment First Task Force Report - Fall 2014

“Senate Bill 1226 (S.B. 1226), 83rd Legislature, Regular Session, 2013, promotes employment for individuals with disabilities by establishing an Employment First policy for the state of Texas and also creating an Employment First Task Force (the Task Force). …” “’Employment First’” is an approach to facilitating the full inclusion of individuals with disabilities in the workplace. This approach states that integrated, competitive employment should be the first option considered for individuals with disabilities and should be the expected outcome of education and publicly-funded services for working-age youth and adults.”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • 14(c)/Income Security
  • Cross-Agency Collaboration / Partnerships

Partnerships


Texas Combined State Plan for The Workforce Innovation and Opportunity Act (WIOA) - 07/01/2016

"Texas proposes through this Combined State Plan (plan) to implement jointly administered activities concerning the following core programs and two optional programs authorized by the Workforce Innovation and Opportunity Act (WIOA):

The Adult, Dislocated Worker, and Youth programs The Wagner-Peyser Employment Service (ES) program, including the Agricultural Outreach Plan The Adult Education and Family Literacy Act program The Vocational Rehabilitation program The Senior Community Service Employment Program"
Systems
  • Department of Rehabilitation Services
  • Department of Education

Texas State Plans for VR Services and Supported Employment Services Programs - 09/30/2014

“The Division for Rehabilitation Services (DRS) recognizes that collaboration with community organizations and other state agencies is essential to achieving successful employment outcomes for consumers with the most significant disabilities. DRS seeks opportunities to identify, develop, and implement cooperative agreements with other state agencies and appropriate entities, particularly when these agreements establish a framework to assist with the provision of supported employment services and extended services for consumers with the most significant disabilities.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Employment First Task Force Home Page

The Employment First Task Force, authorized by Senate Bill 1226 (83rd Legislature, Regular Session, 2013), was established by the Texas Health and Human Services Commission executive commissioner to promote competitive employment of people with disabilities and the expectation that individuals with disabilities are able to meet the same employment standards, responsibilities, and expectations as any other working-age adult.”

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Texas Dept of Assistive and Rehabilitative Services and Dept of Aging and Disability Services MOA

Recognizing the need to coordinate the provision of services to individuals receiving services from the Texas Department of Aging and Disability Services (DADS) who may be eligible for or are receiving Vocational Rehabilitation (VR) or Independent Living (IL) services from the Texas Department of Assistive and Rehabilitative Services (DARS), DARS and DADS enter into this Memorandum of Agreement (MOA) in accordance with the provisions of CFR §361.53(d) and 111.0525(b) of the Texas Human Resources Code. 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


Texas Employment Development Initiative - 10/01/2012

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).

This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project.”

In FY2012, Texas was awarded an EDI grant for an expansion of supported employment through Consumer Operated Services Programs.

Systems
  • Department of Mental Health
Topics
  • Mental Health

Texas Medicaid Balancing Incentives Program - 09/04/2012

The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) partner in implementing The Balancing Incentive Program (BIP), which “increases the Federal Matching Assistance Percentage to participating states through September 2015 in exchange for states making certain structural reforms to increase access to Medicaid community based long-term services and supports (LTSS).”    “These required structural reforms include…   • implementing a "no wrong door" eligibility and enrollment system;    • developing core standardized assessment instruments; and    • ensuring case management activities are conflict free.”   
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Ticket to Work - 06/25/2008

“Under the Ticket to Work Program and Title II and Title XVI of the Act, SSA issues “tickets” to SSDI and SSI blind or disabled beneficiaries. In this voluntary program, each beneficiary who receives a ticket can use it to obtain services from a provider, known as an employment network (EN), or from a state vocational rehabilitation (VR) agency. The VR agency in Texas is the Texas Department of Assistive and Rehabilitative Services (DARS)…

The intent of the Ticket to Work Program is to…establish a system in which qualified ENs provide employment and other support services (e.g., case management, benefits counseling, and job training); provide individualized tickets to beneficiaries for the “purchase” of services from approved ENs; and give beneficiaries a real choice in obtaining the services, education, and technology needed to find, enter, and maintain employment within an expanding universe of service providers.”

Systems
  • Department of Rehabilitation Services
Topics
  • Cross-Agency Collaboration / Partnerships
Citations

Customized Employment Grant (Transition Adjustment and Career Education/TACE)

The demonstration project was conducted in local workforce development centers across the state.  It was designed to, “To enhance the capability of One-Stop Career Centers to deliver services to people with disabilities, bridging education and job development with customized employment services” by integrating customized employment services with existing services, creating customized employment opportunities for people with disabilities and increasing the capacity of centers and its partners to provide high-quality customized employment services through intensive staff training (e.g., developing a capacity building curriculum).

Systems
  • Department of Workforce Development
Topics
  • Customized Employment
  • School-to-Work Transition
  • Provider Transformation

Texas Training and Technical Assistance to Providers (T-TAP)

“T-TAP is a national training and technical assistance center to help community rehabilitation providers make the transition from providing segregated employment services to finding people with disabilities jobs in the community. The specific target audience is employment agencies that hold 14(c) subminimum wage certificates, which allow employers to pay people less than minimum wage and are typically used in the disability field to pay workers piece rates at sheltered workshops. Activities include online courses, satellite telecasts, regional employment forums, intensive consultation to selected agencies, and policy research. The Institute for Community Inclusion and Virginia Commonwealth University work in partnership on this project. T-TAP [was] funded from 2002 to 2007 by the Office of Disability and Employment Policy at the U.S. Department of Labor.”

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement
  • 14(c)/Income Security
  • Segregated Day & Employment Services
  • Cross-Agency Collaboration / Partnerships

Texas Customized Employment Grant (Transition Adjustment and Career Education/TACE)

The demonstration project was conducted in local workforce development centers across the state. It was designed to, “To enhance the capability of One-Stop Career Centers to deliver services to people with disabilities, bridging education and job development with customized employment services” by integrating customized employment services with existing services, creating customized employment opportunities for people with disabilities and increasing the capacity of centers and its partners to provide high-quality customized employment services through intensive staff training (e.g., developing a capacity building curriculum).

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Texas Medicaid Buy-In Program

The program “offers low-cost Medicaid health care services — including community-based services and supports to working people with a disability. Some people might have to pay a monthly fee” to receive services which include but not limited to:  • Doctor / clinic visits  • Mental health care  • Occupational therapy (help learning how to do everyday tasks)  • X-rays  • Physical therapy (help learning how to move around better or become stronger)

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Money Follows The Person

“The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) will receive approximately $33.6 million in new funding over the next five years, which will be paired with existing state and federal funding for a total of $143 million. The agency will use the money to enhance its successful Money Follows the Person (MFP) initiative and expand its effort for persons with intellectual and developmental disabilities, and persons with behavioral health needs.

The MFP initiative helps people who are receiving long-term services and supports in a nursing facility return to the community to receive their services without having to be placed on a community services interest list.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Training/Capacity Building


The Texas Customized Self-Employment Project: The Customized Employment Plan Design

This presentation describes Customized Employment as “a flexible process designed to personalize the employment relationship between a job candidate and an employer in a way that meets the needs of both.”  It focuses heavily on the processes and value of Discovery in the employment process.

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Employer Engagement
  • Provider Transformation

The Texas Customized Self-Employment Project

This presentation presents Self-Employment as a viable employment option for people with disabilities.

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Self-Employment

Texas Department of Assistive & Rehabilitative Services (DARS) Customized Self-Employment System Development Initiative

“This proposal is designed to support and implement the phased development of a financially, technically and programmatically viable system of TX DARS for prospective business owners in TX with disabilities, who require customized employment services and are applying for, or receiving, DARS counseling and services to develop small businesses.   Specifically, this initiative is designed to research, identify and develop an outcome payment model and rate structure for customized self-employment, including: DARS Counselor CRC certification level, online and onsite training and technical assistance; and, intensive multi-certification, online and onsite training for DARS vendors throughout the state of Texas.”  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment

Texas Transition and Employment Guide

This transition and employment guide is for you, the student in Texas public school, who may have received special education services due to a disability. It also provides helpful information for your parents. This guide has steps you and your parents can take to make sure you are able to find the right work or educational choices for you after high school. It also tells you where to get the services you will need after high school.    The guide is divided into sections on Self Advocacy, Transition Services, Employment and Supported Employment, Social Security Programs, Community and Long Term Services and Supports, Postsecondary Educational Programs and Services, Information Sharing, and Guardianship and Alternatives. Each section has phone numbers, emails, and websites to help you find what you need. At the end of each section and at the end of the guide, you will find a timeline of steps that you and your parents can take as you make the transition from student to adult.”  
Systems
  • Department of Education
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health

Enforcement


Wal-Mart to Pay $150,000 to Settle EEOC Age and Disability Discrimination Suit - 02/19/2015

“Under the terms of the two-year consent decree settling the case, Wal-Mart will pay $150,000 in relief to Moorman. In addition, Wal-Mart agreed to provide training for employees on the ADA and the ADEA. The training will include an instruction on the kind of conduct that may constitute unlawful discrimination or harassment, as well as an instruction on Wal-Mart's procedures for handling requests for reasonable accommodations under the ADA. Wal-Mart will also report to the EEOC regarding its compliance with the consent decree and post a notice to employees about the settlement.”

Systems
  • Other
Topics
  • Employer Engagement

Texas Wendy’s Consent Decree - 10/10/2012

“Under the terms of the two-year consent decree settling the case, Wendy's will pay $41,500 in relief to a person who applied to a job with the company, but was denied despite his qualifications. “In addition, Wendy's has agreed to provide training for all managers and supervisory employees, including its company president, on the ADA. The training will include a discussion related to hiring individuals with disabilities. In addition, the training will include a specific instruction on communication devices, such as the use of the Texas Relay System or video relay service regarding communication between Wendy's employees and applicants with hearing impairments.’“

Systems
  • Other
Topics
  • Employer Engagement

Texas Steward et. al. v. Perry et. al (2013)

“On August 19, 2013, the United States, private Plaintiffs and the State of Texas filed an Interim Settlement Agreement to enable Texans with intellectual and other developmental disabilities to live in the community rather than nursing facilities. The Interim Settlement Agreement is awaiting court approval…[It] partially addresses the Civil Rights Division's finding that the State of Texas failed to serve individuals with intellectual and developmental disabilities in the most integrated setting appropriate to those individuals' needs, in violation of the Americans with Disabilities Act (ADA) and Olmstead v. L.C.” “

Systems
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Medicaid & Employment


Texas Home Living Program (TxHmL) - Amended Rules Effective 3/2016 - 03/20/2016

“The Texas Home Living (TxHmL) program provides selected essential services and supports to people with an intellectual disability or a related condition who live in their own home or their family's home.”

Systems
  • Medicaid Agencies
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Texas Youth Empowerment Services (YES) Waiver Program Payment Rates - 03/15/2016

Public comments will be received on proposed payment rates for Supported Employment and Employment Assistance provided under the Youth Empowerment Services (YES) waiver program operated by the Department of State Health Services (DSHS). The revised payment rates are proposed to be effective March 15, 2016

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Balancing Incentives Program - 09/04/2012

The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) partner in implementing The Balancing Incentive Program (BIP), which “increases the Federal Matching Assistance Percentage to participating states through September 2015 in exchange for states making certain structural reforms to increase access to Medicaid community based long-term services and supports (LTSS).”    “These required structural reforms include…implementing a "no wrong door" eligibility and enrollment system; developing core standardized assessment instruments; and ensuring case management activities are conflict free.”   
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Medicaid Buy-In Program

The program “offers low-cost Medicaid health care services — including community-based services and supports to working people with a disability. Some people might have to pay a monthly fee” to receive services which include but not limited to:    • Doctor / clinic visits     • Mental health care     • Occupational therapy (help learning how to do everyday tasks)    • X-rays     • Physical therapy (help learning how to move around better or become stronger)  
Systems
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Money Follows The Person

“The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) will receive approximately $33.6 million in new funding over the next five years, which will be paired with existing state and federal funding for a total of $143 million. The agency will use the money to enhance its successful Money Follows the Person (MFP) initiative and expand its effort for persons with intellectual and developmental disabilities, and persons with behavioral health needs.”   “The MFP initiative helps people who are receiving long-term services and supports in a nursing facility return to the community to receive their services without having to be placed on a community services interest list.”  
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Medicaid State Plan

The state plan is the officially recognized document describing the nature and scope of the State of Texas Medicaid program. As required under Section 1902 of the Social Security Act, the plan was developed by the state and approved by the U.S. Department of Health and Human Services. Essentially, the plan is the state's agreement that it will conform to the requirements of the Social Security Act and the official issuances of the U.S. Department of Health and Human Services

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas HCBS Transition Plan

The Centers for Medicare and Medicaid Services (CMS) has released a final rule that defines the settings in which states can offer Medicaid Home and Community Based Services (HCBS). This website will serve as a place where you can submit comments about the rule and the way its provisions will be set up within Texas Medicaid.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Texas Youth Empowerment Services

“The Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS) developed the Youth Empowerment Services (YES) Waiver, which provides comprehensive home and community-based mental health services to youth between the ages of 3 and 18, up to a youth's 19th birthday, who have a serious emotional disturbance. The YES Waiver not only provides flexible supports and specialized services to children and youth at risk of institutionalization and/or out-of-home placement due to their serious emotional disturbance, but also strives to provide hope to families by offering services aimed at keeping children and youth in their homes and communities.”

Systems
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Home and Community Based Services (HCBS)

“HCS provides individualized services and supports to persons with intellectual and developmental disabilities who are living with their family, in their own home or in other community settings, such as small group homes.”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Texas Community Living Assistance and Support Services (CLASS)

“CLASS provides home- and community-based services to people with related conditions as a cost-effective alternative to placement in an Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF-IID).”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Texas Community Based Alternatives (CBA)

“This program provides home- and community-based services to people who are elderly and to adults with disabilities as a cost-effective alternative to living in a nursing home.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

States - Phablet

Snapshot

Everything's Bigger in Texas, including the number of job options in integrated settings at competitive wages for individuals with disabilities. The Lone Star state is a place where anyone, including those with disabilities, can live the American Dream… Deep in the Heart of Texas! 

2014 State Population.
1.89%
Change from
2013 to 2014
26,956,958
2014 Number of people with disabilities (all disabilities, ages 18-64).
0.85%
Change from
2013 to 2014
1,616,223
2014 Number of people with disabilities who are employed (all disabilities, ages 18-64).
-0.98%
Change from
2013 to 2014
613,660
2014 Percentage of working age people who are employed (all disabilities).
-1.84%
Change from
2013 to 2014
37.97%
2014 Percentage of working age people who are employed (NO disabilities).
0.8%
Change from
2013 to 2014
75.29%

State Data

General

2014
Population. 26,956,958
Number of people with disabilities (all disabilities, ages 18-64). 1,616,223
Number of people with disabilities who are employed (all disabilities, ages 18-64). 613,660
Number of people without disabilities who are employed (ages 18-64). 11,106,300
Percentage of working age people who are employed (all disabilities). 37.97%
Percentage of working age people who are employed (NO disabilities). 75.29%
Overall unemployment rate. 5.10%
Poverty Rate (all disabilities). 22.10%
Poverty Rate (NO disabilities). 16.60%
Number of males with disabilities (all ages). 1,497,762
Number of females with disabilities (all ages). 1,603,277
Number of Caucasians with disabilities (all ages). 2,392,261
Number of African Americans with disabilities (all ages). 422,849
Number of Hispanic/Latinos with disabilities (all ages). 978,202
Number of American Indians/Alaska Natives with disabilities (all ages). 18,845
Number of Asians with disabilities (all ages). 64,338
Number of Hawaiians/Pacific Islanders with disabilities (all ages). 1,771
Number of with multiple races disabilities (all ages). 69,100
Number of others with disabilities (all ages). 131,875

 

SSA OUTCOMES

2014
Number of SSI recipients with disabilities who work. 18,624
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 3.30%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 574,012

 

MENTAL HEALTH OUTCOMES

2014
Number of mental health services consumers who are employed. 30,553
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 60,533
Number of adults served who have a known employment status. 173,707
Percentage of all state mental health agency consumers served in the community who are employed. 17.60%
Percentage of supported employment services evidence based practices (EBP). 4.60%
Percentage of supported housing services evidence based practices (EBP). 4.80%
Percentage of assertive community treatment services evidence based practices (EBP). 1.70%
Percentage of medications management evidence based practices (EBP). 43.50%
Number of evidence based practices (EBP) supported employment services. 11,116
Number of evidence based practices (EBP) supported housing services. 11,549
Number of evidence based practices (EBP) assertive community treatment services. 4,148
Number of evidence based practices (EBP) medications management. 104,481

 

WAGNER PEYSER OUTCOMES

2014
Number of registered job seekers with a disability. 53,307
Proportion of registered job seekers with a disability. 0.04

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2013
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 687
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 346
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 50.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 1.31

 

VR OUTCOMES

2015
Total Number of people served under VR.
N/A
Number of people with visual impairments served under VR. N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. N/A
Number of people with physical impairments served under VR. N/A
Number of people cognitive impairments served under VR. N/A
Number of people psychosocial impairments served under VR. N/A
Number of people with mental impairments served under VR. N/A
Percentage of overall closures into employment under VR. N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 19,773
Number of eligible ticket to work beneficiaries. 916,755
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A
Total number of ID competitive labor market closures. N/A

 

IDD OUTCOMES

2013
Dollars spent on day/employment services for integrated employment funding. $966,000
Dollars spent on day/employment services for facility-based work funding. $0
Dollars spent on day/employment services for facility-based non-work funding. $99,239,000
Dollars spent on day/employment services for community based non-work funding. $0
Percentage of people served in integrated employment. 8.00%
Number of people served in community based non-work. 0
Number of people served in facility based work. 616
Number of people served in facility based non-work. 24,650
Number supported in integrated employment per 100,000 individuals in the general state population. 14.40

 

EDUCATION OUTCOMES

2013
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 66.17%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 13.93%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.19%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 99.74%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 26.77%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 61.55%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 71.65%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 34.77%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 7,034,752
Number of overall total blind and SD workers. 6,822
Number of AbilityOne blind and SD hours (products). 1,436,521
Number of AbilityOne blind and SD hours (services). 4,235,134
Number of AbilityOne blind and SD hours (combined). 5,671,655
Number of AbilityOne blind and SD workers (products). 1,090
Number of AbilityOne blind and SD workers (services). 3,482
Number of AbilityOne blind and SD workers (combined). 4,572
AbilityOne wages (products). $12,142,783
AbilityOne wages (services). $54,025,955

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2015
Number of 14(c) certificate-holding private businesses. 2
Number of 14(c) certificate-holding school work experience programs (SWEPs). 1
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 105
Number of 14(c) certificate holding patient workers. 4
Total Number of 14(c) certificate holding entities. 112
Reported number of people with disabilities working under 14(c) certificate holding private businesses. 1
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). 19
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). 8,938
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 856
Total reported number of people with disabilities working under 14(c) certificate holding entities. 9,814

 

Legislation


TX Health and Human Services Commission: General Provisions - 09/01/2015

“It is the policy of the state that earning a living wage through competitive employment in the general workforce is the priority and preferred outcome for working-age individuals with disabilities who receive public benefits.”

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Employer Engagement
  • 14(c)/Income Security
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Texas SB 1664 (ABLE Act) - 06/19/2015

"An act relating to the establishment of the Texas Achieving a Better Life Experience (ABLE) Program…(1) to encourage and assist individuals and families in saving funds for the purpose of supporting individuals with disabilities to maintain health, independence, and quality of life, and (2) to provide secure funding for qualified disability expenses on behalf of designated beneficiaries with disabilities that will supplement, but not supplant, benefits provided through private insurance, the Medicaid program under title XIX of the Social Security Act, the Supplemental Security Income program under title XVI of the Social Security Act, the beneficiary's employment, and other sources."

Systems
  • Department of Education
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Texas SB 1664 - 06/19/2015

"An act relating to the establishment of the Texas Achieving a Better Life Experience (ABLE) Program…(1) to encourage and assist individuals and families in saving funds for the purpose of supporting individuals with disabilities to maintain health, independence, and quality of life, and (2) to provide secure funding for qualified disability expenses on behalf of designated beneficiaries with disabilities that will supplement, but not supplant, benefits provided through private insurance, the Medicaid program under title XIX of the Social Security Act, the Supplemental Security Income program under title XVI of the Social Security Act, the beneficiary's employment, and other sources."

 

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

2013 Employment Assistance and Supported Employment Bill - 06/14/2013

This acts relates to the provision of employment assistance and supported employment to certain Medicaid waiver program participants. Assistance includes providing assistance to an individual that helps them locate paid employment in the community.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Employer Engagement

Texas 2013 Employment First Bill (S.B 1226) - 06/14/2013

The act establishes an employment-first policy and task force to promote integrated competitive employment opportunities that provide a living wage for individuals with disabilities. The Texas Education Agency and the Texas Workforce Commission will jointly adopt and implement the policy.

Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Human Resources Code Section 32.075 (Employment Assistance)

This code defines “Employment assistance” as, “assistance provided to an individual to help the individual locate paid employment in the community.” It defines “Supported employment” as, “assistance provided, in order to sustain paid employment, to an individual who, because of a disability, requires intensive, ongoing support to be self-employed, work from home, or perform in a work setting at which individuals without disabilities are employed. Supported employment includes adaptations, supervision, and training related to an individual's diagnosis.” It also lists the medical assistance waivers to which Supported Employment applies.

Systems
  • Medicaid Agencies
  • Other
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation

Texas Human Resources Code, Section 121.003

This code addresses discrimination that is prohibited by law in the state of Texas, especially pertaining to people with disabilities. Among other measures, it specifically states that, “It is the policy of the state that persons with disabilities be employed by the state, by political subdivisions of the state, in the public schools, and in all other employment supported in whole or in part by public funds on the same terms and conditions as persons without disabilities, unless it is shown that there is no reasonable accommodation that would enable a person with a disability to perform the essential elements of a job.”

Systems
  • Other
Topics
  • Employer Engagement

Texas Labor Code, Sections 21.051 - 21.061 (Disability Discrimination)

This labor code states that an employer, employment agency or labor organization commits an unlawful act if it discriminates against individuals due to a disability or segregates or classifies them in a manner that would deprive them of an employment opportunity or otherwise adversely affect their status as an employee.

Systems
  • Other
Topics
  • Employer Engagement

Executive Orders

No Executive Orders have been entered for this state.

Policy


Texas Council of Developmental Disability: State Plan Goals 2017-2021 - 01/01/2017

“Goal 1: Create and support promising practices that enable people with developmental disabilities to be fully included in their communities and to have control over their own lives by September 30, 2021.

Goal 2: Improve and/or expand community-based systems to better support people with developmental disabilities or families of children with developmental disabilities to be fully included in their communities by September 30, 2021.

Goal 3: Increase the access that individuals with developmental disabilities and families of individuals with developmental disabilities have to information, training, and support to advocate for themselves and/or to collaborate with allies to impact public policy, service systems, and community supports.

Goal 4: Ensure there is ongoing support and technical assistance for the Council to identify and engage in issues according to the Council’s priorities and mission.”

 

Systems
  • Other
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Health and Human Services Transformation - 09/01/2016

“In 2015, Texas Health and Human Services (HHS) began a transformation effort to produce a more efficient, effective, and responsive system. In September of 2016 the first phase of that effort became operational.

The goals of the transformation are to create a system that:

Is easier to navigate for people who need information, benefits, or services Aligns with the HHS mission, business, and statutory responsibilities Breaks down operational silos to create greater program integration Creates clear lines of accountability within the organization Develops clearly defined and objective performance metrics for all areas of the organization”
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Provider Transformation

Texas Department of Aging and Disabilities (DADs) Guide to Employment for People with Disabilities - 05/01/2015

“The purpose of this guide is to provide information on how to support and assist working-age people with disabilities who are receiving DADS services to obtain and maintain competitive, integrated employment. Through this guide, DADS intends to provide information on best practices and resources that can help improve employment outcomes for people with disabilities. The guide includes success stories of people with disabilities who, as a result of receiving the appropriate supports and services, have secured fulfilling employment...”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Education Agency Employment First Policy - 03/25/2015

“TEA hereby adopts the state's policy that earning a living wage through competitive employment in the general workforce is the priority and preferred outcome for working age individuals with disabilities who receive public benefits. TEA will evaluate recommendations made by the Employment-First Task Force and will adopt rules as necessary that are consistent with the policy.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • 14(c)/Income Security
  • Cross-Agency Collaboration / Partnerships

Texas FY 2015 Plans for Vocational Rehabilitation and Supported Employment Services Programs - 09/30/2014

“The Division for Rehabilitation Services (DRS) recognizes that collaboration with community organizations and other state agencies is essential to achieving successful employment outcomes for consumers with the most significant disabilities. DRS seeks opportunities to identify, develop, and implement cooperative agreements with other state agencies and appropriate entities, particularly when these agreements establish a framework to assist with the provision of supported employment services and extended services for consumers with the most significant disabilities.

Plans for Improving Supported Employment Services: DRS plans to…develop and implement an improved benchmark system for the provision of specific supported employment services statewide; explore complimentary services for specific populations like persons with autism and mental health diagnoses; develop a supported employment technical assistance training model for DRS staff members to improve their ability to determine when supported employment services are needed; and develop tools that will help staff members monitor and provide guidance to supported employment contract providers.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

DARS Provider Supported Self-Employment Diagram - 02/15/2011

This diagram serves as a guide for Dept. of Assistive and Rehabilitation Services providers for the process of supported employment, It contains guidelines and benchmarks, including an emphasis on the process of Discovery.

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Provider Transformation

Texas Council for Developmental Disabilities Annual Impact Report 2014

Systems
  • Other

Texas Workforce Commission Employment First Policy

“TWC will promote competitive employment of individuals with disabilities and the expectation that they are able to meet the same employment standards, responsibilities and expectations as other working-age adults. TWC acknowledges that it is the policy of the state, as set forth in Texas Government Code §531.02447, ‘that earning a living wage through competitive employment in the general workforce is the priority and preferred outcome for working-age individuals with disabilities who receive public benefits.’”

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement
  • 14(c)/Income Security
  • Cross-Agency Collaboration / Partnerships

Guide For Hiring People With Disability

The Texas Department of Assistive and Rehabilitative Services (DARS), in conjunction with Office of the Federal Contract Compliance Program (OFCCP) and a group of local businesses has produced this guide on attracting and hiring people with disabilities. DARS works in partnership with Texans with disabilities and families with children who have developmental delays to improve the quality of their lives and to enable their full participation in society. The DARS Vocational Rehabilitation (VR) program helps people with disabilities to prepare for, find and keep employment. DARS services can reduce the need for support from other public benefits and services.

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Comprehensive Need Assessment Of Texans With Disability (2014)

This document represents findings from a comprehensive state needs assessment of the rehabilitation needs of individuals with disabilities. The Rehabilitation Act of 1973 as amended calls for periodic comprehensive statewide needs assessments that will result in recommendations to the goals, priorities, and strategies of the state plan. Two divisions within the Department of Assistive and Rehabilitative Services (DARS), the Division for Rehabilitation Services (DRS) and the Division for Blind Services (DBS) contracted with the Child and Family Research Institute at The University of Texas at Austin to conduct this needs assessment. This needs assessment addresses the federal requirements related to the Title I state plan for vocational rehabilitation (VR) services and its title VI B supplement related to supported employment services by including: 1. The results of the needs assessment describing the rehabilitation needs of individuals with disabilities residing within the state, particularly the vocational rehabilitation services needs of: a. individuals with the most significant disabilities, including their need for supported employment; b. individuals with disabilities who are minorities; c. individuals with disabilities who have been unserved and underserved by the VR program; and d. individuals with disabilities served through other components of the statewide workforce investment system (other than the VR program), as identified by such individuals and personnel assisting such individuals through the components. 2. An assessment of the need to: a. establish community rehabilitation programs (CRPs); b. develop CRPs; or c. improve CRPs within the state.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Data Sharing

Standards Manual for Consumer Services Contract Providers

This manual contains information on supported employment services provided by the Division for Blind Services Consumer Services Contract Providers. It defines Supported Employment as, “a ‘place then train’ model, which is a two-part process: 1) place a consumer with the most significant disabilities in a competitive job, and then, 2) provide training and support directly related to the job.   Unlike the traditional VR model, which provides job readiness and other training activities to prepare a consumer for employment, this model is more appropriate for consumers with the most significant disabilities. Problems transferring knowledge from an artificial training situation to a real job are eliminated, because the focus is on finding the best job match and providing training for that particular job.”  
Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Provider Transformation

DRS: Standards for Providers

This policy manual contains up to date information on the Texas Department of Assistive and Rehabilitation Services standards for providers. The employment services mentioned included work readiness services, jot skills training, supported employment services, and supported self-employment services, among others. The services also address a wide range of disabilities including acute brain injury, deaf, and speech and hearing impaired.

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Division for Blind Services (DBS): Vocational Rehabilitation Manual

This policy manual contains up to date information on the Vocational Rehabilitation services provided by the Division for Blind Services (DBS). The services include community rehabilitation programs, employment assistance, job readiness training and job placement, job coach services, and on-the-job training, among many others.

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Texas Dept of Assistive and Rehabilitation Services (DRS): Rehabilitation Policy Manual

This policy manual contains up to date information on the services provided by the Dept. of Assistive and Rehabilitation Services. The employment services in particular include job readiness, counselor-directed placement, on the job training, apprenticeship opportunities, supported employment, job coaching and self-employment services, among others.

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Customized Employment Texas Policy Summary

“The Texas Department of Assistive and Rehabilitative Services' (DARS) Division for Rehabilitation Services (DRS) and Division of Blind Services (DBS) have implemented a detailed Discovery process, one of the key elements of Customized Employment (CE), as the center point of the agency's person-centered planning mechanism. By adding depth and direction to the basic concept of Discovery in its policy, the agencies incorporated a more thorough and person-centered planning process in the field. DRS and DBS contract with Community Rehabilitation Providers (CRPs) for delivery of all Supported Employment services, including CE.”

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation

Employment Protections

• Texas law explicitly prohibits the employment-related discrimination due to disability; “Promotes competitive employment opportunities for people with disabilities,… Requires the Health and Human Service Commission (HHSC), the Texas Education Agency (TEA) and the Texas Workforce Commission (TWC) to adopt and implement an employment policy that ensure that all working-age people with disabilities are offered information and trainings about employment and assist employers, community providers, public school staff and vocational service programs with achieving the employment policy goals; [and] Provides assistance finding and sustaining employment to individuals in specific Medicaid waiver programs.”

Systems
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Transition in Texas “Texas Transition and Employment Guide” November 2014

“Transition is the term used for the time when you are changing from a student to an adult. You, your parents, and your school begin to plan for transition while you are still a student.

Your parents and the school need to understand your wants and needs to make sure they are included in your plan. You need to talk to your parents and your teachers about how you can become more involved in making decisions about your educational program and your plans for the future.

There are several work choices:

          • competitive employment – a job done by a person with a disability, in the same job setting, and at a pay rate that is the same as a worker without a disability

          • customized employment - a job based on what people know how to do, their needs, what they like, and that is designed to meet the specific needs of the employer

          • integrated employment – a job at a work site at which the person routinely interacts with people without disabilities in addition to the work site supervisor or service providers

          • supported employment - a job with supports by service providers done by a person with a disability in the same job setting as a worker without a disability

          • self-employment – making money from services or products a person provides to his or her customers instead of working for someone else.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Texas Employment First Task Force Home Page

The Employment First Task Force, authorized by Senate Bill 1226 (83rd Legislature, Regular Session, 2013), was established by the Texas Health and Human Services Commission executive commissioner to promote competitive employment of people with disabilities and the expectation that individuals with disabilities are able to meet the same employment standards, responsibilities, and expectations as any other working-age adult.”

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Texas Employment First Policy and Texas Employment First Task Force Report - Fall 2014

“Senate Bill 1226 (S.B. 1226), 83rd Legislature, Regular Session, 2013, promotes employment for individuals with disabilities by establishing an Employment First policy for the state of Texas and also creating an Employment First Task Force (the Task Force). …” “’Employment First’” is an approach to facilitating the full inclusion of individuals with disabilities in the workplace. This approach states that integrated, competitive employment should be the first option considered for individuals with disabilities and should be the expected outcome of education and publicly-funded services for working-age youth and adults.”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • 14(c)/Income Security
  • Cross-Agency Collaboration / Partnerships

Partnerships


Texas Combined State Plan for The Workforce Innovation and Opportunity Act (WIOA) - 07/01/2016

"Texas proposes through this Combined State Plan (plan) to implement jointly administered activities concerning the following core programs and two optional programs authorized by the Workforce Innovation and Opportunity Act (WIOA):

The Adult, Dislocated Worker, and Youth programs The Wagner-Peyser Employment Service (ES) program, including the Agricultural Outreach Plan The Adult Education and Family Literacy Act program The Vocational Rehabilitation program The Senior Community Service Employment Program"
Systems
  • Department of Rehabilitation Services
  • Department of Education

Texas State Plans for VR Services and Supported Employment Services Programs - 09/30/2014

“The Division for Rehabilitation Services (DRS) recognizes that collaboration with community organizations and other state agencies is essential to achieving successful employment outcomes for consumers with the most significant disabilities. DRS seeks opportunities to identify, develop, and implement cooperative agreements with other state agencies and appropriate entities, particularly when these agreements establish a framework to assist with the provision of supported employment services and extended services for consumers with the most significant disabilities.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Employment First Task Force Home Page

The Employment First Task Force, authorized by Senate Bill 1226 (83rd Legislature, Regular Session, 2013), was established by the Texas Health and Human Services Commission executive commissioner to promote competitive employment of people with disabilities and the expectation that individuals with disabilities are able to meet the same employment standards, responsibilities, and expectations as any other working-age adult.”

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Texas Dept of Assistive and Rehabilitative Services and Dept of Aging and Disability Services MOA

Recognizing the need to coordinate the provision of services to individuals receiving services from the Texas Department of Aging and Disability Services (DADS) who may be eligible for or are receiving Vocational Rehabilitation (VR) or Independent Living (IL) services from the Texas Department of Assistive and Rehabilitative Services (DARS), DARS and DADS enter into this Memorandum of Agreement (MOA) in accordance with the provisions of CFR §361.53(d) and 111.0525(b) of the Texas Human Resources Code. 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


Texas Employment Development Initiative - 10/01/2012

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).

This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project.”

In FY2012, Texas was awarded an EDI grant for an expansion of supported employment through Consumer Operated Services Programs.

Systems
  • Department of Mental Health
Topics
  • Mental Health

Texas Medicaid Balancing Incentives Program - 09/04/2012

The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) partner in implementing The Balancing Incentive Program (BIP), which “increases the Federal Matching Assistance Percentage to participating states through September 2015 in exchange for states making certain structural reforms to increase access to Medicaid community based long-term services and supports (LTSS).”    “These required structural reforms include…   • implementing a "no wrong door" eligibility and enrollment system;    • developing core standardized assessment instruments; and    • ensuring case management activities are conflict free.”   
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Ticket to Work - 06/25/2008

“Under the Ticket to Work Program and Title II and Title XVI of the Act, SSA issues “tickets” to SSDI and SSI blind or disabled beneficiaries. In this voluntary program, each beneficiary who receives a ticket can use it to obtain services from a provider, known as an employment network (EN), or from a state vocational rehabilitation (VR) agency. The VR agency in Texas is the Texas Department of Assistive and Rehabilitative Services (DARS)…

The intent of the Ticket to Work Program is to…establish a system in which qualified ENs provide employment and other support services (e.g., case management, benefits counseling, and job training); provide individualized tickets to beneficiaries for the “purchase” of services from approved ENs; and give beneficiaries a real choice in obtaining the services, education, and technology needed to find, enter, and maintain employment within an expanding universe of service providers.”

Systems
  • Department of Rehabilitation Services
Topics
  • Cross-Agency Collaboration / Partnerships
Citations

Customized Employment Grant (Transition Adjustment and Career Education/TACE)

The demonstration project was conducted in local workforce development centers across the state.  It was designed to, “To enhance the capability of One-Stop Career Centers to deliver services to people with disabilities, bridging education and job development with customized employment services” by integrating customized employment services with existing services, creating customized employment opportunities for people with disabilities and increasing the capacity of centers and its partners to provide high-quality customized employment services through intensive staff training (e.g., developing a capacity building curriculum).

Systems
  • Department of Workforce Development
Topics
  • Customized Employment
  • School-to-Work Transition
  • Provider Transformation

Texas Training and Technical Assistance to Providers (T-TAP)

“T-TAP is a national training and technical assistance center to help community rehabilitation providers make the transition from providing segregated employment services to finding people with disabilities jobs in the community. The specific target audience is employment agencies that hold 14(c) subminimum wage certificates, which allow employers to pay people less than minimum wage and are typically used in the disability field to pay workers piece rates at sheltered workshops. Activities include online courses, satellite telecasts, regional employment forums, intensive consultation to selected agencies, and policy research. The Institute for Community Inclusion and Virginia Commonwealth University work in partnership on this project. T-TAP [was] funded from 2002 to 2007 by the Office of Disability and Employment Policy at the U.S. Department of Labor.”

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement
  • 14(c)/Income Security
  • Segregated Day & Employment Services
  • Cross-Agency Collaboration / Partnerships

Texas Customized Employment Grant (Transition Adjustment and Career Education/TACE)

The demonstration project was conducted in local workforce development centers across the state. It was designed to, “To enhance the capability of One-Stop Career Centers to deliver services to people with disabilities, bridging education and job development with customized employment services” by integrating customized employment services with existing services, creating customized employment opportunities for people with disabilities and increasing the capacity of centers and its partners to provide high-quality customized employment services through intensive staff training (e.g., developing a capacity building curriculum).

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Texas Medicaid Buy-In Program

The program “offers low-cost Medicaid health care services — including community-based services and supports to working people with a disability. Some people might have to pay a monthly fee” to receive services which include but not limited to:  • Doctor / clinic visits  • Mental health care  • Occupational therapy (help learning how to do everyday tasks)  • X-rays  • Physical therapy (help learning how to move around better or become stronger)

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Money Follows The Person

“The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) will receive approximately $33.6 million in new funding over the next five years, which will be paired with existing state and federal funding for a total of $143 million. The agency will use the money to enhance its successful Money Follows the Person (MFP) initiative and expand its effort for persons with intellectual and developmental disabilities, and persons with behavioral health needs.

The MFP initiative helps people who are receiving long-term services and supports in a nursing facility return to the community to receive their services without having to be placed on a community services interest list.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Training/Capacity Building


The Texas Customized Self-Employment Project: The Customized Employment Plan Design

This presentation describes Customized Employment as “a flexible process designed to personalize the employment relationship between a job candidate and an employer in a way that meets the needs of both.”  It focuses heavily on the processes and value of Discovery in the employment process.

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Employer Engagement
  • Provider Transformation

The Texas Customized Self-Employment Project

This presentation presents Self-Employment as a viable employment option for people with disabilities.

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Self-Employment

Texas Department of Assistive & Rehabilitative Services (DARS) Customized Self-Employment System Development Initiative

“This proposal is designed to support and implement the phased development of a financially, technically and programmatically viable system of TX DARS for prospective business owners in TX with disabilities, who require customized employment services and are applying for, or receiving, DARS counseling and services to develop small businesses.   Specifically, this initiative is designed to research, identify and develop an outcome payment model and rate structure for customized self-employment, including: DARS Counselor CRC certification level, online and onsite training and technical assistance; and, intensive multi-certification, online and onsite training for DARS vendors throughout the state of Texas.”  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment

Texas Transition and Employment Guide

This transition and employment guide is for you, the student in Texas public school, who may have received special education services due to a disability. It also provides helpful information for your parents. This guide has steps you and your parents can take to make sure you are able to find the right work or educational choices for you after high school. It also tells you where to get the services you will need after high school.    The guide is divided into sections on Self Advocacy, Transition Services, Employment and Supported Employment, Social Security Programs, Community and Long Term Services and Supports, Postsecondary Educational Programs and Services, Information Sharing, and Guardianship and Alternatives. Each section has phone numbers, emails, and websites to help you find what you need. At the end of each section and at the end of the guide, you will find a timeline of steps that you and your parents can take as you make the transition from student to adult.”  
Systems
  • Department of Education
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health

Enforcement


Wal-Mart to Pay $150,000 to Settle EEOC Age and Disability Discrimination Suit - 02/19/2015

“Under the terms of the two-year consent decree settling the case, Wal-Mart will pay $150,000 in relief to Moorman. In addition, Wal-Mart agreed to provide training for employees on the ADA and the ADEA. The training will include an instruction on the kind of conduct that may constitute unlawful discrimination or harassment, as well as an instruction on Wal-Mart's procedures for handling requests for reasonable accommodations under the ADA. Wal-Mart will also report to the EEOC regarding its compliance with the consent decree and post a notice to employees about the settlement.”

Systems
  • Other
Topics
  • Employer Engagement

Texas Wendy’s Consent Decree - 10/10/2012

“Under the terms of the two-year consent decree settling the case, Wendy's will pay $41,500 in relief to a person who applied to a job with the company, but was denied despite his qualifications. “In addition, Wendy's has agreed to provide training for all managers and supervisory employees, including its company president, on the ADA. The training will include a discussion related to hiring individuals with disabilities. In addition, the training will include a specific instruction on communication devices, such as the use of the Texas Relay System or video relay service regarding communication between Wendy's employees and applicants with hearing impairments.’“

Systems
  • Other
Topics
  • Employer Engagement

Texas Steward et. al. v. Perry et. al (2013)

“On August 19, 2013, the United States, private Plaintiffs and the State of Texas filed an Interim Settlement Agreement to enable Texans with intellectual and other developmental disabilities to live in the community rather than nursing facilities. The Interim Settlement Agreement is awaiting court approval…[It] partially addresses the Civil Rights Division's finding that the State of Texas failed to serve individuals with intellectual and developmental disabilities in the most integrated setting appropriate to those individuals' needs, in violation of the Americans with Disabilities Act (ADA) and Olmstead v. L.C.” “

Systems
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Medicaid & Employment


Texas Home Living Program (TxHmL) - Amended Rules Effective 3/2016 - 03/20/2016

“The Texas Home Living (TxHmL) program provides selected essential services and supports to people with an intellectual disability or a related condition who live in their own home or their family's home.”

Systems
  • Medicaid Agencies
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Texas Youth Empowerment Services (YES) Waiver Program Payment Rates - 03/15/2016

Public comments will be received on proposed payment rates for Supported Employment and Employment Assistance provided under the Youth Empowerment Services (YES) waiver program operated by the Department of State Health Services (DSHS). The revised payment rates are proposed to be effective March 15, 2016

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Balancing Incentives Program - 09/04/2012

The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) partner in implementing The Balancing Incentive Program (BIP), which “increases the Federal Matching Assistance Percentage to participating states through September 2015 in exchange for states making certain structural reforms to increase access to Medicaid community based long-term services and supports (LTSS).”    “These required structural reforms include…implementing a "no wrong door" eligibility and enrollment system; developing core standardized assessment instruments; and ensuring case management activities are conflict free.”   
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Medicaid Buy-In Program

The program “offers low-cost Medicaid health care services — including community-based services and supports to working people with a disability. Some people might have to pay a monthly fee” to receive services which include but not limited to:    • Doctor / clinic visits     • Mental health care     • Occupational therapy (help learning how to do everyday tasks)    • X-rays     • Physical therapy (help learning how to move around better or become stronger)  
Systems
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Money Follows The Person

“The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) will receive approximately $33.6 million in new funding over the next five years, which will be paired with existing state and federal funding for a total of $143 million. The agency will use the money to enhance its successful Money Follows the Person (MFP) initiative and expand its effort for persons with intellectual and developmental disabilities, and persons with behavioral health needs.”   “The MFP initiative helps people who are receiving long-term services and supports in a nursing facility return to the community to receive their services without having to be placed on a community services interest list.”  
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Medicaid State Plan

The state plan is the officially recognized document describing the nature and scope of the State of Texas Medicaid program. As required under Section 1902 of the Social Security Act, the plan was developed by the state and approved by the U.S. Department of Health and Human Services. Essentially, the plan is the state's agreement that it will conform to the requirements of the Social Security Act and the official issuances of the U.S. Department of Health and Human Services

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas HCBS Transition Plan

The Centers for Medicare and Medicaid Services (CMS) has released a final rule that defines the settings in which states can offer Medicaid Home and Community Based Services (HCBS). This website will serve as a place where you can submit comments about the rule and the way its provisions will be set up within Texas Medicaid.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Texas Youth Empowerment Services

“The Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS) developed the Youth Empowerment Services (YES) Waiver, which provides comprehensive home and community-based mental health services to youth between the ages of 3 and 18, up to a youth's 19th birthday, who have a serious emotional disturbance. The YES Waiver not only provides flexible supports and specialized services to children and youth at risk of institutionalization and/or out-of-home placement due to their serious emotional disturbance, but also strives to provide hope to families by offering services aimed at keeping children and youth in their homes and communities.”

Systems
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Home and Community Based Services (HCBS)

“HCS provides individualized services and supports to persons with intellectual and developmental disabilities who are living with their family, in their own home or in other community settings, such as small group homes.”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Texas Community Living Assistance and Support Services (CLASS)

“CLASS provides home- and community-based services to people with related conditions as a cost-effective alternative to placement in an Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF-IID).”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Texas Community Based Alternatives (CBA)

“This program provides home- and community-based services to people who are elderly and to adults with disabilities as a cost-effective alternative to living in a nursing home.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

States - Phone

Snapshot

Everything's Bigger in Texas, including the number of job options in integrated settings at competitive wages for individuals with disabilities. The Lone Star state is a place where anyone, including those with disabilities, can live the American Dream… Deep in the Heart of Texas! 

2014 State Population.
1.89%
Change from
2013 to 2014
26,956,958
2014 Number of people with disabilities (all disabilities, ages 18-64).
0.85%
Change from
2013 to 2014
1,616,223
2014 Number of people with disabilities who are employed (all disabilities, ages 18-64).
-0.98%
Change from
2013 to 2014
613,660
2014 Percentage of working age people who are employed (all disabilities).
-1.84%
Change from
2013 to 2014
37.97%
2014 Percentage of working age people who are employed (NO disabilities).
0.8%
Change from
2013 to 2014
75.29%

State Data

General

2014
Population. 26,956,958
Number of people with disabilities (all disabilities, ages 18-64). 1,616,223
Number of people with disabilities who are employed (all disabilities, ages 18-64). 613,660
Number of people without disabilities who are employed (ages 18-64). 11,106,300
Percentage of working age people who are employed (all disabilities). 37.97%
Percentage of working age people who are employed (NO disabilities). 75.29%
Overall unemployment rate. 5.10%
Poverty Rate (all disabilities). 22.10%
Poverty Rate (NO disabilities). 16.60%
Number of males with disabilities (all ages). 1,497,762
Number of females with disabilities (all ages). 1,603,277
Number of Caucasians with disabilities (all ages). 2,392,261
Number of African Americans with disabilities (all ages). 422,849
Number of Hispanic/Latinos with disabilities (all ages). 978,202
Number of American Indians/Alaska Natives with disabilities (all ages). 18,845
Number of Asians with disabilities (all ages). 64,338
Number of Hawaiians/Pacific Islanders with disabilities (all ages). 1,771
Number of with multiple races disabilities (all ages). 69,100
Number of others with disabilities (all ages). 131,875

 

SSA OUTCOMES

2014
Number of SSI recipients with disabilities who work. 18,624
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 3.30%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 574,012

 

MENTAL HEALTH OUTCOMES

2014
Number of mental health services consumers who are employed. 30,553
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 60,533
Number of adults served who have a known employment status. 173,707
Percentage of all state mental health agency consumers served in the community who are employed. 17.60%
Percentage of supported employment services evidence based practices (EBP). 4.60%
Percentage of supported housing services evidence based practices (EBP). 4.80%
Percentage of assertive community treatment services evidence based practices (EBP). 1.70%
Percentage of medications management evidence based practices (EBP). 43.50%
Number of evidence based practices (EBP) supported employment services. 11,116
Number of evidence based practices (EBP) supported housing services. 11,549
Number of evidence based practices (EBP) assertive community treatment services. 4,148
Number of evidence based practices (EBP) medications management. 104,481

 

WAGNER PEYSER OUTCOMES

2014
Number of registered job seekers with a disability. 53,307
Proportion of registered job seekers with a disability. 0.04

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2013
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 687
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 346
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 50.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 1.31

 

VR OUTCOMES

2015
Total Number of people served under VR.
N/A
Number of people with visual impairments served under VR. N/A
Number of people with communicative (hearing loss, deafness) impairments served under VR. N/A
Number of people with physical impairments served under VR. N/A
Number of people cognitive impairments served under VR. N/A
Number of people psychosocial impairments served under VR. N/A
Number of people with mental impairments served under VR. N/A
Percentage of overall closures into employment under VR. N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 19,773
Number of eligible ticket to work beneficiaries. 916,755
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A
Total number of ID competitive labor market closures. N/A

 

IDD OUTCOMES

2013
Dollars spent on day/employment services for integrated employment funding. $966,000
Dollars spent on day/employment services for facility-based work funding. $0
Dollars spent on day/employment services for facility-based non-work funding. $99,239,000
Dollars spent on day/employment services for community based non-work funding. $0
Percentage of people served in integrated employment. 8.00%
Number of people served in community based non-work. 0
Number of people served in facility based work. 616
Number of people served in facility based non-work. 24,650
Number supported in integrated employment per 100,000 individuals in the general state population. 14.40

 

EDUCATION OUTCOMES

2013
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 66.17%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 13.93%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 1.19%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 99.74%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 26.77%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 61.55%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 71.65%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 34.77%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 7,034,752
Number of overall total blind and SD workers. 6,822
Number of AbilityOne blind and SD hours (products). 1,436,521
Number of AbilityOne blind and SD hours (services). 4,235,134
Number of AbilityOne blind and SD hours (combined). 5,671,655
Number of AbilityOne blind and SD workers (products). 1,090
Number of AbilityOne blind and SD workers (services). 3,482
Number of AbilityOne blind and SD workers (combined). 4,572
AbilityOne wages (products). $12,142,783
AbilityOne wages (services). $54,025,955

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2015
Number of 14(c) certificate-holding private businesses. 2
Number of 14(c) certificate-holding school work experience programs (SWEPs). 1
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 105
Number of 14(c) certificate holding patient workers. 4
Total Number of 14(c) certificate holding entities. 112
Reported number of people with disabilities working under 14(c) certificate holding private businesses. 1
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). 19
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). 8,938
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 856
Total reported number of people with disabilities working under 14(c) certificate holding entities. 9,814

 

Legislation


TX Health and Human Services Commission: General Provisions - 09/01/2015

“It is the policy of the state that earning a living wage through competitive employment in the general workforce is the priority and preferred outcome for working-age individuals with disabilities who receive public benefits.”

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Employer Engagement
  • 14(c)/Income Security
  • Provider Transformation
  • Cross-Agency Collaboration / Partnerships

Texas SB 1664 (ABLE Act) - 06/19/2015

"An act relating to the establishment of the Texas Achieving a Better Life Experience (ABLE) Program…(1) to encourage and assist individuals and families in saving funds for the purpose of supporting individuals with disabilities to maintain health, independence, and quality of life, and (2) to provide secure funding for qualified disability expenses on behalf of designated beneficiaries with disabilities that will supplement, but not supplant, benefits provided through private insurance, the Medicaid program under title XIX of the Social Security Act, the Supplemental Security Income program under title XVI of the Social Security Act, the beneficiary's employment, and other sources."

Systems
  • Department of Education
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Texas SB 1664 - 06/19/2015

"An act relating to the establishment of the Texas Achieving a Better Life Experience (ABLE) Program…(1) to encourage and assist individuals and families in saving funds for the purpose of supporting individuals with disabilities to maintain health, independence, and quality of life, and (2) to provide secure funding for qualified disability expenses on behalf of designated beneficiaries with disabilities that will supplement, but not supplant, benefits provided through private insurance, the Medicaid program under title XIX of the Social Security Act, the Supplemental Security Income program under title XVI of the Social Security Act, the beneficiary's employment, and other sources."

 

Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

2013 Employment Assistance and Supported Employment Bill - 06/14/2013

This acts relates to the provision of employment assistance and supported employment to certain Medicaid waiver program participants. Assistance includes providing assistance to an individual that helps them locate paid employment in the community.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Employer Engagement

Texas 2013 Employment First Bill (S.B 1226) - 06/14/2013

The act establishes an employment-first policy and task force to promote integrated competitive employment opportunities that provide a living wage for individuals with disabilities. The Texas Education Agency and the Texas Workforce Commission will jointly adopt and implement the policy.

Systems
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Human Resources Code Section 32.075 (Employment Assistance)

This code defines “Employment assistance” as, “assistance provided to an individual to help the individual locate paid employment in the community.” It defines “Supported employment” as, “assistance provided, in order to sustain paid employment, to an individual who, because of a disability, requires intensive, ongoing support to be self-employed, work from home, or perform in a work setting at which individuals without disabilities are employed. Supported employment includes adaptations, supervision, and training related to an individual's diagnosis.” It also lists the medical assistance waivers to which Supported Employment applies.

Systems
  • Medicaid Agencies
  • Other
Topics
  • Self-Employment
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Provider Transformation

Texas Human Resources Code, Section 121.003

This code addresses discrimination that is prohibited by law in the state of Texas, especially pertaining to people with disabilities. Among other measures, it specifically states that, “It is the policy of the state that persons with disabilities be employed by the state, by political subdivisions of the state, in the public schools, and in all other employment supported in whole or in part by public funds on the same terms and conditions as persons without disabilities, unless it is shown that there is no reasonable accommodation that would enable a person with a disability to perform the essential elements of a job.”

Systems
  • Other
Topics
  • Employer Engagement

Texas Labor Code, Sections 21.051 - 21.061 (Disability Discrimination)

This labor code states that an employer, employment agency or labor organization commits an unlawful act if it discriminates against individuals due to a disability or segregates or classifies them in a manner that would deprive them of an employment opportunity or otherwise adversely affect their status as an employee.

Systems
  • Other
Topics
  • Employer Engagement

Executive Orders

No Executive Orders have been entered for this state.

Policy


Texas Council of Developmental Disability: State Plan Goals 2017-2021 - 01/01/2017

“Goal 1: Create and support promising practices that enable people with developmental disabilities to be fully included in their communities and to have control over their own lives by September 30, 2021.

Goal 2: Improve and/or expand community-based systems to better support people with developmental disabilities or families of children with developmental disabilities to be fully included in their communities by September 30, 2021.

Goal 3: Increase the access that individuals with developmental disabilities and families of individuals with developmental disabilities have to information, training, and support to advocate for themselves and/or to collaborate with allies to impact public policy, service systems, and community supports.

Goal 4: Ensure there is ongoing support and technical assistance for the Council to identify and engage in issues according to the Council’s priorities and mission.”

 

Systems
  • Other
Topics
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Health and Human Services Transformation - 09/01/2016

“In 2015, Texas Health and Human Services (HHS) began a transformation effort to produce a more efficient, effective, and responsive system. In September of 2016 the first phase of that effort became operational.

The goals of the transformation are to create a system that:

Is easier to navigate for people who need information, benefits, or services Aligns with the HHS mission, business, and statutory responsibilities Breaks down operational silos to create greater program integration Creates clear lines of accountability within the organization Develops clearly defined and objective performance metrics for all areas of the organization”
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Provider Transformation

Texas Department of Aging and Disabilities (DADs) Guide to Employment for People with Disabilities - 05/01/2015

“The purpose of this guide is to provide information on how to support and assist working-age people with disabilities who are receiving DADS services to obtain and maintain competitive, integrated employment. Through this guide, DADS intends to provide information on best practices and resources that can help improve employment outcomes for people with disabilities. The guide includes success stories of people with disabilities who, as a result of receiving the appropriate supports and services, have secured fulfilling employment...”

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Education Agency Employment First Policy - 03/25/2015

“TEA hereby adopts the state's policy that earning a living wage through competitive employment in the general workforce is the priority and preferred outcome for working age individuals with disabilities who receive public benefits. TEA will evaluate recommendations made by the Employment-First Task Force and will adopt rules as necessary that are consistent with the policy.”

Systems
  • Department of Education
Topics
  • School-to-Work Transition
  • 14(c)/Income Security
  • Cross-Agency Collaboration / Partnerships

Texas FY 2015 Plans for Vocational Rehabilitation and Supported Employment Services Programs - 09/30/2014

“The Division for Rehabilitation Services (DRS) recognizes that collaboration with community organizations and other state agencies is essential to achieving successful employment outcomes for consumers with the most significant disabilities. DRS seeks opportunities to identify, develop, and implement cooperative agreements with other state agencies and appropriate entities, particularly when these agreements establish a framework to assist with the provision of supported employment services and extended services for consumers with the most significant disabilities.

Plans for Improving Supported Employment Services: DRS plans to…develop and implement an improved benchmark system for the provision of specific supported employment services statewide; explore complimentary services for specific populations like persons with autism and mental health diagnoses; develop a supported employment technical assistance training model for DRS staff members to improve their ability to determine when supported employment services are needed; and develop tools that will help staff members monitor and provide guidance to supported employment contract providers.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

DARS Provider Supported Self-Employment Diagram - 02/15/2011

This diagram serves as a guide for Dept. of Assistive and Rehabilitation Services providers for the process of supported employment, It contains guidelines and benchmarks, including an emphasis on the process of Discovery.

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Provider Transformation

Texas Council for Developmental Disabilities Annual Impact Report 2014

Systems
  • Other

Texas Workforce Commission Employment First Policy

“TWC will promote competitive employment of individuals with disabilities and the expectation that they are able to meet the same employment standards, responsibilities and expectations as other working-age adults. TWC acknowledges that it is the policy of the state, as set forth in Texas Government Code §531.02447, ‘that earning a living wage through competitive employment in the general workforce is the priority and preferred outcome for working-age individuals with disabilities who receive public benefits.’”

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement
  • 14(c)/Income Security
  • Cross-Agency Collaboration / Partnerships

Guide For Hiring People With Disability

The Texas Department of Assistive and Rehabilitative Services (DARS), in conjunction with Office of the Federal Contract Compliance Program (OFCCP) and a group of local businesses has produced this guide on attracting and hiring people with disabilities. DARS works in partnership with Texans with disabilities and families with children who have developmental delays to improve the quality of their lives and to enable their full participation in society. The DARS Vocational Rehabilitation (VR) program helps people with disabilities to prepare for, find and keep employment. DARS services can reduce the need for support from other public benefits and services.

Systems
  • Department of Rehabilitation Services
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Comprehensive Need Assessment Of Texans With Disability (2014)

This document represents findings from a comprehensive state needs assessment of the rehabilitation needs of individuals with disabilities. The Rehabilitation Act of 1973 as amended calls for periodic comprehensive statewide needs assessments that will result in recommendations to the goals, priorities, and strategies of the state plan. Two divisions within the Department of Assistive and Rehabilitative Services (DARS), the Division for Rehabilitation Services (DRS) and the Division for Blind Services (DBS) contracted with the Child and Family Research Institute at The University of Texas at Austin to conduct this needs assessment. This needs assessment addresses the federal requirements related to the Title I state plan for vocational rehabilitation (VR) services and its title VI B supplement related to supported employment services by including: 1. The results of the needs assessment describing the rehabilitation needs of individuals with disabilities residing within the state, particularly the vocational rehabilitation services needs of: a. individuals with the most significant disabilities, including their need for supported employment; b. individuals with disabilities who are minorities; c. individuals with disabilities who have been unserved and underserved by the VR program; and d. individuals with disabilities served through other components of the statewide workforce investment system (other than the VR program), as identified by such individuals and personnel assisting such individuals through the components. 2. An assessment of the need to: a. establish community rehabilitation programs (CRPs); b. develop CRPs; or c. improve CRPs within the state.

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Data Sharing

Standards Manual for Consumer Services Contract Providers

This manual contains information on supported employment services provided by the Division for Blind Services Consumer Services Contract Providers. It defines Supported Employment as, “a ‘place then train’ model, which is a two-part process: 1) place a consumer with the most significant disabilities in a competitive job, and then, 2) provide training and support directly related to the job.   Unlike the traditional VR model, which provides job readiness and other training activities to prepare a consumer for employment, this model is more appropriate for consumers with the most significant disabilities. Problems transferring knowledge from an artificial training situation to a real job are eliminated, because the focus is on finding the best job match and providing training for that particular job.”  
Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Provider Transformation

DRS: Standards for Providers

This policy manual contains up to date information on the Texas Department of Assistive and Rehabilitation Services standards for providers. The employment services mentioned included work readiness services, jot skills training, supported employment services, and supported self-employment services, among others. The services also address a wide range of disabilities including acute brain injury, deaf, and speech and hearing impaired.

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Division for Blind Services (DBS): Vocational Rehabilitation Manual

This policy manual contains up to date information on the Vocational Rehabilitation services provided by the Division for Blind Services (DBS). The services include community rehabilitation programs, employment assistance, job readiness training and job placement, job coach services, and on-the-job training, among many others.

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Texas Dept of Assistive and Rehabilitation Services (DRS): Rehabilitation Policy Manual

This policy manual contains up to date information on the services provided by the Dept. of Assistive and Rehabilitation Services. The employment services in particular include job readiness, counselor-directed placement, on the job training, apprenticeship opportunities, supported employment, job coaching and self-employment services, among others.

Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health
  • Employer Engagement
  • Provider Transformation

Customized Employment Texas Policy Summary

“The Texas Department of Assistive and Rehabilitative Services' (DARS) Division for Rehabilitation Services (DRS) and Division of Blind Services (DBS) have implemented a detailed Discovery process, one of the key elements of Customized Employment (CE), as the center point of the agency's person-centered planning mechanism. By adding depth and direction to the basic concept of Discovery in its policy, the agencies incorporated a more thorough and person-centered planning process in the field. DRS and DBS contract with Community Rehabilitation Providers (CRPs) for delivery of all Supported Employment services, including CE.”

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation

Employment Protections

• Texas law explicitly prohibits the employment-related discrimination due to disability; “Promotes competitive employment opportunities for people with disabilities,… Requires the Health and Human Service Commission (HHSC), the Texas Education Agency (TEA) and the Texas Workforce Commission (TWC) to adopt and implement an employment policy that ensure that all working-age people with disabilities are offered information and trainings about employment and assist employers, community providers, public school staff and vocational service programs with achieving the employment policy goals; [and] Provides assistance finding and sustaining employment to individuals in specific Medicaid waiver programs.”

Systems
  • Other
Topics
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Transition in Texas “Texas Transition and Employment Guide” November 2014

“Transition is the term used for the time when you are changing from a student to an adult. You, your parents, and your school begin to plan for transition while you are still a student.

Your parents and the school need to understand your wants and needs to make sure they are included in your plan. You need to talk to your parents and your teachers about how you can become more involved in making decisions about your educational program and your plans for the future.

There are several work choices:

          • competitive employment – a job done by a person with a disability, in the same job setting, and at a pay rate that is the same as a worker without a disability

          • customized employment - a job based on what people know how to do, their needs, what they like, and that is designed to meet the specific needs of the employer

          • integrated employment – a job at a work site at which the person routinely interacts with people without disabilities in addition to the work site supervisor or service providers

          • supported employment - a job with supports by service providers done by a person with a disability in the same job setting as a worker without a disability

          • self-employment – making money from services or products a person provides to his or her customers instead of working for someone else.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Texas Employment First Task Force Home Page

The Employment First Task Force, authorized by Senate Bill 1226 (83rd Legislature, Regular Session, 2013), was established by the Texas Health and Human Services Commission executive commissioner to promote competitive employment of people with disabilities and the expectation that individuals with disabilities are able to meet the same employment standards, responsibilities, and expectations as any other working-age adult.”

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Texas Employment First Policy and Texas Employment First Task Force Report - Fall 2014

“Senate Bill 1226 (S.B. 1226), 83rd Legislature, Regular Session, 2013, promotes employment for individuals with disabilities by establishing an Employment First policy for the state of Texas and also creating an Employment First Task Force (the Task Force). …” “’Employment First’” is an approach to facilitating the full inclusion of individuals with disabilities in the workplace. This approach states that integrated, competitive employment should be the first option considered for individuals with disabilities and should be the expected outcome of education and publicly-funded services for working-age youth and adults.”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Employer Engagement
  • 14(c)/Income Security
  • Cross-Agency Collaboration / Partnerships

Partnerships


Texas Combined State Plan for The Workforce Innovation and Opportunity Act (WIOA) - 07/01/2016

"Texas proposes through this Combined State Plan (plan) to implement jointly administered activities concerning the following core programs and two optional programs authorized by the Workforce Innovation and Opportunity Act (WIOA):

The Adult, Dislocated Worker, and Youth programs The Wagner-Peyser Employment Service (ES) program, including the Agricultural Outreach Plan The Adult Education and Family Literacy Act program The Vocational Rehabilitation program The Senior Community Service Employment Program"
Systems
  • Department of Rehabilitation Services
  • Department of Education

Texas State Plans for VR Services and Supported Employment Services Programs - 09/30/2014

“The Division for Rehabilitation Services (DRS) recognizes that collaboration with community organizations and other state agencies is essential to achieving successful employment outcomes for consumers with the most significant disabilities. DRS seeks opportunities to identify, develop, and implement cooperative agreements with other state agencies and appropriate entities, particularly when these agreements establish a framework to assist with the provision of supported employment services and extended services for consumers with the most significant disabilities.”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Employment First Task Force Home Page

The Employment First Task Force, authorized by Senate Bill 1226 (83rd Legislature, Regular Session, 2013), was established by the Texas Health and Human Services Commission executive commissioner to promote competitive employment of people with disabilities and the expectation that individuals with disabilities are able to meet the same employment standards, responsibilities, and expectations as any other working-age adult.”

 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Workforce Development
  • Department of Education
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Texas Dept of Assistive and Rehabilitative Services and Dept of Aging and Disability Services MOA

Recognizing the need to coordinate the provision of services to individuals receiving services from the Texas Department of Aging and Disability Services (DADS) who may be eligible for or are receiving Vocational Rehabilitation (VR) or Independent Living (IL) services from the Texas Department of Assistive and Rehabilitative Services (DARS), DARS and DADS enter into this Memorandum of Agreement (MOA) in accordance with the provisions of CFR §361.53(d) and 111.0525(b) of the Texas Human Resources Code. 

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


Texas Employment Development Initiative - 10/01/2012

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).

This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project.”

In FY2012, Texas was awarded an EDI grant for an expansion of supported employment through Consumer Operated Services Programs.

Systems
  • Department of Mental Health
Topics
  • Mental Health

Texas Medicaid Balancing Incentives Program - 09/04/2012

The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) partner in implementing The Balancing Incentive Program (BIP), which “increases the Federal Matching Assistance Percentage to participating states through September 2015 in exchange for states making certain structural reforms to increase access to Medicaid community based long-term services and supports (LTSS).”    “These required structural reforms include…   • implementing a "no wrong door" eligibility and enrollment system;    • developing core standardized assessment instruments; and    • ensuring case management activities are conflict free.”   
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Ticket to Work - 06/25/2008

“Under the Ticket to Work Program and Title II and Title XVI of the Act, SSA issues “tickets” to SSDI and SSI blind or disabled beneficiaries. In this voluntary program, each beneficiary who receives a ticket can use it to obtain services from a provider, known as an employment network (EN), or from a state vocational rehabilitation (VR) agency. The VR agency in Texas is the Texas Department of Assistive and Rehabilitative Services (DARS)…

The intent of the Ticket to Work Program is to…establish a system in which qualified ENs provide employment and other support services (e.g., case management, benefits counseling, and job training); provide individualized tickets to beneficiaries for the “purchase” of services from approved ENs; and give beneficiaries a real choice in obtaining the services, education, and technology needed to find, enter, and maintain employment within an expanding universe of service providers.”

Systems
  • Department of Rehabilitation Services
Topics
  • Cross-Agency Collaboration / Partnerships
Citations

Customized Employment Grant (Transition Adjustment and Career Education/TACE)

The demonstration project was conducted in local workforce development centers across the state.  It was designed to, “To enhance the capability of One-Stop Career Centers to deliver services to people with disabilities, bridging education and job development with customized employment services” by integrating customized employment services with existing services, creating customized employment opportunities for people with disabilities and increasing the capacity of centers and its partners to provide high-quality customized employment services through intensive staff training (e.g., developing a capacity building curriculum).

Systems
  • Department of Workforce Development
Topics
  • Customized Employment
  • School-to-Work Transition
  • Provider Transformation

Texas Training and Technical Assistance to Providers (T-TAP)

“T-TAP is a national training and technical assistance center to help community rehabilitation providers make the transition from providing segregated employment services to finding people with disabilities jobs in the community. The specific target audience is employment agencies that hold 14(c) subminimum wage certificates, which allow employers to pay people less than minimum wage and are typically used in the disability field to pay workers piece rates at sheltered workshops. Activities include online courses, satellite telecasts, regional employment forums, intensive consultation to selected agencies, and policy research. The Institute for Community Inclusion and Virginia Commonwealth University work in partnership on this project. T-TAP [was] funded from 2002 to 2007 by the Office of Disability and Employment Policy at the U.S. Department of Labor.”

Systems
  • Department of Workforce Development
Topics
  • Employer Engagement
  • 14(c)/Income Security
  • Segregated Day & Employment Services
  • Cross-Agency Collaboration / Partnerships

Texas Customized Employment Grant (Transition Adjustment and Career Education/TACE)

The demonstration project was conducted in local workforce development centers across the state. It was designed to, “To enhance the capability of One-Stop Career Centers to deliver services to people with disabilities, bridging education and job development with customized employment services” by integrating customized employment services with existing services, creating customized employment opportunities for people with disabilities and increasing the capacity of centers and its partners to provide high-quality customized employment services through intensive staff training (e.g., developing a capacity building curriculum).

Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Texas Medicaid Buy-In Program

The program “offers low-cost Medicaid health care services — including community-based services and supports to working people with a disability. Some people might have to pay a monthly fee” to receive services which include but not limited to:  • Doctor / clinic visits  • Mental health care  • Occupational therapy (help learning how to do everyday tasks)  • X-rays  • Physical therapy (help learning how to move around better or become stronger)

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Money Follows The Person

“The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) will receive approximately $33.6 million in new funding over the next five years, which will be paired with existing state and federal funding for a total of $143 million. The agency will use the money to enhance its successful Money Follows the Person (MFP) initiative and expand its effort for persons with intellectual and developmental disabilities, and persons with behavioral health needs.

The MFP initiative helps people who are receiving long-term services and supports in a nursing facility return to the community to receive their services without having to be placed on a community services interest list.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Training/Capacity Building


The Texas Customized Self-Employment Project: The Customized Employment Plan Design

This presentation describes Customized Employment as “a flexible process designed to personalize the employment relationship between a job candidate and an employer in a way that meets the needs of both.”  It focuses heavily on the processes and value of Discovery in the employment process.

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Employer Engagement
  • Provider Transformation

The Texas Customized Self-Employment Project

This presentation presents Self-Employment as a viable employment option for people with disabilities.

Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Self-Employment

Texas Department of Assistive & Rehabilitative Services (DARS) Customized Self-Employment System Development Initiative

“This proposal is designed to support and implement the phased development of a financially, technically and programmatically viable system of TX DARS for prospective business owners in TX with disabilities, who require customized employment services and are applying for, or receiving, DARS counseling and services to develop small businesses.   Specifically, this initiative is designed to research, identify and develop an outcome payment model and rate structure for customized self-employment, including: DARS Counselor CRC certification level, online and onsite training and technical assistance; and, intensive multi-certification, online and onsite training for DARS vendors throughout the state of Texas.”  
Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Self-Employment

Texas Transition and Employment Guide

This transition and employment guide is for you, the student in Texas public school, who may have received special education services due to a disability. It also provides helpful information for your parents. This guide has steps you and your parents can take to make sure you are able to find the right work or educational choices for you after high school. It also tells you where to get the services you will need after high school.    The guide is divided into sections on Self Advocacy, Transition Services, Employment and Supported Employment, Social Security Programs, Community and Long Term Services and Supports, Postsecondary Educational Programs and Services, Information Sharing, and Guardianship and Alternatives. Each section has phone numbers, emails, and websites to help you find what you need. At the end of each section and at the end of the guide, you will find a timeline of steps that you and your parents can take as you make the transition from student to adult.”  
Systems
  • Department of Education
  • Other
Topics
  • Self-Employment
  • School-to-Work Transition
  • Mental Health

Enforcement


Wal-Mart to Pay $150,000 to Settle EEOC Age and Disability Discrimination Suit - 02/19/2015

“Under the terms of the two-year consent decree settling the case, Wal-Mart will pay $150,000 in relief to Moorman. In addition, Wal-Mart agreed to provide training for employees on the ADA and the ADEA. The training will include an instruction on the kind of conduct that may constitute unlawful discrimination or harassment, as well as an instruction on Wal-Mart's procedures for handling requests for reasonable accommodations under the ADA. Wal-Mart will also report to the EEOC regarding its compliance with the consent decree and post a notice to employees about the settlement.”

Systems
  • Other
Topics
  • Employer Engagement

Texas Wendy’s Consent Decree - 10/10/2012

“Under the terms of the two-year consent decree settling the case, Wendy's will pay $41,500 in relief to a person who applied to a job with the company, but was denied despite his qualifications. “In addition, Wendy's has agreed to provide training for all managers and supervisory employees, including its company president, on the ADA. The training will include a discussion related to hiring individuals with disabilities. In addition, the training will include a specific instruction on communication devices, such as the use of the Texas Relay System or video relay service regarding communication between Wendy's employees and applicants with hearing impairments.’“

Systems
  • Other
Topics
  • Employer Engagement

Texas Steward et. al. v. Perry et. al (2013)

“On August 19, 2013, the United States, private Plaintiffs and the State of Texas filed an Interim Settlement Agreement to enable Texans with intellectual and other developmental disabilities to live in the community rather than nursing facilities. The Interim Settlement Agreement is awaiting court approval…[It] partially addresses the Civil Rights Division's finding that the State of Texas failed to serve individuals with intellectual and developmental disabilities in the most integrated setting appropriate to those individuals' needs, in violation of the Americans with Disabilities Act (ADA) and Olmstead v. L.C.” “

Systems
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Medicaid & Employment


Texas Home Living Program (TxHmL) - Amended Rules Effective 3/2016 - 03/20/2016

“The Texas Home Living (TxHmL) program provides selected essential services and supports to people with an intellectual disability or a related condition who live in their own home or their family's home.”

Systems
  • Medicaid Agencies
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Texas Youth Empowerment Services (YES) Waiver Program Payment Rates - 03/15/2016

Public comments will be received on proposed payment rates for Supported Employment and Employment Assistance provided under the Youth Empowerment Services (YES) waiver program operated by the Department of State Health Services (DSHS). The revised payment rates are proposed to be effective March 15, 2016

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Balancing Incentives Program - 09/04/2012

The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) partner in implementing The Balancing Incentive Program (BIP), which “increases the Federal Matching Assistance Percentage to participating states through September 2015 in exchange for states making certain structural reforms to increase access to Medicaid community based long-term services and supports (LTSS).”    “These required structural reforms include…implementing a "no wrong door" eligibility and enrollment system; developing core standardized assessment instruments; and ensuring case management activities are conflict free.”   
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Medicaid Buy-In Program

The program “offers low-cost Medicaid health care services — including community-based services and supports to working people with a disability. Some people might have to pay a monthly fee” to receive services which include but not limited to:    • Doctor / clinic visits     • Mental health care     • Occupational therapy (help learning how to do everyday tasks)    • X-rays     • Physical therapy (help learning how to move around better or become stronger)  
Systems
  • Other
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Money Follows The Person

“The Texas Health and Human Services Commission (HHSC) and the Texas Department of Aging and Disability Services (DADS) will receive approximately $33.6 million in new funding over the next five years, which will be paired with existing state and federal funding for a total of $143 million. The agency will use the money to enhance its successful Money Follows the Person (MFP) initiative and expand its effort for persons with intellectual and developmental disabilities, and persons with behavioral health needs.”   “The MFP initiative helps people who are receiving long-term services and supports in a nursing facility return to the community to receive their services without having to be placed on a community services interest list.”  
Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Medicaid State Plan

The state plan is the officially recognized document describing the nature and scope of the State of Texas Medicaid program. As required under Section 1902 of the Social Security Act, the plan was developed by the state and approved by the U.S. Department of Health and Human Services. Essentially, the plan is the state's agreement that it will conform to the requirements of the Social Security Act and the official issuances of the U.S. Department of Health and Human Services

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas HCBS Transition Plan

The Centers for Medicare and Medicaid Services (CMS) has released a final rule that defines the settings in which states can offer Medicaid Home and Community Based Services (HCBS). This website will serve as a place where you can submit comments about the rule and the way its provisions will be set up within Texas Medicaid.

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Texas Youth Empowerment Services

“The Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS) developed the Youth Empowerment Services (YES) Waiver, which provides comprehensive home and community-based mental health services to youth between the ages of 3 and 18, up to a youth's 19th birthday, who have a serious emotional disturbance. The YES Waiver not only provides flexible supports and specialized services to children and youth at risk of institutionalization and/or out-of-home placement due to their serious emotional disturbance, but also strives to provide hope to families by offering services aimed at keeping children and youth in their homes and communities.”

Systems
  • Medicaid Agencies
  • Other
Topics
  • School-to-Work Transition
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Texas Home and Community Based Services (HCBS)

“HCS provides individualized services and supports to persons with intellectual and developmental disabilities who are living with their family, in their own home or in other community settings, such as small group homes.”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Texas Community Living Assistance and Support Services (CLASS)

“CLASS provides home- and community-based services to people with related conditions as a cost-effective alternative to placement in an Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF-IID).”

Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Texas Community Based Alternatives (CBA)

“This program provides home- and community-based services to people who are elderly and to adults with disabilities as a cost-effective alternative to living in a nursing home.”

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)