aca and its impact on persons with disabilities employment opportunities in the aca
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ACA and its Impact on Persons with Disabilities Employment Opportunities in the ACA. Matt Knutson MN Department of Human Services. Why Employment Matters: People with Disabilities Want to Work. 96% of students with disabilities think they will work after high school. - PowerPoint PPT PresentationTRANSCRIPT
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ACA and its Impact on Persons with Disabilities
Employment Opportunities in the ACA
Matt Knutson MN Department of Human Services
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Why Employment Matters: People with Disabilities Want to Work
Employment rate for working-age Americans: 68.2%
Employment rate for working-age Americans with any disability: 34.9%
American Community Survey, 2009
96% of students with disabilities think they will work after high school.
National Longitudinal Transition Study
The majority of non-employed people with disabilities would like to be working.
2008 Rutgers University News Release & 2006 General Social SurveyKnutson
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Minnesota’s Response:Making Work Part of the Plan
Knutson
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Created a comprehensive and coordinated set of health care and employment supports
Provided this benefit set to employed individuals with serious mental illness who were NOT already determined disabled by SSA
Delay or prevent these individuals from becoming dependent on the disability system
Minnesota’s Policy Development:MN DMIE Background
Knutson
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Minnesota’s Policy Development: DMIE Model for Coordinated, Integrated
Service Delivery that Supports Employment Outcomes
Wellness Employment Navigation Services (navigator assigned to each participant; conduct a comprehensive assessment and develop a client centered plan)
Employment Support Services
Job placement, career counseling, work place visits, accommodation assessments, employer/coworker education, financial/budget assistance, 24/7 EAP access, resume/interview skill building, etc.
Comprehensive health/behavioral health services (Medicaid-like benefit set) through a contracted health plan
Knutson
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Minnesota’s Policy Development:Outcomes from MN DMIE Study
Outcomes of personal navigation and access to employment services combined with health care included: Fewer applications to SSDI Improved functioning Higher earnings Greater connection to a regular medical provider
for routine care and preventative services Lower rates of medical debt Less likely to delay or skip needed care due to
cost
Knutson
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Long Term Care Services and Supports in Affordable Care Act
New opportunities under Medicaid Community First Choice Option; Improving existing Section 1915(i) option; New state balancing incentives; Spousal impoverishment protections; Extension of Money Follows the Person
demonstration; Expansion of Aging and Disability
Resource Centers
Knutson
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Choice and Greater Independence Create Employment Opportunities
Affordable Care Act provides: - Increased access to insurance - More choices
Employment opportunities: - Long-term care services in more settings - Potential for employment services in exchanges
Knutson
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Making Work Part of the Plan:MN’s Long Term Care Assessment
Employment in Long-term Care Assessment
Person Centered Interview
Employment Module
Certified Assessor Training
Knutson
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Making Work Part of the Plan:Options Counseling, Benefits Planning and Referral
System
MN’s Disability Linkage Line & Disability Benefits 101 (DB101) subsystem offer person-centered information, resources and tools
Help people with disabilities: better understand benefits and work incentives explore work as an option make informed choices about work achieve better employment outcomes
Knutson
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Making Work Part of the Plan:Referrals to Employment Supports
Supported, Competitive EmploymentInclusiveWork Options and ChoiceCareer PathsCompetitive Wages
Knutson
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Additional Things to Consider
Individuals with histories of limited health care coverage and access will need significant outreach and positive recruitment efforts.
State programs, due to limited resources, are designed to restrict eligibility. ACA requires a paradigm shift to expand health care coverage and create an enrollment process that is seamless and automatic for individuals.
Tailor outreach to be welcoming and inviting, and conduct thorough and intensive follow up efforts.
Knutson
