1. Arkansas – What Services Are Available Today

2. Adult DDTCS Services Adult Development is a facility based program providing specialized habilitation services to adults who have been diagnosed with a developmental disability. Qualifying adults must be between 18-21 with a diploma or certificate of completion or age 21 or older.

3. Adult DDTCS Continued Adult Development may include pre- vocational services that prepare a person for employment. May NOT be job task oriented Only provided to those not expected to join general workforce with in 1 year.

4. ADULT DDTCS statistics Current numbers indicate there are over 6,500 adults who receive DDTCS services. There are at least 69 Adult DDTCS centers in the state. Not all provide pre-vocational services. (Map on next slide)

6. DDTCS FUNDS Current breakdown shows $ 168,399,658 is spent on DDTCS services in SFY 2013. – Children's Accounted for $129 Million – Leaving Adults with $39,399,658

7. Arkansas waiver Services HCBS waiver does provide an option for Supported Employment in a persons waiver plan. DDS Standards note that SE is designed for individuals for whom competitive employment at or above the minimum wage is unlikely or who, because of their disabilities, need intensive ongoing support to perform in a competitive work setting. Consist of paid employment in a variety of settings, particularly work sites in which individuals without disabilities are employed.

8. Arkansas Waiver Services statistics and funding Run Date: 06/30/2014 4:31:16 PM DDS ACS Waiver FY-13 Expenditures For Supported Employment Report Dates: 07/01/2012 - 06/30/2013 Recipient Count Expenditure Amount 97$647,920.41 Avg Spend is $6679.59 per person Run Date: 06/30/2014 4:31:55 PM DDS ACS Waiver FY-14 Expenditures For Supported Employment Report Dates: 07/01/2013 - 06/30/2014 Recipient Count Expenditure Amount 106 Increase of 9 people $663,162.15 Down $15,241.74 Avg spend is $6256.24 per person

9. Arkansas Rehab Services sfy 2014 (june excluded) Employment Services Provided include: – Referrals to CRP’s (which are center based)for: Assessment (up to 10 days) – 266 Persons Received Work adjustment ( up to 60 days) – 178 Persons Received Extended services ( up to 120 days) – 114 Persons Received The goal after receiving these services is for successful placement which is 20 hours or more a week at minimum wage or better in an integrated work environment for at least 90 days. – 13 Successful placements

10. ARKANSAS REHAB SERVICES SFY 2014 (June Excluded) Supported Employment Services – Defined as competitive work in an integrated work setting for persons with the most significant disabilities for whom competitive employment has not traditionally occurred, and who because of the nature and severity of their disability, need ongoing support services in order to perform their job. – Requires at or above minimum wage – Requires at least 15 hours week.

11. ARKANSAS REHAB SERVICES SFY 2014 (June Excluded) 390 Individuals received services – Currently 306 have active cases for SE – Currently 84 are closed cases

12. ARKANSAS REHAB SERVICES SFY 2014 (June Excluded) Here is the breakdown: – Assessment/Work Adjustment $500,000 budgeted (Avg $41,666 month) $352,388 spent – Extended Service Days/Successful Closures $337,845 Budgeted (Avg $28,153 month) $279,435 spent

13. ARKANSAS REHAB SERVICES SFY 2014 (June Excluded) Supported Employment Services – $1,000,000 budgeted (AVG $83,333 month) – $ 881,278 spent

14. ARKANSAS REHAB SERVICES SFY 2014 (June Excluded) Total Budget and Spend for SYF 2014 – Budgeted: $1,837,845 (Avg $153,153 month) – Spent: $1,514,101 – Leave: $ 323,744 for June 2014

15. Total Dollars Spent on Employment Services HCBS Waiver SE$ 663,162 Total Ar. Rehab Services$1,837,845 Total $ 2,501,007

16. Changes to consider Refocus our attention on Employment Initiatives. Add more funding to the Employment Services model. Restructure DDTCS so we can incorporate more opportunities for employment or volunteer activities/internships... Outside of the center

17. Why make any changes? DOJ lawsuits Work Investment Opportunity Act DOL regulation changes Meet needs of those we support

18. Let me be clear No one is advocating to close work centers. We are advocating to increase employment opportunities for those who want to work and funding to support those programs that they will need.