Physical Disabilities

The NCHSD is a technical assistance partnership providing flexible, state-tailored technical assistance to states developing comprehensive health and employment service systems for people with disabilities who want to work. Serving people with disabilities, providers, state agencies, research institutes, advocates and businesses, NCHSD is a project of Health & Disability Advocates (HDA). Visit the Resource Exchange and Library for the latest information, events and reports.

This report describes the activities of 12 Grantees that received Independence Plus (IP) grants in FY 2003 and are using them to increase self-directed services options for persons of all ages with disabilities or chronic illnesses. Grantees encountered a range of issues while implementing. This report provides information for states and stakeholders planning, implementing, or expanding self-direction programs, whether through solely state-funded programs or the Medicaid program.

The Montana Medicaid Infrastructure Grant has produced this variety of survey tools, designed to obtain information on the employment of people with disabilities in Montana and assist the State in developing and/or improving programs and services that will enable Montanans with disabilities to gain employment.

The Missouri Business Leadership Network conducted a Disability Mentoring Day in St. Louis in Oct 2006 to give high school students the opportunity to engage in discussion with business leaders about concerns for furthering their education and/or entering the workforce. This program was further designed for students to network with business leaders and, for business leaders to match up with a student to mentor throughout the year. The report includes a summary of findings and recommendations.

The Institute for Human Development at the University of Missouri-Kansas City is administering the Medicaid Infrastructure Grant (MIG) to enhance the use of Medicaid resources in Missouri. This report provides a review of research and the activities and findings related to a retreat to assess needs of Missouri employers and people with disabilities. It also provides analysis of a follow-up survey of 153 agency providers and people with disabilities. Suggestions are made for future research.

The Ticket to Work Panel released its final report to the President and Congress. Included are five recommendations including the idea of extending the Medicaid Infrastructure Grant and Demonstration to Maintain Independence and Employment program through 2014, creating a panel and an advocate position within the Social Security Administration to enhance beneficiary perspective, publish the final rule, create a demonstration project and examine the impact of changing the disability definition.

An example of how ADRCs can stay connected, Washington uses a simple text-only format for their newsletter that is meant to bypass spam filters. The text also allows people to "rip-and-read" so they can easily take the information out to use in other settings. There are no attachments, as requested by the newsletter recipients. The newsletter is published monthly and features Local Happenings, National News, and Job Postings.

As part of the January 2008 Monthly ADRC TAE call, Dorie Seavey and Hollis Turnham presented the idea of worker registries. Supporting materials offer an overview of the concept and state examples. Also included is a two-page hand out that lists worker registry websites and offers and example of the database potential functionalities.

The Vermont ADRC publishes this bi-monthly newsletter to keep partners and staff connected to the activities of the grant within the two local pilot regions and nationally. They will use this newsletter to highlight key activities of the grant: progress in establishing partnerships across service networks, cross training, utilization of refer and other resource databases, the formative evaluation, and community events.

This memorandum of understanding was signed as part of the Vermont ADRC project between the Vermont Department of Aging and Independent Living and the Department of Children and Families (Medicaid). The MOU is informative for streamlining access efforts. Other ADRCs designing programs will find this MOU a useful example.