Frequently Asked Questions Individuals in Adult Vocational Developmental Program (ADVP) Services and Settings What is Competitive Integrated Employment? Competitive Integrated Employment (CIE) is for everyone. CIE includes full-time and part-timework for an employer, as well as self-employment and small business ownership. CIE means working in the community alongside other employees without disabilities, earning at least minimum wage and getting the same workplace benefits and opportunities as other employees doing the same job. All North Carolinians - even those with the most significant disabilities - can work in CIE with the right job supports in place. CIE does not include work in sheltered, non-integrated settings, work that pays less than minimum wage, or work that does not offer advancement opportunities. Am I losing access to the services I need? No. If you are enrolled in ADVP services before July 1, 2022 may keep receiving ADVP services if you choose, following an informed, person-centered planning process. Your provider and LME/MCO will help you explore other opportunities that facilitate the transition to CIE or other meaningful day options by July 2026. I like my ADVP services, am I going to lose them? If paid work is part of your ADVP service and you choose to keep receiving those supported employment services, you can until July 2026 or until your provider stops providing the service. One goal of the transition is to assure that families that rely upon ADVP services for coverage will not be negatively impacted. You will also have access to other services that help you understand the world of work, try out different types of jobs and prepare for CIE in a job you also like. Who will help me get a CIE job? There are lots of ways to explore, prepare for and get CIE in a job you like. You can get help from your local Vocational Rehabilitation (VR) office. There are also new Supported Employment (SE) services available through Medicaid and state funded services or your LME/MCO. All these services can help you explore, prepare for and successfully achieve CIE in a job you like. What if I have a job but want a new job? VR services and other state- and Medicaid-funded services help people achieve CIE in lots of different kinds of jobs, including self-employment. All these services can help you explore, prepare for and successfully achieve CIE in a job you like. What happens if the General Assembly does not fully fund the CIE I/DD Plan? Full implementation of the Strategic Plan to Promote and Expand CIE for Individuals with I/DD (CIE I/DD Plan) is subject to funding availability. To the extent the CIEI/DD Plan is not be fully funded by the General Assembly through state funds or any other available funding sources, DHHS will work to prioritize available funding to continue implementation of the most critical components of the plan. Families/Guardians I work full-time and my family member currently has somewhere to go each day. I need to keep working so what will happen now? If your family member is enrolled in ADVP services before July 1, 2022, they may continue receiving ADVP services if they choose to until July 2026. They will be encouraged to explore other services that help them understand and prepare for CIE at a job in the community. If your family member is not interested in seeking CIE, or cannot work full-time, they will have other meaningful day options, like Community Living and Support or Day Supports available through the LME/MCO. How is this better than what we have now? CIE helps people with I/DD connect with community resources and activities, build relationships with peers with and without disabilities, be more independent, active and self-confident, and develop skills in self-determination and self-advocacy. When compared to other approaches, like group-based employment models or sheltered workshops, people with I/DD who participate in CIE earn more money, make more friends who are not staff or family, participate more in community activities, and are more likely to be involved in making decisions for themselves. I don’t know if my family member can find or be successful with CIE. Who will hire them? Millions of people with disabilities, including people with individuals with I/DD, can and do find and maintain CIE in the general workforce. CIE can be achieved in traditional jobs with accommodations, employment supports, assistive technology and other services as needed. While there may be some people who have significant disabilities and severe health conditions that preclude employment, most people with disabilities can work in CIE. However, if that is not possible, other meaningful day options will be available. For examples of how some North Carolinians with disabilities overcame barriers to achieve their goals for CIE, check out the NC Council on Developmental Disabilities One Workforce: Inclusive Employment series. What is Supported Employment? Supported Employment (SE) uses evidenced-based practices and ongoing support to help individuals with disabilities achieve and maintain CIE. In North Carolina, SE is a service for people who experience many barriers to success in CIE, including people with I/DD and Traumatic Brain Injury (TBI). SE usually includes Career Development and Planning Assessments, support finding and obtaining job opportunities and receive on the job skills training. Individuals in SE often have job coaches on site to help them learn job tasks, solve behavioral or social problems, and identify job modifications or tools that will help the individual be successful at work. What is Customized Employment? Customized Employment is a flexible process designed to personalize the employment relationship between a job candidate or employee and an employer in away that meets the needs of both. It is based on identifying the strengths, conditions, and interests of a job candidate or employee through a process of discovery. If my family member transitions to CIE, will that impact their benefits, including Medicaid eligibility? Eligibility for benefits varies greatly depending on multiple factors. Information and resources are available to assist individuals and families in determining how CIE could impact their benefits. What happens if the General Assembly does not fully fund the CIE I/DD Plan? The Department’s CIE I/DD Plan is subject to availability of funding. To the extent the Plan may not be fully funded by the General Assembly through state funds or any other available funding sources, the Department will work in consultation with DRNC and CPR to prioritize available funding to continued implementation of the most critical components of the Plan. Service Providers When is this change happening? After June 30, 2022, there will be no new enrollment into ADVP services. People who enroll in ADVP services before that date may continue receiving ADVP services if they choose, with the understanding that as of July 2026, ADVP services will no longer be funded. Before July 2026, individuals receiving ADVP services will engage in an informed, person-centered planning process with their providers and LME/MCOs (or Tailored Plans) to help the individuals decide which CIE and other meaningful day options are best for their individual circumstances. What happens to my organization when we can’t enroll new individuals in our services? While new enrollments in ADVP services will end, individuals accessing your ADVP services prior to July 1, 2022 may continue to access them until ADVP services cease to funded as of July 2026. Significantly, these individuals and their families/guardians will also be provided additional information and opportunities to engage in services to help them explore, prepare for and make informed decisions about transitioning to CIE services that could be provided by your organization. Please contact your LME/MCO regarding adding additional service options to your provider contract. Are you going to help providers impacted by this change? While network-specific questions should be directed to your LME/MCO, DHHS is committed to supporting service providers in the transition and will be providing trainings and technical assistance to support the transition to CIE services and other meaningful day options. What if the LME/MCO won’t allow me to provide these services? While specific network questions should be addressed with your LME/MCO, DHHS is committed to supporting service providers as they transition to the Department’s new service array.