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Section III - State Medicaid Plan and
Medicaid HCBS Waivers

 Most Integrated Employment Setting
State Self-Assessment Tool

State Medicaid Plan

1. Your agency name and state:(Optional - This information will appear in the report that summarizes your responses.  It will not be used to track your responses.)
2. 1. Which of the following optional Medicaid State Plan services are available under the Medicaid State Plan?(Select all that apply.  For each service selected, a set of follow-up questions will appear below.)
2. How do these services support Employment in Integrated Settings?
3. Rehabilitation
Is this service available to adults
with disabilities?
Does the definition of this service explicitly state that the service can support Employment in Integrated Settings?
Does state data system allow tracking of service utilization and spending specific to supporting Employment in Integrated Settings?
This question requires a valid number format.
This question requires a valid number format.
3. Non-Medical Transportation
Is this service available to adults
with disabilities?
Does the definition of this service explicitly state that the service can support Employment in Integrated Settings?
Does state data system allow tracking of service utilization and spending specific to supporting Employment in Integrated Settings?
This question requires a valid number format.
This question requires a valid number format.
3. Personal Care
Is this service available to adults
with disabilities?
Does the definition of this service explicitly state that the service can support Employment in Integrated Settings?
Does state data system allow tracking of service utilization and spending specific to supporting Employment in Integrated Settings?
This question requires a valid number format.
This question requires a valid number format.
3. Occupational Therapy
Is this service available to adults
with disabilities?
Does the definition of this service explicitly state that the service can support Employment in Integrated Settings?
Does state data system allow tracking of service utilization and spending specific to supporting Employment in Integrated Settings?
This question requires a valid number format.
This question requires a valid number format.
3. Physical Therapy
Is this service available to adults
with disabilities?
Does the definition of this service explicitly state that the service can support Employment in Integrated Settings?
Does state data system allow tracking of service utilization and spending specific to supporting Employment in Integrated Settings?
This question requires a valid number format.
This question requires a valid number format.
3. Speech, hearing, language disorder services
Is this service available to adults
with disabilities?
Does the definition of this service explicitly state that the service can support Employment in Integrated Settings?
Does state data system allow tracking of service utilization and spending specific to supporting Employment in Integrated Settings?
This question requires a valid number format.
This question requires a valid number format.
3. Other service options available to states
Is this service available to adults
with disabilities?
Does the definition of this service explicitly state that the service can support Employment in Integrated Settings?
Does state data system allow tracking of service utilization and spending specific to supporting Employment in Integrated Settings?
This question requires a valid number format.
This question requires a valid number format.
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