Vocational Habilitation is often called Voc Hab for short. It is a service which provides learning and work experiences, including volunteer work, that help to develop skills that lead to integrated community employment in a job that matches the person's interests, strengths, priorities, and abilities.
Vocational Habilitation can help someone learn how to
- take care of personal care needs in a workplace, things like hygiene, meals, and taking medication,
- interact with customers, co-workers, and other people in the workplace,
- speak up for themselves at work,
- arrange and use transportation to get to and from work, and
- advance on the path to community employment.
When to Apply this Service
Vocational Habilitation services may be available based on an understanding of each person's needs, discovered during an assessment then listed in their individual service plan.
Services are expected to occur over a defined period of time and specific outcomes to be achieved that are decided upon by the person accessing the service working with their team.
Vocational Habilitation services include activities such as ongoing support, information and referral to Career Planning services, disability benefits, and other appropriate services.
Ongoing support activities may include direct supervision, telephone and in-person monitoring, counseling, and other supports that help develop job skills, including
- training to help the person maintain current skills, learn new work skills, attain self-determination goals, and improve social skills,
- developing a plan of instruction and support, including task analyses to prepare the person for competitive integrated employment,
- creating a plan to help the person transition to competitive integrated employment,
- supporting and training the person to use Transportation services, public transportation or other community transportation resources,
- offering training to build problem-solving skills and meet job expectations, and
- assisting the person with medication administration or with performing health-related activities while working.
Providing this Service
Agency providers that have a Medicaid provider agreement and are DODD-certified can provide this service. Voc Hab services can not be provided by independent providers.
Vocational Habilitation can be provided one-on-one or as a group service.
Group size is determined by a person’s score on the Acuity Assessment Instrument.
Voc Hab must take place in a non-residential setting separate from the person's home.
Training Requirements for this Service
After initial provider certification and annual training requirements, the following is required to provide this service.
During the First Year
Direct service providers, other than those who have at least one year of experience providing Vocational Habilitation at the point of hire, will be assigned and have access to a mentor.
No later than one year after hire, direct service providers, other than those who have at least one year of experience providing vocational habilitation at the point of hire, must successfully complete at least eight hours of training specific to Vocational Habilitation that includes but is not limited to
- skill-building to advance a person with disabilities on his or her path to community employment and development of the person’s strengths and skills necessary for competitive integrated employment,
- and self-determination, which includes assisting the person to develop self-advocacy skills, to exercise his or her civil rights, to exercise control and responsibility over the services he or she receives, and to acquire skills that enable him or her to become more independent, productive, and integrated within the community.
Providers must successfully complete on-the-job training specific to each person they serve, including
- what is important to the person and what is important for the person, and
- the person’s support needs, such as behavioral support strategy, management of the person’s funds, and medication administration or delegated nursing.
During the Second Year
Beginning in the second year after hire, direct service providers must annually complete at least eight hours of training that includes
- the role and responsibilities of direct services staff with regard to services including person-centered planning, community integration, self-determination, and self-advocacy,
- a person’s rights,
- the requirement of the Major Unusual Incidents rule, including a review of Health and Welfare Alerts issued by DODD since the previous year’s training,
- the requirements for providing behavioral support to the person, and
- best practices related to providing Vocational Habilitation.
Billing and Payment Information
All services must be delivered as specified in the individual service plan and authorized in Payment Authorization for Waiver Services, known as PAWS, to be successfully submitted for payment through eMBS.
A provider of vocational habilitation may use the daily billing unit when the provider delivers between five and seven hours of vocational habilitation to the same person during one calendar day and the person accessing services does not qualify for or the provider elects not to receive the behavioral support, medical assistance nor the community integration rate modifications.
Additional information about rates and limitations are available in the service's rule and appendix, OAC 5123:2-9-14.