Design Features for Employment-Supportive Personal Assistance Services in Medicaid Programs
Ellison, Marsha Langer Glazier, Raymond E. O'Connell, Elizabeth Norton, Giulia Himmelstein, Jay
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Abstract
To support the employment of persons with disabilities, state Medicaid programs are allowed to offer personal assistance services (PAS) at work as well as at home. These employment-supportive personal assistance services (EPAS) can be used to help persons with disabilities obtain or retain employment. This article explores Medicaid-funded EPAS through examination of programs in seven states and analysis of results from PAS user focus groups and employer interviews. Medicaid policy recommendations include: link EPAS with existing PAS programs in Medicaid state plans or waivers, distinguish EPAS from job- or task-related assistance that is the responsibility of the employer, and specify explicit coverage for personal care services at home, at the work site, and for work-related transportation.
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Marsha Langer Ellison, Raymond E. Glazier, Elizabeth O'Connell, Giulia Norton, Jay Himmelstein. Design Features for Employment-Supportive Personal Assistance Services in Medicaid Programs. Journal of Disability Policy Studies, September 2010, 21: 90-100, first published on May 26, 2010. doi:10.1177/1044207310370682