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Lisa Mills, Ph.D.

Subject Matter Expert
Linking Medicaid to Employment Services and LTSS

Lisa Mills is currently the Public Policy Chair for TASH, Senior Technical Advisor for the Coalition to Promote Self-Determination (CPSD) and a Senior Consultant with Marc Gold & Associates. Mills has worked in the field of intellectual/developmental disabilities for 23 years. Her work on integrated employment spans the last 12 years, beginning with grassroots efforts as part of her role supporting the People First self-advocacy movement and culminating in extensive work over the last seven years with state Medicaid and VR agencies on a broad range of systems change strategies to support the expansion of integrated competitive employment for youth and adults with I/DD. In 2002, Mills developed one of the first truly self-directed career planning processes for individuals with I/DD.

In 2006, Mills authored a widely read report, entitled Revitalizing Integrated Employment, which documented nationwide best and emerging practices to support increased participation by people with I/DD in integrated employment. From 2007-2008, she was lead staff to one state Medicaid agency’s broad-based taskforce on integrated employment, which led her to managing millions of dollars in systems change funding to implement a variety of innovative best practices that included: a CRP organizational change initiative; an employment outcomes data system; a performance-based supported employment reimbursement model; and the first national example of successfully embedding Customized Employment services in the state VR and Medicaid long-term care systems. From 2009-2010, Lisa was primary author of one state’s rewrite of its HCBS waiver employment service definitions. Her development of a revised definition of prevocational services informed the changes made by CMS in its Information Bulletin on Employment released in September 2011.