State: Oklahoma

Oklahoma DRS Milestone Payment System

“ESS’ Oklahoma Milestone Payment System received awards from the Ford Foundation and the Harvard School of Business, as well as other government groups, for cutting government spending, improving service delivery and increasing consumer satisfaction by linking payment for contract services to a series of checkpoints, or milestones, on the way to specific goals or outcomes, such as employment…

The Milestone payment system integrates Total Quality Management concepts with payment mechanisms. Total Quality Management (TQM) is defined as “…a continuous improvement process which involves participatory management and makes use of teamwork.” TQM concepts are at the heart of the Reinventing Government and National Performance Review advocated by Vice President Gore. TQM is customer-driven, involving employees at all levels and using a team approach to eliminate waste and continuously improve quality. The fundamental problem that Womack et. al., identified for business systems is identical for government-funded programs. They state that the “…problems are inherent in the system’s incentive structure and logic.” The Milestone system rethinks the logic and incentive structure of the process for purchasing vocational services.”

Links:

Oklahoma DRS Milestone Payment System

Oklahoma Department of Rehabilitative Services Community Based Employment Services, Employment Support Services Unit

This program has several functions. It “develops new  employment services,  provides technical assistance, and training to contracted agencies and DRS staff statewide. 
 
ESS  administers the supported employment program, which is a specialized type of job placement for people with the most significant  barriers to employment. Supported Employment provides  intensive, specialized onsite  training and long term supports  to assist individuals to find employment, learn their job tasks, and maintain successful employment.
 
Employment and Retention  is an  employment program  for individuals with significant barriers to employment.  This program is designed to provide individuals with short term on and off site training and supports to prepare for, obtain and maintain employment.
 
Job Placement is an employment program   intended to assist  individuals   requiring  minimal support  in finding full-time employment.”
 

Links:

Oklahoma Department of Rehabilitative Services Community Based Employment Services, Employment Support Services Unit

Oklahoma HCBS Transition Plan

The purpose of this Transition Plan is to ensure the individuals receiving Home and Community-Based Services (HCBS) are integrated in and have access to supports in the community, including opportunities to seek employment, work in competitive integrated settings, engage in community life, and control personal resources.  The State has prepared a revised transition plan in order to comply with federal regulations for community-based settings. Overall, the Transition Plan provides assurance that the individuals receiving HCBS have the same degree of access as individuals not receiving Medicaid HCBS. This updated Transition Plan outlines the proposed process that Oklahoma will be utilizing to ensure implementation of the new HCBS requirements.

Links:

Oklahoma HCBS Transition Plan

Oklahoma Medicaid State Plan

Title XIX State Plan
The State Plan is the officially recognized statement describing the nature and scope of any state’s Medicaid program. As required under Section 1902 of the Social Security Act (the Act) the State Plan is developed by the state and approved by DHHS/CMS. Without a State Plan, OHCA would not be eligible for federal funding for providing SoonerCare services. Essentially, the State Plan is our state’s agreement that it will conform to the requirements of the Act and the official issuances of DHHS/CMS. The State Plan includes the many provisions required by the Act.

Links:

Oklahoma Medicaid State Plan (2024, PDF)

Oklahoma OPM 74-840.12. Optional Program for Hiring Applicants with Disabilities

“G. Subsections A through E of this section shall not apply to persons with severe disabilities who are considered for employment under the provisions of this subsection. Provided, said persons may elect instead to be considered for employment according to the procedures set out in subsections A through E of this section.
1. As used in this subsection “persons with severe disabilities” means persons certified as having disabilities according to standards and procedures established by the Administrator. Said standards and procedures shall be developed by the Administrator of the Office of Personnel Management with the assistance of the Office of Handicapped Concerns, and the Department of Rehabilitation Services.
2. Agencies of this state may employ persons with severe disabilities who are legal residents of the state in competitive and noncompetitive jobs. Except for the requirement of minimum qualifications specified in applicable job specifications, such persons with disabilities shall be exempt from entrance examinations and hiring procedures administered by the Office of Personnel Management pursuant to this section and Section 840-4.13 of this title.”

Links:

Oklahoma OPM 74-840.12. Optional Program for Hiring Applicants with Disabilities

Oklahoma Program of Assertive Community Treatment (PACT)

The Program of Assertive Community Treatment (PACT) model has been in existence nationally for nearly 30 years and is an effective, evidenced-based, outreach-oriented, service delivery model using a 24-hour-a-day, seven-day-a-week approach to community-based mental health services. PACT delivers comprehensive treatment and rehabilitation services to consumers in their homes, at work and in community settings.  The program reaches clients that traditional services can’t seem to engage. A major goal of PACT is to reduce the need for inpatient care by providing assistance with basic needs, increasing medication adherence, keeping families together, and securing competitive employment.

The National Alliance on Mental Illness (NAMI) recognizes PACT as the leading treatment model of choice for people with severe mental illness. Over 40 states across the country have adopted the PACT model. NAMI represents the driving force behind Oklahoma’s PACT initiative and continues to pursue additional funding, along with the Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) and other mental health advocates, to expand PACT program capacity in Oklahoma.

Links:

Oklahoma Program of Assertive Community Treatment (PACT)
Oklahoma PACT Referral Form (PDF)

National Center for Disability Education and Training DRS Training

The National Center for Disability Education and Training (NCDET) designs and delivers cutting-edge training to staff of employment providers in a variety of competency-based courses leading to certification. The methods of training range from classroom to accessible multimedia products marketed across the United States.

Please click on the link below for more information about trainings offered through our contract with the Oklahoma Department of Rehabilitation Services. NCDET has delivered training under this  contract since 1987 and has prepared thousands of Employment Training Specialists to provide employment supports to individuals with significant disabilities.

Links:

National Center for Disability Education and Training DRS Training

Oklahoma Living Choice/ Money Follows the Person

“Oklahoma’s Living Choice program gives eligible Oklahomans the opportunity to live in their own homes in a community setting while receiving the necessary services and support to meet their needs. The Medicaid program is designed to transform the current long-term care system by promoting home and community-based care instead of institutional care.

With the right support, many individuals can regain their independence as active, engaged community members. Living Choice offers various community-based services to help make the move successful.

Living Choice has transitioned approximately 1,000 Oklahomans and saved the state over $9 million.”

Links:

Oklahoma Living Choice/ Money Follows the Person

Oklahoma STABLE (ABLE program)

Oklahoma STABLE is helping Oklahomans to achieve greater independence and financial security through the power of STABLE accounts.

Oklahoma STABLE provides:

  • Access to STABLE accounts for Oklahomans with disabilities
  • Tax-free savings for disability-related expenses
  • The ability to save and invest without losing needs-based benefits

Links:

Oklahoma STABLE (ABLE program)
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