Employment/Rights – CMS Announces Performance-Based Payment Options for Employment Services

In late August 2015, the Centers for Medicare and Medicaid Services (CMS), announced new performance and outcome-based options for funding employment supports and services through a Section 1915(c) waiver. CMS announced that they will begin accepting payment structures that include outcome payments for: Discovery or Supported Employment Assessment Service and Report; or Job Development, Placement, Customized Employment Position, as a single unit of service. These outcome payments will be made as long as the service is time-limited, and has a defined tangible outcome.  Under this new payment structure, states can also make milestone payments in addition to fee-for-service payments to reimburse providers when certain employment outcomes are achieved. This would allow states and service providers to capture funds for all phases of job placement based on outcomes.

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