The Office of Long-Term Living (OLTL) recently issued bulletin 17-20-02, “Employment and Employment Related Services,” that shares Pennsylvania’s “Employment First” policy to the Community HealthChoices (CHC) Managed Care Organizations (MCOs) and Service Coordination Entities (SCEs), and updates the obligations of and the resources available under this policy. This bulletin specifically notes the changes to the CHC and OBRA waivers which allow employment and employment-related services to be authorized through the waivers when the Office of Vocational Rehabilitation has a closed order of selection or has not made an eligibility determination within 120 days. The revisions reflecting these changes are detailed in the Procedures section of the Bulletin.

OLTL also included a document, “Guidance on Conversations about Employment for OLTL Participants,” for additional information.

This bulletin rescinds OLTL’s Bulletin 59-16-07, “Employment and Employment Related Services,” issued on July 26, 2016, and any other OLTL policy documents or parts of policy documents that are inconsistent with this bulletin’s contents.