(1) competitive employment in an integrated setting for
all working age adults and youths with disabilities,
regardless of the severity of the disability and the
assistance required; and
(2) employment services and opportunities to be offered
for all individuals receiving publicly funded services,
regardless of whether they live in their own home or in a
residential setting and without regard to the type of service
funding.
(b) Implementation.--State, county and local agencies that
provide services and support to individuals with disabilities of
working age shall comply with the requirements of the program
and ensure that the requirements of the program are effectively
implemented in agency programs and services to the extent
practicable.
(c) Collaboration.--State, county and local agencies that
provide services and support to individuals with disabilities
shall coordinate efforts and collaborate within and among such
agencies to ensure that State programs, policies, procedures and
funding support competitive employment in an integrated setting
for individuals with disabilities of working age.
(d) Policies.--State, county and local agencies shall review
their respective policies relating to payment of service
providers to align payment policies with the requirements of the
program. State, county and local agencies shall ensure that
providers of service coordination, case management and
authorization services funded through the State Medicaid
program, including home and community-based waiver programs,
receive financial incentives that support the placement and
continued employment of individuals with disabilities in
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