Employment Initiatives: Helping People with Disabilities Find and Keep Jobs

The Wisconsin Department of Health Services (DHS) Division of Medicaid Services is dedicated to supporting individuals with disabilities in getting and keeping jobs that provide income, benefits, and community connections. Work is essential for everyone as it leads to better health, higher quality of life, improved self-confidence, and a stronger sense of community.

DHS believes that everyone can work if they have a job that matches their interests and skills, along with the right supports at the right time. This website offers comprehensive, user-friendly resources on competitive integrated employment (CIE) support services, training, and best practices to help increase CIE opportunities for individuals with disabilities.

An adult in a wheelchair with an open laptop on her knees

 What is competitive integrated employment (CIE)?

CIE means that employees with disabilities can earn the same pay and benefits as people without disabilities. People with disabilities can work where people without disabilities work and have the same access and opportunities for advancement.

According to the DHS Guiding Principles for CIE for People in Long-Term Care, P-01786 (PDF), CIE is the preferred employment outcome for all working-age youth and adults.

Learn more about the official DHS DVR Competitive Integrated Employment (CIE) – Jointly Approved CIE Definition.

An example of a competitive integrated employment setting is work on a full or part-time basis, at or above minimum wage, at a location where the employee interacts with individuals without disabilities and has access to the same opportunities for benefits and advancement as non-disabled workers.

CIE can be customized to fit both the employee's and employer's needs by combining tasks from different jobs to boost productivity and utilize the strengths of workers with disabilities.

Self-employment or starting a small business is also considered CIE. Popular business trends for self- employment included online home-based businesses, for-profit businesses with a social component, and administrative support, and writing services.

Benefits of CIE

  • Improved mental and physical health and well-being
  • Independence and economic self-sufficiency
  • Social integration and skill development
  • Expanded social network through relationship development and community participation
  • Sense of pride, identity, and personal achievement
  • Opportunities to learn, grow, and excel
  • Positive impact on society and diversity by contributing in meaningful ways

 CIE data


 CIE training


 Home and community-based services (HCBS) to support CIE

These services help individuals with disabilities work in CIE:

This service helps individuals make informed choices about pursuing CIE.

These services include discovery, job development, job coaching, workplace personal assistance (WPA), Partners with Business (PwB), and work incentive benefits counseling (WIBC) to promote and support CIE.

Resource memos:

This service model combines person-centered career exploration, planning, and training activities in community settings, enhancing skills, independence, and teamwork in groups of two to six workers.

Learn more: What is a Supported Employment Small Group Enclave? P-00898 (PDF)

A person-centered, team-based comprehensive employment planning and support service that helps members obtain, maintain, or advance in CIE. This service assists a member in identifying a pathway to CIE and addresses barriers to employment due to the member’s disability, benefits, or life circumstances.

These training services help individuals develop work-related skills, understanding workplace culture, and improve social and communication abilities, providing a foundation for future CIE. This service also involves community-based learning, work experiences, and community-based volunteering where the member can develop general, non-job-task-specific strengths, skills, knowledge, and experience that contribute to employability in CIE.


 Special programs

Project SEARCH, P-01048-13-02 (PDF), helps young adults with disabilities gain and maintain employment through training and career exploration. Find Project SEARCH site locations.

HEC is a pre-employment for people with disabilities who want to enroll or stay enrolled in the MAPP.

The WISE Program offers training and part-time paid work experience for adults aged 55 and older to develop skills for permanent employment.

Individual Placement and Support (IPS) is a proven supported employment model that helps people with mental health and substance use disorders find and keep jobs of their choosing. The IPS model is based on the philosophy that employment is treatment and leads to improved recovery outcomes. When working, people with mental health and substance use disorders feel better about themselves and their job role improves their self-esteem and life satisfaction. Through a continuum of support, IPS is more effective than other vocational approaches in helping job seekers find long-term competitive employment.


 Youth transition

Interagency agreement (PDF) addresses interagency agreement mandates found in the Individuals with Disabilities Education Act (IDEA), Work Innovation Opportunity Act (WIOA), the Rehabilitation Act, and Center for Medicaid Services (CMS) waiver regulations to promote the creation of state, county, and provider coalitions.

  • Before Age 18 provides planning guides and transition information by topic and age for youth and families. Use the Family Transition Planning Tool to answer basic questions and get a customized transition plan.
  • Birth to 3: Deciding Together, P-02246: A step by step guide to decision-making as the team develops the support plans with a family.
  • BPDD Supported Decision-Making Toolkit: Supported decision making is an alternative to guardianship that keeps individuals in charge of their lives. This website has a Supported Decision-Making Guide, Toolkit and Videos.
  • Explore Work: Trainings for teens about choices and things to do to prepare for life after high school and becoming an adult.
  • Family Voices of Wisconsin's What’s After High School is a learning session that walks families through important information for transition planning. They also have great fact sheets on their resources page.
  • Health Transition WI: Healthcare Transition is the change from pediatric to adult healthcare services that usually takes place between ages 12 and 26. This website has Healthcare Transition information and planning tools for youth and families.
  • Let’s Get To Work Quick Guide (PDF) is a collection of resources and tools for teachers and school staff supporting the transition to integrated, community employment for students with disabilities.
  • PACER’s National Parent Center on Transition and Employment provides individual assistance, workshops, publications, and other resources to help families make decisions about transition.
  • Post-Secondary Transition Planning (PTP) begins at age 14 for students with disabilities. The PTP is a student’s roadmap for the future. There is a PTP app that helps students and families create their PTP.
  • Project SEARCH provides students with disabilities in their last year of high school an opportunity for training and career exploration through a 9-12 month internship in a large community business. There are many Project SEARCH sites throughout Wisconsin. Find Project SEARCH site locations.
  • Promising Practices: A website for professionals working to improve employment outcomes for people with disabilities.
  • Think College provides resources, technical assistance and training related to college options for students with intellectual disability. You can find the list of college programs in Wisconsin for people with intellectual and developmental disabilities.
  • Think Possible!: A four-part employment training series developed for service coordinators who work with the Birth to 3 Program, the Children’s Long-Term Support (CLTS) Program, and the Children’s Community Options Program (CCOP). Think Possible! was developed to help service coordinators support the children, youth, and parents they work with every day to develop and achieve the goal of working in the community.
  • Transition Action Guide: The Transition Action Guide (TAG) was created to provide a resource to educate all partners on their roles and responsibilities in the transition process. This guide was created in collaboration between the Wisconsin Department of Public Instruction (DPI), Department of Workforce Development’s (DWD) Division of Vocational Rehabilitation (DVR), and the Department of Health Services (DHS) Division of Medicaid Services (DMS) and the Division of Care and Treatment Services (DCTS).
  • Transition Discoveries: Pennsylvania’s Transition Discoveries, focus’ on empowering youth during their transition to life after high school. Through the power of collaboration, Transition Discoveries connects networks into a detailed road map for success.
  • Transition Improvement Grant (TIG) provides tools, training, and technical assistance schools to strengthen and accelerate the transition process and increase high school graduation rates, decrease dropout rates, improve the quality of postsecondary transition plans (PTP), and develop strong career, college, and community readiness among students with disabilities.
  • The Opening Doors series are guides for planning employment, self-determination skills, post-secondary education, and adult services.
  • WI Integrated Transition Key Resources features important resources for education, employment, and health transition planning.
  • Wisconsin Statewide Transition Initiative: The Transition Improvement Grant (TIG) provides support for continuous improvement and technical assistance to change adult practices and district policy that will positively impact the graduation rates and post school outcomes for all students with Individualized Education Programs (IEPs) with an increased focus on closing gaps in access and achievement for students of color.
  • Wisconsin Transition Resource Guide provides tips and resources to help plan for adulthood and life after high school. Helps youth and their families consider choices, explore options, and take action to prepare for the future.
  • Youth in Transition: You Can Work!: DHS brochure about youth in transition and competitive integrated employment as a priority initiative.

 CIE resources

Wisconsin Disability Benefits Network provides training, technical assistance, and a professional forum for benefit specialists throughout Wisconsin.

Customized employment is a form of supported employment used to assist people with the most significant disabilities achieve competitive, integrated employment.

Wisconsin’s Act 178 Employment First legislation was published March 29, 2018. This legislation provides DWD/DVR, DHS/DMS/DCTS, and DPI a framework to advance CIE for people with disabilities in Wisconsin. Learn how the partners are working on Act 178 goals.

The Wisconsin Department of Health Services (DHS) Division of Medicaid Services (DMS) and Department of Workforce Development (DWD) Division of Vocational Rehabilitation (DVR) have a joint definition of competitive integrated employment (CIE). Find the DHS DVR Competitive Integrated Employment (CIE) – Jointly Approved CIE Definition.

This definition is shared between both Departments and divisions so they can use the same understanding of CIE as they work together to help people get and keep jobs. WI CIE data tells us that when the employment team, that consists of the individual, DVR staff, vocational and long-term care providers work together, we all make it more likely for people to have better CIE results.

  • Technical Assistance Guide for Adults Seeking Integrated Employment (PDF) Guide for partner’s working with adults with disabilities to delineate roles and responsibilities for team members supporting adults seeking competitive integrated employment.
  • Think Ability Wisconsin (TAW) Through a whole-person, whole-society approach to employment, Think Ability Wisconsin provides a comprehensive approach to support employment challenges for persons with disabilities. TAW is a growing partnership network of employers, families, educators, service providers, and people who think ABILITY. TAW navigators are available M-F from 8 AM to 5 PM to answer questions and assist with competitive integrated employment connections for anyone.
  • Promising Practices A website for professionals working to improve employment outcomes for people with disabilities.
  • BPDD Supported Decision-Making (PDF) provides information about keeping individuals with disabilities and aging adults in charge of their lives supported decision-making and other alternatives to guardianship.
  • Best Practices Guide for Supported Employment Program Management (PDF) was developed for Supported Employment Program Managers/ Supervisors. It contains strategies and essential resources your agency can use to increase competitive integrated employment (CIE) outcomes.
  • Competitive Integrated Employment Transformation Hub This website brings together resources from across the federal government to provide practical guidance, policy information and evidence-based best practices for people with disabilities, their families, employers, employment service providers and state agencies.


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Last revised November 11, 2024