A Plain‑English Guide to Career Planning, Vocational Habilitation, and Individual Employment Support
Who this helps
- Families and caregivers deciding which Ohio waiver employment service to request
- School and VR partners aligning Pre‑ETS and adult services
- Service and Support Administrators (SSAs) who need a single, family‑friendly explainer
- Employers trying to understand how on‑the‑job supports work
What you’ll get
- Clear definitions of Career Planning, Vocational Habilitation, and Individual Employment Support (IES)
- What each service includes, where it happens, staffing ratios, and provider qualifications
- How these services fit under the HCBS Settings Rule and the definition of Competitive Integrated Employment (CIE)
- Practical checklists and plain‑English next steps
Why this matters right now
- Ohio updated key rules for these services in 2024, and families often see acronyms—CIE, OTS, WIOA—without a practical guide. This is that guide.
Section 1 — The foundation: HCBS and CIE in one minute
- Home- and Community‑Based Services (HCBS) Settings Rule: The federal rule ensures people receiving Medicaid HCBS get person‑centered services and full access to community life across 1915(c), 1915(i), and 1915(k) authorities. See the CMS fact sheet for the official overview and highlights. According to CMS, the rule defines person‑centered planning requirements and what counts as community settings for HCBS coverage.
- Competitive Integrated Employment (CIE): Under WIOA, CIE means paid work at or above minimum wage (or customary rate), with typical benefits, in integrated workplaces, with opportunities for advancement. See the controlling definition in 34 CFR 361.5(c)(9) and the plain‑language summary from U.S. DOL ODEP.
Section 2 — Where Ohio’s rules fit (and why you keep hearing “OTS”)
Ohio’s Department of Developmental Disabilities (DODD) codifies each service in the Ohio Administrative Code (OAC).
The three services covered here all align to CIE and require Outcome Tracking System (OTS) reporting by providers.
- Career Planning: OAC 5123‑9‑13 (effective July 1, 2024) sets the definition, provider qualifications, 1:1 staffing ratio, settings, documentation, and payment framework. It explicitly says the expected outcome is CIE and/or advancement in CIE and requires OTS reporting.
- Vocational Habilitation: OAC 5123‑9‑14 (effective January 1, 2024) defines the service, allows virtual delivery under safeguards, limits provision to agency providers (no independent providers), and requires OTS reporting.
- Individual Employment Support (IES): OAC 5123‑9‑15 (effective July 1, 2024) defines IES, establishes a 1:1 staffing ratio, clarifies that services occur in settings separate from the home (except self‑employment contexts), and requires OTS reporting.
- Outcome Tracking System (OTS): DODD’s OTS captures how people spend their days (employment status, wages/hours, non‑work time, etc.). See the OTS introduction and category pages from Ohio Employment First.
Section 3 — Career Planning (OAC 5123‑9‑13): What it is and how it works Plain-English definition
- Career Planning is time‑limited, person‑centered employment planning and support to help someone pursue CIE or advance in CIE. The rule lists specific service components and sets an expected outcome of CIE. See OAC 5123‑9‑13(A) & (B).
Core components you can authorize (and what they do)
- Benefits education and analysis (work incentives planning) — up to four per waiver eligibility span.
- Career discovery — structured, individualized discovery process with a written profile; up to four per span.
- Career exploration — informational interviews, job shadowing, try‑outs.
- Employment/self‑employment plan — formal plan or business plan, tied to discovery and exploration; up to four per span.
- Job development — strategy to reach CIE; site analysis, accommodations, negotiation.
- Self‑employment launch — supports to implement the business plan and launch.
- Situational observation and assessment — up to 30 days of observation/assessment in community‑integrated, paid work experiences; up to four per span.
- Worksite accessibility — identifying and ensuring reasonable accommodations, coordination with employer and OOD as appropriate. All per OAC 5123‑9‑13(B).
Where it happens and staffing ratio
- Career Planning can occur in varied community settings, but not in the person’s home except for limited situations (e.g., a discovery home visit or when the home is a self‑employment site). It is delivered at a 1:1 staffing ratio (one direct support professional to one individual). See OAC 5123‑9‑13(D)(4)–(6).
Provider qualifications and training
- Independent providers must have either one year of related experience or 30 hours of formal, relevant training; agency providers must deliver specified training within 30 days of hire and ensure mentoring and service‑specific training within one year. See OAC 5123‑9‑13(C).
Documentation and data
- Providers must maintain service documentation and submit data to DODD via the Outcome Tracking System (OTS). See OAC 5123‑9‑13(D)(7) and (E). For what OTS collects (employment, wages/hours, PPCE, etc.), see the OTS intro.
How OneBridge can help during Career Planning
- Explore options and build work skills through our Vocational Rehabilitation programs: see Vocational Rehabilitation and Pre‑Employment.
- When you’re ready to pursue a job match, our team delivers individualized Job Development and integrated Employment Services.
- For a feel of how we build real‑world skills, browse program snapshots such as our hands‑on job coaching sessions and digital‑skills stories like DigiSkills.
Section 4 — Vocational Habilitation (OAC 5123‑9‑14): Skill building toward CIE Plain-English definition
- Vocational Habilitation builds and maintains work‑related skills with the stated outcome of advancing on the path to CIE—and ultimately achieving CIE in a well‑matched job. See OAC 5123‑9‑14(A).
Who can provide it
- Only agency providers may deliver Vocational Habilitation (independent providers cannot). See OAC 5123‑9‑14(C)(1)–(2).
Where it happens, including virtual
- In-person services take place in non‑residential settings separate from a person’s home; virtual support is permitted when specific safeguards are met (e.g., preventing isolation, ensuring privacy, and person‑centered planning). See OAC 5123‑9‑14(D)(5)–(8).
Training and mentoring
- Agency providers must ensure timely training after hire, mentoring for new staff, and service‑specific training within one year, as described in OAC 5123‑9‑14(C)(4)–(6).
Wages and federal reference
- The rule references that any special minimum wage determinations must follow 29 CFR Part 525 with documented evaluations. See OAC 5123‑9‑14(D)(9). For broader context on CIE vs. segregated wages, see ODEP’s CIE page.
Documentation and data
- Providers must submit OTS data for Vocational Habilitation, per OAC 5123‑9‑14(D)(8). For what OTS reports, see the OTS overview.
How OneBridge builds toward employment during Vocational Habilitation
- Daily practice in life and work skills through Adult Day Services, with real‑world generalization through community day‑out activities.
- Program stories you can explore: a practical learning‑through‑lunch activity, a hands‑on art museum outing, and a community coffee‑shop visit. For a broader perspective, see 5 ways community outings enrich lives and our intro to Life N Tech.
Section 5 — Individual Employment Support (OAC 5123‑9‑15): Staying successful on the job Plain-English definition
- IES provides individualized support to help a person maintain and advance in CIE—e.g., job coaching with systematic instruction and coworker/supervisor supports, training in assistive tech, and other workplace supports. See OAC 5123‑9‑15(B)(13).
Where it happens and staffing ratio
- IES takes place in integrated work settings separate from the person’s home (except self‑employment contexts) and is delivered at a 1:1 ratio. See OAC 5123‑9‑15(D)(4)–(7).
Provider qualifications and training
- Both agency and independent providers can deliver IES if they meet the rule’s qualifications. The rule specifies initial training within 30 days, mentoring for those under a year of experience, and service‑specific training within one year. See OAC 5123‑9‑15(C).
Non‑duplication and data reporting
- IES cannot duplicate VR or special education/related services; OTS reporting is required. See OAC 5123‑9‑15(D)(3) & (7).
How OneBridge supports success on the job
- We provide on‑the‑job coaching and fading plans through Employment Services and Job Development. For practical tips, read our post on job interviews and our overview of Ticket to Work.
Section 6 — How Pre‑ETS and VR line up with Ohio’s waiver services
- Pre‑Employment Transition Services (Pre‑ETS) comprise five required components: job exploration counseling, work‑based learning, counseling on post‑secondary options, workplace readiness training, and instruction in self‑advocacy. See OOD’s “Our Services”.
- Why this matters: Career Planning and IES must not duplicate VR or special‑education services. Teams should coordinate what’s funded by school/VR vs. waiver. See OAC 5123‑9‑13(D)(2) and OAC 5123‑9‑15(D)(3).
Section 7 — Choosing the right service: A quick decision path
- “We’re figuring out a direction.” Start with Career Planning components like career discovery, exploration, and an employment plan. See OAC 5123‑9‑13. Connect with Vocational Rehabilitation to build foundational skills and Pre‑Employment.
- “We need daily practice with work skills.” Consider Vocational Habilitation to build stamina, routines, and transferable skills in a non‑residential setting (or permitted virtual supports). See OAC 5123‑9‑14. Explore our Adult Day Services and program snapshots like this general guide to day‑out activities.
- “We have a job and need support to keep or advance it.” Choose IES for job coaching, assistive tech training, and other on‑the‑job supports. See OAC 5123‑9‑15. Our Employment Services team can help.
Section 8 — What to ask and bring (documentation cheat‑sheet)
- Ask your SSA how the service aligns with the person’s CIE outcome in the ISP and how progress will be documented.
- Confirm with the VR counselor which services are covered through VR vs. waiver to avoid duplication.
- Expect detailed service documentation (type, date, place, start/stop times, and narrative of services tied to the ISP). See service‑specific lists in OAC 5123‑9‑13(E) and OAC 5123‑9‑15(E).
Section 9 — FAQs families ask (with rule pointers)
Q: What does “integrated setting” actually mean?
- A: Integration is part of the CIE definition under WIOA—workplaces where people interact with coworkers without disabilities and receive customary wages/benefits. See 34 CFR 361.5(c)(9) and ODEP’s CIE overview.
Q: Can Career Planning or IES happen at home?
- A: Generally no, except limited cases (e.g., a discovery home visit or self‑employment where the home is the business site). See OAC 5123‑9‑13(D)(4) and OAC 5123‑9‑15(D)(4).
Q: Are there staff‑to‑person ratios?
- A: Yes. Career Planning and IES are 1:1 (one direct support professional to one person). See OAC 5123‑9‑13(D)(5) and OAC 5123‑9‑15(D)(5).
Q: Can Vocational Habilitation be virtual?
- A: Yes, under specific safeguards noted in the rule (and with person‑centered planning that prevents isolation). See OAC 5123‑9‑14(D)(6)–(8).
Q: Do providers report outcomes anywhere?
- A: Yes. Providers submit data to the Outcome Tracking System. See each rule’s OTS clause and the OTS overview.
Q: What are typical statewide results for VR job placements (context only)?
- A: OOD’s statewide scorecard (10/01/2023–03/31/2025) shows a median 20 hours/week and median $13.00/hour for job placements. See OOD’s Statewide Scorecard.
Section 10 — Ready to take the next step? Here’s how we partner with you
- If you’re exploring options: Start with Vocational Rehabilitation and Pre‑Employment services.
- If you’re building daily skills: Consider Adult Day Services with community‑based practice via our day‑out activities guide.
- If you’re preparing to work or actively job‑seeking: We deliver Job Development and integrate supports through Employment Services.
Explore individualized supports that align to Ohio’s rules and your goals: Employment Services.
If you’re an employer interested in inclusive hiring, start here: Employers.