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UT Employment Personal Assistance Services

Published on
July 25, 2023
Last updated
February 29, 2024
Written by
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Katie Wilkinson
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EPAS (Employment Personal Assistance Services) is a Medicaid program in Utah providing crucial personal assistance to employed individuals with disabilities, empowering them to thrive in competitive workplaces.
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The Employment Personal Assistance Services (EPAS) is a critical Medicaid program in Utah designed to offer essential support to individuals with disabilities who are actively employed. This service plays a significant role in healthcare, fostering inclusivity and empowering people with physical, mental, cognitive, and developmental disabilities to work in integrated and competitive settings. By providing personal assistance for tasks directly linked to employment, EPAS enhances the opportunities for disabled individuals to participate in the workforce actively. 

Overview ofEmployment Personal Assistance Services

EPAS, also known as Employment Personal Assistance Services, aims to support individuals with a medical condition who are employed and require personal assistance to maintain their competitive employment status. The program recognizes the potential and abilities of people with physical, mental, cognitive, and developmental disabilities to participate in the workforce actively.

The primary purpose of EPAS is to provide personal assistance services that are directly related to employment tasks, ensuring that individuals with disabilities can work in integrated and competitive settings. By doing so, EPAS promotes inclusivity, independence, and self-sufficiency among its target population.

The program's eligibility criteria are designed to cater to a diverse range of disabilities and prioritize individuals determined to work and contribute to the workforce. The specific goals and objectives of EPAS are to break down barriers faced by disabled employees, enhance job retention, foster skill development, and facilitate career advancement opportunities. Through personal assistance, EPAS seeks to empower disabled individuals to lead fulfilling and productive lives while contributing positively to the workforce.

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Eligibility Requirements for EPAS

To qualify for EPAS services, individuals must meet specific eligibility criteria, ensuring that the program reaches those who genuinely need personal assistance to maintain their competitive employment status.

  1. Disability Determination: Eligible applicants must have a disability that the Social Security Administration or the State Medical Review Board can recognize. This criterion ensures that EPAS caters to individuals with diverse disabilities.
  2. Current Utah Medicaid Recipient: Applicants must be currently receiving Utah Medicaid. This may include individuals paying a spend down or a Medicaid Work Incentive premium. Medicaid coverage ensures that the necessary medical and personal assistance support is available to beneficiaries.
  3. Employment in an Integrated Community Setting: EPAS is designed to support individuals employed in integrated and competitive settings. Applicants should be working in an environment that fosters inclusivity and equal opportunities.
  4. Minimum Wage Earnings: The eligible individual must earn at least the minimum wage through employment. This criterion ensures that EPAS targets individuals engaged in meaningful employment and striving for economic independence.
  5. Work Hours Requirement: Applicants must work at least 40 hours per month or be self-employed, ensuring that EPAS benefits those actively engaged in the workforce and encourages sustained employment.
  6. Need for Personal Assistance: The most critical eligibility requirement is personal assistance to maintain employment. EPAS services are specifically tailored to support tasks directly related to job retention and performance.

By adhering to these eligibility requirements, EPAS ensures that the proper support is directed toward employed care recipients who genuinely require personal assistance to thrive in the workforce and lead independent, productive lives.

Services and Supports under EPAS

The Employment Personal Assistance Services (EPAS) program offers a range of essential services and supports designed to assist individuals with disabilities in maintaining competitive employment. EPAS personal assistants provide assistance with activities of daily living (ADLs) and Instrumental Activities of Daily Living (IADLs) directly related to employment retention. The services are exclusively focused on supporting the EPAS participant and are unavailable for other household members.

Examples of services provided by a personal assistant may include:

  1. Assistance with Mobility: Help with moving and transferring within the workplace or workspace.
  2. Eating: Support with mealtime activities during work hours.
  3. Meal Preparation: Assistance in preparing meals required for work.
  4. Toileting: Aid with restroom use during work hours.
  5. Personal Hygiene: Support with personal grooming while at work.
  6. Bathing: Assistance with bathing to maintain hygiene during employment.
  7. Laundry: Help with maintaining work-related clothing and personal laundry.
  8. Managing Finances: Support in handling finances necessary for employment.
  9. Medication Reminders: Assistance with medication schedules during work hours.
  10. Shopping: Aid in purchasing work-related necessities.
  11. Transportation (for work): Support commuting to and from the workplace.

Certain services may not be provided by a personal assistant under EPAS. These include job coaching, job training, medical transportation, and any other tasks not authorized on the EPAS participant's care plan. Additionally, EPAS may not be used for assistance related to completing job tasks, reasonable accommodations required by the Americans with Disabilities Act (ADA), or tasks that an employer is obligated to provide under the ADA.

EPAS focuses on providing personalized assistance that enables employed individuals with disabilities to maintain their positions and excel in their chosen fields.

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Compensation for Family Caregivers

EPAS operates as a Self-Directed Services (SAS) program, which allows flexibility in selecting and hiring personal assistants. While the program compensates personal assistants for their services, it is essential to note that EPAS does not directly pay unpaid family caregivers, such as parents or legal guardians caring for a minor child.

If the EPAS participant is at least 18, parents can be considered personal assistants and may receive compensation for their support. Additionally, EPAS allows a broad range of individuals to serve as personal assistants, including family members, friends, neighbors, co-workers, or individuals hired through advertisements. It emphasizes the importance of personal choice in selecting individuals who can provide assistance to maintain employment successfully.

Through the self-directed option, EPAS empowers individuals to hire and compensate personal assistants, fostering a more personalized and supportive approach to maintaining employment while recognizing primary caregivers' valuable contributions to the overall support system for people with disabilities.

Learn more about Medicaid self-directed care >>

A note from Givers

Caregivers are pivotal in supporting individuals with disabilities to remain employed and lead fulfilling lives. EPAS, with its self-directed services, acknowledges the significance of these unsung heroes. If you are a caregiving family caring for a disabled individual while they work, take action now. Fill out this form to determine your eligibility for caregiver compensation.

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