Medicaid put people to work and supports individuals with disabilities living independently.

Help Lead the Advancement of Equitable Employment for People with Disabilities

Join us.

Employment First

All people with disabilities should have opportunities to work. Public dollars should be used to pay for supports for people to work in the community.

APSE members are the foundation of advocacy for integrated employment.

There truly is strength in numbers at local, regional, state-wide and national levels.

More Information

We’re looking for additional members to advance our mission

businesses, policy makers, citizens with disabilities and their families, supported employment and rehabilitation professionals, and educators…

people like you.

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Right to work - man at computer

All People Have the Right to Work

All people, regardless of what disability they have, have the right to work a job they choose and matches their skills and personal interests.

How to Help

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Help Influence Public Policy

Public policies must support people with disabilities having real jobs. Money for services should be spent on people having jobs in the community.


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How You Can Get Involved

Just calling your state an Employment First state is not enough. “Employment First” is when everyone who wants a job, has a job. People like you can make a difference.


Medicaid puts people to work and supports individuals with disabilities living independently

Did You Know?

42% of Medicaid funding pays for services and supports for individuals with disabilities.

Medicaid is the primary funder of employment services and supports for individuals with disabilities.

42% Pie Chart Illustrated
75% Pie Chart Illustrated

More than 75% of State Medicaid waivers offer supported employment services.

350,000 individuals with developmental disabilities are waiting for services.

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Cuts in Medicaid = Cuts in Employment and Independence


Medicaid supports employment services and support

How It Supports

Employment Services and Support

Access to Health and Medical Services

Personal Assistance Services

Peer Support Services

Targeted Case Management Services

Rehabilitation Services

What is the impact for Employment Services if either Block Grants or Per Capita Caps are established?

Bullet Point with #1.
Steep funding cuts to service systems and service provers for employment supports.

Bullet point with #2.
Rate cuts for service providers.

Bullet point with #3.
Further limits or complete lack of availability of long-term post-placement supports.

Make an impact and join APSE

The Bottom Line

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Under the current Block Grant and Per Capita Cap proposals, people with disabilities would be unable to receive the necessary services and supports for gainful employment and independent living.

Contact Us

APSE Missouri
P.O. Box 254
Monroe City, MO 63456

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