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 (opens external link).

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:


 Special programs


 Youth transition


 CIE resources


 Connect with us

Have questions or need further assistance? Don't hesitate to contact us.

Last revised January 9, 2025