; bonus based on achievement of differing tiers In order to receive a bonus payment for a fiscal year under this clause, a Medicaid Buy-In State shall achieve a reduction of the population described in subclause (I) of at least 10 percent below the State's most recent prior fiscal year's census of the eligible population in subminimum wage work, congregate setting work, or facility-based day habilitation or day treatment. Subject to paragraph (5)(B), the Secretary shall award an increased bonus payment for a fiscal year to a Medicaid Buy-In State that achieves a percentage reduction of 20, 30, 40 or more with respect to the prior fiscal year’s census of such population. (III) Requirements for meeting benchmark A working-age individual with a disability shall be deemed as counting towards a percentage reduction for purposes of this clause if the individual is— (aa) employed in a competitive, integrated employment setting for at least 10 hours a week on average over a 120-day period during the year involved; (bb) receiving integrated day services that reach the level of care required in the individual’s person-centered plan; or (cc) a combination of items (aa) and (bb), enabling the individual to achieve, if desired, a comparable level of benefit as before the change in placement. The State must report aggregate data to the Secretary on the outcome of all individuals transitioning out of congregate settings being counted towards fulfillment of this benchmark. (ii) Increased population census of individual integrated employment (I) In general Achieving an increase in the population in the State of working-age individuals with disabilities who are receiving Medicaid-funded home or community-based services and are in individual integrated employment. (II) Minimum percent increases