DSHS/DVR

1. DSHS/DVR 2010-2012 CRP Contract Presenters: Andres Aguirre Vicki Sprague June 2010

2. General Changesfor the2010-2012 CRP Contract

3. Partial Payments • If any service is not completed for reasons outside of the Contractor’s control, partial payment can be authorized. • Partial payment guidelines • Maximum partial payment is 50% of the authorized fee minus any fees already paid. • Can only be approved by the DVR Unit Supervisor.

4. Partial Payments • If the Contractor believes they should be granted a partial payment, they must make a formal request to the VRC. • The VRC will request approval by the supervisor. • Services may not be changed to a lower level and paid in full if the Customer is unable to complete the service.

5. Sign Language Interpreters • DSHS currently contracts with qualified American Sign Language (ASL) interpreters and referral companies statewide for clients who need interpreter services. • Contractors who provide services to DVR clients can use DSHS ASL contracted interpreters at the DSHS contracted rates.

6. Office of the Deaf and Hard of Hearing (ODHH) Link to rates and list of interpreters and referral agencies. http://www.dshs.wa.gov/hrsa/odhh/interpcon.shtml

7. Reports • All reports submitted with invoices must be completed using the DVR Service Delivery Outcome Report (SDOR). • The SDOR form is available on the DVR Internet site. http://www.dshs.wa.gov/dvr/Contractors/CRP/CRP.aspx

8. Periodic Updates • Counselors may require periodic progress updates in the Service Delivery Outcome Plan (SDOP). • The Counselor will determine the format and method of the periodic updates, such as e-mail, telephone calls, brief written updates.

9. Follow-up on CRP Referrals • If the VRC doesn’t receive a Customer progress update from the Contractor every 30 days, regardless of whether it’s written in the SDOP, the VRC is required to contact the Contractor and then follow-up with the Customer.

10. Travel • Travel Time • Reimbursement for round-trip travel time will be paid at a fixed rate of $35 per hour in quarter-hour increments only if service delivery occurs at a location more than 50 miles from the Contractor’s nearest staffed office location.

11. Travel • Mileage • Mileage will be paid if service delivery occurs more than 50 miles from the Contractor’s nearest staffed office location. • Mileage will be paid at the current state rate according to the Office of Financial Management (OFM) State Administrative and Accounting Manual (SAAM), Section 10.90.20.http://www.ofm.wa.gov/policy/SAAMvol1.pdf

12. Travel • Other Transportation Expenses • The DVR Counselor may authorize other transportation expenses, such as State Ferry fees or toll fares.

13. Qualification Changes • Added the Washington State Mental Health Clubhouse Certification through DSHS/ Division of Behavioral Health and Recovery (DBHR) for: 1) Trial Work Experience; 2) Community Based Assessment; 3) Job Placement; 4) Intensive Training; and 5) Job Retention.

14. Services • Eliminated Transitional Employment Services from 2010-2012 CRP contract. • Since July 2008 DVR purchased Transitional Employment Services approximately 2 times.

15. Vocational Evaluations Trial Work Experience Community Based Assessment Job Placement Intensive Training Job Retention Services

16. Universal Unique Considerations in Determining Levels for All Services • Motivation to succeed in gaining employment; • Transportation; • Medical; • Criminal Background Check history; • Personal care; • Substance abuse stability;

17. Universal Unique Considerations in Determining Levels for All Services • Activities of Daily Living (ADL) needs; • Communication (Verbal/Non-verbal); • Interpersonal skills; • Emotional stability; • Family supports / environment; • Financial considerations / benefits planning;

18. Universal Unique Considerations in Determining Levels for All Services • Work experience / degree of success in any prior employment; • Physical access needs; • Work tolerance / stamina; • Employment goals; • Assistive technology needs; • Work-related accommodations;

19. Universal Unique Considerations in Determining Levels for All Services • Recurrent themes of failure in prior employment; • Ability to learn essential job functions; and • Type and level of needed work supervision supports.

20. Vocational Evaluations

21. Changes to Vocational Evaluations • Intake Fee was removed • History • Intake Fee invoice was usually submitted by the Contractor at the same time as the Outcome Fee. • Benefits • Removes the need for two invoices and two reports.

22. Vocational Evaluation Services • Definition • The provision of Brief or Comprehensive Vocational Evaluations consisting of one or more standardized vocational tests, i.e. psychometric, personality, vocational preference and interest inventories • Outcome • Written report of results and recommendations

23. Vocational Evaluation Services Comprehensive Brief Psychometric testing, personality testing, performance and interest inventories that identify an individual’s work interests and abilities; Typically completed in 1 day or less; and Paper and pencil tests. • Designed to measure interests, values, work related behaviors, aptitudes, skills, physical capacities, learning styles & training needs; • Completed in 3 days or less; and • Performed using a variety of techniques.

24. Vocational Evaluation Consideration Maximum Total Fee Maximum Total Fee is paid upon completion of service and receipt of invoice and report.

25. Trial Work Experience (TWE) and Community Based Assessment (CBA)

26. Changes to Trial Work Experienceand Community Based Assessment • Separated in 2010 - 2012 contract • History • TWE and CBA services are similar and were previously grouped together as the same service. While being similar in nature, the services are purchased at different times in the VR process. • Benefits • Separating services clearly defines when each service should be used and more closely aligns our practices with the Code of Federal Regulations.

27. Trial Work Experience (TWE)/ Community Based Assessment (CBA) TWE CBA Can be used at any point in the VR process to identify barriers to employment, select a suitable vocational goal, or determine the nature and scope of needs to achieve employment; 3 levels of service; and Permanent Placement Fee of $600. • Provided prior to eligibility to determine if an individual is eligible for VR services or there is clear & convincing evidence they cannot benefit in terms of an employment outcome; • 3 levels of service; and • Permanent Placement Fee does not apply.

28. Unique Considerations for TWE/CBA Levels of Service • Number of sites; • Type of site(s); • Difficulty to obtain site(s); • Customizing, carving, or fitting the site to the client; • Number of questions; • Type/complexity of questions; • Amount of time in/on the services; and • Paid or unpaid service.

29. TWE/CBA Levels of Service • Level 1 – One position and within 10 service hours; • Level 2 – One position and between 10 – 30 service hours; and • Level 3 – One position and 30+ service hours OR multiple TWE positions regardless of service hours. Three Levels

30. TWE/CBA Consideration If a Client attains a permanent competitive employment placement as a secondary outcome of their CBA, the Contractor will be paid an additional $600 Permanent Placement Fee. The $600 Fee does NOT apply to TWE.

31. Trial Work Experience and Community Based Assessments • Can a contractor conduct a TWE or CBA in their place of business or any entity owned or operated by the Contractor? • Yes, the Contractor can be paid for conducting a TWE or CBA at their place of business. • No bonus will be paid where the customer attains permanent competitive employment at the Contractor’s place of business as a secondary outcome of the CBA.

32. Job Placement Services

33. Changes to Job Placement Services Payment Points (revised) • Maximum Total Fee is divided into 3 payment points: • Intake Fee (5%) • Activity Fee (25%) • Outcome Fee (70%) Bonus (added) • $600 bonus if the Client’s full-time job placement results in employer provided healthcare coverage.

34. Changes to Job Placement Services Job Placement Activity Report (added) • 5 employment site visits with the Client for job openings that match the Clients job goal: • An application or resume submitted to each job site; • If a site visit is not allowed by the employer, the Client can complete an application using the method required by the employer; • Employment sites shall not be at the Contractor’s place of business or any business entity owned or operated by the Contractor; OR

35. Changes to Job Placement Services • A combined total of 3 job interviews or unique customized employment proposals submitted to a potential employer matching the Client’s job goal; OR • 1 Job Offer.

36. Job Placement Services • Definition • Locating, securing, and placing a DVR Client into a paid integrated job that is mutually agreed upon by the VRC, Client, and the Contractor. • Outcome • Job Placement is accomplished when the Client completes their first full day of paid employment, unless On-the-Job Training (OJT) is provided by DVR.

37. Job Placement Services • On-the-Job Training (OJT) • If OJT services are provided are paid for by DVR to an employer, Job Placement can be completed and paid for after the OJT is completed and a permanent job placement is made.

38. Pre-Referral Requirements • Prior to referral to a CRP for Job Placement services, the following actions should be taken: • An assessment of VR needs has been completed and documented that clearly supports the need for CRP services. Documentation must explain how CRP services address disability-related impediments to employment identified at eligibility.

39. Pre-Referral Requirements • For individuals receiving SSI/SSDI, benefits planning by the VRC or a Benefits Planner has been completed. • Sufficient documentation has been gathered, developed, and placed in the service record to support the individual’s selection of a job goal that is consistent with his/her strengths, interests, abilities, capabilities, concerns, resources, needs, and informed choice.

40. Pre-Referral Requirements • If supported employment is required, documentation of the steps taken to assure there is a reasonable likelihood that long term support will be available. • All work barriers that will impact CRP services have been identified and are addressed in the plan, including criminal history, drug/alcohol issues, independent living, transportation, child care, etc.

41. Pre-Referral Requirements • The Counselor has determined the individual has demonstrated the consistent motivation and follow through to benefit from CRP services by showing up for DVR appointments regularly and on time, following through on tasks, responsibilities, and assignments.

42. Pre-Referral Requirements • If the individual has received CRP services previously without a rehabilitation outcome, the counselor must determine what circumstances have changed that will produce a different outcome. • The customer is “qualified” to perform the type of employment the CRP will be seeking. For example, a customer seeking employment as a Certified Public Accountant must meet the education, experience, and certification requirements to work as a Certified Public Accountant.

43. Job Placement ServicesLevels 1 and 2 For DVR Clients who will need a CRP to directly perform all aspects of the client’s job placement activities, i.e. • Identify job leads; • Conduct job search; • Market the Client to prospective employers;

44. Levels 1 and 2Job Placement Services • Develop effective resumes; • Complete and submit employment applications; • Prepare the client for job interviews; and • Arrange for job related disability accommodation needs, etc.

45. Level 3 Job Placement ServicesCustomized Job Placement For DVR Clients who will require a CRP to • Directly perform all aspects of the Client’s job placement activities; and • Perform “job carving” due to the Client’s inability to perform all regularly specified essential functions of a job.

46. Unique Considerations for Job Placement Levels of Service • Availability of desired job; • Wage expectations; • Benefits expectations; • Geographic limitations; • Any necessary job modifications; • Flexibility regarding hours, wages, location, type of work, etc.;

47. Unique Considerations for Job Placement Levels of Service • Individual’s skills and abilities; • Ability to transfer skills; • Marketability of the job seeker; and • Confirmation of post-placement services, i.e. Job Retention or external Extended Services.

48. Job Placement Levels of Service Examples Level 1 Clients who need job placement assistance without additional on-the-job supports;

49. Job Placement Levels of Service Examples Level 2Clients who may require a high level of support prior to or during initial phases of job placement and/or additional supports after job placement to achieve satisfactory job performance OR may require ongoing Supported Employment Services; and

50. Job Placement Levels of Service Examples Level 3 Clients who may require ongoing Supported Employment services or require Customized Employment.