Case review of follow along services
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Case Review of Follow- Along Services. January 2005. Background. Interest in making programs better Need to Facilitate between: DRS Counselors, and ESO Employment Specialists Although CARF is now in place, CARF doesn’t look at DRS processes

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Presentation Transcript

Background
Background

  • Interest in making programs better

  • Need to Facilitate between:

    • DRS Counselors, and

    • ESO Employment Specialists

  • Although CARF is now in place, CARF doesn’t look at DRS processes

  • The approach can be adjusted to do case reviews of EES, crews and enclaves

  • DRS purchases over $15 million in services from ESOs


Areas of interest
Areas of Interest

  • Eligibility

    • Eligibility documentation

    • Plans, Forms

  • Service Provision

    • Interventions, timely, appropriate and sufficient

    • Billing documentation

  • Closure

    • Forms, Documentation supports case closure


  • Process
    Process

    • Who

      • ESOs providing SE Services

    • When

      • Monthly visits (one/month)

      • 2 weeks notification

    • Sample size of cases will vary

    • Report with findings and recommendations

      • 6 month follow-up, if necessary


    Eligibility
    Eligibility

    • Documentation of client disability meets DRS criteria for severity

    • Individual Service Plan in file

    • LTESS application completed as required

    • Documentation indicates that DRS counselor approved LTESS application

    • LTESS acceptance form in file

    • Documentation of stability before case moves in status 22/LTFA

    • Ongoing services form (SE Form 4) completed as required before DRS case closure

    • At least two contacts per month w/client documented by employment specialist for at least 90 days before DRS case closure


    Service provision
    Service Provision

    • At least one documented contact per month with client while in follow along & documentation indicates follow along services are sufficient for client to maintain employment

    • Is there documentation that indicates employment specialist retrained client in any capacity, if so:

      • DRS post employment services used to fund retraining

      • Was LTESS billed for retraining services?

    • Follow along hours documented on LTESS requisition/invoice match hours provided and documented in client file (including time for report writing and travel)

    • For SEPD cases, DRS authorizations are in file

      • Documentation supports the hours billed on a monthly basis


    Closure
    Closure

    • LTESS closure form completed if case was closed from LTFA

    • Documentation supports case closure


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