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DSHS/DVR

DSHS/DVR. 2012-2014 CRP Contract. Presenters: Andres Aguirre Vicki Sprague. April - May 2012. General Changes for the 2012-2014 CRP Contract. Interpreter Services. If the cost involved would cause an undue burden (significant difficulty or expense) for the Contractor:

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DSHS/DVR

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  1. DSHS/DVR 2012-2014 CRP Contract Presenters: Andres Aguirre Vicki Sprague April - May 2012

  2. General Changesfor the2012-2014 CRP Contract

  3. Interpreter Services • If the cost involved would cause an undue burden (significant difficulty or expense) for the Contractor: • Determination will be made on a case-by-case basis, relative to the Contractor’s overall resources; • Payment by DVR can only be approved by the DVR Unit Supervisor or the supervisor’s designee.

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

  5. 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 • You must declare that you are using the DSHS contract when you make your request.

  6. Service Delivery Outcome Plans (SDOPs) and Reports (SDORs)

  7. Reports • Reports that are required when invoices are submitted must include all information required in the contract and any additional information specified in the SDOP. • If the VRC feels the report is not comprehensive enough they will return the report to obtain missing information.

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

  9. 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.

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

  11. Travel • Other Transportation Expenses • The DVR Counselor may authorize other transportation expenses, such as State Ferry fees or toll fares. • If Other Transportation Expenses will not be authorized the VRC should remove it from the SDOP.

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

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

  14. 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;

  15. 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;

  16. 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. • Number of hours required for service delivery to meet the needs of the DVR Customer

  17. Universal Unique Considerations in Determining Levels for All Services Considerations for levels of all services should be consistent statewide in all DVR offices.

  18. No Changes Vocational Evaluations

  19. 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 based on the SDOP

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

  21. Vocational Evaluation Consideration Maximum Total Fee Maximum Total Fee is paid upon completion of service, receipt of invoice, and Service Delivery Outcome Report (SDOR).

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

  23. Changes to Trial Work Experienceand Community Based Assessment • History • TWE and CBA services are similar and were originally grouped together and purchased as Trial Work Experience. • Separated in 2010-2012 contract and the services were purchased at different times in the VR process.

  24. Changes to Trial Work Experienceand Community Based Assessment While being similar in nature it is the intent that determines which service should be purchased, not when the service should be purchased. In the 2012-2014 contract TWE and CBA can be purchased at any time in the process.

  25. Intent of Trial Work Experience • Determine if the individual can achieve employment through the provision of VR services and is eligible for VR Services; or • There is clear and convincing evidence that the individual cannot benefit from VR services due to the significance of their disability and is ineligible for DVR services. • TWEs can be purchased at any time in the VR Process.

  26. Intent of Community Based Assessment • Identify barriers to employment; • Obtain information needed for the customer to select a suitable vocational goal; or • Determine the nature and scope of VR services an individual needs to achieve an employment outcome. • CBAs can be purchased at any time in the VR Process.

  27. Trial Work Experience and Community Based Assessment • Liability Clarification • Liability for TWEs and CBAs conducted in the community is the responsibility of the CRP.

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

  29. TWE/CBA Levels of Service Three Levels • 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/CBA positions regardless of service hours.

  30. TWE/CBA Consideration

  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.

  32. CBA Permanent Employment Bonus • If a Customer attains Employment in a permanent, integrated, and competitive job as a secondary outcome of their CBA, the Contractor will be paid an additional $600. • If the CRP hires a DVR Customer into a permanent, integrated, and competitive job as a result of the CBA conducted at the CRPs business, the CRP will be paid an additional $600 Permanent Employment Bonus.

  33. Community Based Assessment (CBA)Healthcare Coverage Bonus • Healthcare Coverage Bonus was tied to Job Placement in 2010-2012 contract. • If a Customer achieves employment of 35 hours or more per week and Employer Provided Healthcare Benefits, the Contractor will be paid a Healthcare Coverage Bonus of $600. • If a CBA is conducted at a CRP worksite and the CRP hires a DVR Customer into a permanent, integrated, and competitive job of 35 hours or more per week and that offers Employer Provided Healthcare Benefits as a result of the CBA, the CRP will be paid a Healthcare Coverage Bonus of $600.

  34. Job Placement Services

  35. Changes to Job Placement Services Payment Points (revised) • Maximum Total Fee is divided into 3 payment points: • Intake Fee (10%) - increased from 5% to 10% • Activity Fee (25%) • Outcome Fee (65%) – reduced from 70% to 65% Healthcare Coverage Bonus • $600 bonus if the Customer’s full-time job placement results in employer provided healthcare benefits. • Applies to CBAs and Job Placements

  36. Clarification to Job Placement Services Job Placement Activity Report • 5 employment site visits with the Customer for job openings that match the Customer’s job goal: • An application or resume submitted to each job site; • IF a site visit is not allowed by the employer, the Customer can complete an application using the method required by the employer. Use of Blind online ads is not an acceptable job activity; • Applications submitted for employment at the Contractor’s place of business or any business entity owned or operated by the Contractor will not be counted for Job Placement Activities; OR

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

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

  39. Job Placement Services • Proof of employment (Added) When Job Placement is successfully completed, in addition to the SDOR and Invoice, the CRP must provide: • IRS form W-4 Employee Withholding Allowance Certificate; or • Letter signed by the employer verifying first day of paid employment in a permanent, integrated, and competitive job; or • Copy of the DVR Customer’s pay stub.

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

  41. 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.

  42. 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.

  43. 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.

  44. 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.

  45. 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.

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

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

  50. Job Placement Levels of Service Examples Level 1 • Customers who need job placement assistance without additional on-the-job supports; OR

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