7/13/2017 CRS Service Definition Comparison (Crosswalk Between New CRS and Old UCS/SE Definitions) The planned Core Rehabilitation Services (CRS) contracts combine the Unified Contract Services (UCS) and Supported Employment Contracts into one core rehabilitation services contract. This melding represents few changes to case services but is expected to result in improved quality of services while enhancing efficiency for contract providers. Case service changes include: discontinuation of some case service codes; addition of supported employment services which also represents the most notable change as this contract will transition payment for service from an hourly base system to a milestone or outcome based system, the addition of Youth Employment Services (YES) and the expanded performance indicators. Please refer to the Core Rehabilitation Services Guide for complete definitions, deliverables, staffing requirements, rates and performance indicators. Changes to services are noted in the right hand column “New CRS – Case Service Changes.” Services not listed remain the same. OLD UCS/SE Service Category Definitions (With Case Service Code) ENTRY SERVICES Level I – (no case service code) – Services to Groups Orientation Application assistance Assistance with other necessary forms Referral information for other services Level II – (118X) Vendor will aid consumers who are: Unable to complete the application process without assistance Do not have supports to gather/obtain existing medical information Level III – (117X) Vendor will aid consumers who are: Unable to complete the application process without assistance Do not have supports to gather/obtain existing medical 1 NEW CRS Case Service Changes Discontinuation of Entry Level III (117X) 7/13/2017 information or where medical information is not sufficient to establish eligibility ASSESSMENT SERVICES Level I – (110X) Assessment Service A – Diagnostic Vocational Evaluation (DVE) Evaluation in an agency setting or locate associated with a provider agency (enclave, mobile crew, affirmative business) Primarily observational – focus on work readiness and skill identification Standard authorization – 15 days Level I – (111X) Assessment Service B – Community Based Situational Assessment (CBA) Same as above but in a community setting Hands on work, supervision and direct observation Standard authorization – 5 days Level II – (112X) Community Based Workplace Assessments (CBWA) Customized work site evaluation Evaluator accompanies the individual to the work site Evaluator conducts interviews with others (family, teacher, spouse) Standard authorization – 10 days Level III Standardized Testing/Specialist Evaluations Standardized Testing – (100X) Measures a consumer’s academic achievement, aptitudes, cognitive abilities, personality, vocational interests, sensory/motor skills, and compares performance with an appropriate same population Specialized Evaluations – (109X) The evaluation addresses an area specific to impact of the 2 Diagnostic Vocational Evaluation – DVE (110X) and Community Based Situational Assessment – CBA (CSC 111X) have been combined and re-defined. Case Service Code (111X) has been eliminated Standardized Testing (100X) and Specialized Evaluations (109X) have been combined and redefined. Case Service Code (109X) has been eliminated Community-Based Workplace Assessments (112X) has been re-defined. Implementation of a Quality Measurement Rubric See section beginning on Page 10 7/13/2017 consumer’s disability on vocational functioning (examples – Functional Capacity evaluations or Substance Abuse Assessments) WORK READINESS SERVICES Level I – (620X) Work Readiness Services 1 Soft skills training – learning acceptable work and social conduct, culture of the workplace, preparing a resume, motivation for work and maintaining a job Level I – (559X) Work Experience Development OJT Work Tryout Work study for in-school youth Internship/externship All with a community-based employer Level II – (625X) Work Readiness Services 2 In addition to soft skills training, development of skills for a specific career outcome (e.g., training in retail sales, utility worker, etc.) At the provider’s training facility or other community site Training must be appropriate for entry level work Must be consistent with consumer’s IPE Level III – (630X) Work Readiness Services 3 In addition to soft skills training Levels I and II, one third of the training time must be in an employment setting Job Placement by the provider agency is the expected outcome Standard authorization – 60 days which includes the training process and job development and placement activities Level I (620X) will be renamed Soft Skills Training The rates for Soft Skills Training are as follows: Region 1: $50.00 Region 2: $50.00 Region 3: $50.00 A unit will be defined as a 2.5 hour day with an authorization of up to 5 days. Level I (621X) Deaf Service Rate will be discontinued Implementation of a Quality Measurement Rubric See section beginning on Page 15 New - Youth Employment Services - Transition age youth are assisted by vendors through the provision of pre-employment, employment and individual services 3 7/13/2017 to enhance job readiness See section beginning on Page 19 JOB PLACEMENT SERVICES Level I – (959X) Coaching Supports (for employment) Interventions that can be used in any status and is designated to enable consumers not eligible/appropriate for SE services to receive one-one-one assistance of a limited duration (i.e., assess the suitability of a placement or placement goal, to obtain or to maintain a placement through placement assistance or short term job coaching. Level II Direct Placement Intake – Tier 1 - (921X) Permit individual referred for services and the service provider to determine if there is an adequate match in the areas of: vocational goal, job search methodologies, and mutual expectations Job Seeking and Job Development Services – Tier 2 - (929X) Equip consumer with necessary skills such as work place behavior skills training, resume development, job application training, job seeking skills training, interviewing skills training, and/or job retention skills training Job development activities such as following up on job leads through both direct and in-direct contact with employers Minimum of 5 hours monthly – not to exceed 9 months Job Placement – Tier 3 - (931X) Outcome-based service that is paid when a VESID consumer starts working on a job that meets his or her vocational goal This service can be repeated if necessary Job Retention Services – (932X) On-going contact with the consumer and, where it is not contraindicated, the employer, to ensure a successful transition during the initial 90 days of employment 4 Work Experience Development (559X) has been moved as the first item in the Job Placement Services section Coaching Supports – Deaf Services Rate (563X) will be discontinued Included in the definition of Level II Tier 2 – Job Seeking and Job Development Services (929X) will be ensuring the consumer is registered with the local One-Stop Center. A Quality Outcome Payment has been added as an enhancement for job retention based on hours wage. This enhancement will be paid for consumers who earn the following wages: Region 1: $12.50 per hour Regions 2 & 3: $11.50 per hour The rate for this enhancement is: Region 1: $520.00 Regions 2 & 3: $400.00 See section beginning on Page 20 7/13/2017 Supported Employment Services: Supported Employment Services will be included in this section of the service guide as: Intensive Supported Employment Assessing the individual’s ability to participate in Supported Employment Advocating for the individual prior to employment Developing jobs and placing the individual with an employer (a key indicator) Identifying necessary on-site supports to maintain employment through the individual’s involvement in situational assessment and employment Staff travel to provide these services at a variety of community-based employment locations On-site intervention with individual with a disability, employer and employees, to insure both the ability to function at work tasks and to interact successfully in the workplace Off-site intervention needed for the consumer to remain employed, including supports or service linkages needed to address other life areas that may be impeding on successful job retention. Supported Employment Intake (571X) – same service and rate as Job Development – Direct Placement Intake – Core 1 Core Milestone Supported Employment Services Pre-Employment Assessment/Job Development (572X) SE Placement (Day 5) (573X) SE Placement (Day 45) (574X) SE Rehabilitation (Day 90) (575X) Core Milestone Supported Employment Service Rates 572X – Region 1 - $1,240.00; Regions 2 and 3 $950.00 573X – Region 1 - $740.00; Regions 2 and 3 $570.00 574X – Region 1 - $988.00; Regions 2 and 3 $760.00 575X – Region 1 - $1,976.00; Regions 2 and 3 $1,520.00 Performance Indicators Include: amount of time from referral to receipt of Core I report – standard 30 days; and, 45% of consumers receiving SE job development services (572X) will be successfully closed (Status 26) – standard 45 percent; 90% of reports will be rated superior/satisfactory length of time from commencement of job development services (572X) to successful closure (Status 26) standard 180 days. 5 7/13/2017 Quality Bonus and Rates SE Enhancement Bonus (576X) for consumers working 30 hours per week within in first 6 months of employment – Rate: Region 1 – $520.00 ; Regions 2 and 3 - $400.00 SE Enhancement Bonus (577X) for consumers earning a salary of $10.50 per hour in Region 1 and $9.50 per hour in Regions 2 and 3 - Rate: Region 1 - $520.00; Regions 2 and 3 - $400.00 Implementation of a Quality Measurement Rubric See section beginning on Page 26 ASSISTIVE TECHNOLOGY / REHABILITATION TECHNOLOGY EVALUATION AND TRAINING Assistive Technology / Rehabilitation Technology – Evaluation – (165X) Implementation of a Quality Measurement Rubric A special assessment to determine the need for assistant or rehabilitation technology in order for the disabled individual to participate in Vocational Rehabilitation Services and / or employment. Assistive Technology / Rehabilitation Technology Training – (167X) Training on assistant or rehabilitation technology in order for the disabled individual to participate in Vocational Rehabilitation Services and / or employment. DRIVER REHABILITATION SERVICES Level I – Vendor Travel - (142X) Vendor travel for driver/vehicle evaluation or training Implementation of a Quality Measurement Rubric implementation beyond 20 miles Level II Adaptive Driver Evaluation – Low Tech – Car or Van – (133X) This evaluation will be considered low tech when the consumer requires the following (but not limited to) adaptive equipment to safely operate a motor vehicle: 6 7/13/2017 Raised tops and/or doors Mechanical hand controls and steering devices Six-way power transfer seats Car top carriers Wheelchair lifters/loader Level II Adaptive Driver Evaluation – High Tech – Car or Van – (134X) This evaluation will be considered high tech when the consumer requires the following (but not limited to) high level driving systems to safely operate a motor vehicle: Remote steering packages Lowered floor conversations Foot steering Low-effort conversations Horizontal steering Braking and throttle servo controls Level III Adaptive Driver Training – Low Tech – Car or Van – (880X) Providing instruction to an individual on how to operate a vehicle safely, including the utilization of equipment and addressing disability-related limitations Training must be provided on a vehicle with appropriate equipment matched to the driver’s needs Training must be behind the wheel Training is based on the adaptive driver evaluation report of a Driver Rehabilitation Specialist Initial authorization is for 20 hours with an additional 20 hours that can be authorized in 10 hour increments with justification and VRC approval Level III Adaptive Driver Training – High Tech – Car or Van – (881X) Providing instruction to an individual on how to operate a vehicle safely, including the utilization of equipment and addressing disability-related limitations Training must be provided on a vehicle with appropriate 7 7/13/2017 equipment matched to the driver’s needs Training must be behind the wheel Training is based on the adaptive driver evaluation report of a Driver Rehabilitation Specialist Initial authorization is for 20 hours with an additional 20 hours that can be authorized in 10 hour increments with justification and VRC approval ADJUNCT SERVICES Level I – (No Case Service Code) Work and Benefits Community Information Sessions (services to groups) Addresses either the general range of benefits issues which impact consumers – with additional sessions addressing such topics as SSI/SSDI and Work or Retaining Medicaid while working 45 – 90 minutes in duration Level II - (175X) Benefits Advisement – Short Term - (175X) One or two contact with consumer and/or representative either by phone or in-person contact at the vendor’s office or another site Following contact, vendor recommends to VESID if the consumer is in need of long-term benefits advisement service Vendor does not prepare a full benefits advisement report but does provide a checklist of topics to address Level III Benefits Advisement – Long Term - (176X) More than two hours of involvement Comprehensive interview and analysis of the consumer’s current benefit status Review benefits advisement report and develops next steps Coaching Supports (no levels) – (790X) Enables consumers not eligible/appropriate for SE services to receive one-to-one assistance of a limited duration such 8 Level II – Benefits Advisement – Short Term (175X) and Level III Benefits Advisement – Long Term (176X) will be combined into one service – Benefits Advisement and Consultation Level I – Work and Benefits Community Information Sessions (services to groups) will be discontinued Level III – Benefits Advisement – Long Term (176X) will be discontinued Implementation of a Quality Measurement Rubric See section beginning on Page 37 Implementation of a Quality Measurement Rubric 7/13/2017 as individual coaching necessary to make a successful transition to college training or obtain or maintain an internship through placement assistance and/or short term coaching; or any similar intervention determined appropriate in support of IPE goal Mobility Services (no levels) – (M) Instruction in skills which will assist the consumer to travel safely and efficiently negotiate environments necessary to participate in educational/training activities, and/or to obtain and maintain employment One-to-one service Vendor identifies the locations and modes of transportation necessary for consumer to be able to access in order to achieve IPE goals Level I – (V) Transportation Provide the consumer up front payment of VESID approved transportation costs, usually for metro/bus passes, to facilitate consumer ability to participate in core services Level II – (T) Transportation For consumers meeting the requirement of transportation, support, the vendor provides round trip rides, to facilitate consumer ability to participate in core services Implementation of a Quality Measurement Rubric The rate for Transportation Level II has been increased to $40.00 per trip. Overall Contract Changes A 3% cost of living adjustment has been applied to all rates; with the exception of Soft Skills Training (620X), which has been increased to $50.00 statewide and Transportation “T” which has been increased to $40 per round trip statewide. Supported Employment services have been shifted to a new milestone payment system and program enhancements which support the milestone design. In addition there will be 2 quality outcome payments for 9 7/13/2017 hours worked per week and hourly wage earned by the consumer. additional information. See section beginning on Page 27 for Quality outcome payment for Job Retention Services based on an hourly wage earned by consumer. See Page 26 for additional information. Addition of Youth Employment Services – Transition age youth are assisted by vendors through the provision of pre-employment, employment and individual services to enhance job readiness. See Page 20 for additional information. Addition of a Provider-Assisted Community Work Experience – available for appropriate VR consumers and transition age youth. See Page 22 for additional information. Enhanced Performance Indicators - For services that require reports a Quality Measurement Rubric which will rate a report as Superior, Satisfactory or Needs Improvement is being implemented. The measurement will be that 90% of all reports received will be rated Superior or Satisfactory. See Page 6 for additional information. 10
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