UCS Service Definition Comparison

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
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NEW CRS
Case Service Changes
Discontinuation of Entry Level III (117X)
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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
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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
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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
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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
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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
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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.
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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:
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 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
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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


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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
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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
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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.
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