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DSHS/DVR CRP Contract Presenters: Andres Aguirre

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

2 General Changes for the 2012-2014 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. Undue hardship (A) In general The term "undue hardship" means an action requiring significant difficulty or expense, when considered in light of the factors set forth in subparagraph (B). (B) Factors to be considered In determining whether an accommodation would impose an undue hardship on a covered entity, factors to be considered include (i) the nature and cost of the accommodation needed under this chapter; (ii) the overall financial resources of the facility or facilities involved in the provision of the reasonable accommodation; the number of persons employed at such facility; the effect on expenses and resources, or the impact otherwise of such accommodation upon the operation of the facility; (iii) the overall financial resources of the covered entity; the overall size of the business of a covered entity with respect to the number of its employees; the number, type, and location of its facilities; and (iv) the type of operation or operations of the covered entity, including the composition, structure, and functions of the workforce of such entity; the geographic separateness, administrative, or fiscal relationship of the facility or facilities in question to the covered entity. (10) interpreter services provided by qualified personnel for individuals who are deaf or hard of hearing, and reader services for individuals who are determined to be blind, after an examination by qualified personnel who meet State licensure laws;

5 Office of the Deaf and Hard of Hearing (ODHH)
Link to rates and list of interpreters and referral agencies. You must declare that you are using the DSHS contract when you make your request. Eff 7/26/94 the ADA will cover employers with 15 or more employees.

6 Service Delivery Outcome Plans (SDOPs) and Reports (SDORs)
SDOPs provide detailed expectations of what services are needed for a specific Customer. All reports submitted with invoices must be completed using the DVR Service Delivery Outcome Report (SDOR). Reports must thoroughly document all tasks accomplished in the Service Delivery Outcome Plan (SDOP) before payment can be made.

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 Updates Different 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 , 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. 4/16/2012 – starts at point of origin – (51 miles would be paid at 51 miles; not 1)

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 4/16/2012 – starts at point of origin - paid at first mile not 51st – (51 miles would be paid at 51 miles; not 1)

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. Even though Other Transportation Expenses is on the SDOP, if the VRC is not authorizing them they should be removed.

12 Services Vocational Evaluations Trial Work Experience
Community Based Assessment Job Placement Intensive Training Job Retention Split TWE and CBA into separate services Transitional Employment – removed from contract

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; Activities of Daily Living (ADLs) is a term used in healthcare to refer to daily self-care activities within an individual's place of residence, in outdoor environments, or both. Health professionals routinely refer to the ability or inability to perform ADLs as a measurement of the functional status of a person, particularly in regards to people with disabilities and the elderly.[1]

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 Vocational Evaluations
No Changes

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 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. 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.

21 Vocational Evaluation Consideration
Maximum Total Fee Comprehensive $1,150 Brief Flat or Hourly Fee Set by Contractor 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 Experience and Community Based Assessment
History TWE and CBA services are similar and were originally grouped together and purchased as Trial Work Experience. Separated in contract and the services were purchased at different times in the VR process.

24 Changes to Trial Work Experience and 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 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
Level 1 $1,000 Level 2 $2,000 Level 3 $3,000 Permanent Employment Bonus $600 (for CBAs only) Healthcare Coverage Bonus The Permanent Placement Fee does not apply for 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.

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. The Permanent Placement Fee does not apply for TWE

33 Community Based Assessment (CBA) Healthcare Coverage Bonus
Healthcare Coverage Bonus was tied to Job Placement in 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. 4/16/2012 – Added paystub to list of required proof of employment.

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 Services Levels 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 2 Job 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
Customers who need job placement assistance without additional on-the-job supports; OR

51 Job Placement Levels of Service Examples
The Contractor comes to DVR seeking a person with a disability to fill a position for an employer; Position is already available to the CRP; Requires little or no job development

52 Job Placement Levels of Service Examples
Level 2 Customers 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.

53 Level 3 Job Placement Services Customized Job Placement
For DVR Customers who will require a CRP to: Directly perform all aspects of the Customer’s job placement activities; and Perform “job carving” due to the Customer’s inability to perform all regularly specified essential functions of a job.

54 Job Placement Levels of Service Examples
Customers who may require ongoing Supported Employment services or require Customized Employment.

55 Job Placement Levels of Service Examples
Customized Employment or “Job Carving” is different than a job already available to the CRP;

56 Job Placement Levels of Service Examples
Customized Employment or “Job Carving” Customized employment is a process for individualizing the employment relationship, including the responsibilities and requirements of the job, between a job seeker and/or employee and an employer in ways that meet the needs of both; and

57 Job Placement Levels of Service Examples
Customized Employment or “Job Carving” Is based on an individualized negotiation that addresses the strengths, conditions and interests of the job seeker and/or employee and the identified business needs of the employer, based on strategies such as supported employment, job development and job restructuring (job carving).

58 Job Placement with the Contractor
Unlike TWEs and CBAs, DVR does not pay for job placement at any entity owned or operated by the Contractor.

59 Job Placement Consideration
Level Intake Activity Outcome Maximum 1 $120 $300 $780 $1,200 2 $240 $600 $1,560 $2,400 3 $360 $900 $2,340 $3,600 Healthcare Coverage Bonus The Permanent Placement Fee does not apply for TWE

60 Healthcare Coverage Bonus
If a Customer attains a full-time permanent, integrated, and competitive employment placement that includes standard employer health care benefits that all employees would receive as a condition of employment, the Contractor will be paid an additional $600 Bonus. Healthcare Coverage Bonus will be paid upon successful completion of Job Placement. Payment of Bonus does not have to wait until Healthcare Benefits go into effect. The Permanent Placement Fee does not apply for TWE

61 Intensive Training Services

62 Intensive Training Services
Definition One-on-one job skills training and support provided at the supported employment job site that enables the Customer to: Attain job stabilization in on-the-job performance, with job supports; Meet their employer’s expected levels of work productivity; and Transition to long-term Extended Services provided by an entity other than DVR.

63 Intensive Training Services
Are only for DVR Customers who: Have an employment goal that requires supported employment; Are working in a paid integrated and competitive employment setting; and Need to achieve job stabilization in their on-the-job performance in order to transition to long-term Extended Services provided by an entity other than DVR.

64 Intensive Training Services
Outcome The Customer attains job stabilization in on-the-job performance, either with or without job supports.

65 Unique Considerations for Intensive Training Service Levels
Availability of Extended Services; Anticipated time for Customer to achieve job stabilization; Availability of natural supports; Work Schedule (days, hours, etc.); Job location;

66 Unique Considerations for Intensive Training Service Levels
Structure on the job; Training modifications; Employer expectations; Required Job Coach time; and Individual’s work behaviors.

67 Intensive Training Levels of Service and Consideration
Intake Outcome Maximum 1 $375 $1,125 $1,500 2 $750 $2,250 $3,000 3 $3,375 $4,500 Intake increased from 15% to 25% Of Total Maximum Fee The Permanent Placement Fee does not apply for TWE

68 Job Retention Services

69 Job Retention Services
Definition Direct on-the-job individualized training services that enables a Customer to learn essential functions of the job and meet their employer’s expected level of job performance without CRP support and achieve successful closure. Outcome Job Retention is accomplished when the Customer has been in placement at least 90 days after Job Retention is authorized.

70 Job Retention Services
Are authorized if DVR and the Customer determine additional supports are needed after Job Placement to ensure the Customer learns essential job functions and retains their employment for at least 90 calendar days after Job Retention services are authorized. Job Retention Services are NOT authorized for Customers with an employment goal that requires Supported Employment.

71 Unique Considerations for Job Retention Levels of Service
Work Schedule (days, hours, etc.); Job location; Structure of the job; Training modifications; Employer expectations; Required Job Coach Time; and Individual’s work behaviors.

72 Job Retention Levels of Service and Consideration
Intake Outcome Maximum 1 $225 $1,275 $1,500 2 $450 $2,550 $3,000 3 $675 $3,825 $4,500 The Permanent Placement Fee does not apply for TWE

73 Contracting For Services
The Contractor and DVR enter into a contract that is legally binding on both parties. Because the contract is legally binding, day-to-day practices must follow the contract.

74 First Things First Neither DVR nor the Contractor may perform their specific responsibilities under this Contract unless: DVR has issued the Contractor an AFP for provision of CRP services; and DVR, the DVR Customer, and the Contractor have fully completed and signed a DVR SDOP for the specific service(s) to be provided. 4/16/2012 – Note: VRCs have 5 working days after giving a verbal agreement for services to get paperwork (AFP and SDOP) in place and signed.

75 First Things First If an emergency situation exists and a verbal agreement is made by the VRC with the CRP to begin services before an SDOP and AFP can be developed, the VRC has 5 working days after giving the verbal agreement to get the AFP and SDOP in place and signed. 4/16/2012 – Note: VRCs have 5 working days after giving a verbal agreement for services to get paperwork (AFP and SDOP) in place and signed.

76 A Good Service Delivery Outcome Plan
Clear, detailed expectations of the Contractor, Customer, and Counselor; Will specify who is responsible for each detail on the SDOP; Will have timelines in place; and

77 A Good Service Delivery Outcome Plan
It is expected that the VR counselor will: Inform customers and CRPs involved with job placement about the Work Opportunity Tax Credit (WOTC) and Welfare to Work (WtW) Tax Credit; Specify in the SDOP that the CRPs involved in job placement will share information about WOTC (and if appropriate WtW) with potential employers.

78 Payment Structure All services, with the exception of Vocational Evaluations have multiple payment points. Payment Points are merely the Maximum Total Fee divided into 2 or 3 payments over the course of service delivery as specified in the contract.

79 Payment Structure If successful service delivery occurs, payment points should always add up to the Maximum Total Fee. Anytime a new SDOP is developed it is considered a new service and the Contractor is entitled to all payment points for the service, regardless of how many times the service was provided before.

80 Partial Payments If for reasons outside of the Contractor’s control any service is not completed, a partial payment can be approved for up to a maximum of fifty (50%) percent of the authorized Maximum Total Fee. Partial payments can only be approved by the unit supervisor after review of the Contractor’s reasons. Any payments made before the partial payment is approved must be deducted from the amount of the partial payment, which cannot exceed 50% of the Maximum Total Fee.

81 Partial Payments Example
Job Placement Level 2 Total Maximum Fee - $2,400 Intake Fee of $120 is paid Activity Fee of $600 is paid Remaining balance to be paid upon successful delivery is $1,680 Half of total fee is $1,200 (partial payment) Deduct Intake Fee and Activity Fee from the partial payment $1,200 - $120 - $600 = $480 (remaining balance of partial payment) Remaining balance + Activity Fee + Intake = $ $600 $= $1200 (50% of Maximum Total Fee)

82 When Security Levels are Needed for DVR Customers
If a DVR Customer needs security clearance for a job DVR will pay for any costs associated with obtaining the security clearance.

83 When Security Levels are Needed for CRP Employees
The CRP must ensure that CRP employees providing services under such circumstances has passed the security clearance; OR The CRP must find a staff person who can pass the security clearance. If the CRPs staff cannot provide on site services, the DVR Customer must choose another CRP who can access locations where a security clearance is required.

84 Developmentally Disabled Customers served by DVR and DDD
With the budget cuts DVR and DDD will need to be in closer communication regarding Long-Term Extended Supports available to DD Customers. Andres Aguirre and Linda Rolfe are working on strategies to collaboratively serve these mutual Customers.

85 When to End Services Progress vs. Resources
Identified by the CRP Advisory Workgroup as an issue; When either the CRP or VRC feel that progress is not being made, a meeting should be held to discuss possible solutions for moving the case forward; or Decide steps to be taken to determine if the Customer can benefit from continuing services. Meeting request can be initiated by either party.

86 Training DVR intends to: Invite CRPs to DVR sponsored training events;
Seek opportunities to provide additional trainings to Contractors.

87 Questions? 4/16/2012 Silverdale –
CBA Permanent Employment Bonus can be paid if there is a job by the end of the CBA or a job offer with a start date within 2 weeks of the end of the CBA. If not, it would go to Job Placement Services to keep moving forward with case. Bonus will not be paid until customer is actually employed.

88 Resources DVR Background Check Form
DVR Community Rehabilitation Programs Office of Deaf and Hard of Hearing (For Sign Language Interpreters)

89 Resources Office of Financial Management (Statewide Payee Registration Desk) Phone: (360) ; Fax: (360) ; Department of Revenue Business Licensing Service (information on business licenses) Secretary of State (Registration for organizations other than sole proprietors)

90 DVR Contacts Andres Aguirre Interim Director (360) 725-3610
Vicki Sprague Contracts Coordinator (360) Jonathan Sutter Contracts Assistant (360) Danny Pratt Contracts Specialist (360)


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