Program Monitoring Unit PRESENTS:

1
Program Monitoring Unit PRESENTS

• Supported Employment (S.E.)
• Policy 131000

2
Our Objectives Today

• Review Supported Employment Basics
• Talk about the NEW WAY of doing business in the
  Supported Employment arena
• Please note Any Questions related to the RFA
  process can not be addressed here.
• PLEASE refer your questions about the RFA to
  VESIDSERFA_at_mail.nysed.gov.
• Questions and Answers

3
Our Objectives Today

• Required VESID procedures
• What will be required in the new SE authorization
  process

4
Our Objectives Today

• Instruction on the monthly and NYISER reporting
  processes.
• Additional training will be conducted early this
  fall in the SE reimbursement process, prior to
  the time when the SE contracts will be providing
  their first reimbursements.

5
Whats Changed

• Referral
• Comprehensive Assessment vs.
  Situational Assessment
• IPE Development
• Items Requiring Waivers
• Format of Periodic Reviews
• Reporting Specific to the Individual Consumer

6
Whats Changed

• Case Status Recording Requirements
• CBVH ONLY No Coding Needed for Non-contract
  Services
• Case Service Codes
• Program Codes
• Stabilization

7
RELATED VESID POLICIES

•     010.00 Employment Outcome
•     200.00 Referral and Applying for
  Services
•     202.00 Eligibility for Services
•     204.00 Assessment
•     205.00 Significance of Disability
•     206.00 Individualized Plan for Employment
•     435.00 Post-Employment Services (PES)
• 1310.00 Supported Employment

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VESID WEBSITE

• www.vesid.nysed.gov/policies/index.htm
• www.vesid.nysed.gov/supportedemployment

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SUPPORTED EMPLOYMENT.

• What is Supported Employment?

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SUPPORTED EMPLOYMENT.

• What is Supported Employment?

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S.E. includes the following

• Pre-employment services
• Intensive onsite training/intervention
• Off-site interventions
• Ongoing services throughout the term of
  employment
• Services to employers

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How is Supported Employment Obtained
Maintained ??

• This employment outcome is obtained by providing
  Intensive services, and
• is maintained through the provision of Extended
  services.

13
WHAT FORMS OR MODELS CAN S.E. TAKE ???

• Individual Placements
• Enclaves
• Mobile Work Crews
• Affirmative Business
• Transitional Employment Programs (TEP)

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How does VESID pay for S.E. ?

• Beginning 07/01/04, by CONTRACT ONLY

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Why do we need S.E. ?

• The concept of Mainstreaming means a seamless
  transition into the adult world of work
• Segregated environments are not acceptable
• This created a paradigm shift

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The S.E. paradigm shift from

• TRAIN-PLACE-TRAIN
• to
• PLACE-THEN-TRAIN

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The need for ongoing servicesbecomes apparent

• Individuals with the most significant
  disabilities demonstrate difficulty maintaining
  learned skills over time

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Whats Changed

• Referral
• From VESID to providers
• From CBVH to providers
• From providers other community sources to VESID
  and CBVH

19
Whats Changed

• Referrals to be verified consumer meets its
  contract requirements
• Verify your documents
• Functional limitations are listed
• Consumer represents the population your agency is
  approved to serve.

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Whats Changed

• Referral
• Comprehensive Assessment vs. Situational
  Assessment
• IPE Development
• Items Requiring Waivers
• Periodic Review and
• Reporting Specific to the Individual Consumer

21
Whats Changed

• Referral
• Comprehensive Assessment vs. Situational
  Assessment
• IPE Development
• Items Requiring Waivers
• Periodic Review and
• Reporting Specific to the Individual Consumer

22
Whats Changed

• IPE DevelopmentCounselors will have specific
  data needed to prepare the IPE in a Reference
  Chart

23
Whats Changed

• The Reference Chart will provide the
• Start and end dates on the authorization
• Start and end dates for the second year of
  service.
• What to do,if the contract is not available when
  the authorization is prepared.

24
Whats Changed

• Using the Supported Employment Reference Chart to
  determine
• How many hours of service to authorize?

25
Whats Changed

• PLEASE NOTE!!!
• The CaMS referral form is NOT an authorization
  for provision of SE services
• The VRC is to note on the IPE THE SOURCE of
  EXTENDED services fundingthis occurs at the time
  Intensive SE services are planned

26
Whats Changed

• IPE
• Elements the VESID Counselor MUST address in the
  IPE
• Employment Goal description
• Title of competitive job

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What happens when the SE Goal checkbox is
selected??

• CaMs
• Enables the Extended SE Tab

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Completing the Service Categories Section

• The Extended services provider and the funding
  source must be specified, if known, on the
  Extended Services TAB.
• Additionally, the counselor should check any
  other services that the consumer needs to reach
  the employment outcome.

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Casenoting

• The VESID counselors case note in the Case
  Record Development of the Original IPE
• (Case Record IPE Development For Changes Case
  Note if it is not the original IPE).

30
Whats Changed Provision of Contracted
Services and Case Service Codes

• Case Service Codes (CSC) for SE
• 566X
• 567X
• 568X
• 569X
• Use these for Status 18 and 32.

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Case Service Code 566X Pre-Employment SE
Services

• Screening
• Assessment (situational assessment)
• Assessing the Individual
• Advocating
• Job Development/Placement
• Staff Report Writing
• Staff Travel

32
Case Service Code 567X

• On Site (at the work site)Intensive SE
  Interventions

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Case Service Code 568X

• Hours of Off-Site Intervention (applies only when
  the individual is employed).

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Case Service Code 569X

• An all inclusive code for Hours of SE Services
  provided via SE contract.

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Whats

• No Coding Needed for Non-contract Services
• VESID
• CBVH Caveat

36
Whats Changed

• Referral
• Comprehensive Assessment vs. Situational
  Assessment
• IPE Development
• Items Requiring Waivers
• there are 3 situations that require Written
  Waivers
• Periodic Review and
• Reporting Specific to the Individual Consumer

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Consumer FIRST.

• All service exceptions are based on consumer
  need.
• Counselor MUST notify the provider in writing

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Whats Changed

• Reporting Specific to the Individual Consumer
• Periodic Review
• VES-416, Supported Employment Consumer Monthly
  Progress Report.
• Quarterly New York Interagency Supported
  Employment Report, and
• Monthly Program Status Report

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The Role of the VES-416

• Consumer MONTHLY Progress REPORT for
  Reimbursements
• Payment for the first contract quarter of the New
  Supported Employment contract
• July 1 to September 30,2004

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Effective October 31, 2004

• Effective with payments through October 31, 2004,
• all reimbursements for Supported Employment
  Intensive services will be based on the
  VES-416/Consumer Monthly Progress Report

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NYISER

• The role for NYISER in the new system

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EFFECTIVE onNovember 1, 2004

• Effective November 1, 2004, VESID will use a
  web-based system for the VES-416.
• VESID will provide an online summary of VES-416
  data to each provider.

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On Line VES-416 Report

• As a result of the online VES-416 report, VESID
  will be able to provide MONTHLY reimbursement to
  providers of Intensive supported employment
  services.
• The planned September 2004 training will include
  all aspects of this process including
  documentation required for reimbursement.

44
VESIDs VRC Role

• VESID counselors must review the provider monthly
  reports for individual consumers and take
  necessary action to assure progress towards a
  satisfactory completion of the IPE.

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REQUIRED!

• NYISER quarterly reports are also required for
  all individuals in supported employment, both
  Intensive and Extended, and regardless of funding
  source.

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MISSING INFO _at_ NYISER !!!!

• The provider is to call
• Vincent Paruolo _at_
• 518-474-2716
• OR
• E-mail vparuolo_at_mail.nysed.gov
•  

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NYISER REPORTING

• Uses for NYISER reporting.

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IMPORTANT TIMELY

• The VES-416 NYISER data must be completed in a
  timely and accurate fashion
• Will ensure ongoing reimbursements to programs
• VESID will verify

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PROVIDERS.you MUST

• Send Monthly Program Status report to VESID for
• July
• August September of 2004

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WEB-BASEDVES-416 start up.

• The need for the MONTHLY PROGRAM STATUS REPORT
  will end beginning October 2004.

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INTENSIVE TRAINING

• Using the VES-416 to Report Activities During
  Intensive Training.

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Using the VES-416

• Using the VES-416 to report the focus of the plan
  for the month.
• Using the VES-416 to report job development
  activities.
• Using the VES-416 to report Information on the
  job and employer
• Using the VES-416 upon placement in a suitable
  job.

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Determining Stabilization

• Using the VES-416 To assist in determining
  stabilization.
• If stabilization has not occurred, the provider
  is to enter the projected stabilization date in
  preparation for entry into Extended services.

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Language

• Stabilization
• How can you determine that a consumer has
  stabilized on the job?

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PROVIDER GUIDELINES contain

• The Provider Guidelines for Supported Employment
  contain
• other areas these reports should address
  including details of the expected package of
  services needed in Extended services.

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VESID PROCEDURES Provider Guidelines describe

• What additional reports should contain
  information on 
• Situational Assessment Reports
• Job Development and Placement Reports
• Job Site and Worker Compatibility Analysis
  Reports

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Whats Changed

• Case Status Recording Requirements
• Status 18, Training

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Whats Required

• Case Status Recording Requirements
• Status 22 - In Employment.
•  

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Whats Required

• Case Status Recording Requirements
• Status 26 - Rehabilitated.
•  

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S.E. CASE CLOSURE INFO

• For Work Status
• For Competitive Employment
• Check NO if ...

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Whats the Difference ?

• Comprehensive Assessment vs. Situational
  Assessment
• How can you determine if a consumer is
  appropriate for supported employment ?

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Whats the Difference ?

• Situational Assessment is usually provided under
  contract for Intensive Supported Employment
  services.
• Comprehensive Community-based evaluation

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 APPROPRIATE STUDENTS

• How can the VRC determine if a student with Most
  Significant Disabilities leaving school is
  appropriate for supported employment?

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PLEASE NOTE
ONCE A COMPREHENSIVE ASSESSMENT HAS DETERMINED
THAT SUPPORTED EMPLOYMENT IS THE APPROPRIATE
SERVICE FOR THE CONSUMER A SEPARATE FUNDED
ASSESSMENT , FOR EXAMPLE A SITUATIONAL
ASSESSMENT , CANNOT BE PROVIDED OUTSIDE OF THE
SUPPORTED EMPLOYMENT CONTRACT.
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PMU SAMPLE MONITORING INSTRUMENTS

• a. Scheduling Package for reviews
• b. Form used when interviewing consumers

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PMU SAMPLE MONITORING INSTRUMENTS

• c. Site Visit Report for Supported Employment
• d.Letters for transmitting report on the review

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WRAP UP

• QUESTIONS

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SUPPORTED EMPLOYMENT