Kansas Rehabilitation Services

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Kansas Rehabilitation Services

• Payment-for-Performance
• Contracted Service Regional Training
• June 11, 2008

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Kansas Department of Social and Rehabilitation
ServicesTo protect children and promote adult
self-sufficiency

• Kansas Rehabilitation Services
• Working in partnership with Kansans with
  disabilities to achieve their goals for
  employment and independence

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Two Major Organization Initiatives

• Kansas Department of Social and Rehabilitation
  Services (SRS)
• Strategic Plan

• Kansas Rehabilitation Services (KRS)
• FFY 2008 2010
• State Plan

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SRS Strategic direction leads to

• keeping customer outcomes at the core of all our
  efforts.
• improving productivity nurtured by changes in
  technology and intentional capacity-building of
  employees.
• promoting innovative and integrated approaches to
  customer needs.
• using evidence-based practices to foster success
  in all arenas.
• empowering staff to exercise appropriate
  professional
• judgment to serve customers holistically.
• supporting customers self-determination as the
  guide for decision-making.

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KRS State Plan Goals and priorities

• Kansans with disabilities will achieve quality
  employment and self-sufficiency
• KRS, its providers and partners will be
  accountable for achievement of employment and
  effective use of resources
• KRS will emphasize the employment potential of
  students with disabilities and improve
  outreach and outcomes for transition-aged
  students
• KRS will emphasize meaningful involvement of
  people with disabilities, public/private
  partners, employers and other stakeholders in KRS
  programs, services and activities

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KRS Payment for Performance modifications

• Made systemic changes to meet consumer needs
  while addressing the Federal standards
• Clarification of roles and responsibilities for
  the consumer, contractor and counselor
• Collaboration with community partners
• New services developed to improve
  individualization
• Development of accountability benchmarks
• Increased and built in required communication
  points
•  
•  

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PAYMENT-FOR-PERFORMANCE

• All services are intended to lead to, support or
  enhance successful employment
• Services are individualized, variation may be
  approved through the RS exception process
• Referral for one service does not guarantee any
  other services will be authorized to the
  contractor.
• With a 15 day written notice either party can
  withdraw from individual services

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PAYMENT-FOR-PERFOMANCE CONTRACTED SERVICES

• Vocational Assessment
• Independent Living Assessment
• Community Based Work Assessment
• Assistive Technology Assessment

• Assistive Technology Services
• Rehabilitation Engineering
• Job Preparation
• Guided Placement
• Customized Placement
• Job Coaching
• Community-Based Job Try Out

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PAYMENT-FOR-PERFOMANCE SERVICES CONTRACTED
SERVICE CODES

• Vocational Assessment - CODE 150
• Independent Living Assessment CODE 160
• Community Based Work Assessment CODE 155
• Assistive Technology Assessment CODE 180
• (3 LEVELS)

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PAYMENT-FOR-PERFOMANCE SERVICES CONTRACTED -
SERVICE CODES

• Assistive Technology - CODE 417
• 
  (3 LEVELS)
• Rehabilitation Engineering CODE 417
• 
  (3 LEVELS)
• Job Preparation Level 1 CODE 555
• (Action Plan, Monthly Payment)
• Job Preparation Level 2 CODE 556
• 
  (Action Plan, Monthly payment)

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JOB FINDING SERVICE CODE - 610

• Use when developing IPE and not clear level of
  placement service need
• Use to identify Self-Directed Placement

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PAYMENT-FOR-PERFOMANCE SERVICES CONTRACTED
SERVICE CODES

• Guided Placement CODE 609
• (Action Plan and Monthly Payment)
• Customized Placement 6 Component Codes
• 614 Job Development/Action Plan
• 615 Placement
• 616 Stabilization (SE IPE Only)
• 617 45 Days
• 618 Extended Plan (SE IPE Only)
• 619 Closure

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PAYMENT-FOR-PERFOMANCE SERVICES CONTRACTED -
SERVICE CODES

• Job Coaching CODE 575
• (Two
  levels)
• Community-Based Job Try Out CODE 655

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(No Transcript)
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KRS Payment for Performance Referral Process

• Consumer and counselor
• decide on type of service to meet the consumers
  need
• review providers that can provide the service
• Consumer and counselor make selection of
  service provider
• Counselor completes KRS Referral Form
• Contractor agrees to accept referral
•  

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KRS Payment for Performance Referral Process

• Contracted Service Referral Form

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KRS Payment for Performance Referral Process

• Action Plan Format

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KRS Payment for Performance Referral Process

• Action Plan Report Format

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KRS Payment for Performance Case Study

• Jason
• Information
• Referral Form

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KRS Payment for Performance Case Study

• Jasons Action Plan

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KRS Payment for Performance Case Study

• Mary and Lilly

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Payment-for-Performance Contracted Services

• Wendy Parent, Ph.D.

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How do I determine who is a candidate for SE
level of service need?

• If you can answer yes to the following
  questions
• Does the individual have a severe disability?
• Does the individual require specialized placement
  services in order to gain employment?
• Does the individual require on-going support
  services to maintain employment?

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Other things to consider. . .

• Has competitive employment not traditionally
  occurred for this individual?
• Has competitive employment been intermittent for
  this person?
• Remember, an individual might need placement
  training support without on-going follow-along.
• Note Do you need more information?
• Conduct a supplemental evaluation for
  rehabilitation potential of SE, such as a
  community-based work assessment.

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What is the role of the RC in supported
employment services?

• Marketing SE services
• Referring the correct persons
• Coordinating service needs
• Providing leadership and participating in
  problem-solving
• Monitoring the quality of each placement and
  amount/use of dollars
• Selecting the best on-going support arrangement
• Evaluating satisfaction
• The more active role that the counselor
  takes..the better the chance the placement will
  run smoothly and immediate replacement will not
  be an issue.

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How can I critically analyze SE vendor services?

• Develop an action plan with clear objectives
• Understand intervention patterns
• Become knowledgeable of instructional techniques
• Request implementation data
• Task analysis
• Instructional plan
• TA and production data
• Supervisor evaluations
• Fading schedule (preset level/no. of trials)
• Plan for transitioning to follow-along
• Summary and progress reports

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How do I know whether to add or modify services
or hours or if it is an inappropriate placement?

• Look at the data!!!!
• Go back to the objectives in the individualized
  plan
• What is keeping them on (or off) the job?
• What type of training and job coach hours have
  been provided?
• What is the nature of the problem?
• What is the plan to address the problem?
• Is the outcome and criteria for success clearly
  stated?
• Actively participate in brainstorming solutions

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How do I address job retention beyond the point
of closure?

• Remember job retention services through on-going
  support are the hallmark of SE
• Look at an SE vendors follow-along services and
  retention track record
• Build retention strategies in all phases of the
  SE process
• Be sure to place an emphasis on the front end of
  service delivery insure a good job match
• Make sure systematic training approaches are
  utilized be consistent
• Develop an Extended Service Plan

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For more information, contact

• Wendy Parent
• Kansas University Center on Developmental
  Disabilities
• University of Kansas
• 1000 Sunnyside Avenue, Room 1052
• Lawrence, KS 66045
• [phone]
• wparent_at_ku.edu

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KRS Payment for Performance

• Provider Agreements
• Transition from current services
• RS Listserve

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KRS Payment for Performance

• Questions?
• Other Topics?

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• Payment-for-Performance
• Contracted Services
• Review the new service descriptions and updated
  information at
• http//www.srskansas.org/rehab/text/Contractor/Ser
  vice_descriptions-July08.htm
• Email specific questions to Mike.Ahlers_at_srs.ks.go
  v