|
||||||||||||||||||||
DIVISION OF BLIND SERVICES VOCATIONAL REHABILITATION PROGRAM PROCEDURE MANUAL Processing Referrals and Applications Assessment for Determining Eligibility and Priority for Services Basic Eligibility Requirements Eligibility Determination Timeframes Achievement of an Employment Outcome Extended Evaluation of Individuals with Significant Disabilities Presumption of Eligibility for Social Security Beneficiaries Review and Assessment of Data for Eligibility Determination Closures Without an Eligibility Determination Development of the Individualized Plan for Employment (IPE) Options for Development of an IPE Preparation of IPE Without a Comprehensive Assessment Preparation of an IPE Based on a Comprehensive Assessment The Individualized Plan for Employment IPE Review and Amendment Processes Scope of Vocational Rehabilitation Services Economic Need Eligibility for Vocational Rehabilitation Services Economic Need Eligibility for Social Security Beneficiaries Services Provided Without Regard to Economic Need Services Based on Economic Need Assessment Services for Determining Eligibility Assessment for Determining Vocational Rehabilitation Needs Vocational Rehabilitation Counseling and Guidance Diagnosis and Treatment of Physical and Mental Impairments Provision of Services During Pregnancy Rehabilitation Center Training Other Division Training Programs Business, Vocational, and Technical Schools Books, Tools, and Other Training Materials Maintenance for Rehab Center Attendees Maintenance for College Students Interpreter Services for Individuals Who are Deaf or Deaf-Blind Rehabilitation Teaching Services Orientation and Mobility Services Job Search and Placement Assistance; Job Retention Services Job Search and Placement Assistance Small Business and Self-Employment Occupational Licenses, Tools, Equipment, Initial Stocks, and Supplies Rehabilitation Technology Devices and Services Provision of Equipment and Computer Software Upgrades Comparable Services and Benefits Review of Extended Employment in Community Rehabilitation Programs or Other Employment Individuals Determined to Achieved and Employment Outcome Review of DBS Personnel Determinations and Consumer Rights Notification Impartial Due Process Hearing Procedures Client Confidentiality and Privacy Vocational Rehabilitation Program Definitions Appropriate Modes of Communication Community Rehabilitation Program Comparable Services and Benefits Diagnosis and Treatment of Physical and Mental Impairments Individual With a Most Significant Disability Individual With a Significant Disability Substantial Impediment to Employment Vocational Rehabilitation Documentation Statement of Justification for Comprehensive Assessment Plan Statement of Justification for Trial Work or Extended Evaluation Plan Post-Employment Outcome Summary CRIS File Documentation Requirements Paper File Documentation Requirements Vocational Rehabilitation Process Outline Referral and Application Process Eligibility and Program Development Process Individualized Plan for Employment Trial Work or Extended Evaluation Plan of Service Trial Work/Extended Evaluation Process Business Enterprise Program, Referral, Training and Placement Phases The Mission of the Vocational Rehabilitation Program is to provide opportunities for individuals who are blind and visually impaired, enabling them to improve and develop skills necessary for obtaining or maintaining employment. 1.0 PROCESSING REFERRALS AND APPLICATIONS1.1 ReferralsWhen a referral is received, a reasonable effort must be made to contact the individual and inform him/her of application requirements and to gather information necessary to initiate an assessment for determining eligibility. The rehabilitation technician or district office designee is responsible for this process and must demonstrate that an effort has been made to contact the individual within 10 working days of receipt of the referral. NOTE: Once the referral/application has been received and entered in the CRIS system, an introductory letter should be completed in the CRIS Write Client Letters Function, recorded in the activity history, printed, signed and mailed to the applicant by Rehab Tech or designee. A printed copy should be included in the paper record of service. 1.2 ApplicationsAn individual is considered to have applied for services when s/he or the individual’s representative; as appropriate Has completed and signed an agency application or has otherwise requested services (in writing or orally); or has completed a common intake form in a One-Stop center requesting vocational rehabilitation services. Has provided information necessary to initiate an assessment to determine eligibility. Is available to complete the assessment process. NOTE: An initial interview with the applicant must take place once the application has been received and assigned to the Rehab Specialist. The Rehab Specialist must use the Initial Interview Format as a guide during the face to face initial interview process. The Initial Interview Format is located in the CRIS Write Client Letters Function. 2.0 ASSESSMENT FOR DETERMINING ELIGIBILITY AND PRIORITY FOR SERVICES (34 CFR 361.42)2.1 Basic Eligibility RequirementsAn assessment for determining eligibility must be conducted for each applicant in the most integrated setting possible, consistent with the individual’s needs and informed choice. Determination of an applicant’s eligibility for vocational rehabilitation services must be based only on the following criteria:
Note: Only a Rehabilitation Specialist, Supervisor or District Administrator may make determinations of eligibility. In cases where a rehabilitation technician determines that a bilateral visual impairment does not exist, approval of an ineligibility determination must be obtained from the Supervisor or District Administrator prior to closure. 2.1.1 Eligibility Determination TimeframesEligibility determinations must be made within 60 days after the individual has submitted an application unless: Exceptional and unforeseen circumstances beyond the control of the agency preclude a determination within 60 days and the individual agrees to a specific extension of time; or An exploration of the individual’s abilities, capabilities, and capacity to perform in work situations or an extended evaluation is being conducted (see Sections 2.2.1 and 2.3). NOTE: When exceptions to this time period are necessary, the case file should clearly document applicant involvement and agreement to a specific extension of time and the length of time agreed upon by the agency and the individual. This should be documented in the comment section of the Status Function of the CRIS case file. 2.1.2 Achievement of an Employment OutcomeAny eligible individual, including an individual whose eligibility for vocational rehabilitation services is based on the individual being eligible for Social Security benefits (see Section 2.4) must intend to achieve an employment outcome that is consistent with his/her unique strengths, resources, priorities, concerns, abilities, capabilities, interests, and informed choice. The rehabilitation technician and Rehabilitation Specialist are responsible for informing applicants that individuals who receive services under the vocational rehabilitation program must intend to achieve an employment outcome. NOTE: The individual’s completion of the application process for vocational rehabilitation services is sufficient evidence of his/her intent to achieve an employment outcome. No additional demonstration of intent on the part of the applicant is required. NOTE: All individuals requesting rehabilitation services that do not intend to pursue an employment outcome are to be served in the AP or IL programs. 2.2 Presumption of BenefitIt must be presumed that an applicant can benefit, in terms of an employment outcome, from vocational rehabilitation services unless it is demonstrated, based on clear and convincing evidence, that the applicant is incapable of benefiting in terms of an employment outcome due to the severity of the disability of the applicant. 2.2.1 Trial Work ExperiencesIn making the demonstration of clear and convincing evidence, an exploration must be conducted of the individual’s abilities, capabilities, and capacity to perform in realistic work situations. Such an exploration must involve the use of trial work experiences with appropriate supports provided by the Division including assistive technology devices and services and personal assistance services to accommodate the rehabilitation needs of the individual during the trial work experiences. The work experiences must be of sufficient variety and over a sufficient period of time to: Determine that there is sufficient evidence that the individual can benefit from the provision of vocational rehabilitation services in terms of an employment outcome; or Determine the existence of clear and convincing evidence that the individual is incapable of benefiting in terms of an employment outcome from VR services due to the severity of his/her disability. Trial work experiences include supported employment, on-the-job training, and other experiences using realistic work settings. A Trial Work Plan must be developed to assess the individual’s capabilities and capacity to perform in work situations through the use of trial work experiences. Such an assessment must be conducted in the most integrated setting possible, consistent with the informed choice and rehabilitation needs of the individual. Under limited circumstances, if an individual cannot take advantage of trial work experiences or if options for trial work experiences have been exhausted, before an ineligibility determination is made, an extended evaluation must be conducted as described in Section 2.3. 2.3 Extended Evaluation for Individuals with Significant DisabilitiesUnder limited circumstances, if an individual cannot take advantage of trial work experiences or if options for trial work experiences have been exhausted, an extended evaluation must be conducted to make an eligibility determination. During the extended evaluation period, vocational rehabilitation services must be provided in the most integrated setting possible, consistent with the informed choice and rehabilitation needs of the individual. An Extended Evaluation Plan must be developed for providing services necessary to make an eligibility determination, and only those services necessary to make the determination must be provided. 2.4 Presumption of Eligibility for Social Security Beneficiaries2.3 Limited Presumption for Social Security Beneficiaries Any applicant who has been determined eligible for Social Security benefits (SSI Disabled, SSI Blind, SSDI) under Title II or Title XVI of the Social Security Act is:
NOTE: Submission of an application for vocational rehabilitation services constitutes an individual’s intent to work. If an applicant asserts that he/she is eligible for Social Security benefits (SSI Disabled, SSI Blind, or SSDI), but is unable to provide appropriate evidence such as an award letter, the Rehabilitation Specialist must verify the applicant’s eligibility for Social Security benefits by contacting the Social Security Administration. This verification must be made within a reasonable period of time that enables an eligibility determination to be made within 60 days of the individual submitting an application. Exceptions to this presumption of eligibility may be made only when it can be demonstrated with clear and convincing evidence that the individual is incapable of benefiting in terms of an employment outcome from VR services due to the severity of his/her disability. This demonstration must be conducted as described in Section 2.2.1 or, as appropriate, Section 2.3. 2.5 Prohibited Factors2.4 Prohibited FactorsNo applicant will be found ineligible solely on the basis of the type of disability; and eligibility determinations will be made without regard to:
No residence requirements will exclude any individual who is present in the state from the provision of VR services. However, applicants for the vocational rehabilitation program must have legal status in the United States and be eligible to secure permanent work status (NOTE: Transition aged individuals must be legal residents and eligible to secure permanent work status by age 18). 2.6 Review and Assessment of Data for Eligibility DeterminationDetermination of each of the eligibility criteria must be based on:
Note: To the extent existing data do not describe the current functioning of the individual or are unavailable, insufficient, or inappropriate to make an eligibility determination, an assessment of additional data resulting from the provision of vocational rehabilitation services, including assistive technology devices and services and work site assessments, that are necessary to determine whether an individual is eligible. 2.7 Certificate of EligibilityA Certificate of Eligibility (see Section 13.1) is required for each individual determined to be eligible for vocational rehabilitation services. The certificate should be completed in the CRIS Write Client Letters Function, recorded in Activity History, printed, and signed by the Rehabilitation Specialist and/or Supervisor if Rehabilitation Specialist does not have Independent Status. A print copy should be included in the paper record of services. 3.0 INELIGIBILITY DETERMINATION (34 CFR 361.44)3.1 Ineligibility DeterminationIf it is determined that an applicant is ineligible for vocational rehabilitation services or that an individual receiving services under an Individualized Plan for Employment is no longer eligible for services, the Rehabilitation Specialist, Supervisor, or District Administrator must:
An ineligibility determination should be documented with a Certificate of Ineligibility (see Section 13.2) and Closure Letter in the individual’s record of service. The state office will initiate a review of all ineligibility determinations that are based on a finding that the individual is incapable of achieving an employment outcome within 12 months and annually thereafter if requested by the individual, or as appropriate, his/her representative. 3.2 Closures Without an Eligibility Determination3.2 Closures Without an Eligibility DeterminationAn individual’s case file may not be closed prior to making an eligibility determination unless:
Such a closure should be documented in the Status function of the applicant’s CRIS case file and notification of closure must be provided to the individual in writing or appropriate mode of communication that includes the applicant’s rights of appeal. Closure of a referral prior to receiving an application should be done in the Referral function of the CRIS file and does not require further documentation. 4.0 DEVELOPMENT OF THE INDIVIDUALIZED PLAN FOR EMPLOYMENT4.1 Procedural Requirements4.1 Procedural RequirementsAn Individualized Plan for Employment (IPE) must be designed to achieve an employment outcome that is consistent with the individual’s strengths, priorities, concerns, abilities, capabilities, career interests, resources and informed choice. The development of an IPE must occur within 30 working days of the Certification of Eligibility for Vocational Rehabilitation Services. All IPE’s must be reviewed and updated annually. In developing an individual’s IPE, the Rehabilitation Specialist must ensure that:
A copy of the IPE and its amendments is promptly provided to the individual or, as appropriate, his/her representative in the native language and/or mode of communication as requested by the individual or his/her representative. NOTE: Services on an IPE cannot be initiated until the IPE has been agreed to and signed by the consumer and Rehab Specialist or Supervisor if the Rehab Specialist does not have independent status. 4.2 Options for Development of an IPEAn eligible individual or, as appropriate, his/her representative must be provided in writing of the options for the development of an IPE. These options include:
Each eligible individual who selects options 2 or 3 must be provided the DBS Guidelines for Development of an Individualized Plan for Employment packet in the language and appropriate mode of communication of the individual’s choice. This information packet includes the following:
If an individual chooses to develop all or part of the IPE with assistance from another entity or independently, the IPE must be submitted in writing to the Rehabilitation Specialist in order to be considered for approval. Regardless of the development method chosen by the individual, the IPE must be:
4.3 Preparation of IPE without a Comprehensive AssessmentTo the extent possible, the employment outcome and the nature and scope of services to be included in the IPE must be determined based on the data used for the assessment of eligibility for vocational rehabilitation services. 4.4 Preparation of IPE Based on a Comprehensive Assessment.If additional data is necessary to prepare the IPE, a comprehensive assessment of the unique strengths, resources, priorities, concerns, abilities, capabilities, interests, and needs, including the need for supported employment services may be conducted. Such an assessment should be conducted in the most integrated setting possible; consistent with the individual’s informed choice. A comprehensive assessment must be limited to information that is necessary to identify the rehabilitation needs of the individual and to develop the IPE that may include:
In preparing an assessment for purposes of developing an IPE, existing information must be used to the maximum extent possible, including information that is:
4.5 Comprehensive Assessment IPEFor those individuals for whom some vocational rehabilitation service needs can be identified, but a long-term employment outcome is uncertain, a comprehensive assessment IPE may be developed for purposes of determining an employment outcome and other required VR services needed to reach an employment outcome. 4.6 Informed ChoiceAn individualized plan for employment should be developed and implemented in a manner that affords an eligible individual the opportunity to exercise informed choice. Informed choice should be exercised by the individual in selecting:
Note: If a client wishes to use a provider other than a contracted Community Rehabilitation Provider (CRP), client must provide justification in writing. It is the responsibility of the Rehabilitation Specialist to ensure that an eligible individual is provided or assisted in obtaining information necessary for an individual to make an informed choice about the specific vocational rehabilitation services, including providers of those services, that are needed to achieve his/her employment outcome. This information must include, at a minimum, information relating to the:
4.6.1 Methods or Sources for Facilitating Informed ChoiceThe following methods or sources may be utilized when assisting an individual in obtaining information necessary to make an informed choice regarding services or service providers:
5.0 THE INDIVIDUALIZED PLAN FOR EMPLOYMENT5.1 Content of the IPEAn Individualized Plan for Employment (IPE) must be developed for each eligible individual. The IPE outlines the individual’s employment outcome and the services that will be provided in order to accomplish the employment outcome. The IPE includes the following documents: The Plan (including the Vocational Goal Statement); and The IPE must include, as appropriate, statements concerning the following items. In parenthesis is the required CRIS documentation to ensure compliance with the federal regulations.
5.2 IPE SignatoriesThe individualized plan for employment must be:
5.3 IPE Review and Amendment ProcessesThe IPE must be reviewed, at a minimum, annually by the Rehabilitation Specialist and the individual or, as appropriate, his/her representative. As a result of the review, the IPE should be amended to reflect any substantive changes to the employment outcome, VR services, or service providers. The amendments will not take effect until agreed to and signed by the individual or, as appropriate, his /her representative and the Rehabilitation Specialist or Supervisor if the specialist does not have independent status. A copy of the Plan and Plan amendments, should be given to the individual in an accessible format and, if necessary, supplemented by an appropriate mode of communication. 6.0 RECORD OF SERVICESA record of services must be maintained for each applicant or eligible individual which includes the IPE documents as well as other documents which do not require the individual’s signature or that copies be provided to the individual, or as appropriate, his/her representative. The record of services includes, to the extent pertinent, the following documentation:
7.0 SCOPE OF VOCATIONAL REHABILITATION SERVICES (34 CFR 361.48)7.1 Economic Need Eligibility for Vocational Rehabilitation ServicesThe Division of Blind Services considers the financial need of eligible individuals or individuals who are receiving services during a trial work experience or an extended evaluation for purposes of determining the extent of their participation in the cost of vocational rehabilitation services. Financial need guidelines must be applied uniformly and equitably to all individuals requiring services which are based on economic need (See Section 7.5). To ensure this, an Economic Need Application (DBS-007) must be completed for all individuals who require vocational rehabilitation services that are based on economic need. NOTE: Economic eligibility is determined based upon the family unit on a reasonable basis, considering the financial responsibility of family members for each other. Even upon attaining the age of 18, when parents claim the client as a dependent on their income taxes, the client is considered to be a part of that family unit for the purposes of determining economic eligibility. 7.2 Economic Need Eligibility for Social Security BeneficiariesAll services must be provided without regard to financial need for individuals who have been determined eligible for Social Security Benefits (SSI Disable, SSI Blind, SSDI). 7.3 Economic Need ExceptionsThe District Administrator must approve all financial exceptions for individuals whose monthly income falls above the Total Available Income as calculated on form DBS-007 and outlined in the table below. The following criterion must be used when making an exception: The individual's expenditures for subsistence items (food, shelter, and clothing) must exceed 70% of the applicable gross monthly income. When the financial status of family unit results in the client being ineligible, and it is clearly demonstrated that the family unit will not or cannot provide financial support, the client will otherwise not receive appropriate services.
7.4 Services Provided Without Regard to Economic NeedThe following services should be provided without regard to economic need:
NOTE: All services must be provided WITHOUT regard to financial need for individuals who have been determined eligible for Social Security Benefits (SSI Disabled, SSI Blind, SSDI). 7.5 Services Based on Economic NeedThe following services should be provided with regard to economic need in accordance with the economic need guidelines. Diagnosis and treatment of physical and mental impairments including (See Division Policy 8.7) Corrective surgery or therapeutic treatment necessary to correct or substantially modify a physical or mental condition that constitutes a substantial impediment to employment, but is of such a nature that such correction or modification may reasonably be expected to eliminate or reduce such impediment to employment within a reasonable length of time; Necessary hospitalization in connection with surgery or treatment; Prosthetic and orthotic devices; Eyeglasses and visual services as prescribed by qualified personnel who meet State licensure laws and who are selected by the individual; Special services (including transplantation and dialysis), artificial kidneys, and supplies necessary for the treatment of individuals with end-stage renal disease; and Diagnosis and treatment for mental and emotional disorders by qualified personnel who meet State licensure laws; Maintenance for additional costs incurred while participating in an assessment for determining eligibility and vocational needs or while receiving services under an individualized plan for employment (See Section 7.13.1 for information related to maintenance for college students); Services to family members of an applicant or eligible individual if necessary to enable the applicant or eligible individual to achieve an employment outcome; and Post-employment services consisting of 1-3 necessary to assist an individual with a disability to retain, regain, or advance in employment. NOTE: All services must be provided WITHOUT regard to financial need for individuals who have been determined eligible for Social Security Benefits (SSI Disabled, SSI Blind, SSDI). 7.6 Assessment Services for Determining EligibilityVocational rehabilitation services should be provided in assessing an individual’s eligibility for services only if:
7.7 Assessment for Determining Vocational Rehabilitation NeedsTo the extent possible, the employment outcome and the nature and scope of services must be determined based on the data used for the assessment of eligibility. If additional data are necessary for determining vocational rehabilitation needs, an assessment should be conducted in the most integrated setting possible, consistent with the individual’s informed choice. Such an assessment must be limited to information that is necessary to identify the individual’s rehabilitation needs and may include, but is not limited to, the following vocational rehabilitation services:
7.8 Vocational Rehabilitation Counseling and GuidanceVocational rehabilitation counseling and guidance for individuals must be provided throughout the rehabilitation process. The goal of VR counseling and guidance is to assist the individual in obtaining, maintaining, regaining, or advancing in employment. Counseling and guidance should promote independence, enhance self-esteem, and assist individuals in making informed choices regarding their rehabilitation. Counseling and guidance includes information and support services to assist an individual in exercising informed choice. (i.e. career center materials, screening instruments, one-to-one counseling sessions, job-tryouts, job-shadowing, volunteering, and employability skills classes). 7.9 Referral ServicesAll individuals should be provided with referral and other services designed to assist them in securing needed services from other agencies. Programs funded by other federal programs should be utilized whenever possible as specified in section 8.0 "Comparable Services and Benefits". 7.10 Diagnosis and treatment of physical and mental impairments(See Definition 12.8) should be provided to the extent necessary for an individual to achieve maximum vocational potential for obtaining an employment outcome (See Division Policy 8.7). Emphasis should be placed on sight restoration services or medical intervention to prevent further loss of vision. (Experimental eye, physical, or mental restoration services must not be sponsored by DBS.) NOTE: The Rehabilitation Center is exempt from seeking comparable services and benefits for the provision of emergency medical services while an individual is in training at the Center. 7.10.1 Intercurrent IllnessTreatment of an illness, which occurs during the course of an individualized plan for employment that prevents participation in the program, may be sponsored for an eligible individual. An IPE amendment must be written to include services for intercurrent illness treatment. Minor physical ailments that do not interfere with participation in an individualized plan for employment cannot be considered intercurrent illnesses, and other comparable services and benefits or individual resources should sponsor treatment. 7.10.2 Dental ServicesAn individual may be provided dental services if the dental condition is a substantial impediment to employment and meets one or all of the following criteria:
7.10.3 Provision of Services during PregnancyThere is no established policy that precludes continuing services under an IPE during pregnancy. Medical services related to pregnancy should be provided through comparable benefits and services or individual resources. If it is determined that a pregnant individual cannot or does not wish to pursue her employment outcome after delivery, services should be discontinued. 7.10.4 Eye SurgeryWhen an eye condition presents an impediment to employment, DBS may provide for surgery or other medical treatment. In addition, the IPE should reflect eye medical services. 7.11 Vocational and Other TrainingDBS provides vocational and other training services including personal adjustment, vocational, and any other organized training that is necessary for the individual to meet his/her employment outcome as outlined on the IPE. Progress reports from the training provider are required throughout the training period (Example: semester grade reports, CPR monthly training reports). All training facilities used must be in compliance with Title VI of the Civil Rights Act, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act. In order to participate in DBS sponsored training, an individual must meet the following criteria:
7.11.1 Post-Secondary Training.Post-secondary training may be sponsored by DBS if the individual requires such training to obtain his/her employment outcome. The following guidelines must be followed when determining the level of DBS sponsorship for post-secondary training:
The District Administrator given the rehabilitation needs of the individual may approve exceptions to 1 and 2. If an individual chooses an out-of-state institution at a higher cost than an in-state institution and if either institution can meet the individual’s rehabilitation needs, DBS will only sponsor fees at the in-state rate. The individual will be responsible for all fees in excess of the cost of the in-state fees. No training or training services in an institution of higher education may be sponsored by DBS unless maximum efforts have been made by the Rehabilitation Specialist and the individual to secure grant assistance in whole or in part from other sources. An individual must maintain the minimum academic standards established by the post-secondary institution and must provide grade records after each academic term throughout the program. The IPE must indicate the number of semester/quarter hours the individual will attend in the post-secondary program. Students receiving financial aid will be expected to take the number of hours required by the financial institution providing the assistance. When it has been jointly agreed that the individual will attend the educational institution on a full time basis, full-time will be considered 12 semester hours unless the institution’s definition of full time is different. 7.11.2 On-the-Job TrainingOn-the-job-training (OJT) is the placement of an individual with an employer who agrees to train that individual for entry into a competitive, integrated work setting. OJT allows an individual to be trained, supervised, and compensated as a regular employee of the work site. All labor regulations apply for the individual participating in an OJT, e.g. Social Security, income tax, worker's compensation, and unemployment insurance. The employer is responsible for paying the individual for the OJT; however, DBS may pay the employer a training fee equal to the regular employee wage plus the cost of benefits which are customarily available from the employer. Training fees should be reduced on a monthly basis until the employer is fully responsible for the individual’s wages and benefits. In addition to the IPE, a training agreement between the employer, DBS, and the individual must be developed specifying the objectives, evaluation criteria, and time frames for fee payment and final placement. Training progress reports from the employer are required throughout the training period. 7.11.3 Work ExperienceWork experience training may be provided for an individual to learn employability skills and transferable job skills in his/her chosen vocational field. Work experience training should occur on an actual work site, and the IPE must clearly indicate the type of training and specific skills to be acquired. Documentation of visits by the Rehabilitation Specialist and monthly training reports from the employer are to be included in the individual’s record of service. The Rehabilitation Specialist must ensure that the individual is provided with adequate instruction and on-going support in order to achieve the desired work experience outcome. The use of trained job-coaches can be utilized to assist in learning job related tasks and skills. The services of the job coach should be reduced as the client demonstrates and performs the required job tasks. Work experience stipends are available at the rate of $5 an hour to cover costs incurred by the individual through participating in the work experience. (e.g. transportation, clothing, etc.) Transportation expenses should not be paid if an individual is receiving a stipend. In case of an injury on the work experience site, medical expenses may be paid as an intercurrent illness (see section 7.10.1, "Physical and Mental Restoration Services") by DBS. 7.11.4 Rehabilitation Center TrainingThe DBS Rehabilitation Center for the Blind, a residential facility located in Daytona Beach, provides rehabilitation teaching for blindness and low vision skills as well as many vocational training opportunities which include:
The Manderfield Technical Training Lab (MTTL) housed at the Rehabilitation Center offers comprehensive computer and technology training including job re-engineering. Vocational evaluation services are also available at MTTL for individuals statewide. Individuals in 02 or 06 status may be referred to the Rehabilitation Center for assessment services for determining eligibility and/or vocational rehabilitation needs; however, individuals attending training must be eligible for vocational rehabilitation services. An individual’s IPE should include the training services and all needed support services for which the individual is eligible, (e.g. transportation, medication, visual aids). NOTE: All clients that attend the Rehabilitation Center in Daytona for training purposes will receive fifty dollars ($50.00) monthly maintenance for socialization regardless of income. All referrals to the Rehabilitation Center and MTTL should be generated in the individual’s CRIS case file (Case Tracking, CPR Referral sub-function). Notification should be made to the Rehabilitation Center or MTTL of the referral via email. 7.11.5 Other Division Training ProgramsDBS contracts with community rehabilitation programs (CRP) to provide adjustment, prevocational, and vocational training. The types of services provided by the local CRP are contingent on the capabilities of and contract with each facility. The District Administrator or designee should be contacted for more detailed information. The Florida Lions Conklin Center for Multi-handicapped Blind is a residential facility that provides a variety of services to blind individuals who have one or more additional disabilities. Services include evaluation, vocational training, job placement, and supported employment. Conklin Center staff may provide an evaluation in the home of the individual and/or an extensive two-week evaluation at the Center. All referrals to the CRPs serving individuals who are blind and visually impaired must be made on the Referral Form located in the CRIS CRP Referral subfunction. (Additional information that is required is noted on the form.) Referral processes to CIL's or any other agency providing services to individuals receiving vocational rehabilitation services should be developed at the local level to provide individuals with easy access to services. 7.11.6 Business, Vocational, and Technical SchoolsIndividuals requiring training from a business, vocational or technical school should be provided with information to assist them in selecting a training facility that offers a curriculum that will lead to successful achievement of their employment outcome. DBS will only sponsor accredited schools and pay tuition at the rate of a public business, vocational, or technical schools. Exceptions may be made by the District Administrator if training at a private school has been justified in terms of the individual’s employment outcome, and it is clearly in the best interest of the individual to attend a private facility. As with college and university training, maximum efforts must be made by the Rehabilitation Specialist and the individual to secure grant assistance in whole or in part from other sources prior to DBS sponsorship. 7.12 Books, Tools, and Other Training MaterialsBooks, tools, and other training materials may be purchased for individuals participating in post-secondary training, work experience training, on-the-job training, and for initial placement when other persons who are hired would need to pay for such books or supplies. Books and training materials should be provided in an accessible format of the individual’s choice. The Bureau of Braille and Talking Book Library Services staff can assist Rehabilitation Specialists or individuals in finding the most efficient method in obtaining accessible materials. 7.13 MaintenanceMaintenance (see Definition 12.19) is monetary support provided to an applicant or eligible individual for additional costs incurred while participating in an assessment for determining eligibility and vocational needs or while receiving services under an IPE (e.g. child care, clothing). Maintenance services may include living expenses only to the extent that they are in excess of an individual's normal expenses and are necessitated by the individual’s participation in an eligibility assessment, needs assessment, or program of vocational rehabilitation services. 7.13.1 Maintenance for Rehab Center AttendeesAll clients attending the Rehab Center in Daytona for training purposes should receive $50.00 monthly for socialization regardless of income. 7.13.2 Maintenance for College StudentsFor college students who have been determined eligible for services based on economic need (See Section 7.1), maintenance may be provided to individuals for cost incurred while in college. (See Economic Need Criteria, Section 7.3). Consequently, college students must apply for and receive a determination of their status with the PELL grant before DBS will determine that they meet DBS financial eligibility criteria and are eligible for maintenance. When the client is denied the Pell Grant based on income of parents, the client is not eligible to receive maintenance. For college students who have been determined eligible for services based on economic need (See Section 7.1), maintenance may be provided to individuals for cost incurred while in college. (See Economic Need Criteria, Section 7.3). All reasonable efforts must be made by the client to apply for and utilize similar benefits. Similar benefits include food stamps, discounted or free transportation where available and other possible sources of assistance to be determined based upon the resources of the college and the district. NOTE: When an individual is transferring from district to district to attend college, the receiving rehabilitation specialist must be consulted when determining the amount of monthly maintenance as well as having discretion in amending the plan as necessary. 7.14 TransportationTransportation services are necessary travel and related expenses (not to exceed state regulated per diem allowances) in connection with transporting individuals or applicants and their attendants or escorts for the purpose of participation in other vocational rehabilitation services being provided. Transportation may include relocation and moving expenses necessary for achieving an employment outcome. Transportation costs and necessary food and lodging during travel may be paid to an escort or attendant. A fee or salary should not be paid if the escort or attendant is normally available to the applicant or individual. 7.15 Services to Family MembersFor purposes of providing VR services, "family member" means an individual Who either:
All services to family members must be prior approved by the District Administrator. 7.16 Interpreter Services for Individuals Who Are Deaf or Deaf-BlindInterpreter services, including tactile interpreting, for individuals who are deaf or deaf-blind may be sponsored by DBS. Interpreter services should be provided if such services are necessary for the applicant or individual to participate in an assessment or receive vocational rehabilitation services. An individual’s IPE should address the need for interpreter services upon achieving an employment outcome and the resources available for the provision of such services after DBS case closure. 7.17 Reader ServicesReader service should be available to individuals who require reader assistance to achieve an employment outcome. This may include individuals participating in a training program or who are actively seeking employment and need assistance in completing job applications, preparing resumes, and/or researching occupational information. Individuals should be informed about the Bureau of Braille and Talking Book Library Services and other organizations that provide accessible materials. DBS will provide the current minimum wage as payment for reader service that is not technical in nature. Hourly wages can be negotiated with the District Administrator or designee for reading which requires expert knowledge (e.g. reading foreign language, highly technical or scientific text). Readers must be advised that earnings will be reported to the Internal Revenue Service and that they are responsible for paying income and Social Security taxes on the money earned. 7.18 Tutor ServicesTutor services should be available to individuals who are participating in a training program and require tutor services to achieve an employment outcome. However, student must explore all other resources (i.e. Student Disability Center) prior to requesting tutor services. Tutor services must be prior authorized. Tutors are individuals who are knowledgeable in the subject area and have the skill to teach the specified subject. A legitimate need for each subject for which these services are requested must be demonstrated. Generally, tutors are needed on an occasional basis when a student has difficulty with a particular class. Tutor services are most often needed for classes that a student may be less familiar with, such as those outside of one's major area of study. Upon justifying the need for tutor services, they may be authorized for up to the same number of hours per week as the class. For instance, for a three-hour class, three hours of tutor service may be authorized per week. This is in addition to reader service hours. It is expected that a majority of coursework be completed without the assistance of tutors. Should tutors be requested for more than one third of courses over a period of one year, the student must meet with his/her DBS specialist and supervisory personnel to discuss whether or not the selected training program is appropriate, and/or if college continues to be an appropriate vocational goal. The hourly rate for tutors is negotiable. However, tutorial rates for upper level and technical classes may be paid at a higher rate as established by the local District Administrator in accordance with local college policies for payment of tutors. 7.19 Rehabilitation Teaching ServicesRehabilitation teaching services provide instruction in techniques and the use of aids and appliances that are specifically designed to increase an individual’s independence both on and off the work site. An individual may require such services in order to achieve and/or maintain an employment outcome. Providers of rehabilitation teaching services may include:
7.20 Orientation and Mobility ServicesOrientation and Mobility (O&M) services may include, but are not limited to, instruction in the use of sighted guide; cane skills; principles of indoor and outdoor orientation to the environment; street crossings; use of public transportation vehicles and systems; and traveling in unfamiliar environments. O&M services should be provided to an individual when it is necessary in order to participate in an individualized plan for employment, for the achievement of an employment outcome, and for increasing/maintaining independence in the community. DBS does not provide individuals with dog guides or training with dogs; however, individuals may be assisted in making all the necessary arrangements for obtaining a dog guide. If an individual meets the economic need requirements, assistance may be provided in paying the mandatory application fee and transportation expenses. DBS can provide orientation and mobility assistance to an individual who has acquired a dog guide if emergency assistance in the home environment is necessary, or if the individual experience problems with the dog guide in an unfamiliar environment. 7.21 Job Search and Placement Assistance; Job Retention Services7.21.1 Job Search and Placement Assistance.Job search and placement assistance should be provided to eligible individuals for purposes of obtaining, maintaining, or regaining an employment outcome as well as career advancement consistent with an individual’s informed choice. Such services may include, but are not limited to the following:
An individual’s IPE must indicate the responsibilities agreed upon by both the Rehabilitation Specialist and the individual with regard to job search and placement. Once an individual obtains employment in his/her chosen field, follow-up services should be provided to insure job stability and access to the work environment. Such services may include, but are not limited to:
7.21.2 Small Business and Self-Employment.Technical assistance and other consultation services may be provided to conduct market analyses and develop business plans to individuals who have identified an employment outcome of self-employment or small business development. Rehabilitation specialists should refer to the DBS self-employment Policy for specific guidelines regarding the development and implementation of an IPE with the employment outcome of self-employment or small business development. 7.21.3 Job Retention Services.Job retention services may be provided to an individual who is experiencing disability-related difficulties in maintaining employment. These services may be provided to an eligible individual during the implementation of his/her individualized plan for employment or as post-employment services. Work related difficulties might include inability to access the work environment, absenteeism, tardiness, or poor co-worker relationships. Retention services to address the individual’s needs may include, but are not limited to:
7.22 Supported Employment ServicesSupported employment services (see Definition 12.27) means ongoing support services and other appropriate services needed to support and maintain an individual with a most significant disability in entering and/or maintaining integrated, competitive employment. Supported employment services must be based on a determination of the needs of an eligible individual, as specified in an Individualized Plan for Employment. These services may be provided for a period of time not to extend beyond 18 months, unless under special circumstances the eligible individual and the Rehabilitation Specialist jointly agree to extend the time in order to achieve the rehabilitation objectives identified in the Individualized Plan for Employment. The outcome of supported employment services is supported employment in a competitive, integrated setting. Supported employment outcomes are intended for individuals:
On-going support services (see Definition 12.20) must be provided to individuals in supported employment, and extended services (see Definition 12.11) must be arranged prior to a successful outcome determination. The provider of extended services must be identified either on the individual’s IPE or Employment Outcome Summary. Extended services should be provided by a private nonprofit organization, employer, or other appropriate resource, but must be provided from funds other than those received under Title VI part B. On-going support services and extended services may consist of, but are not limited to, the following:
The Florida Lions Conklin Center for the Multi-handicapped Blind provides supported employment services and assessment services on a statewide basis. DBS provides several CRPs with funds to provide local supported employment services. Title I funds may be used to pay for supported employment services to other agencies that have not traditionally provided services to individuals with visual impairments but have shown successfully supported employment outcomes with other individuals who are most significantly disabled. NOTE: In addition to meeting the criteria for a successful employment outcome (See Section 10.1), an individual receiving supported employment services must have successfully maintained the employment outcome for a minimum of 150 days from stabilization of employment. Supported employment is considered a competitive employment outcome when all criteria for competitive employment have been met (See Definition 12.7). 7.23 Personal Assistance ServicesPersonal assistance services (see Definition 12.21) include a range of services designed to assist an individual to perform daily living activities on or off the job that the individual would typically perform without assistance if he/she did not have a disability. The services must be designed to increase the individual’s control in life and ability to perform everyday activities on or off the job. Personal assistance services must be necessary to the achievement of an employment outcome and may be provided only while the individual is receiving other vocational rehabilitation services. Training and rehabilitation technology should be provided, if appropriate, in an effort to eliminate the need for continuing services and to maximize independence on and off the job. The degree to which an individual requires on-going personal assistance services must be evaluated prior to his/her completion of a individualized plan for employment, and assistance should be provided in securing those services through other resources such as Centers for Independent Living and Developmental Services. 7.24 Post-Employment ServicesPost-employment services (see Definition12.23) should be provided, as needed, for all successfully rehabilitated individuals, including those who have been trained and placed through supported employment. In order for an individual to be eligible for post-employment services:
The individual should be placed in status 32 and an individualized plan for employment must be developed to include those services required for maintaining or regaining employment. Upon completion of services, a Post-Employment Outcome Summary (see Section 13.7) must be completed, and the individual should be closed in status 33. 7.25 Occupational Licenses, Tools, Equipment, Initial Stocks, and SuppliesTools, equipment, initial stocks, and supplies may be purchased for an eligible individual when they are necessary to achieve an employment outcome. Fees for obtaining an occupational license may be sponsored for an individual if the license is required for employment in his/her chosen field. Prior to purchasing an occupational license, contact should be made with the tax collecting authority to investigate possible exemptions that may apply to blind or visually impaired individuals. 7.26 Rehabilitation Technology Devices and ServicesRehabilitation technology (see Definition 12.25) services include rehabilitation engineering, assistive technology devices, and assistive technology services. Rehabilitation technology should be provided with the goal of obtaining, maintaining, regaining, or advancing in employment. For complex technological situations, the rehabilitation engineer at Manderfield Technical Training Lab (MTTL) may be consulted or a private technology consultant may be hired at DBS fee for service rates. When purchasing rehabilitation technology goods and services the guidelines in Division’s Procedure 6.8 must be followed. 7.27 Provision of Equipment and Computer Software UpgradesTo ensure appropriate dispersion of equipment and software upgrades for consumers with visual disabilities, the following must apply: The consumer’s employment and vocational training outcome is proven to be affected by the need for equipment and computer software upgrades. (See Division Policy 6.9) The computer must be chosen from the recommended quotes provided by the DBS Rehabilitation Engineer. (See Division Policy 6.9) Note: If any variations are necessary, they must be approved by the DBS Rehab Engineer. If client request a computer package that is different from the recommended packages, the client is responsible for repair and support expenses incurred. 7.28 Transition ServicesTransition services (see Definition 12.2.8) should be provided for school aged individuals who have been determined eligible for vocational rehabilitation services. Eligibility of students for VR services should be addressed as they are exiting the 8th grade or at age 14. Eligibility determination for transition services must be done based on the results of the Transition Competencies Checklist, which is to be administered by the Transition Specialist. Eligibility criteria include eye medical reports, specialist observations, information provided by individual or the individual’s family, and information from other agencies as necessary. (See section 2.6) The Children and Families Rehab Specialist will assist by completing a Transition Referral Summary Form and submit it to the Transition Specialist upon referral of the student to the Transition Program. Once the student has been assessed and determined eligible for the Transition Program, a new case file must be created by the Transition Specialist containing information relevant to the Transition Program only. Note: A review of eligibility for the VR program must be made no later than age 16 unless the student and his/her parent, guardian, or representative do not wish to apply for VR services. Development and implementation of an IPE must occur with the full involvement of the eligible individual and his/her parent or guardian, and in accordance with VR IPE development procedures (see Section 4.0). The IPE should be designed to facilitate transition from school to work, independent living, and/or post-secondary education. The IPE should be based on the IBS results and address deficits identified in the assessment. Transition IPEs should emphasize career development and exploration. A transition IPE may include such services as job shadowing, interest/skills inventories, attending career fairs, learning to write a disability statement, development of job seeking skills, and work experience. IPE development should be done in conjunction with the Individual Education Plan (IEP) and/or Individual Transition Plan (ITP) processes if the individual is receiving special education services in the public school system. Emphasis should be placed on providing pre-vocational activities and career exploration that will lead to an appropriate employment goal based on the individual’s informed choice. It is the responsibility of DBS to plan, provide, and coordinate services to meet the expected outcomes that lead to an employment goal in conjunction with services available to the individual in the school system. Upon exiting the school system, an individual will continue to participate in the IPE process and receive vocational rehabilitation services that are required and have been planned to achieve an employment outcome. 7.29 Ticket to WorkThe purpose of the Ticket to Work Program is to expand employment opportunities for people with disabilities. The program provides a ticket to Social Security Disability (SSDI) and Supplemental Security Income (SSI) beneficiaries that may be used to obtain rehabilitation and employment services. The Ticket program is voluntary. An individual may chose to receive services from a public or private service provider in his or her community. Private providers must be registered as Employment Networks (En’s) with the Social Security Administration to accept tickets. Clients may call 1-866-YOURTICKET or visit the Social Security web site at www.ssa.gov/work for a directory of Employment Networks. If a ticket holder chooses to assign his or her ticket to DBS, they are presumed eligible for services. Current clients may also choose to assign their ticket to DBS. When a ticket is presented, the ticket assignment form (SSA-1365) is to be completed and faxed to Maximus at 1-703-683-3289. This form is available at each district office and is also located on the O drive under VR Program Forms and Information. The original form and ticket are to be placed in the client file. The client’s name and social security number are to be e-mailed to the state office representative for record keeping. Ticket assignment forms should not be completed until the client is in plan development (status 10). Forms are to be completed and faxed to Maximus within two weeks of the signing of the IPE. MaximusMaximus is the organization that was selected by SSA to administer the Ticket to Work Program. Those who have questions about the ticket program should contact Maximus at 1-866-968-7842 (1-866-YOURTICKET) or visit the Maximus web site at www.yourtickettowork.com. Benefits to Ticket HoldersWhen ticket holders assign their ticket to a provider they receive the following benefits:
*For more specific information, visit the state-by-state contact list at www.ssa.gov/work. Ticket ReassignmentTicket holders are to contact Maximus if they wish to reassign their ticket to another Employment Network. 7.30 Other Goods and ServicesOther goods and services may be provided which are determined necessary for an individual to achieve an employment outcome. Such services are provided on an individual basis and may be subject to DBS economic need guidelines. 8.0 COMPARABLE SERVICES AND BENEFITSPrior to providing vocational rehabilitation services to an eligible individual or his/her family, it must be determined whether comparable services and benefits (see Definition 12.6) exist under any other program and whether those services and benefits are available to the individual. If comparable services and benefits exist under any other program and are available to the individual at the time needed to achieve the rehabilitation objectives in his/her IPE, those services and benefits must be utilized to meet, in whole or in part, the cost of VR services. If comparable services and benefits exist, but are not available at the time needed to satisfy the rehabilitation objectives in the IPE, DBS must provide VR services until those comparable services and benefits become available. The following services are exempt from a determination of the availability of comparable services and benefits:
The requirement of utilizing comparable services and benefits does not apply if:
9.0 REVIEW OF EXTENDED EMPLOYMENT IN COMMUNITY REHABILITATION PROGRAMS OR OTHER EMPLOYMENTAn annual review must occur for two years for those individuals who have been closed as working in an extended employment setting (see Definition 12.10) in a community rehabilitation program or other employment location in which the individual is compensated in accordance with the Fair Labor Standards Act. This review must include input from the individual or, as appropriate, his/her representative to determine the interests, priorities, and needs of the individual for employment in, or training for, competitive employment in an integrated setting in the labor market. The State Office will initiate the process of review for all individuals placed in extended employment. Maximum efforts must be made by DBS to enable the individual to benefit from training in, or to be placed in employment, in an integrated setting. This may include identification of VR services, reasonable accommodations, and other support services necessary for a competitive employment outcome. The following services must be made available to an individual if he/she chooses to make the transition to an integrated employment setting:
10.0 INDIVIDUALS DETERMINED TO HAVE ACHIEVED AN EMPLOYMENT OUTCOME10.1 Employment Outcome ClosuresThe following requirements must be met in order to determine that an individual has achieved an employment outcome:
Follow-up services must be provided to both the individual and the employer to insure that each of the requirements has been met and may be maintained after case closure. There are several types of employment outcomes that an individual may be determined to have successfully achieved. They include:
NOTE: Extended Employment is not considered a successful employment outcome. Individuals with an outcome of extended employment should be closed in Status 28 (Closed not Rehabilitated After Plan) with an indication of Work Status 2 (Extended Employment) on the CRIS Closure Screen. Please see Section 9.0 for review procedures for extended employment closures. An Employment Outcome Summary (see Section 13.6) must be completed when documenting an individual’s employment outcome. This includes a justification for other types of employment if competitive employment is not the choice or outcome for the individual. (See Definition 12.7 for specifications of competitive) An Employment Outcome Summary must be prepared by the Rehabilitation Specialist (Supervisor approval is required for those specialists who have not achieved independent status). 11.0 REVIEW OF DBS PERSONNEL DETERMINATIONS AND CONSUMER RIGHTS NOTIFICATION11.1 Consumer Rights NotificationAll applicants or eligible individuals or, as appropriate, his/her representative must be notified of:
11.2 Mediation ProceduresAn applicant or eligible individual has the right to pursue mediation with respect to any decision concerning the furnishing or denial of services by DBS. The process of mediation is voluntary, must not be used to delay or deny an individual’s right to a formal hearing, and will be conducted by a qualified and impartial mediator who is trained in effective mediation techniques. (The State Office maintains a list of qualified mediators on statewide basis.) The cost of mediation is the sole responsibility of DBS. Each session in the mediation process must be scheduled within 45 days of an individual’s written request. The individual must submit such a request within 30 days of the decision regarding service provision to the Bureau Chief of Client Services and Program Support. If the parties to the dispute in the mediation process reach an agreement, it will be set forth in a written mediation agreement. Discussions that occur during the mediation process are confidential and will not be used as evidence in any subsequent due process or civil proceedings. Each party to the mediation will be required to sign a pledge of confidentiality prior to the commencement of the mediation process. The process of mediation must not delay a formal hearing if so desired by the individual unless the individual agrees upon an extended time frame or, as appropriate his/her representative. 11.3 Impartial Due Process Hearing ProceduresAn applicant or eligible individual may request a formal review of a decision concerning the furnishing or denial of services through the process of a Fair Hearing. An impartial hearing officer conducts fair Hearings within 45 days of a written request by the individual, unless informal resolution is achieved prior to the 45th day or the parties agree to a specific extension of time. The individual must submit such a request within 30 days of the decision regarding service provision to the DBS Director. DBS does not suspend, reduce, or terminate services being provided under an evaluation, assessment, or Individual Plan for Employment (IPE). Such services will be provided pending a final resolution through either mediation or an impartial due process hearing unless there is evidence that such services have been obtained through misrepresentation, fraud, collusion, or criminal conduct on the part of the individual. The individual, or individual’s representative, must be afforded the opportunity to provide additional evidence, information, and witnesses as well as the opportunity to examine all witnesses and other relevant information and evidence. The individual may elect to be represented by counsel or other appropriate advocate including a representative from the Client Assistance Program. The impartial hearing officer will make a decision based on the provision of the approved State Plan, the Rehabilitation Act, Federal VR regulations, and State regulations and policies that are consistent with Federal requirements. A written report of the findings will be provided to the individual or, if appropriate, his/her representative within 30 days of completion of the hearing. Either party involved in the hearing may choose to seek an impartial review of the decision of the hearing officer by the Commissioner of the Department of Education. A request of such review must be submitted to the DOE Commissioner within 20 days of the mailing of the impartial hearing officer’s written decision. This process must provide an opportunity for submission of additional evidence and information relevant to a final decision concerning the matter under review. The Commissioner may overturn or modify the impartial hearing officer’s decision only if, based on clear and convincing evidence, the decision is clearly erroneous because it is contrary to the approved State plan, the Rehabilitation Act, Federal VR regulations, or State regulations or policies that are consistent with the Federal requirements. A final decision, full report of findings, and grounds for decision will be provided in writing to both parties within 30 days of providing notice of review. Except for time limitations established in 34 CFR 361.57 (b)(1) and 361.57(b)(5), reasonable time extensions may be provided for good cause shown at the request of either or both parties. A decision made by the Commissioner is final unless the party aggrieved by such decision brings a civil action in any State court of competent jurisdiction or in a district court of the United States of competent jurisdiction without regard to the amount of controversy. 11.4 Client Confidentiality and PrivacyThe Division staff must protect the confidentiality and privacy of clients’ rights and records. Division staff should not solicit private information from clients unless it is essential to providing services or conducting evaluation or research. Once private information is shared, standards of confidentiality will apply. (See Division Policy 2.3) 12.0 VOCATIONAL REHABILITATION PROGRAM DEFINITIONS12.1 ApplicantAn individual is considered to be an applicant for vocational rehabilitation services when s/he; as appropriate:
12.2 Appropriate Modes of CommunicationSpecialized aids and supports that enable an individual with a disability to comprehend and respond to information that is being communicated. Appropriate modes of communication include, but are not limited to, the use of interpreters, open and closed captioned videos, specialized telecommunications services and audio recordings, Brailled and large print materials, materials in electronic formats, augmentative communication devices, graphic presentations, and simple language materials. 12.3 Assistive TechnologyAny item, piece of equipment, or product system, whether acquired commercially off the shelf, modified, or customized, that is used to increase, maintain, or improve the functional capabilities of an individual with a disability. 12.4 Assistive Technology ServiceAny service that directly assists an individual with a disability in the selection, acquisition, or use of an assistive technology device, including--
12.5 Community Rehabilitation ProgramA program that provides directly or facilitates the provision of one or more of the following vocational rehabilitation services to individuals with disabilities to enable those individuals to maximize their opportunities for employment, including career advancement:
For the purposes of this definition, the word program means an agency, organization, or institution, or unit of an agency, organization, or institution, that provides directly or facilitates the provision of vocational rehabilitation services as one of its major functions. 12.6 Comparable Services and BenefitsComparable services and benefits means services and benefits that are:
12.7 Competitive EmploymentWork in the competitive labor market that is performed on a full-time or part-time basis in an integrated setting; and For which an individual is compensated at or above the minimum wage, but not less than the customary wage and level of benefits paid by the employer for the same or similar work performed by individuals who are not disabled. 12.8 Diagnosis and treatment of physical and mental impairmentsDiagnosis and treatment of physical and mental impairments includes:
| ||||||||||||||||||||