Transcript Guide to Supported Employment and JCTS

Supported Employment and
Long Term Follow-Along
for the
Counselor and Job Coach
Introductions:
• Who are we?
– Judy Hill - EES/LTESS Coordinator
– Scott Fraley, SE Program Coordinator
– Jack Hayek, Program Director ESSP
OFFICE OF EMPLOYMENT SERVICES AND SPECIAL
PROGRAMS
• JACK HAYEK
• email
804-662-7124
[email protected]
• SCOTT FRALEY 804-662-7016
• email [email protected]
• JUDY HILL
804-662-7108
• email [email protected]
• TIM OLIVE
804-662-7127
• email [email protected]
• FAX NUMBER FOR ESSP:
1-804-662-9140
DRS TOLL FREE VOICE
1-800-552-5019
WEBSITE: http://www.vadrs.org
then click on Employment and Vocational Services
The Supported Employment Guide can be found at:
http://vadrs.org/essp/downloads/seguide/pdf
DRS Impact on ESO Programs
• DRS Field Spends over $7.7 Million
• DRS ESSP LTESS and EES Spend over $7.8
Million
Topics to Cover:
• Insights into SE/Long Term Practices
• Brief Historical Background – LTESS
• Key Service Requirements for Long Term
Follow-Along
Why are we here?
• Importance of communication and
collaboration between all parties
• Supported employment specifics
• Long Term Follow-along – LTESS
SUPPORTED EMPLOYMENT
• Collaboration and Communication
• Roles of each of us from referral to follow
along
• Clarification of services
DRS Counselor Roles and
Responsibilities
• Once eligibility is
•
•
•
established SE planning
begins
Are long term supports
needed? If yes, then SE
case. If no, consider JCTS.
Identify long term support
SE cases must be coded as
MSD
DRS COUNSELOR ROLE
•
•
•
•
•
•
Establish benchmarks regarding progress
Stop the process if needed and discuss issues
Clarify expectations
Maintain a separate role with consumer from
vendor
Continue to communicate with consumer after
referral to job coach
Case statuses must be properly updated.
Job Coach Role:
• Assist consumer
•
•
with locating
suitable job
matches
Assist in job search
efforts
Provide timely
written reports and
phone contacts
with updates as
needed
• Provide job skills
•
•
training as needed
Ensure consumer
stability and job
satisfaction on both
consumer and
employer side
Provide extended
support services,
where appropriate
Job Coach Responsibilities
• Communicate and
•
collaborate with DRS
Counselor and
consumers
Providing information
as to fading plans,
need for follow-along,
funding options
• Work as a team with
DRS, case managers,
consumers, families,
etc. to improve
likelihood of success
Communication Issues
• Initial Planning
• Authorizing Services
• Service Provision
• Report Writing
• Invoicing
Opportunities for Communication and
Collaboration
• Initial Planning Expectations
– Situational Assessment
– SE vs. JCTS
– Job Development
– Placement and training
– Stability/Fading
– Long Term Follow Along
JCTS
• Consumer receives initial situational assessment, job
development, job skills training, transportation training,
or other support services provided by an ESO; however
long term follow-along is not necessary after DRS case
closure.
• This is a separate service and requires applicable service
category on vendor’s rate sheet.
• Service Item Codes are not the same as those for SE.
• Cases can be coded as either MSD or SD.
Opportunities for Communication and
Collaboration
• Authorizing Services
–Authorizations before Services
–Timely Responses for Hours
–Justification for Hours
–Communicate Justification
–Emergencies- including Post
Employment
Opportunities for Communication and
Collaboration
• Service Provision
– Agreement of goals, sufficient service hours
– Issues to address in Placement and Training
• Functional limitations/behavior
• Transportation
• Job development
• Report Writing
– Complete, timely, individualized and accurate
Opportunities for Communication and
Collaboration
• Invoicing
– Complete, timely, individualized and accurate
Movement of Case to LTFA
• Ideally, the status of an SE case will go
•
from 18 (training) to 22 (working and
stable) at the time intervention levels off
and performance is satisfactory.
LTFA can begin to fund support at the time
the case moves into status 22 communication between DRS and ESO is
imperative for this planning to take place
WHAT IS STABILITY?
• Traditional guideline: job coaching support is
20% or less. This may not always be the case.
• Support needs have “flattened out.”
• Consumer should demonstrate stability for at
least 30 days before case is moved to status 22.
STABILITY
• After a minimum of 30 days of stability the case
should be placed in status 22
• LTESS funds should be used in status 22 and
LTESS applications should be submitted as soon
as the job coach/counselor thinks the consumer
will maintain employment – not when the case is
closed
• Exception: SEPD cases
LTFA VS POST EMPLOYMENT SERVICES
• LTFA is the maintenance of a person in
employment.
• LTFA does not mean case management
• If retraining, job placement or other services are
needed, the DRS counselor should be contacted
immediately. The consumer probably will
need services other than LTFA.
LTESS HISTORY
• Grassroots effort by ESOs with General
Assembly in FY 94
• Success for FY 95 - $375,000 in State
funds with primary target of Supported
Employment Follow Along for persons with
severe disabilities
• Incremental increases most years
EES/LTESS BUDGETS
FISCAL YEARS 05 & 06
•
•
•
•
•
•
Additional LTESS dollars in FY 05 $150K
FY 2005 LTESS was $4,499,922
Additional LTESS dollars in FY 06 $100K
FY 2006 LTESS is $4,595,104
No new vendors in either year–3 on wait list
FY 2007 – New Money????
Long Term Employment Support
Services Funding 95-06
$5,000,000
$4,500,000
$4,000,000
$3,500,000
$3,000,000
$2,500,000
$2,000,000
$1,500,000
$1,000,000
$500,000
$0
95
96
97
98
99
'00 '01 '02 '03 '04 '05 '06
LTESS ISSUES
• Counselor approval must be obtained and
documented before applications submitted
• Applications must be thoroughly completed
• Applications must be submitted by the 20th
• Applications cannot be submitted for consumers
receiving JCTS.
General Information
• Services billed through LTESS must be
employment related follow-along services
– Job development, retraining, general case
management services are NOT considered
follow-along
– Provide the services needed to maintain
employment – not “nice to do” or “always
have done it that way” or “the employer
likes me to come every week”
– Spikes are expected-over 20% of hours
worked-send in documentation
– Written notification is sent to counselors
upon enrollment
LTESS GUIDELINES
• LTESS funds CANNOT be used to supplant planned
or current funding for long term supports.
– If a consumer is being sponsored by a
public source, it should continue
- No split funding for employment
• Vendors cannot charge DRS more than any other
•
purchasers of the same services as specified on
the vendor rate sheet.
Example: Accepting the Medicaid waiver rate for
SE individual placement but charging DRS a
higher rate.
LTESS GUIDELINES (continued)
• As LTESS is the funding of last resort for long
term supports, vendors must document attempts
to secure sponsorship and the absence of
alternative funding sources.
• Each consumer is required to have an
individualized service plan that is clear,
complete, and current following CARF guidelines.
• DRS requires monthly progress reports for all
consumers sponsored with LTESS dollars
LTESS GUIDELINES (continued)
• Monthly reports (including intervention
sheets) should be maintained in the
individual consumer file except:
– if an individual is billed 20% or more of the
total hours worked, the vendor must submit
justification in the form of a monthly progress
report
Questions?