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Assessment Services & Supports

Categorized In: Case Services - Procurement

Approved Date: October 02, 2018

Owner: Cathy Callaway

Equal Partner. The individual is an equal partner in deciding on the range of assessment services and support needed.

No Cost. Assessment services and supports are to be provided at no required cost to the individual, but are subject to the comparable services and benefits policy in Rule 72.

Programs. Assessment services and supports can be provided in the Employment Program and in post employment services.

Time Point. Assessment services and supports can be provided at any point in the rehabilitation process for the purpose of conducting an evaluation of eligibility and rehabilitation needs.

Assessment Services

There are five detailed categories of assessment services in QE2.

  1. Career Planning – Career planning involves the use of career counseling, informational interviews, standardized tests and simulated work activities to identify the individual’s strengths, resources, priorities, concerns, abilities, capabilities, and interests leading to the choice of an employment goal and an individualized plan of VR services.
  2. Community Assessment – Community assessment involves the analysis of job and job tasks using community work and training sites to identify the individual’s employment and training assets. Community based assessments often provide better information about an individual’s ability to work than standardized tests and simulated work.
  3. Independent Living Skills – Independent Living Skills involve identifying the individual’s abilities and needs in employment related to self-care, transportation and daily living activities.
  4. VR Orientation – VR Orientation involves informing the individual about the Vocational Rehabilitation Employment Program. All individuals referred to the program should receive either a group or one-on-one orientation.
  5. Benefits Orientation – Benefits Orientation consists of gathering preliminary data and information to educate the individual about the work incentive strategies available and to identify the positive and/or negative impact employment may have on the individual’s benefits.

Assessment Support Services

There are 20 detailed categories of assessment support services in QE2. These supports should be provided only when required to provide an assessment service.

  1. Assistive Devices – Any item, piece of equipment, or product system, whether acquired commercially off-the-shelf, modified, or customized, used to increase, maintain, or improve the functional capabilities of a person with a disability.
    • Assistive devices (other than Rehabilitation Technology-Durable medical goods) cannot exceed the amount in the Rule 72 Fee Schedule without an Office Direcor exception.
    • Rehabilitation Technology-Durable medical goods are subject to the Nebraska Medicaid Fee Schedule for Allowables for Durable Medical Equipment and Medical Supplies. Examples include—
      • Prosthetic, orthotic, or other assistive devices.
      • Telecommunications, sensory, and other technological aids and devices.
  2. Benefits Analysis (Contract) – The agency currently has a contract with Nebraska Easter Seals for Benefits Analysis. Easter Seals staff gathers preliminary data and information with both the individual and referring VR staff member to educate them about the work incentive strategies available and to support employment decision-making and goal development.
  3. Eyeglasses – Includes the examination, corrective lenses, and frames needed to support assessment services for eligibility or planning. The examination is authorized first. Corrective lenses and frames are authorized in a separate authorization based on the examination report. This service is subject to the Nebraska Medicaid Fee Schedule Allowables for Visual Services. The following options are not included in the Medicaid Fee Schedule and require an Office Director exception to provide.
    • Anti-reflective and mirror lens coating
    • Blended and progressive multi-focal lenses
    • Drilling, notching, grooving, and faceting of lenses
    • Edging or beveling of lenses for cosmetic reasons
    • Engraving
    • High index lenses when correction is less than +/- 10.00 diopters
    • Photo chromatic and transition tints
    • Polycarbonate lenses for correction of less than +/- 8 diopters
    • Rolled or polished edges
    • Additional scratch resistance (some is already required for plastic lenses)
    • Ultraviolet (UV) unless prescribed for Chronic UV Disorder
  4. Hearing Aids – Includes hearing aids, ear molds, and fitting needed to support assessment services for eligibility or planning. This service is subject to the Nebraska Medicaid Fee Schedule Allowables for Hearing Aides. This service should not be provided without first completing the Communication Assessment Form.
  5. Incidental Child Care – This is child care needed in order to make an incidental trip related to assessment services for eligibility or planning. This service is subject to the Nebraska Health and Human Services childcare subsidy. Download file "hhs_childcare_rates.pdf"
  6. Incidental Trip – Mileage or public transportation for an incidental trip to receive services during assessment services for eligibility or planning. The mileage allowance is limited to the rate indicated in the Rule 72 Fee ScheduleDownload file "Rule72.pdf". Public transportation allowance should equal the least expensive fare of available and appropriate public transportation.
  7. Interpreter-Foreign Language – An individual for whom English is not his/her primary language should be provided a language interpreter during assessment services for eligibility or planning. If the individual is an applicant or eligible for services, the interpreter must have an active Service Agreement with Voc Rehab. The negotiated rate in the written service agreement shall not exceed the maximum rate indicated in the Rule 72 Fee Schedule.
    • If an individual who is not an applicant or eligible for services requires an interpreter for the VR Orientation and the Employment Discussion, a Letter Contract is required and the fee shall not exceed the rate limit for a written service agreement.
    • Note: Some providers have a year long Letter Contract which can be used statewide. To check if the provider has a year long Letter Contract, find the provider in QE2. If the provider is listed as active in QE2, click on the Agreements Tab of the provider’s record to see if there is a current Letter Contract with beginning and ending dates that match the current fiscal year.
    • If still unsure, check with Cathy Callaway to see if the interpreter has a year long Letter Contract before writing a new Letter Contract.
  8. Interpreter-Hearing Impaired – An individual with a hearing impairment should be provided a sign language interpreter during assessment services for eligibility or planning. Once the individual is an applicant or eligible for services, the interpreter must have an active written Service Agreement with Voc Rehab. The rate in the written service agreement must comply with the rates per hour listed in NDE Administrative Memorandum 112.
    • If an individual who is not an applicant or eligible for services requires an interpreter for the VR Orientation and the Employment Discussion, a Letter Contract is required and the fee must comply with the rates per hour listed in NDE Administrative Memorandum 112.
    • Note: Some providers have a year long Letter Contract which can be used statewide. To check if the provider has a year long Letter Contract, find the provider in QE2. If the provider is listed as active in QE2, click on the Agreements Tab of the provider’s record to see if there is a current Letter Contract with beginning and ending dates that match the current fiscal year.
    • If still unsure, check with Cathy Callaway to see if the interpreter has a year long Letter Contract before writing a new Letter Contract.
  9. Job Coach – A job coach can be made available to support an on-site observation, more commonly known as an OJE. The job coach must have an active Service Agreement.
  10. Lodging and Per Diem – Meals and lodging may be provided while the individual is traveling for assessment services for eligibility or planning. The amount funded should be consistent with the current NDE meal and lodging allowances.
  11. Med/Psych Evaluation – This includes the evaluation of physical or mental impairment by licensed practitioner to support the eligibility decision, priority group determination and career planning assessment. Cost cannot exceed the Nebraska Medicaid Fee Schedule Allowables for the appropriate evaluation obtained.
  12. On-site Observation – Involves using an employer work site or community training site available to support community assessment. This support is primarily used in conjunction with Community Assessment to provide a paid On the Job Evaluation.
  13. Personal Attendant – Used when an individual requires assistance with the performance of self-care and activities of daily living during assessment services for eligibility or planning. This support services is subject to the Nebraska Medicaid Fee Schedule Allowables for Personal Care Aid Services.
  14. Reader – Used when an individual requires assistance with reading text and written materials during assessment services for eligibility or planning. The cost of this service per hour shall not exceed the minimum wage.
  15. Rehabilitation Technology Repair – Used when an individual needs a repair to a rehabilitation technology item such as eyeglasses, hearing aids, prostheses, durable medical goods, or other assistive technology devices in order to participate in assessment services. Cost cannot exceed the rate indicated in the Rule 72 Fee Schedule.
  16. Report-Records – Used when requesting a photocopy of existing records, or the completion of a brief VR form is needed to obtain information for eligibility, determination of priority group for order of selection and to support career planning. Cost cannot exceed the rate indicated in the Rule 72 Fee Schedule.
  17. Self-Employment Consultation – Used when providing assistance to an individual considering a self-employment goal with a feasibility study, development of a business plan, and securing financing of a business or trade. This service is provided through a contract with The Abilities Fund and is further explained in the Small Business/Self Employment Ventures chapter.
  18. Technology Use Training – Provided when an individual needs to learn how to operate and use assistive technology devices provided during assessment services for eligibility or planning.
  19. Vehicle Repair – Provided when an individual’s vehicle requires repair in order to participate in assessment services for eligibility or planning.
  20. Other Assistance – Includes other goods or services necessary during assessment services for eligibility or planning that do not fall within any of the assessment support service listed above. This includes Using Post-Secondary Classes as an Assessment Service and training and/or job placement related physicals, drug screens and immunizations. Cost cannot exceed the rate indicated in the Rule 72 Fee Schedule.



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