Informed Choice. The client is an equal partner in deciding on the range of team and community supports needed to achieve the IPE Job Goal.
Comparable Services and Benefits. All team and community supports are subject to the comparable services and benefits provision of Rule 72.
Programs. Team and community supports can be provided in both the Employment and Post Employment Programs.
Fee Schedule. All team and community supports are subject to the fee schedule and procurement options in Rule 72, Appendix B.
Team & Community Supports
Maintenance – Maintenance is limited to those circumstances in which the client is incurring increased cost for food, shelter, clothing, or other normal expenses as a result of participating in the services of his or her Individualized Plan for Employment. Maintenance is not intended to cover normal everyday living expenses.
- Increased Living Cost – Increased living expense (food, shelter, clothing, and other subsistence items) caused by participating in services.
- Lodging and Per Diem – Meals and lodging may be provided while the client is traveling for planned services. The amount funded should be consistent with the current NDE meal and lodging allowances.
- Relocation – Rental of moving a van, use of mover, shipping of goods, and intransit meals, lodging and gas expenses necessary to relocate for services or employment.
- Security Deposit – Rental – Deposit on rental housing, including payment of first month’s rent associated with relocating to access services or to start a new job.
- Uniform and Clothing – Uniforms and work clothing required for training, job seeking, and employment.
- Utility Initiation – A one--time fee to initiate gas, electricity, or telephone services.
Other Services – Other services is a miscellaneous category of support services that includes the following.
- Background Check – A background check required by an employer, conducted by the employer, and paid to the employer.
- Child Care (in-home) – This is child care provided by an unlicensed day care provider needed in order to participating in a planned service. This support is subject to the Nebraska Health and Human Services childcare subsidy.Download file "hhs_childcare_rates.pdf"
- Child Care (out-of-home) – Child care provided by a licensed daycare provider or center for minor children while the client is engaged in a continuing rehabilitation service including employment until the client receives their first paycheck. The care may be provided in-home or out of home. This support is subject to the Nebraska Health and Human Services childcare subsidy.
- Employment/Training Medical Supports – Physicals, drug screens, and immunizations required for school, training, and/or employment.
- Tools-employment – Tools required for on-the-job training, apprenticeship, miscellaneous training, or job placement. Tools for post-secondary college or technical training are not included in this category.
- Licenses and Permits – Licenses, permits, registrations, or certifications required for an occupation or employment.
- Other Assistance – Assistance for any unlisted support necessary to achieve the employment goal.
Personal Assistance – Personal assistance supports are designed to assist a client who as a result of their impairment requires support in the areas of oral and written communication, daily living activities on and off the job, reading, and learning.
- Interpreter-Hearing Impaired – Interpreting provided by a NE Licensed Sign Language Interpreter. 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 Acquisition of Interpreter Services. In Post-Secondary-College, Post-Secondary-Technical, and Miscellaneous Training in a post secondary institution, the provision of interpreter services is generally the responsibility of the institution.
- Interpreter-Foreign Language – Interpreting in the native language of the client who has limited English speaking ability to communicate with others. This support is provided in the locations where the clent is receiving services such as the VR office, training site, job site, etc. An individual who does not comprehend English should be provided a language interpreter during some planned services. 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.
- Personal Attendant – Assistance with the performance of self-care and activities of daily living, at or away from their work site and place of residence. This support services is subject to the Nebraska Medicaid Fee Schedule Allowables for Personal Care Aid Services. VR cannot authorize directly to the personal attendant. Authorize to the cleint as an Allowance.
- Reader – Assistance from another individual with the reading of textbooks, examinations, and other written materials during training or involvement in other rehabilitation services provided to a client with an impaired reading ability due to their disability. VR cannot issue an authorization directly to a Reader. Authorize to the clientr as a Cash Advance or Reimbursement. For Post- Secondary-College, Post-Secondary-Technical, and Miscellaneous Training in a post secondary institution, the provision of reader services is generally the responsibility of the institution.
- Tutor – Instruction and guidance from another individual with the course work and subject matter during training or preparing for a licensing or certificate examination. VR cannot issue an authorization directly to a tutor. Authorize to the client as a Cash Advance or Reimbursement. For Post-Secondary- College, Post-Secondary-Technical, and Miscellaneous Training in a post secondary institution, school provided tutoring should be utilized before purchasing tutoring services.
Technology Support – Technology supports are 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 – non prescribed – 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 B without an Area Administrator exception. The Assistive Technology Partnership assesses the need for, and recommends all assistive devices for a VR client.
- Computer – A computer or parts of a computer system (CPU, Monitor, Keyboard, Modem, Printer, Basic Productivity and Antivirus Software) may be provided if needed for disability related reasons to participate in a service on the client’s IPE or if required for training and/or employment. The Assistive Technology Partnership assesses the need for, and recommends all computer system or system components required by a VR client.
- Eyeglasses – Includes the examination, corrective lenses, and frames needed to support participating in the services on the client’s IPE. 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 Area Administrator 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
- 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
- Hearing Aids – Includes hearing aids, ear molds, and fitting needed to support participation in the services on the client’s IPE. This service is subject to the Nebraska Medicaid Fee Schedule Allowables for Hearing Aids. This service should not be provided without first completing the Communication Assessment Form.
- Rehabilitation Technology Repair – Used when an individual needs 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 the services of the IPE. Cost cannot exceed the rate indicated in the Rule 72 Fee Schedule.
- Worksite Modification – Modifications, adaptations, or accommodations at the worksite not typically made for others in order for a client to enter, leave, or move round in the worksite and/or to perform the essential functions of a job, The Assistive Technology Partnership assesses the need for, and recommends all worksite modifications for a VR client.
Transportation – Transportation includes services that support the client getting to and from the locations of vocational rehabilitation services.
- Private Vehicle – A client can on a per mile basis be reimbursed for recurring travel to access vocational rehabilitation services or have the amount authorized as a gasoline purchase. The mileage reimbursement rate is stated in Appendix B of Rule 72. For transportation related to post secondary-college or technical training, see Post secondary Supports chapter.
The purchase of a bicycle as a means of employment transportation by a client shall be coded to Transportation-Private Vehicle.
- Public Transportation – Public transportation required to participate in VR services including such options as bus, taxicab, para-transit, or other commercial transportation options.
- Vehicle Repairs – Vehicle repairs are only completed on a vehicle when essential to enable the client to achieve their employment outcome. The vehicle must be in good mechanical condition upon completion of the necessary repairs. If necessary this is determined by consultation with a qualified mechanic familiar with the vehicle. The vehicle must be licensed and titled in the name of the client, his or her spouse, or his or her parent or guardian and the vehicle must have current full liability insurance coverage. The client or operator of the vehicle must have a current valid driver’s license to operate a vehicle in the State of Nebraska. The cost of repairs cannot exceed the amount stipulated in Appendix B of Rule 72 without Area Administrator approval.