Community Rehabilitation Providers and OVR: Working Together 2014 RCPA Conference Seven Springs, PA Wednesday, October 8, 2014 1

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Community Rehabilitation Providers and OVR:Working Together2014 RCPA ConferenceSeven Springs, PAWednesday, October 8, 2014

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PresentersDana Baccanti, M.A., CRC Chief, Special Programs Division Bureau of Central Operations Office of Vocational Rehabilitation

Ralph Roach M.S., CRC, PA-LPC | Chief, Business Services and Outreach Division Bureau of Central Operations Office of Vocational Rehabilitation

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OVRs Mission & PrioritiesMission:

To assist Pennsylvanians with disabilities to secure and maintain employment and independence

Agency Priorities:Customer ServiceTransition (School-Age)Workforce Development CollaborationStakeholder RelationsOutreach & Public Awareness

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OVR LeadershipL & I Secretary Julia Hearthway currently serving as Acting Executive DirectorMr. Michael Vovakes, Special Assistant to Secretary Hearthway, overseeing day-to-day operations and has signatory authority.New ED not expected to be selected until after the November 2014 Election. 4

Organizational StructureOffice of Vocational Rehabilitation (OVR)Acting Executive Director- L & I Secretary Julia HearthwayBureau of Central Operations (Central Office) = Budget and Administrative Services Division Business Services and Outreach Division Policy, Staff Development and Training Division Grants and Contracts DivisionSystems and Evaluation DivisionSpecial Programs Division Bureau Director = Mr. Ryan HydeBureau of Vocational Rehabilitation Services (BVRS) = 15 District OfficesBureau Director = Mrs. Denise VerchimakBureau of Blindness & Visual Services (BBVS) = 6 District OfficesBureau Director = Mr. David DeNotarisOffice for the Deaf & Hard of Hearing (ODHH) = 3 District OfficesDirector = Ms. Sharon BehunHiram G. Andrews Center (HGAC) = Commonwealth Technical Institute Acting Director Mrs. Jill Moriconi

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OVR Funding21.3% State Match78.7% FederalState Budget dictates amount OVR is able to draw down in Federal Funding.OVR has been flat funded for the past three years.OVR is exploring ways to increase state match to draw down additional federal funds available. 6

OVR-ODP CollaborationJoint Bulletin released July 1, 2014ODP Futures PlanningOVR Supported Employment Policy Revision1996 Memorandum of Understanding Special ProjectsCMS Final RuleReauthorization of the Rehab Act (WIOA) 7

Why Collaborate?Federal Legislation:Rehabilitation Act of 1973, as amendedIDEA of 1990, as amended

State Legislation:MH/MR Act of 1966The Vocational Rehabilitation Act 167of 1988

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And the Rehab Act says361.53 Comparable services and benefits(d) Interagency Collaborationwith any appropriate public entity includingthe State Medicaid Programto ensure the provision of Vocational Rehabilitation Services.(3) Interagency Agreement 9

Interagency Agreement361.53 (d) (3) Interagency Agreement must delineate the following:Agency financial responsibility.Conditions, terms, and procedures of reimbursement. Interagency disputes.Procedures for coordination of services.Responsibilities under other law.

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Memorandum of Understanding 1996 Memorandum of UnderstandingOVR OMH (now OMHSAS)OMR (now ODP)Still effective, no expiration date.Defines local agency responsibilities.Establishes framework for intensive and long-term extended services.Needs to be updated.

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EMPLOYMENT FIRSTEmployment First is a concept to facilitate the full inclusion of people with the most significant disabilities in the workplace and community. Under the Employment First approach, community-based, integrated employment is the first option for employment services for youth and adults with significant disabilities.

US Department of Labor, Office of Disability Employment Programs: http://www.dol.gov/odep/topics/EmploymentFirst.htm

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WIOAEmphasizes Competitive Integrated Employment:

WIOA promotes competitive integrated employment in all of its programs, especially the VR and Supported Employment programs authorized under the Rehabilitation Act.

VR program services are designed to maximize the ability of individuals with disabilities, including individuals with the most significant disabilities, to achieve competitive integrated employment through customized employment, supported employment, and other individualized services. An Advisory Committee on Increasing Competitive Integrated Employment for Individuals with Disabilities is established to develop strategies for improving opportunities for competitive integrated employment for individuals with disabilities, especially those with the most significant disabilities. 13

OVR-ODP JOINT BULLETIN

14Crop your desktop out of the screenshot if you feel it is necessary to show it, what value does it add vs just talking about it or indicating signature dates?

Who does this affect?Individuals with Intellectual Disabilities or Autism who are enrolled, or are enrolling in:

The Consolidated WaiverThe Person-Family Directed Services WaiverThe Autism Waiver

AND:

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Who does this affect? (Continued)Who are seeking employment/supported employment services for the purpose of achieving community-integrated employment at, or above, minimum wage within one year of the ISP Team discussion about employment. 16

Appropriate Referrals???OVR and ODP are seeking clarification from the Rehabilitation Services Administration (RSA) and the Center for Medicare & Medicaid Services (CMS) regarding community-integrated employmentEmployment First philosophyNeed for indefinite one-to-one supports?Limited VR resourcesRegulations from WIOA 17

Pre-Vocational & Transitional WorkPrevocational and Transitional Work services as defined in the Consolidated, P/FDS and Autism Waivers are not currently available in Pennsylvania through the Rehabilitation Act of 1973 as Amended. 18

Pre-Vocational & Transitional WorkFor this reason, Prevocational Services and Transitional Work services to be provided under the Consolidated, P/FDS and Autism Waivers no longer require a referral to and subsequent denial from OVR prior to authorization on the Individual Support Plan (ISP). 19

Concurrent ServicesWhen OVR determines that an individual is eligible for services and develops an Individualized Plan for Employment, the individual may receive Prevocational or Transitional Work services (from ODP) while also receiving OVR services as long as they do not occur concurrently (on the same day and at the same time). 2020

Concurrent ServicesPrevocational and Transitional Work services will only be used to supplement the OVR services. Individuals must comply with OVRs Individualized Plan for Employment. 2121

Supported Employment ServicesWhen the ISP team determines that the individual has a need for Supported Employment services, the Supports CCoordinator must make a referral to OVR.

Supported Employment services are needed to achieve a community-integrated, competitive employment outcome. 2222

OVRs Supported Employment Policy OVR is currently in the process of revising its Supported Employment Policy.Input from Staff and StakeholdersResearch from other statesFocus on Job StabilityAlignment with ID SystemProvider QualificationsElimination of LOUs?Impact of WIOA?

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Special ProjectsDiscovery & Customized Employment PilotBerks Career & Technology Center Interagency AgreementGreene County ID Transition ProjectACES Grant- DREAM Partnership 24

Special ProjectsDiscovery & Customized Employment PilotThree OVR District OfficesWashingtonHarrisburgPhiladelphiaPartnership with The Arc of PAStatewide rates Provider Qualifications Required 25

Special ProjectsBerks Career & Technology Center Interagency AgreementCommunity Based Work Experiences that will lead to Community-Based Competitive Employment at the appropriate timeJointly funded positionsSchool-to-Work CoordinatorJob CoachCTC (State Match 21.3%)OVR (Federal 78.7%) 26

Special ProjectsGreene County ID Transition ProjectPartnership between Washington BVRS, Greene County Human Services and Intermediate Unit #1Provide ongoing career assessment/development and community-based work experiences beginning at age 14 for students with IDDevelop menu of services based upon team and community resourcesDesignated TeamTransition Specific Supports CoordinatorEarly Reach Coordinator and VR CounselorIU School to Work CoordinatorJointly funded positionI U School to Work CoordinatorGreene County HS (State Match 10.65 %)IU #1 (State Match 10.65 %)OVR (Federal Match 78.7%) 27

Special ProjectsACES Grant- DREAM PartnershipPromotion of postsecondary, college-based programs for young adults with intellectual disabilities that provide a mix of credit and non-credit course offerings, and extracurricular activities that provide accessible, integrated and developmental opportunities for: Community-Integrated, Customized and/or Competitive Employment Academic Enrichment Campus/Community Membership Financial Literacy Independent Living Personal Mobility and Transportation Systems Training/Awareness Socialization Collaboration with employers, workforce development programs, eligible colleges or universities, local education agencies, state agencies serving individuals with intellectual disabilities and private, for and not-for-profit community provider organizations to promote community-integrated, customized and/or competitive employment.

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Innovation & Expansion ProjectsNotice Issued to OVR District Offices and disseminated to CRPs, CILs and Stakeholders in June 2014Included Eight (8) Statements of Work for Projects Geographically identified based upon need expressed by OVR District Off