accesvr ray pierce, coordinator for service delivery michelle barlow, manager, quality assurance...
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ACCES VR
APSE 2015
Ray Pierce, Coordinator for Service Delivery
Michelle Barlow, Manager, Quality Assurance
ACCES-VR
ACCES VR
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ACCES VR
NYS Department of Labor• Youth• Trial Work Experiences• Self-Employment• Career Advancement • Customization• Training Employers
What’s New in 2015
Workforce Innovation and Opportunity Act (WIOA)
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ACCES-VR
Improve Customer Service Intakes IPE Staffing patterns
What’s New in 2015
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ACCES-VR What’s Our Line?
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Vocational Rehabilitation Counselor
Analyze Information from interviews, educational and medical records, consultation with other professionals, and diagnostic evaluations to assess clients’ abilities, needs and eligibility for services.
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MATTER OF GOLDSTEIN v. VESID Elena Bernstein
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“ …the issue of appropriate VESID funding of rehabilitation programs is by no means a pure medical question and it is well within Bernstein’s expertise as a rehabilitation counselor to state her opinion on the issue…”
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How Can ACCES-VR Help Providers?
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ACCES-VR Provider
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How can providers help ACCES-VR?
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CRS Services: One Year Later
May 4, 2015
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Primary Disability of CRS Participants
37%
28%
11%
24%
Cognitive
Psychosocial
Other Mental Im-pairments
Phyiscal
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CRS Participants & NYS Population: Race and Ethnicity
Asian Black Hispanic White Multiracial Other0%
10%
20%
30%
40%
50%
60%
2%
28%
15%
52%
2% 2%
8%
15%18%
57%
2% 1%
CRS Partic-ipants
NYS Population
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CRS Participant Age
Age
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
32% 10% 58%
0-21
22-25
26+
42 Percent of participants are students or youth
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CRS 1st Year Contract Utilization by Service Category
CRS Services 0%
20%
40%
60%
80%
100%
120%
105%
72%
47%
64%70%
81%
51%
74%
Entry
Assessment
Work Readiness
Job Placement
Assist Tech
Driver Rehab
Adjunct
SE Intensive
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CRS Positive Feedback Combining Unified Services and SE reduces
the number of contracts to manage Increased rate for 620x Milestones are easier to track than hourly
rates New providers have entered the contract Youth Employment Services - 958x Increase in Rehabs statewide
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SE Rehabs: FFY 2012-2014
FFY 2012 FFY 2013 FFY 20140
500
1,000
1,500
2,000
2,500
3,000
3,500
2,264
2,4943,115
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Contract Adjustments If a provider runs out of units for a specific
service, the District Office may adjust the CRS contract value to redistribute approved services.
Criteria for approving contract adjustments:• Other vendors cannot provide the service• Detail service capacity of the catchment area to
show lack of availability to meet consumer need• Disability or service specific expertise must be
substantiated• Continuity of services
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Proposed Improvements for Contract Increase flexibility for moving funding between
service categories in the contract Simplify performance measures – focus on the
most important goals SE Milestones reflect the level of support
needed A3 Provider List based on rehab rate alone Bonus/Performance payments based on
attainable outcomes for the population served Incorporate WIOA
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Supported Employment• What additional services are needed? • When should these be offered?
• Youth Services• What additional Services are needed?• When should these services be offered?
• Trial Work Experiences • What is needed to develop opportunities for our
most severely disabled consumers?
Looking Forward