ACCES VR

APSE 2015

Ray Pierce, Coordinator for Service Delivery

Michelle Barlow, Manager, Quality Assurance

ACCES-VR

ACCES VR

APSE 2015

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)

ACCES VR

APSE 2015

ACCES-VR

Improve Customer Service Intakes IPE Staffing patterns

What’s New in 2015

ACCES VR

APSE 2015

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APSE 2015

ACCES VR

APSE 2015

ACCES VR

APSE 2015

ACCES VR

APSE 2015

ACCES VR

APSE 2015

ACCES VR

APSE 2015

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APSE 2015

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APSE 2015

ACCES-VR What’s Our Line?

ACCES VR

APSE 2015

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.

ACCES VR

APSE 2015

MATTER OF GOLDSTEIN v. VESID Elena Bernstein

ACCES VR

APSE 2015

“ …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…”

ACCES VR

APSE 2015

How Can ACCES-VR Help Providers?

ACCES VR

APSE 2015

ACCES-VR Provider

ACCES VR

APSE 2015

How can providers help ACCES-VR?

ACCES VRACCES VR

CRS Services: One Year Later

May 4, 2015

ACCES VR

Primary Disability of CRS Participants

37%

28%

11%

24%

Cognitive

Psychosocial

Other Mental Im-pairments

Phyiscal

ACCES VR

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

ACCES VR

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

ACCES VR

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

ACCES VR

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

ACCES VR

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

ACCES VR

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

ACCES VR

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

ACCES VR

APSE 2015

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