GROUP AND GROUP AND FACILITY FACILITY EMPLOYMENT EMPLOYMENT LTESS/EES LTESS/EES CASE REVIEWSCASE REVIEWS

Case ReviewCase Review GoalsGoals

➲To ensure To ensure compliance with compliance with requirements as requirements as noted in the noted in the Vendor Vendor Agreement and Agreement and related related appendices.appendices.

➲To ensure that To ensure that quality services quality services to mutual to mutual consumers are consumers are planned, planned, provided and provided and documented.documented.

Case Review Goals (con’t)

➲To ensure that the billing for follow along services accurately reflects the services rendered and documented by our service partners.

➲To ensure communication and collaboration between DRS and its service partners.

➲To ensure that appropriate services are provided by the service partners and DRS, if necessary during long term follow along.

Case Review ProtocolCase Review Protocol• OESSP developed a protocol for the case

review based on the requirements outlined in the Vendor Agreement and the appropriate appendices.

The following is an overview of the protocol including the citations from the Vendor Agreement, appendices and other sources used to develop the protocol…

Eligibility…• Documentation of client disability meets

DRS criteria for severity and need for work supports. (Appendix E, 1 E,G)

• EES/LTESS application form completed. (Appendix E, 1 B)

• Regarding LTESS, evidence of prior support. (Appendix E, 1 B)

• DRS counselor approved LTESS application. (Appendix E, 3 B)

Eligibility For EES• Individual Service plan in file. • EES service plan specifies a level of service

consistent with consumer needs. • Case record contains progress reports

addressing elements of service plan. • Plans reviewed periodically.• Plan review addresses individual progress.• Review includes reassessment of other

modes of training or employment.

(Appendix C, 1 G)

Service Provision• If consumer paid less than minimum

wage, time study documented every six months.

(Appendix C 1 A,US Department of Labor (Appendix C 1 A,US Department of Labor requirements)requirements)

Service ProvisionIf time study completed, productivity

percentage reflected in salary.

(Appendix E 1,A, US Department of Labor )(Appendix E 1,A, US Department of Labor )

• If appropriate, waiver completed and If appropriate, waiver completed and included justification for reduced hours. included justification for reduced hours. (Appendix C, I B)(Appendix C, I B)

• Evidence that waiver permission granted Evidence that waiver permission granted by DRS. by DRS. (Appendix C, I B)(Appendix C, I B)

Service Provision• Downtime training time documented on

individual basis. (Appendix C 1, B)(Appendix C 1, B)

Service Provision

• Attendance documentation supports hours billed to LTESS/EES. (Appendix C 1, H)(Appendix C 1, H)

• Request for approval of transportation documented. (Appendix C 1, F)(Appendix C 1, F)

• Attendance documentation supports hours billed for transportation. (Appendix C 1, F)(Appendix C 1, F)

Case Closure

• LTESS/EES closure form was completed if case closed. (Appendix C 1,I)

• Documentation supports case closure. (Appendix C 1,H)

Questions????Questions????