Table 6-1: CRP Fees for Hearing Impaired
||Maximum Allowable Fee
|Personal-Social Adjustment Training for Deaf (PSATD)
||$21.50 per hour, for up to 15 hours per calendar week.
See 2.1 Fees.
|Vocational Adjustment Training
||$1,075 for 20-40 hours of training
||Up to $55.25 per hour of training, for either an individual or a
|Post-Acute Brain Injury Services
||For per diem fees for a particular provider, see the PABI contract.
If services, such as Personal Social Adjustment Training for the Deaf, Vocational Adjustment Training for the Deaf, and Job
Coaching for the Deaf are conducted by CRP staff who are skilled in sign
language, or are facilitated by a sign language interpreter provided by the CRP,
the schedule of fees in paragraph 6-0005
apply. If such communication assistance is not provided by the CRP, the regular
fees for these services apply. (See DARS DRS Standards paragraph 2-0005).
The PSA Trainer for the Deaf performs the following functions:
- Identifies areas of appropriate and inappropriate personal-social
functioning (using existing resources, personal observation, conversations
with DARS DRS Counselor, consumer, family members, and others);
- develops (in coordination with the consumer and the DARS DRS Counselor) a
DARS3484, Community Rehabilitation Program Individual Adjustment Plan (IAP) for
each consumer, including conditions to be modified, methodology, and
- implements each DARS3484 through formalized classroom activities and /or practical training, using approved
course outline and lesson plans;
- monitors the DARS3484 to determine progress toward identified goals and to determine whether modification of
the DARS3484 is appropriate; and
- reports to the DARS DRS Counselor on progress toward planned goals and objectives.
The PSA Trainer for the Deaf must have the following qualifications:
- master's degree in rehabilitation, counseling and guidance, psychology;
- bachelor's degree in a related field (e.g., education, sociology, social
services, or liberal arts) and one year full-time experience performing
adjustment services or similar duties in a rehabilitation agency or
organization (two years may be substituted for one year of college with
eight years' experience being equivalent to a college degree); and
- proficiency in expressive and receptive sign language communication with
The Job Coach Providers for the Deaf must have:
- a high school diploma or GED;
- a varied and successful work history;
- considerable knowledge of employer expectations;
- the ability to work successfully with a wide variety of consumers and
- the ability to analyze a job and reduce it to manageable components; and
(if providing services to consumer who are deaf)
- proficiency in expressive and receptive sign language communication with
The VA Trainer for the Deaf must have the following:
- master's degree in rehabilitation, counseling and guidance, or psychology;
- bachelor's degree in a related field (e.g., education, sociology) and one
year of full-time experience performing adjustment services or similar
duties in a rehabilitation agency or organization; or
- a combination of training and experience with a minimum of two years'
successful provision of services to individuals with disabilities. These
services must be similar to those provided in VAT.
- Proficiency in expressive and receptive sign language communication with
deaf individuals is required.
Two years of actual work experience in areas directly related to deafness,
and sign language. Proficiency in expressive and receptive communication with
deaf individuals is required.
Personal-Social Adjustment Training for Deaf (PSATD) must be flexible, so
activities can be modified to meet the consumer's needs.
PSATD is conducted by the Personal-Social Adjustment Trainer. The trainer
must sign or initial the training record/activity sheet.
A DARS3484, Community Rehabilitation Program
Individual Adjustment Plan (IAP), (or equivalent) identifying behavioral
changes that will be addressed in the course of PSATD must be developed jointly
by the PSA Trainer and the consumer within the first 10 days of training. The
DARS3484 must specify measurable goals and objectives, methods for change, persons
responsible, and target dates for completion of each goal and objective.
The DARS3484 is signed by the PSA Trainer,
the consumer, and the DARS DRS Counselor. Signature by each of these individuals
indicates understanding of and agreement with the goals and objectives
established in the IAP. If the DARS DRS Counselor is not available for personal
signature when the IAP is developed, fax the IAP to the counselor and request
his/her signature prior to initiating the services on the IAP.
IAP goals and objectives must be reviewed periodically by the trainer, the
consumer, and the DARS DRS Counselor and amended as appropriate.
A minimum of 15 hours per calendar week of PSA Training for the Deaf must be
offered. If the CRP offers more than 15 hours per week, DARS DRS sponsorship is
limited to 15 hours per week.
- Social skills, getting along with others.
- Family relationships.
- Community services and how to use them.
- Accepting responsibility.
- Money management-insurance, bank accounts, budgeting, credit, etc.
- Resources for additional education.
- Health and sexuality.
- Mental health.
- Goal setting.
- Relating to authority figures.
- Effective time scheduling.
- Learning to cope with conflicting expectations of family and work.
- Basic mathematics.
- Basic vocabulary.
- Accessing public transportation for work and personal needs.
Staff-to-consumer ratio must not exceed one-to-seven. An aide under the
Personal-Social Adjustment Trainer may be used when the number of
consumers exceeds seven but
is not more than twelve. The ratio of aides to trainer must not exceed two-to-one
without survey team approval.
A monthly progress report, showing attendance and progress toward established
goals must be submitted with billing.
DARS3453, Work/Residential Community
Rehabilitation Programs, Monthly Progress Report
or its equivalent may be used.
Effective December 1, 2008, the DARS Division for Rehabilitation Services no
longer purchases Job Quest Training.
See Chapter 2: Standards for Work-Oriented CRPs, 2.7
Vocational Adjustment Training (VAT) is designed to increase an individual's
interpersonal skills related to basic worker traits and attitudes necessary to
participate in job search activities.
Class size must not exceed 15 consumers.
VAT can be provided one-on-one or in a participatory group setting, as
determined by the trainer.
Through training offered by the provider, the consumer receives an opportunity
to acquire the personal and social adjustment skills necessary to participate in
job search activities. The "hoped for" consumer outcomes are described
- Transportation Training - consumer demonstrates ability to utilize
transportation to access one or more specific locations.
- Socially appropriate behavior skills training - consumer demonstrates
appropriate behavior in selected settings on a routine basis.
- Daily living skills-demonstrates skills necessary to function
independently (food preparation, homemaking, etc.,).
- Communication Skills-communicating honestly and clearly, related to
authority figures, co-workers, peers, demonstrating appropriate phone
etiquette, interacting and cooperating appropriately with groups.
Understanding hearing culture, how to relate to hearing co-workers, peers,
and authority figures. Use of alternative communication skills/assisting
- Grooming-demonstrates appropriate grooming skills and hygiene for work
- Problem Solving-provides appropriate solutions to pre-identified work
- Goal Setting-demonstrates understanding of realistic goals/objectives.
- Time Management-demonstrating effective time scheduling, understanding the
importance of punctuality and attendance, meeting deadline, scheduling
- Self Concept/Self motivational skills training-demonstrates understanding
of personal assets, skills, and abilities.
- Banking, Financial/Money Management-demonstrates an understanding of
basic budgeting, banking services and the responsible use of credit.
- Work Traits/Work ethics-demonstrates appropriate attendance/tardiness
record, relates well with co-workers and supervisors, recognizes
"quality" work, competes appropriately.
- Conflict resolution-demonstrates ability to cope with and appropriately
resolve work related conflicts.
- Disability awareness-demonstrates ability to explain one's disability and
offer solutions to disability related problems in an employment setting.
The DARS DRS counselor is authorized to pay the provider (see
6-0005) upon receipt of a
signed narrative statement that includes the following:
- the numbers of hours participated in VAT, and
- the training has provided the consumer an opportunity to acquire the
interpersonal skills necessary to participate in job search activities
A DARS DRS staff member must verify with the consumer that these services were
provided and must document in the casefile prior to payment.
For the VR program a job coach provides on-site job training for those
consumers needing assistance in adjusting to employment, and instruction in
learning the skills necessary to perform job competently. The Job Coach may
provide transportation training to consumers who need this service to maintain
- Work side-by-side with a newly placed consumer at a job site.
- Analyze the job, and break into manageable components.
- Identify and solve problems before they become crises for the consumer,
employer or co-worker.
- Teach effective job keeping skills to the consumer.
- Use the least intrusive methods possible on the job.
- Gradually reduce the time spent at the job site as the consumer becomes
better adjusted and more independent.
The DARS DRS counselor may negotiate a fee for either an individual or
a group, for a Job Coaching. A Job Coach may work with multiple consumers at a
negotiated group fee, as long as the quality of the service is not
compromised (see Fee Schedule 6-0005).
A job coaching time log report signed by provider
and consumer and an invoice must be submitted for payment. (DARS3458
Job Coach Service(s) Time Log is a sample time log).
Counselor or designated DARS DRS staff will verify with consumer the essential
elements of the time log and document in the case record.
See Chapter 2: Standards for Work-Oriented CRPs for a full description
of Supported Employment Services. For fees for this service, see
Fee Schedule 2-0005.