Chapter 6: Community Rehabilitation Programs for Deaf, Speech and Hearing Impaired Services

(Revised 9/07)

6.1 Fees

Fees for Community Rehabilitation Programs for Hearing Impaired

(Revised 03/07, 12/08, 09/09, 02/10)

6-0005

Table 6-1: CRP Fees for Hearing Impaired

Service Maximum Allowable Fee
Personal-Social Adjustment Training for Deaf (PSATD) $21.50 per hour, for up to 15 hours per calendar week.

Job Placement

See 2.1 Fees.

Vocational Adjustment Training $1,075 for 20-40 hours of training
Job Coaching Up to $55.25 per hour of training, for either an individual or a group
Post-Acute Brain Injury Services For per diem fees for a particular provider, see the PABI contract.

Exception to Above Fees

(Revised 02/10)

6-0010

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).

6.2 Staff Qualifications

(Revised 03/07, 06/09)

Personal-Social Adjustment Trainer for the Deaf

6-0030

Job Functions

The PSA Trainer for the Deaf performs the following functions:

Education, Training, and/or Experience

The PSA Trainer for the Deaf must have the following qualifications:

Job Coach Providers for the Deaf

6-0036

The Job Coach Providers for the Deaf must have:

Vocational Adjustment (VA) Trainer for the Deaf

6-0040

The VA Trainer for the Deaf must have the following:

Residential Supervisor for Rehabilitation Facilities for the Hearing Impaired

6-0055

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.

6.3 Personal-Social Adjustment Training for the Deaf

Flexibility

6-0110

Personal-Social Adjustment Training for Deaf (PSATD) must be flexible, so activities can be modified to meet the consumer's needs.

Trainer

6-0115

PSATD is conducted by the Personal-Social Adjustment Trainer. The trainer must sign or initial the training record/activity sheet.

Individual Adjustment Plan (in PSATD)

6-0118

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.

Hours and Curriculum

6-0120

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.

Staff-to-Consumer Ratio

6-0125

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.

Documentation

(Revised 09/09)

6-0132

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.

6.4 Job Quest Training

(Revised 12/08, 12/09)

Effective December 1, 2008, the DARS Division for Rehabilitation Services no longer purchases Job Quest Training.

6.5 Job Placement

(Revised 12/09)

See Chapter 2: Standards for Work-Oriented CRPs, 2.7 Job Placement.

6.6 Vocational Adjustment Training (VAT)

6-0280

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.

VAT Class Size

6-0290

Class size must not exceed 15 consumers.

Description of Service/Outcome

6-0295

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 below.

Documentation/Fees

6-0300

The DARS DRS counselor is authorized to pay the provider (see Fee Schedule 6-0005) upon receipt of a signed narrative statement that includes the following:

A DARS DRS staff member must verify with the consumer that these services were provided and must document in the casefile prior to payment.

6.7 Job Coaching

Overview

6-0305

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 employment.

Description of Services

Documentation/Fees

6-0310

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.

6.8 Supported Employment Services

(Revised 3/07)

6-0315

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.