CRS: Outcomes from the 1st Year Assessment O C T O B E R 1,

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Natalie Franklin
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1 CRS: Outcomes from the 1st Year Assessment O C T O B E R 1,

2 Purpose of Today First Year Outcomes Quality Assurance Provider Reviews NYS CASE is a resource to supported employment providers Provider input on CRS and exciting next steps

3 CRS 1 st Year Information Gathering Public Input from State Plan Events State Rehabilitation Conference District Office Staff CRS Vendors and Provider Associations APSE IAC NYSRA ILCs NYSID

4 Positive Feedback Combining Unified Services and SE reduces the number of contracts to manage Increased rate for 620x New providers Youth Employment Services- 958x Milestones are easier to track than hourly rates Increase in Rehabs for Supported Employment

5 SE Rehabs: FFY ,500 3,000 2,500 2,000 1,500 1, ,115 2,494 2,264 FFY 2012 FFY 2013 FFY 2014

6 Overall, the contract works but...

7 Issues to Resolve in Next CRS Contract Contract capacity Contract adjustment and amendment process Rates Method of Award Performance Measures Bonus Payments Incorporating WIOA

8 CRS 2yr Contract Utilization: August 31, % 75% 71% 60% 45% 30% 15% 61% 40% 51% 63% 67% 55% 57% Entry Assessment Work Readiness Job Placement Assist Tech Driver Rehab Adjunct SE Intensive 0% CRS Services

9 Provider Reviews Intensive Service Plan (ISP) Specific barriers and strategies Monthly Reports Updates on barriers and strategies Provider Case Notes Daily Activities

10 Communication is a valuable tool but should not be our primary method of communication. Any communication regarding a specific consumer should be included in the case record.

11 The NYS CASE is sponsored by the New York State Education Department, ACCES-VR

12 CREATING A foundation for excellence BY ENHANCING THE capacity and proficiency OF NYS SUPPORTED EMPLOYMENT PROVIDERS

13 Capacity and proficiency Individual Practitioner: Customizable, three-tiered certificate program 1. Supported Employment Service Delivery 2. Advanced Supported Employment Practice 3. Supported Employment Administration and Leadership Competency-based curricula (22 courses) Web-based applications and tools Information, resources, and online certificate management portal Statewide CASE listserv l

14 Capacity and proficiency Organization: Supervisor interface on successful practitioner completion and competency feedback loop Fidelity-based tools to promote organizational effectiveness Access to organizational development support Online CASE portal for access to OD tools and resources Opportunity to host regionally-based training

15 CRS 2.0 Tentative Timeline October 2015: Complete Design of CRS 2.0 November 2015: Stakeholders Forum January 2016: Release RFP February 2016: Bidders Conference March 2016: Vendor Bids Due August 2016: Award Letters Sent to Vendors November 2016: Staff and Vendor Training January 2017: CRS 2.0 Begins

16 Tentative Celebration!

17 NYSRA: Feedback Questions

18 SE Intensive Milestones: Current CRS Contract Milestone Region 1 (Downstate) Region 2/3 (Upstate) 571x Intake $155 (3 hrs) $155 (3 hrs) 572x Development $1,370 (27 hrs) $1,050 (23 hrs) 573x Placement Day 5 $820 (16 hrs) $630 (45 hrs) 574x Placement Day 45 $1,092 (22 hrs) $840 (19 hrs) 575x Retention Day 90 $2,184 (44 hrs) $1,680 (37 hrs) Total $5,621 $4,355 $5,611 / $50 per hr = 112 hours of service total $4,355/ $45 per hr = 96 hours of service total

19 SE Intensive Annual Reimbursement Comparisons Per Person

20 WIOA Customized Employment Definition Services that involve a blend of flexible strategies that result in the provision of individually negotiated and designed services, supports, and job opportunities for an individual and that lead to an employment outcome of customized employment, including self-employment. A key factor in deciding if a service is a customized employment service is the presence of employer negotiation, including customizing a job description based on current unidentified and unmet needs of the employer and the needs of the employee; developing a set of job duties or tasks; developing a work schedule (including determining hours worked); determining a job location; developing a job arrangement (such as job carving, job sharing, or a split schedule); or determining specifics of supervision.

21 Supported Employment Questions Are there ways to improve the service design of supported employment intensive? How are the milestones working? Are there other activities to consider that are not currently part of SE intensive? Are the milestones working for individuals of various ability levels? Should there be a milestone payment for customized employment or could it be addressed outside of the SE intensive?

22 Pre-Employment Services for Youth Work Readiness (620x) Soft Skills Development Service Description Acceptable work and social conduct in the workplace, culture of the workplace, resume preparation, motivation for work and maintaining a job, work-related daily living skills, disability awareness, transportation, and home health management $50 per unit per consumer Unit = 2.5 hours per day up to 10 units Delivered in a group May occur in a facility or community-based setting

23 Work Readiness Utilization A lot of capacity available for this service. Utilization should be at 75% but only at 32% as of June 30 th Despite low utilization compared to other CRS service categories, there has been growth in 620x as a Youth Employment Service. Approximately 64% of new applicants in 620x are youth, compared to 33% in 2013 and 39% in 2014 VRCs and providers are starting to target this service toward youth ACCES-VR is beginning an initiative in the fall to expand authorizations of 620x

24 Work Readiness Questions Are there aspects of the service design of 620x that need to be addressed in the next contract cycle? How to we encourage providers to offer work readiness training to youth and other individuals with disabilities? Are there ways to adjust the rate or units to best support people with disabilities?

25 Self-Advocacy One of the required activities under WIOA for Preemployment Transition Services Instruction in self-advocacy, which may include peer mentoring. Considering self-advocacy as a new service in CRS 2.0

26 Self-Advocacy Questions What types of activities and topics would a selfadvocacy service address in relation preparing and individual for employment? How would it be delivered? Individual or Group?

27 Contact Information Ray Pierce, Coordinator of Service Delivery Michelle Barlow, Manager of Quality Assurance NYSED, ACCES-VR 89 Washington Ave, Room 580-EBA Albany, NY Phone: (518) Wendy Quarles, Director, Center for Human Services Education Heritage Christian Services 349 W. Commercial Street, Suite 2795 E. Rochester, NY Phone: (585)

Comprehensive SE Deliverables Reporting Guide: Design, Expectations and Procedure

Comprehensive SE Deliverables Reporting Guide: Design, Expectations and Procedure The Deliverable reports are for the purpose of billing and they are also action reports. They are designed to supply both