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Section 2 / Part 5
Effective Date: April 26, 2005
Order of selection
Synopsis of federal regulation
An Order of Selection must be based on a refinement of the three criteria
in the definition of individual with a severe disability.
Individual with a severe disability means an individual with a disability:
Who has a severe physical or mental impairment that seriously limits one
or more functional capacities (such as mobility, communication, self-care,
self-direction, interpersonal skills, work tolerance, or work skills)
in terms of an employment outcome;
Whose vocational rehabilitation (VR) can be expected to require multiple
VR services over an extended period of time; and
Who has one or more physical or mental disabilities resulting from amputation,
arthritis, autism, blindness, burn injury, cancer, cerebral palsy, cystic
fibrosis, deafness, head injury, heart disease, hemiplegia, hemophilia,
respiratory or pulmonary dysfunction, mental retardation, mental illness,
multiple sclerosis, muscular dystrophy, musculo-skeletal disorders, neurological
disorders (including stroke and epilepsy), spinal cord conditions (including
paraplegia and quadriplegia), sickle cell anemia, specific learning disability,
end-stage renal disease, or another disability or combination of disabilities
determined on the basis of an assessment for determining eligibility and
VR needs to cause comparable substantial functional limitation.
An Order of Selection may not be based on any other factors, including:
Any duration of residency requirement, provided the individual is present
in the State;
Type of disability;
Age, gender, race, color, creed, or national origin;
Source of referral;
Type of expected employment outcome;
The need for specific services or anticipated cost of services required
by an individual; or
The income level of an individual or an individual's family.
Reference: § 361.36
Rehabilitation Services (RS)
policy
If there are insufficient resources to provide VR services to all eligible
individuals who apply, RS will assure that those individuals with the
most severe disabilities are selected for service before other individuals
with disabilities. RS will ensure that its funding arrangements,
including grants, contracts, or cooperative agreements, are implemented
consistent with the Order of Selection.
RS will periodically determine whether there are sufficient funds to
serve all eligible persons who apply. Factors to consider in this determination
include:
Availability of state general funds to match available federal VR funds.
Application, referral and caseload trends.
Adequacy of staff coverage.
Costs of purchased services, such as diagnostics, medical, restoration
and training.
Estimated costs of continuing services under existing Individualized Plans
of Employment (IPEs).
Emphasis on serving persons with severe disabilities.
Timeliness of determination of eligibility and provision of services.
Outreach efforts.
Unserved or underserved groups.
RS will not delay, through waiting lists or other means, determinations
of eligibility, the development of IPEs for individuals determined eligible,
or the provision of services for eligible individuals for whom IPEs have
been developed in order to avoid closing categories of services in Order
of Selection.
After eligibility has been determined and before the IPE
is written, each client is assigned to a category group. The client will
be assigned to the highest priority category for which he or she is qualified
and a rationale will be documented in the case file. If the client's circumstances
change or new information is acquired, the category designation can be
changed to a higher priority category. Category designation changes will
not be made if the change would place the individual in a lower priority
category. Clients will be notified of the right to appeal their category
assignment.
Eligible individuals who cannot be served under the Order of Selection
will be advised that their record will be placed on a waiting list. They
will be notified should funding become available to provide the services.
If there is a need to close one or more categories for services:
RS will set aside sufficient funds to purchase services necessary to determine
eligibility. Applications for services will be accepted without restriction.
The closure of one or more categories will not affect individuals who
already have signed IPEs. IPE services will continue.
Persons who need post-employment services will not be affected.
Implementation of the closure will be made statewide.
Except for additional assessment or diagnostic services needed to analyze whether an individual can be moved to a higher category, VR services (purchased or provided by Staff) may not be provided for individuals on the waiting list. Exceptions to this provision are not allowed.
Category 1: Eligible individuals with
a most severe physical or mental impairment that seriously limits two
or more functional capacities (such as mobility, communication, self-care,
self-direction, interpersonal skills, work tolerance or work skills) in
terms of an employment outcome, whose VR can be expected to require multiple
VR services over an extended period of time. In the event that VR services
cannot be provided to all eligible individuals in Category 1, a waiting
list based upon the date of application will be activated.
Category 2: Eligible individuals with
a severe physical or mental impairment that seriously limits one or more
functional capacities (such as mobility, communication, self-care, self-direction,
interpersonal skills, work tolerance or work skills) in terms of an employment
outcome; whose VR can be expected to require multiple VR services over
an extended period of time; and who has one or more physical or mental
disabilities resulting from amputation, arthritis, autism, blindness,
burn injury, cancer, cerebral palsy, cystic fibrosis, deafness, head injury,
heart disease, hemiplegia, hemophilia, respiratory or pulmonary dysfunction,
mental retardation, mental illness, multiple sclerosis, muscular dystrophy,
musculo-skeletal disorders, neurological disorders (including stroke and
epilepsy), spinal cord conditions (including paraplegia and quadriplegia),
sickle cell anemia, specific learning disability, end-stage renal disease,
or another disability or combination of disabilities determined, on the
basis of an assessment for determining eligibility and VR needs, to cause
comparable substantial functional limitation. In the event that VR services
cannot be provided to all eligible individuals in Category 2, a waiting
list based upon the date of application will be activated.
Category 3: Eligible individuals with
non-severe disabilities. In the event that VR services cannot be provided
to all eligible individuals in Category 3, a waiting list based upon the
date of application will be activated.
Multiple services means more than one service as listed on the IPE. Support
services (maintenance, transportation, and services to family members)
may not be counted toward multiple services. Routine counseling and guidance
to facilitate participation in the VR process may not be counted toward
multiple services. Significant services which are not provided by RS but
which are related to the disability and employment outcome, and which
are essential to the accomplishment of the IPE may be counted toward multiple
services.
Extended period of time means at least four months of services between
Status 12 and closure.
Information and referral
In the event that one or more categories of services are closed through
Order of Selection and a waiting list for services is established, RS
shall provide information and referral services for those eligible individuals
who cannot be served. The information and referral service provided should
be adequate to ensure that the individual with a disability is provided
accurate VR information and guidance, using appropriate modes of communication,
to assist them in preparing for, securing, retaining or regaining employment.
An appropriate referral shall be to federal, state or other programs,
including programs carried out by other components of the statewide workforce
investment system, best suited to address the specific employment needs
of the individual with a disability. For each referral, the individual
shall be given:
A copy of the notice of referral that RS will send to the other program,
including a specific point of contact within the other program.
Information and advice regarding the most suitable services to assist
the individual to prepare for, secure, retain or regain employment.
Referrals should be documented in the record of services.
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