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Table of Contents - print
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Section 1 - Administrative Issues
Part
1 - Organizational structure
Part 2
- Purpose
Part 3
- Mission, values and goals
Part 4
- Public input for program administration
Part 5
- Workplace violence and safety
Part 6
- Appeals
Part
7 - Confidentiality (Protection, use, and release of personal
information)
Part
8 - Informed choice
Part 9
- Consultants
Part
10 - Standards for facilities and service providers
Part 11 -
Record of services
Part
12 - Documentation Guide
Part 13
- Miscellaneous administrative issues
Section 2 - Application and Eligibility
Part
1 - Referrals and applications
Part 2
- Eligibility
Part
3 - Determination of impairment for individuals with learning
disabilities
Part
4 - Procedures for ineligibility determination
Part
5 - Order of selection
Section 3 - Service delivery
Part 1 -
Individualized Plan for Employment
Part
2 - Scope of available services
Part
3 - Limits, nature and scope of services
Part
4 - Service codes and related information
Part
5 - Service code quick list
Part
6 - Service codes in alphabetical order
Part
7 - Service codes in numerical order
Part 8
- Summary of spending authority (cost caps)
Part
9 - Economic need
Part
10 - Comparable services and benefits
Part
11 - Small business and self-employment guidance
Part 12
- Vocational rehabilitation (VR) services for transition-aged students
with disabilities
Part
13 - Extended (sheltered) employment
Part
14 - Supported employment
Part 15 -
Coordination with EES
Part
16 - Post-employment services
Part 17
- Training
Part
18 - Sign language interpreter services
Part 19 -
Functional descriptions of KQAS certification levels
Part 20
- Placement
Part
21 - Job modifications
Part 22
- Vehicle modification, purchase and repairs
Part 23
- Maintenance
Part 24 - Child Care
Section 4 - Medical services
Section 5 - Closures
Part 1
- Individuals determined to have achieved an employment outcome
Part
2 - Closure without eligibility determination
Part 3
- Other closure actions
Section 6 - Fiscal procedures
Section 7 - Glossary
Section 8 - Forms (list is alphabetical
and available in Adobe PDF format unless otherwise noted)
Agency Purchase Order (Part
1)
Application - Spanish and Vietnamese (Part
2)
Application and Key to Terminology - English (Part
3)
Assessment Consumer Follow-up (Part
4)
Assessment Referral (Part
5)
Assessment Referral Follow-up (Part
6)
Authorization for Release of Information (Part
7)
Authorization
for Release of Information between RS and EES (Part
8)
Authorization for Release of Protected Health Information (Part
9)
Authorization for Release of Service Record Information (Part
10)
Cash Transmittal (Part
11)
Child Care
Information and Referral Form (Part 52 )
Community-Based Work Assessment Agreement (Part
12)
Community-Based Work Assessment Log Sheet (Part
13)
Community-Based Work Assessment Procedures (Part
14)
Community Job Tryout Agreement (Part
15)
Community Job Tryout Log Sheet (Part
16)
Community Job Tryout Procedures (Part
17)
Contract Service Descriptions - see Section 11 (Part
18)
Definitive Medical Report Request Letter (Part
19)
Economic Need Summary (Part
20)
EES RS Monthly Communication Report (Part
21)
EES Screening Tool for Referral to RS (Part
22)
Exceptions Request (Part 54) | WordPerfect-Part 54
Functional Limitations Worksheet (Part
23)
Health Assessment Questionnaire (Part
24)
Health Assessment Questionnaire - Spanish version (Part 24a)
Hearing Aid Provision - Parts I, II, III, IV (Part
25)
Individual Plan for Employment - IPE (Part
26a)
Individual Plan for Employment Amendment (Part
26b)
Individual Plan for Trial Work Experience or Extended Evaluation
(Part 27)
Kansas Residency Verification (Part
28)
Low Vision Examination Report (Part
29)
Low Vision Referral (Part
30)
Maintenance & Comparable Benefit Worksheet (Part 55 - Word | Pdf)
Materials Received/Property Assignment - Disposition (Part
31)
Medical Examination (Part
32)
Out-of-state Comparative Analysis Worksheet (Part
33)
Payment-for-Performance Billing Form (Part
34)
Payment-for-Performance Referral Acceptance Form (Part
35)
Provider Agreement Template with instructions (Part
36)
Referral to Rehabilitation Services (Part
37)
Report of Eye Exam (Part
38)
Request for Prices (Part
39)
State Audiological Consultation Report of Contact (Part
40)
Status 26 Client Report (Part
41)
Status 26 Closure Documentation (Part
42)
Summary of Telephone Quotations (Part
43)
Ticket-to-Work Assignment Checklist (Part
44)
Ticket-to-Work SSA Form 1365 (Part
45)
Transition Notification/Referral for VR Services (Part
46)
Transition Notification/Referral for VR Services in Spanish (Part 53)
Vehicle Inspection Form (Part
47)
Vehicle Purchase Agreement (Part
48)
W-9 (Part 49)
Workers Compensation Form - Employer's Report of Accident (Part
50)
Workers Compensation procedures for client claims (Part
51)
Section 9 - Resources
American Dental Association procedure codes - pdf (Part 29)
Case reviews - Federal instructions and form - pdf (Part 1)
Case reviews - RS form for active cases - pdf (Part 2)
Case reviews - RS form for closed cases - pdf (Part 3)
CBWA and CBJT FAx Cover Sheet (Part 25) NEW
Customer/Client guide to developing the IPE (Part 4)
Definitions of Case Status Process - pdf (Part 5)
Diagram of VR Case Status Process - pdf (Part 6)
Disability Code Crosswalk - pdf (Part 7)
Example
Letter (Part 8)
Frequency of contact/best practice guidelines (Part 9)
Functional limitations indicators reference - pdf (Part 10)
Handbook of Services - English version (Part 11)
Handbook of Services - Spanish and Vietnamese versions
(Part 12)
Letters:
General (non-transition) referral (Part 13)
Third Party Referral
(Part 13a)
Third Party Referral - Spanish (Part 13b)
Third Party Referral - Vietnamese (Part 13c)
Transition Referral (Part 13d)
Transition Referral - Spanish (Part 13e)
Transition Referral - Vietnamese (Part 13f)
Eligibility-Next Step: Order of Selection (Part 13g)
Eligibility-Next Step: Order of Selection - Spanish (Part 13h)
Eligibility-Next Step: Order of Selection - Vietnamese (Part 13i)
Eligibility-Next Step: IPE (Part 13j)
Eligibility-Next Step: IPE - Spanish (Part 13k)
Eligibility-Next Step: IPE - Vietnamese (Part 13l)
Waiting List: Category 1 (Part 13m)
Waiting List: Category 1 - Spanish (Part 13n)
Waiting List: Category 1 - Vietnamese (Part 13o)
Waiting List: Category 1 Guide pdf only (Part 13p)
Waiting List: Category 2 and 3 (Part 13q)
Waiting List: Category 2 and 3 - Spanish (Part 13r)
Waiting List: Category 2 and 3 - Vietnamese (Part 13s)
Waiting List: Category 2 and 3 Guide pdf only (Part 13t)
Customer letter regarding fiscal situation, 4-07 (Part 13u)
Order of Selection - Guide to Planning for Employment (Part 23)
Order of Selection - Guide to Planning for Employment - Spanish (Part 26)
Order of Selection - Questions and answers about waiting lists (Part 24)
Order of Selection - Questions and answers about waiting lists - Spanish (Part 27)
Quick Reference Guide to Implementation Dates (Part 14) Updated for 2008
Not active - reserved for future use (Part 25)
Not active - reserved for future use (Part 28)
Resource guide: BEP (Part 15)
Resource guide: DDS (Part 16)
Resource guide: Kan-SAIL (Part 17)
Resource guide: KCDHH (Part 18)
Resource guide: RCBVI (Part 19)
Resource guide: RT (Part 20)
Resource guide: VR (Part 21)
United Cerebral Palsy Application for Financial Assistance
- Independent Living Assistive Technology Services (Part 22)
Section 10 - Disability Determination Services
Part 1 -
DDS Medical Information and Services
Section 11 - Contracts (available in Adobe PDF file format only)
Part
1 - Provider Agreement Template with Instructions
Part 2 -
Community-Based Job Tryout Services (Payment-for-Performance)
Part 3 -
Community-Based Work Assessment Services (Payment-for-Performance)
Part
4 - Customer Support (Fee-for-Service)
Part
5 - Intensive Employment Support Services (Payment-For-Performance)
Part
6 - IPE Case Coordination (Milestone Payment)
Part
7 - IPE Research (Payment-for-Performance)
Part
8 - Job Placement Services (Payment-for-Performance)
Part
9 - Purchasing Support (Payment-for-Performance)
Part
10 - Supported Employment Services (Payment-for-Performance
3 Components)
Part
11 - Supported Employment Services (Payment-for-Performance
4 Components)
Part
12 - Vocational Assessment (Payment-for-Performance)
Part
13 - Reserved for later use
Part 14 - Assistive Technology Services (Payment-for-Performance)
Part 15 - Rehabilitation Engineering (Payment-for-Performance)
Kansas RS Staff may access a list of current contractors at:
http://srsnet.srs.ks.gov/commissions/rehab/text/GrantFFS.htm
Section 12 - State Memos (available in Adobe PDF format unless otherwise noted)
Part
1 - SFY 2004 / Number 1: Referral and Transition
Part
2 - SFY 2005 / Number 1: KMIS Extension Screens
Part
3 - SFY 2005 / Number 2: Manual Update
Part 4 - SFY 2006 / Number 1: Child Care
Part 5 - SFY 2006 / Number 2: Accommodations for communications
Part 6 - SFY 2006 / Number 3: Manual Updates
Part 7 - Maintenance Procedures memo effective 5/14/07
Section 13 - RSA Memos
Part 1 - RSA-PD-97-04:
Employment Goal for an Individual with a Disability
Part 2 - RSA-TAC-98-01:
Support Services for Individuals with Cognitive Disabilities and
Others Who Need Assistance in Implementing Informed Choice dated
11/3/97
Part 3 - RSA-IM-00-21:
Information on the Provision of Vocational Rehabilitation Services
to the Individuals with Hearing Loss (Deaf and Hard of Hearing)
Part 4 - RSA-PD-01-03:
Implementation of Informed Choice
Part 5 - RSA-IM-02-01:
Information on the Provision of Vocational Rehabilitation Services
to Individuals with Significant Speech and Language Impairments
Part 6 - RSA-TAC-02-01:
Assessments of Individuals with Significant Disabilities under the
State Vocational Rehabilitation Services Program
Part 7 - RSA-TAC-05-01:
Guidelines for Assessing the Functional Capacities of an Individual
with Specific Learning Disabilities to Determine Significance of
Disability for Order of Selection Purposes
Part 8 - RSA-PD-91-03:
Policy Statement on Rehabilitation Engineering
Part 9 - RSA-PD-91-15:
Role of Client Assistance Programs in Relation to the Americans
with Disabilities Act
Part 10 -
RSA-TAC-FY-93-01: The Implications of §504 and the ADA Regarding
Client Placement Services and Pre-employment Inquiries by Employers
Part 11 - RSA's response to frequently asked questions about
extended (sheltered) employment
Part 12 - Factors State Vocational Rehabilitation Agencies Should Consider When Determining Whether a Job Position Within a Community Rehabilitation Program is Deemed to be in an "Integrated Setting"
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