Transcript Eligibility

Case Review of FollowAlong Services
January 2005
Background
• Interest in making programs better
• Need to Facilitate between:
– DRS Counselors, and
– ESO Employment Specialists
• Although CARF is now in place, CARF doesn’t
look at DRS processes
• The approach can be adjusted to do case reviews
of EES, crews and enclaves
• DRS purchases over $15 million in services
from ESOs
Areas of Interest
• Eligibility
• Eligibility documentation
• Plans, Forms
• Service Provision
• Interventions, timely, appropriate and sufficient
• Billing documentation
• Closure
• Forms, Documentation supports case closure
Process
• Who
– ESOs providing SE Services
• When
– Monthly visits (one/month)
– 2 weeks notification
• Sample size of cases will vary
• Report with findings and recommendations
– 6 month follow-up, if necessary
Eligibility
• Documentation of client disability meets DRS criteria for
severity
• Individual Service Plan in file
• LTESS application completed as required
• Documentation indicates that DRS counselor approved LTESS
application
• LTESS acceptance form in file
• Documentation of stability before case moves in status
22/LTFA
• Ongoing services form (SE Form 4) completed as required
before DRS case closure
• At least two contacts per month w/client documented by
employment specialist for at least 90 days before DRS case
closure
Service Provision
• At least one documented contact per month with client while
in follow along & documentation indicates follow along
services are sufficient for client to maintain employment
• Is there documentation that indicates employment specialist
retrained client in any capacity, if so:
– DRS post employment services used to fund retraining
– Was LTESS billed for retraining services?
• Follow along hours documented on LTESS requisition/invoice
match hours provided and documented in client file (including
time for report writing and travel)
• For SEPD cases, DRS authorizations are in file
– Documentation supports the hours billed on a monthly basis
Closure
• LTESS closure form completed if case was
closed from LTFA
• Documentation supports case closure