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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 29. PUBLIC WELFARE |
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Chapter 29-1. VOCATIONAL REHABILITATION SERVICES |
Section 29-119. PAYMENT FOR REHABILITATION SERVICES
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119.1The Rehabilitation Services Administration shall pay only for services that are:
(a)Required to complete the assessment or evaluation process;
(b)Identified on the client's Individualized Plan for Employment (IPE) or Independent Living Plan (ILP);
(c)Preauthorized and approved by the Rehabilitation Services Administration through a signed purchase order or other authorizing document, pursuant to the D.C. Procurement Practices Act (D.C. Official Code §§ 2-301 et seq.) and procedures;
(d)Determined satisfactory based upon the Rehabilitation Services Administration's evaluation of the services; and
(e)Not available through a comparable service or benefit pursuant to § 114.
119.2The Rehabilitation Services Administration shall pay only the portion of the cost of services identified as the responsibility of the Rehabilitation Services Administration in the client's IPE or ILP, and shall not pay costs that have been designated as the client's financial responsibility.
119.3Each service provider who is subject to District of Columbia or other state licensure or certification requirements shall provide evidence of a valid license or certification before the Rehabilitation Services Administration may authorize the provider to render services to its clients. The provider shall maintain licensure or certification during each period of rendering the authorized services. Providers selected must be authorized prior to rendering services as a District vendor pursuant to the District of Columbia Procurement Practices Act (D.C. Official Code §§ 2-301 et seq.).
119.4Each college or university shall be accredited by an appropriate District, state, or national accrediting organization before the Rehabilitation Services Administration may authorize a client to attend that institution or authorize payment to that institution.
119.5A private career or proprietary school or other institution subject to regulation shall provide evidence of a valid license, certificate of approval or certification issued by the appropriate licensing or accreditation authority authorizing the institution to provide the specific courses of instruction or services the individual is seeking before the Rehabilitation Services Administration may authorize an individual to attend that institution or authorize payment to that institution.
119.6Each provider of services shall meet the requirements of the Americans with Disabilities Act (ADA) (42 U.S.C. §§ 12101 et seq.).
119.7Each provider shall submit a detailed, completed, and signed invoice for services rendered, along with any required reports or information, in accordance with procedures established by the D.C. Government, before the Rehabilitation Services Administration may authorize payment to the provider or initiate a payment request. The Rehabilitation Services Administration may return to the provider each invoice not properly signed, completed, and accompanied by required reports.
119.8A provider may not charge or accept payment from an individual client of the Rehabilitation Services Administration, the individual's family, or a third party for authorized services, unless the amount of the individual's financial responsibility to the provider has been:
(a)Preauthorized by the Rehabilitation Services Administration;
(b)Agreed to by the individual in writing; and
(c)Incorporated into the Rehabilitation Services Administration's written authorization for services to the provider.
119.9 Consistent with the scope of appropriate vocational rehabilitation services described in § 113.2 and the definitions set forth in § 199.1, the Rehabilitation Services Administration shall pay for authorized services at a rate not higher than the provider’s customary charge for such services.
119.10The Rehabilitation Services Administration shall pay for all authorized services in accordance with § 119.11 and consistent with the Procurement Practices Reform Act (D.C. Official Code §§ 2-351.01 et seq.).
119.11 For the following vocational rehabilitation services, the Rehabilitation Services Administration shall reimburse the provider for such services and pay incentives based on the following tables of rates.
(a) For Benefits Planning and Job Placement, the Rehabilitation Services Administration shall reimburse the provider as follows:
Benefits Planning
Rate/Unit
Benefits Planning Report
$1,000/person
Benefit Employment Management Report
$250/month
Student Earned Income Exclusion request submission and approval
$250/person
Blind Work Expense request form submission and approval
$300/month
Impairment-Related Work Expense request form submission and approval
$300/month
Plan For Achieving Self Support request form submission
$300/person
Plan For Achieving Self Support request form approval
$200/person
Expedited Reinstatement request submission
$300/request
Benefits Summary and Analysis Report for Life Changing Events
$350/person
Job Placement
Rate/Unit
Intake and Assessment
Intake and Summary Assessment Report
$400/report
Person-Centered Employment Plan
$250/plan
Job Development
Job Development Progress Report
$500/monthly
Placement
Placement Information Report
$950/report
Job Stabilization Progress Report
$450/report
Job Stabilization Closure Report
$450/report
(1) FFor purposes of payment for the Job Development Progress Report in the table above for Job Placement services, the provider shall be paid five hundred dollars ($500) per month for three (3) months, unless the person is placed in a job in less than three (3) months. However, the provider shall not receive more than a total of one thousand five hundred dollars ($1,500) for Job Development Progress Reports. If the person is placed in a job in less than three (3) months, then the provider shall be paid the difference between one thousand five hundred dollars ($1,500) and the amount the provider has already received for providing these services to the person.
(b) For Supported Employment, the Rehabilitation Services Administration shall reimburse the provider as follows:
Supported Employment
Rate/Unit
Intake and Assessment
Intake and Summary Assessment Report
$400/report
Person-Centered Employment Plan
$250/plan
Job Development
Job Development Progress Report
$600/report
Job Development Progress Report Using Customized Employment Strategy
$1,100/report
Placement
Initial Placement Report
$1,000/report
(1)For purposes of payment for the Job Development Progress Report in the table above for Supported Employment Services, the provider shall be paid six hundred dollars ($600) per month for three (3) months, unless the person is placed in a job in less than three (3) months. However, the provider shall not receive more than a total of one thousand eight hundred dollars ($1,800) for Job Development Progress Reports. If the person is placed in a job in less than three (3) months, then the provider shall be paid the difference between one thousand eight hundred dollars ($1,800) and the amount the provider has already received for providing these services to the person.
(2) For purposes of payment for the Job Development Progress Report Using Customized Employment Strategy in the table above for Supported Employment Services, the provider shall be paid one thousand one hundred dollars ($1,100) per month for three (3) months, unless the person is placed in a job in less than three (3) months. However, the provider shall not receive more than a total of three thousand three hundred dollars ($3,300) for Job Development Progress Reports Using Customized Employment Strategy. If the person is placed in a job in less than three (3) months, then the provider shall be paid the difference between three thousand three hundred dollars ($3,300) and the amount the provider has already received for providing these services to the person.
(c) For additional vocational rehabilitation services, the Rehabilitation Services Administration shall reimburse the provider and pay incentives as follows:
Additional Vocational Rehabilitation Services
Rate/Unit
Discovery Assessment
Positive Personal Profile
$1,000/person
Customized Employment
$1,500 per verified placement
Job Coaching
$55/hour
Support Service Provider
$55/hour
Trial Work
$55/hour
Job Readiness Training, formerly known as Work Adjustment Training
$55/day
Job Readiness 1: Soft Skills Training Development
$55/day
Job Readiness 2: Transitional Work Experience
$55/hour
Incentives
The Rehabilitation Services Administration shall pay the provider two percent (2%) of the annual salary of the person with a disability who is successfully closed in employment with employer-paid health benefits and whose salary is at or above the District of Columbia Living Wage.
The Rehabilitation Services Administration shall pay the provider two percent (2%) of the annual salary of the person with a disability who is successfully closed in employment and who earns at least fifty-two percent (52%) of the average annual salary in the District of Columbia, as defined by the Bureau of Labor Occupational Employment Statistics, with employer-paid health benefits.
The Rehabilitation Services Administration shall pay the provider up to five thousand dollars ($5,000) per person for whom the Rehabilitation Services Administration receives Administrative, Counseling and Placement costs reimbursement if:
(1) the person receives Supplemental Security Income or Social Security Disability Insurance benefits;
(2) the person is placed in employment at the Substantial Gainful Activity (“SGA”) earnings level;
(3) the provider provides proof of the employment to the Rehabilitation Services Administration;
(4) the person remains employed at the SGA earnings level; and
(5) the Rehabilitation Services Administration receives reimbursement.
119.12 The rates listed in the tables set forth in §§ 119.11(a)-(c) are for those services authorized after June 30, 2015.
119.13 Rates for services not listed in the tables set forth above in §§ 119.11(a)-(c) shall be negotiated by the Rehabilitation Services Administration in conjunction with its Office of Contracts and Procurement representative.