STAKEHOLDER FEEDBACK AND OPPORTUNITIES

STAKEHOLDERFEEDBACK AND OPPORTUNITIESVOCATIONAL REHABILITATION FEE SCHEDULE

OVERALL PROGRAM PERFORMANCEOHIO’S VOCATIONAL REHABILITATION PROGRAM

VR PROGRAM PERFORMANCE OVERVIEW

2011 2018

Eligible + Served 30,377 37,152

Time to Eligibility 127 days 25.3 days

Time to Rehabilitation 28.5 months (FFY 2012) 17.2 months

Employment Outcomes 3,373 5,755

Wage per Hour $10.07 (FFY 2014) $11.48

Order of Selection Yes (waiting list for SD and D) No (serving all categories for the first time since 1991)

Employer Engagement No formal strategy Dedicated Business Relations Unit

3Stakeholder Feedback and Opportunities

Over the past eight years, we have made significant improvements in the VR program.

Stakeholder Feedback and Opportunities 4

VOCATIONAL REHABILITATION CASE PROCESSINGSERVED, ELIGIBILITY DETERMINATIONS AND INDIVIDUALIZED PLANS FOR EMPLOYMENT

30,377

36,52339,503 39,214 38,820 38,876

37,574 37,152

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

45,000

2011 2012 2013 2014 2015 2016 2017 2018

Eligible + Served

Eligible + Served


Results: A 22.3% increase in this metric, although the number has leveled off during the past several federal fiscal years. OOD is actively engaged in outreach to individuals with

disabilities who could benefit from VR services.

6,467

10,015 10,83812,014 12,875

14,090 13,480 13,164

15,122

16,27417,086 17,016

17,88719,443

18,542 17,870

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

2011 2012 2013 2014 2015 2016 2017 2018

Vocational Rehabilitation Program Case Processing

New IPEs Eligibility Determinations


Results: An 18.2% increase in eligibility determinations and a 103.6% increase in new IPE’s.

FACTORS INFLUENCING NUMBER SERVED

• Order of Selection (approximately 17,500 individuals released from the waiting list)

• Implementation of the Employment First partnership agreement with the Ohio Department of Developmental Disabilities (DODD)

• Implementation of the Ohio Transition Support Program (OTSP) with the Ohio Department of Education

• New federal requirements under the Workforce Innovation and Opportunity Act (WIOA), including Section 511 requirements, Pre-Employment Transition Services and a revised definition of Competitive Integrated Employment

• Decrease in the number of VR Case Management Contracts

• Decreased unemployment and increased number of jobs available in Ohio


TIME IN SERVICETIME TO ELIGIBILITY AND INDIVIDUALIZED PLAN FOR EMPLOYMENT

92

7773

48

36

28 26 25.3

0

10

20

30

40

50

60

70

80

90

100

FFY 2011 FFY 2012 FFY 2013 FFY 2014 FFY 2015 FFY 2016 FFY 2017 FFY 2018

Time from Application to Eligibility (in days)

Results: A 72.5% reduction in time from application to eligibility. Note: This does not include a reduction of 35 days that resulted from eliminating a pre-application referral

process (total reduction of 102.6 days).



Results: A 40.6% decrease in the time from eligibility to plan since FFY 2014. This is an area of continued focus for OOD.

106

81

66 63

0

20

40

60

80

100

120

FFY 2014 FFY 2015 FFY 2016 FFY 2017

Time from Eligibility to IPE

Time from Eligibility to IPE

COMMUNITY BASED ASSESSMENT & WORK ADJUSTMENT

Stakeholder Feedback and Opportunities 12Data as of 9/25/2018; does not capture complete FFY 2018Source: 2018 Fiscal Data 09/26/18 & 2017 Fiscal Data 04/03/18

CBA and Work Adjustment will continue to be utilized, but have been declining slightly. Note: final analysis will not be complete until all bills for FFY 2018 are submitted and processed,

typically in January. For CBA in particular, there is a need to complete the service quickly so that OOD can meet federal requirements to complete the IPE within 90 days.

Community Based Assessment/Work Adjustment

2017 2018 % Change

# PARTICIPANTSPAID

(Includes Mileage & Report)# PARTICIPANTS PAID

TOTAL AUTHORIZED

Community Based Assessment (CBA)

3,973 $5,159,036.94 3,122 $4,051,323.05 $4,681,047.10 -9.27%

Work Adjustment (WA) 1,253 $2,327,277.79 982 $1,813,195.79 $2,126,517.24 -8.63%

Average Cost Per CBA$1,298.52

$1,499.37 +15.47%

Average Cost Per WA$1,857.37 $2,165.50 +16.59%

TRANSITION SERVICESINCREASE IN SERVICES TO STUDENTS WITH DISABILITIES

CASELOAD TRENDS- STUDENTS AND YOUTH WITH DISABILITIES

Applications of 14-18 year old individuals:

FFY 2014 = 3,276

FFY 2018= 4,601

This is a 40% increase in applications for that age group

Caseload make up for number of transition age youth (14 to 25 at application):

FFY 2014 = 6,818 (43% of our entire active caseload)

FFY 2018 = 9,702 (62% of our entire active caseload)

This is a 19% increase in the number of active cases that are transition age youth



Summer Youth continues to be an important service, and OOD expects the need to continue to increase. Note: final analysis will not be complete until all bills for FFY 2018 are submitted and

processed, typically in January. OOD would like to increase the number of students participating in more independent work experiences in the summer and throughout the school year.

Data as of 9/25/2018; does not capture complete FFY 2018Source: 2018 Fiscal Data 09/26/18 & 2017 Fiscal Data 04/03/18

SUMMER YOUTH PROGRAMMING

SUMMER YOUTH2017

2018 % Change

# PARTICIPANTS PAID # PARTICIPANTS PAIDTOTAL

AUTHORIZED

Non-Permanent Job Development

288 $234,015.78 506 $314,727.45 $417,706.95 +78.5%

Summer Youth Work Experience

2,109 $5,383,412.32 2,195 $4,654,283.13 $5,566,384.03 +3.40%

Summer Youth Career Exploration

460 $536,419.44 547 $539,311.31 $608,417.53 +13.42%

Summer Youth – Mileage (Non-Unique)

1,117 $135,130.70

TOTAL 2,857 $6,288,978.24 3,248 $5,508,321.89 $6,592,508.51 +4.82%

Average Cost Per Case (NPJD included)

$2,201.25 $2,029.71 -7.79%

EMPLOYMENT OUTCOMES

3,373 3,5103,714

4,580

5,562

6,642

5,9805,755

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000


Total Rehabilitations


Results: A 70.6% increase in Total Rehabilitations.

$11.11

$10.58

$10.27 $10.07

$10.34

$11.14 $11.04

$11.48

$9.00

$9.50

$10.00

$10.50

$11.00

$11.50

$12.00


Average Wage Per Hour

Average Wage Per Hour


Results: An increase of 14% in average wage per hour since FFY 2014. Making further improvements in this area is an important area of focus for OOD. Note: New common

performance measures under WIOA include median earnings of participants in unsubsidized employment during the 2nd quarter after exit from the program.

23.9

28.527.3

25.3

22.8

19.317.6 17.2

0

5

10

15

20

25

30


Time to Rehabilitation (in months)

Results: A 28% reduction in the time to rehabilitation (39.6% since FFY 2012). This is occurring while the percentage of students with disabilities served (who have a

longer time to rehabilitation) is increasing.


JOB DEVELOPMENT


JOB DEVELOPMENT

(EXCLUDES SITE DEVELOPMENT & NON-PERMANENT

JOB DEVELOPMENT)

2017

(Includes Mileage &

Report)

2018 % Change

# Participants 12,228 11,755

(2,316 Supported Employment)

PAID PAID TOTAL AUTHORIZED

Job Development – UOS $8,658,247.40 $1,524,148.02 $1,661,601.52 -80.81%Job Development – Tier I $6,641,628.46 $6,919,847.50 $7,974,100.00 +20.06%Job Development – Tier II $3,755,741.79 $3,637,251.14 $5,458,505.31 +45.34%Job Development – Tier III (Includes Premiums) $3,406,859.20 $3,783,606.30 $4,876,974.85 +43.15%Job Development - Subsequent $119,559.10 $112,213.90 $180,521.30 +50.99%PB-JD Mileage $618,042.23 N/A N/A N/A

SE-JD Tier I N/A $2,224,025.97 $2,589,421.97 N/A

SE – JD Tier II N/A $1,197,830.50 $1,930,563.00 N/A

SE-JD Tier III (Includes Premiums) N/A $1,132,622.75 $1,512,958.75 N/A

SE-JD Subsequent N/A $37,091.00 $59,576.25 N/A

TOTAL $23,200,078.18 $20,568,637.08 $26,244,222.95 +13.12%

Average Cost Per Case $1,897.29 $2,232.60 +17.67%

While slightly fewer participants required Job Development, spending in this area is projected to be comparable in FFY 2018. Note: final analysis will not be complete until all

bills for FFY 2018 are submitted and processed, typically in January.


CASELOAD MAKEUP- ORDER OF SELECTION

FFY 2018:

• 57% Most Significant Disability (MSD)

• 42% Significant Disability (SD)

• 1% Disability (D)

According to 34 CFR 361.5(30), there are seven functional capacity areas that are taken into consideration when determining priority for services:

Mobility

Communication

Self-Care

Self-Direction

Interpersonal Skills

Work Tolerance

Work Skills



In FFY 2018, OOD is projected to spend $2.9 Million on Placement Premiums. Note: final analysis will not be complete until all bills for FFY 2018 are submitted and processed,

typically in January.

PLACEMENT PREMIUMS TO DATE (NO DATA FOR FFY17 – NEW SERVICE)

TOTAL # AUTHORIZED

PAID OUTSTANDING TOTAL

Tier III A - Rapid 889 $1,409,218.15 $340,844.05 $1,750,062.20 Tier III B - SGA 127 $209,671.55 $36,647.05 $246,318.60 Tier III C – Rapid + SGA 189 $347,370.55 $95,220.00 $442,590.55 SE-JD Tier III A - Rapid 196 $350,185.75 $106,897.50 $457,083.25 SE-JD Tier III B - SGA 6 $14,252.50 $0.00 $14,252.50 SE-JD Tier III C – Rapid + SGA 14 $30,135.50 $8,326.50 $38,462.00 TOTAL 1,421 $2,360,834.00 $587,935.10 $2,948,769.10

ON-THE-JOB SUPPORTS (JOB COACHING)


While fewer participants required on-the-job supports, the cost per case for this service is projected to increase this year. Note: final analysis will not be complete until all bills for

FFY 2018 are submitted and processed, typically in January.


On-The-Job Supports (excludes Non-

Permanent)2017 (Includes Job Coaching, Job

Retention, Mileage & Report)2018 % Change

# PARTICIPANTS PAID # PARTICIPANTS PAIDTOTAL

AUTHORIZED

On-The-Job Supports 6,488 $9,492,215.66 5,286 $7,963,563.55 $10,187,487.55 +7.32%

Average Cost Per Case OTJS

$1,463.04 $1,927.26 +31.73%

COST PER CASE METRICS

$10,190 $10,152 $9,773

$8,786

$7,451 $7,442

$0

$2,000

$4,000

$6,000

$8,000

$10,000

$12,000

FFY 2012 FFY 2013 FFY 2014 FFY 2015 FFY 2016 FFY 2017

Cost Per Employment Outcome

Results: A 24.1% reduction in Cost Per Employment Outcome.


$3,555 $3,378

$2,800 $2,760 $2,921

$2,697

$0

$500

$1,000

$1,500

$2,000

$2,500

$3,000

$3,500

$4,000

FFY 2012 FFY 2013 FFY 2014 FFY 2015 FFY 2016 FFY 2017

Cost Per Served

Cost Per Served


Results: A 24.1% reduction in the average cost per individual served.

PROVIDER CAPACITYSERVICE AREA MODIFIER

SERVICE AREA MODIFIER (SAM)

• The Service Area Modifier (SAM) is an additional flat fee that is authorized when a provider is asked to serve participants outside of their designated territory should the need arise. OOD built this into the Fee Schedule to ensure statewide service coverage, so that if no local providers were available, participants would still be able to obtain required services.

• OOD has only issued 25 authorizations that included a SAM during FFY 2018, for a total of $5,242.20

• The limited need for SAM utilization demonstrates that provider coverage through the state has stayed strong.


Note: Final analysis will not be complete until all bills for FFY 2018 are submitted and processed, typically in January.

COMMUNITY EMPLOYMENT SUPPORT PROFESSIONAL CERTIFICATIONREQUIREMENT EFFECTIVE JANUARY 1, 2019

CESP CREDENTIAL – INVESTING IN OUR PROVIDERS

• OOD sponsored 328 provider staff to sit for the CESP examination in its initial round of support

• OOD has arranged funding for an additional round of support for 500 provider staff to sit for the CESP examination

• APSE reports that there are currently 520 professionals in the state of Ohio who hold this credential

• OOD has invested over $88,000 during FFY 2018, and plans to invest an additional $99,500 in FFY 2019, for CESP examinations for provider staff

Stakeholder Feedback and Opportunities 30APSE.org CESP Directory Search on 10/5/2018

NEXT STEPS

FEEDBACK FOLLOWING STAKEHOLDER MEETINGS

• Stakeholder Meetings are being held regionally during October and early November

• Please send any additional feedback to [email protected] for consideration by November 16th

• OOD values your input and partnership

• Thank you!


mailto:[email protected]

Documents

STAKEHOLDER FEEDBACK AND OPPORTUNITIES