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RSA-227 for FY-2021: Submission #1204

Nebraska
09/30/2021
General Information
Designated Agency Identification
Nebraska VR (Vocational Rehabilitation)
500 South 84th, 2nd floor
{Empty}
Lincoln
Nebraska
68510-2611
http://vr.nebraska.gov
402.430.1689
877.637.3422
877.637.3422
Operating Agency (if different from Designated Agency)
Nebraska VR (Vocational Rehabilitation)
500 South 84th, 2nd Floor
{Empty}
Lincoln
68510-2611
Nebraska
lindy.foley@nebraska.gov
http://vr.nebraska.gov
402.430.1689
877.637.3422
877.637.3422
Additional Information
Jerry Bryan
Jerry Bryan
402-417-3412
jerry.bryan@nebraska.gov
Part I. Non-case Services
A. Information and Referral Services (I&R)
26
1
1
2
561
47
638
B. Training Activities
9
143
Due to the Covid-19 pandemic, most of these training sessions were held via Zoom. CAP presented this year to 8 new employees from NE General VR, 28 clients and staff members from the Commission for the Blind and Visually Imparted (NCBVI) at their annual State Staff gathering, 16 Supervisors from the League of Human Dignity and Independence Raising (Independence Living Centers), 18 from the Hispanic Community leaders from Los Voices, 21 from the Nebraska Department of Corrections 2021 Collaborative job fair, 2 from Department of Veterans Affair, the Veterans Readiness and Employment program, 8 from NE Weatherization Policy Advisory Council, 15 from the Greater Work Force Development Center and 27 members of the Native American Education Advisory Committee. The topics and purpose covered of the training; to provide additional informations to participants and a general overview of the Client Assistance Program and the Hotline for Disabilities services. CAP also discussed eligibility requirements, informed choice and clients rights under the Rehabilitation ACT, ADA Tilt I and changes brought by WIOA. Description of attendees ranges from VR, General VR IL staff, new employees, support staff, supervisors , administrators, stake holders and VR/IL clients.
C. Agency Outreach
Every year CAP works with Nebraska VR, General VR, the Nebraska Statewide Independent Living Council and the Nebraska State Rehabilitation Council to review their outreach plans. This past year, CAP was able to work with the Nebraska Department of Education's Equity Core Team Council to address a problem of practice identified by NE General VR. Through this process, CAP was able to identify the un-served/underserved minority communities. CAP took this information and reached out to these organizations/agencies, providing information about CAP and the Hotline for Disabilities. Minority outreach involved 40 letters mailed and unserved and underserved involved 80 letters mailed. CAP continues to increase its efforts in this area.
D. Information Disseminated To The Public By Your Agency
0
2
0
1500
9
0
N/A
E. Information Disseminated About Your Agency By External Media Coverage
The Client Assistances Programs submits quarterly reports and news resources to Nebraska Commission for the Blind and Visually Impaired, NE General VR and the NE Statewide Independent Living Council, to which they distribute this information internally by either newsletters or social media web-site pages. The Client Assistance Program/Hotline for Disabilities services information is also listed in the Nebraska Government websites.
Part II. Individual Case Services
A. Individuals served
1
9
10
0
1
B. Problem areas
1
7
4
0
0
1
0
0
C. Intervention Strategies for closed cases
0
2
0
6
1
0
9
D. Reasons for closing individuals' case files
4
1
2
1
0
0
1
0
0
0
0
0
N/A
E. Results achieved for individuals
3
0
0
0
0
5
1
0
0
0
N/A
Part III. Program Data
A. Age
0
0
2
7
1
10
B. Gender
6
4
10
C. Race/ethnicity of Individuals Served
0
0
0
2
0
8
0
0
D. Primary disabling condition of individuals served
1
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
1
2
0
0
5
0
0
0
0
0
0
0
0
0
0
10
E. Types of Individuals Served
1
1
7
0
0
1
Part IV. Systemic Activities and Litigation
A. Non-Litigation Systemic Activities
2
CAP continues to review proposed changes to applicable administrative codes such as the Cost and Containment, Rule 72, proposed by NE General VR. Suggested changes were made by CAP and accepted by NE General VR. The suggested changes made by CAP will continue to benefit clients with disabilities as CAP ensures General VR continues to complies with the Workforce Innovation and Opportunity Act (WIOA). CAP and NE General VR staff have a good working relationship which allows open collaboration on changes to policies and administrative code to benefit those with disabilities. CAP meets with the NE General VR Director on an ongoing basis, generally weekly. The meetings are informal and allow for discussion on a variety of topics concerning the unserved and under-served population in Nebraska. CAP also meets monthly with the Nebraska Commission for the Blind (NCBVI) to discuss the plans, implementation, and changes in policy due to the Workforce Innovation and Opportunity Act (WIOA). CAP continues to engage NCBVI in discussions about continuing its involvement with students and youth with disabilities in the transition process. With the introduction of Nebraska’s new Legislative Bill 527, the need for early intervention in the transition process will now allow the opportunities for students as young as age 14 to engage in integrated employment experiences. CAP was in discussion with General VR regarding client contribution, it was agreed because General VR does not have a financial need assessment, they would not require VR clients to contribute out of pocket cost for services. CAP continues to work with General VR regarding the Order of Selection, as of now General VR has opened Priority I and are severing Priority II clients off the wait list. General VR is making great strides and improvements to eventually open all categories.

B. Litigation
1
0
1
There was a carry-over case from the previous fiscal year in which NE General VR closed a client's case due to constant and repeated behaviors and conducts. NE General VR stated the client was oppositional and disruptive which did not follow NE General VR’s behavior policies. CAP advocated for the client stating NE General VR closed the case arbitrarily based on the clients’ disabilities. The client was diagnosed with a TBI, and the behaviors described by NE General VR are commonly associated with persons diagnosed with a TBI. CAP based its case by introducing testimony that NE General VR never consulted with the Program Director for acquired brain injury for suggestions or recommendations on how to better serve clients with a TBI. Also, CAP presented evidence showing inconsistencies with the implementation of policy and procedures. Inconclusion, the Administrative Law Judge (ALJ) upheld the decision made by NE General VR to close the case due to the client’s inappropriate behaviors/conduct and misuse of NE General VR funding.

Part V. Agency Information
A. Designated Agency
Internal to the State VR agency
Nebraska Department of Education/Nebraska VR
No
There are no contracting agency
B. Staff Employed
Nebraska CAP consists of (1) Program Director and (1) Program Specialist to assist the CAP Director. The CAP Director position is 100 % of the year filled at 1.0 FTE. The Program Specialist position is 100% of the year filled at .75 FTE.
Part VI. Case Examples
Case Examples
A client from Nebraska VR contacted the Client Assistance Program Client (CAP) regarding communication issues with Assistive Technology Partnership (ATP) and the status of her case. Apparently, there were some miscommunications about the home modification the client wanted done. CAP was able to set up a meeting with Nebraska VR, ATP, CAP and the client. The client was able to clarify her concerns and ATP was able to acknowledge the miscommunication and was able to accommodate her request for changes to the original home modifications blueprints. ATP has informed CAP the client is very satisfied with the final blueprints and bids for the construction project have been sent out. The client has no further concerns.

A client from Nebraska VR contacted the Client Assistance Program (CAP) regarding communication issues with Assistive Technology Partnership (ATP). The client was very concerned with how long the progress was taking to replace her prosthetic hand. Upon meeting with Nebraska VR and ATP, it was explained to CAP several issues arose beyond the control of VR and ATP. Both, VR and ATP did acknowledge the client’s concerns with how long this case was taking in replacing the client’s prosthetic hand. Some of the issues including finding and approving vendors who specialize in arm/hand technology, vendor quotes and medical insurance coverage and co-payments. ATP Supervisor assured me at the time of our meeting, all the information needed to move forward was approved. The total cost of the device was $44,118.01, the client’s insurance covered $42,868.00 leaving a remaining balance $1,250.00 in which Nebraska VR has agreed to pay. The Client is currently satisfied with this outcome and has no further concerns.


A client from Nebraska VR contacted the Client Assistance Program Client (CAP) regarding a VR office transfer as the current office was too far for travel. CAP informed the client he did not need to go through CAP to make this request. The client stated prior to contacting our office, he was instructed he needed to contact CAP to make this request and was given the CAP information. CAP did make contact with the Officer Director in which we were in agreement, a referral to CAP was not needed to complete a transfer request. The VR Office Director initiated the request, and it was accepted by another VR office closer to the client’s residences. The client was satisfied with the outcome.
Certification
Approved
Lindy Foley
Nebraska VR Director
2021-12-20
OMB Notice

OMB Control Number: 1820-0528, approved for use through 07/31/2023

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