RSA-227 for FY-2018: Submission #1008

Maine
9/30/2018
General Information
Designated Agency Identification
Bureau of Rehabilitation Services
150 State House Station
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Augusta
ME
04330
http://www.maine.gov
(888) 755-0023
(888) 755-0023
Operating Agency (if different from Designated Agency)
Bureau of Rehabilitation Services
150 State House Station
{Empty}
Augusta
04330
{Empty}
http://www.maine.gov
(888) 755-0023
(888) 755-0023
Additional Information
Kathy Despres
Kathy Despres
(207) 377-7055
{Empty}
Part I. Non-case Services
A. Information and Referral Services (I&R)
122
7
0
1
54
124
308
B. Training Activities
11
158
As always, our presentations center around what services DVR/DBVI/IL can provide, time frame is for those services and how those services should be executed. These presentations last anywhere from a half an hour to two hours. When we are in the community talking to providers, we always have a robust question and answer session which can lead us down different paths depending on who were presenting to. One of the results from these presentations is the gathering of information from the people we are presenting to about how services are working for their clients. Sometimes this results in a conversation Directors for possible systemic changes. This year, we focused on case management services with the addition of community rehab providers. The reason for this focus was because there's been a large turnover in both case managers in the community and with DVR counselors. We found that because of the high rate of turnover, there were frequent misunderstandings about what each agency was supposed to be doing in order to better assist DVR clients. Prevailing areas of interest for case managers where the timelines that DVR was supposed to follow. The Maine CAP will always suggest that the first line of defense for any case manager for self-advocacy. we educate on the best way to self-advocate . However if self-advocacy cannot work we encourage people to call our office so that we can assist moving the case forward <P><p>
C. Agency Outreach
Our outreach efforts this year to been specifically to the several pockets of &ldquo;new Mainers&rdquo;. The CAP has done a mailing this year to all agencies working with new Mainers offering our services and to do presentation for their organizations. In keeping with trying to reach this population, which is undeserved within the state, we have also reached out to community colleges and universities within the state along with community rehab. providers. We have accommodated all requests for presentations. The CAP has also identified people with developmental disabilities within our state do not feel they are getting the necessary services required to find employment from DVR/DBVI. Many of our presentations this year were to case management agencies assisting people with developmental disabilities find employment. It is the hope of the CAP that through our outreach efforts that services to people with developmental disabilities has increased however, we have no data it's just supports this claim. ><P><p>
D. Information Disseminated To The Public By Your Agency
0
0
23
84
2
0
<P><p>
E. Information Disseminated About Your Agency By External Media Coverage
Our information is disseminated in several ways. The CAP website is a great source of information for our clients. DVR/DBVI are very good about getting our information out to consumers. The CAP is posted on the state web page and it is reported to us by consumers VR frequently gives our name to consumers. Our information also goes out on the standard paper work at application, on IPE&rsquo;s and at closure. The Independent Living program gives our contact information and goes out at key times during the process. In fact, our number is so prominent on their paperwork we frequently get calls thinking that we are the IL agency. Several community rehab providers within the state also give out the CAP's information. <p><p>
Part II. Individual Case Services
A. Individuals served
38
72
110
5
22
B. Problem areas
110
77
61
4
1
64
0
3
C. Intervention Strategies for closed cases
30
29
27
1
1
0
88
D. Reasons for closing individuals' case files
62
8
13
1
0
2
0
0
2
0
0
0
<P><p>
E. Results achieved for individuals
19
2
2
2
52
8
2
1
0
0
<P><p>
Part III. Program Data
A. Age
5
11
26
64
4
110
B. Gender
49
61
110
C. Race/ethnicity of Individuals Served
0
0
0
4
1
103
1
1
D. Primary disabling condition of individuals served
3
2
0
0
1
6
13
0
1
3
0
2
0
5
0
1
0
0
0
10
39
0
2
4
2
6
0
1
0
3
0
0
0
6
110
E. Types of Individuals Served
7
0
103
0
6
0
Part IV. Systemic Activities and Litigation
A. Non-Litigation Systemic Activities
2
Up here in Maine we've been working on several things with the DSU. In our roles as SRC members we make sure that we are on committees that review data, procedural directives, order of selection criteria, etc. One of the major projects the SRC reviewed this year was the states &ldquo;Final Rules&rdquo;. Because of the work done by the CAP a major area of change in the Final Rules was how the DSU pays for higher education. The CAP worked with the DSU on financial means testing policy resulting in a major change of how SSI/SSDI/1619b consumers who are pursuing education with the help of the DSU. Other areas that CAP is following include diminished numbers of community rehab. providers within the state and how this may affect client services along with timeliness into IPE. Because of the CAP efforts people with disabilities in Maine, availing themselves of DVR/ DBVI services our Social Security recipients are now paying much less for higher education. This has opened more doors for people with disabilities in the state of Maine, hopefully, resulting in higher paying, professional careers. The CAP in conjunction with the SRC has worked quite diligently to reduce the amount of time to IPE and determination of edibility. This data is monitored every month at the SRC meetings, and we are happy to report that Maine is doing much better in both areas. Another point of concern we are looking at is retention of consumers throughout the DVR process . We are hoping that a more expedited IPE will result in if you were &ldquo;early exciter&rsquo;s&rdquo; from the DVR program. <P><p>
B. Litigation
0
22
0
The Maine CAP did not complete or participate and any litigation activities this year. <P><p>
Part V. Agency Information
A. Designated Agency
External-all other private agencies
State of Maine
Yes
C.A. R. E. S. Inc.
B. Staff Employed
The CAP in Maine employees 2.2 FTE. One Program Director, full time, one Advocate, full time and one Executive Director at .2 FTE. There have been no vacancies within the CAP within the last year. <P><p>
Part VI. Case Examples
Case Examples
Means Testing:<p>Jackie was referred to the CAP by his Case Manager. Jackie had been denied financial assistance by VR for post-secondary education expenses because of his high expected family contribution (EFC), determined by completing the FAFSA. Upon review of the case, CAP staff determined Jackie was a recipient of SSI/SSDI. CAP staff successfully advocated for VR to disregard the EFC, as this was determined based on the FAFSA, which is a means test. Federal rules state a recipient of SSI/SSDI is exempt from means testing. Therefore, CAP successfully advocated for VR to fully disregard the EFC, which increased his unmet need. This allowed Jackie to continue with his post-secondary education without the financial burden of the additional costs&rsquo; VR had previously denied. VR&rsquo;s policy states VR will not disregard the EFC, without regard to SSI/SSDI status. This case has allowed further dialogue with VR Administration on changing the existing policy to be in line with the federal mandate.<p>Financial Aid Eligibility:<p>Dustin came to CAP after VR required him to be eligible for financial aid to receive assistance for his post-secondary education. Dustin had applied for financial aid through the FAFSA, per VR policy. However, the school he was attending denied accepting the financial aid due to an issue between the school and Dustin. Dustin was actively appealing the issue with the school and was following the requirements the school had placed on him. VR staff were denying his unmet need based on the school not accepting his financial aid. Upon review of the VR file and discussions with VR staff, CAP staff successfully negotiated the amendment of Dustin&rsquo;s IPE to reflect VR&rsquo;s financial support towards his post-secondary education. In this case, CAP staff pointed out the state rules and federal regulations do not indicate one must be eligible for financial aid, but rather apply for it to determine grant and scholarship eligibility.<p>Staff Vacancy:<p>Xander was referred to the CAP by his Case Manager after several months of no contact with VR. Upon review of the VR file, it was determined Xander&rsquo;s initial VR Counselor had resigned and his case reassigned to the Supervisor. The Supervisor had very little contact with him, despite he and his Case Manager&rsquo;s efforts to engage with VR. The Supervisor also resigned and Xander&rsquo;s case remained on a vacant caseload with no one covering it. CAP staff successfully advocated for someone to provide coverage to his case. Xander and his new VR Counselor were able to develop a good working relationship and actively participate in VR services.<p>Multiple VRC &lsquo;s:<p>Though this is not a specific case example, our agency is seeing many cases come in to our office with multiple VRC's having been assigned to the case. The reason for the change in counselors are usually the result of retirement, medical issues on the part of the VRC or the VRC has left the agency. We find when you ha
Certification
Approved
Kathy Despres
Program Director
2018-12-18
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