[nfbmi-talk] the mcb policy manual in effect until about 2005 or 2006
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Policy Manual
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
VOCATIONAL REHABILITATION SERVICESPOLICY MANUAL
STATE OF MICHIGAN
PATRICK D. CANNON, Executive Director
JIM BUSCETTA, Director of Client Services
I. INTRODUCTION
PURPOSE
The purpose of this manual is to provide policy for the provision of vocational
rehabilitation services by the Michigan Commission for the Blind to individuals
in Michigan who have an impediment to employment resulting from blindness. The
intent is that all phases of this manual shall comply with and fully implement
the requirements of pertinent federal laws and regulations and state laws and
regulations.
THE MICHIGAN COMMISSION FOR THE BLIND MISSION STATEMENT
To provide opportunities to individuals who are blind or have visual impairments
to achieve employability and/or function independently.
THE MICHIGAN COMMISSION FOR THE BLIND PHILOSOPHY
The Michigan Commission for the Blind believes . . .
. . . That the pursuit of employment and/or independence by individuals who are
blind is of primary social and legislative importance to be valued, aided and
encouraged;
. . . That rehabilitation is a cooperative venture between the agency and the
individual; with the individual having primary responsibility for personal
successes and failures;
. . . That each individual is different with different strengths, weaknesses,
interests and aptitudes; requiring vocational rehabilitation counseling,
planning and training specific to the individual's needs and desires;
. . . That positive attitudes toward blindness held by the general public, by
employers, by the Michigan Commission for the Blind staff, and by individuals
who are blind, are key factors leading to employment and independence for
individuals who are blind;
. . . That participation and support by the individual's family and the
community increases the probability of rehabilitation success;
. . . That anti-discrimination laws, policies and procedures be upheld; and
affirmative action hiring by employers be encouraged;
. . . That input by organized and individual consumers is essential in
developing effective rehabilitation program policies and procedures;
. . . That "skills of blindness," especially Braille reading and writing and
travel with a white cane or dog guide, are essential to independence and
employment;
. . . That the agency is to be responsive and respectful of state and federal
government authority empowering and overseeing agency operations;
. . . That adequate state and federal appropriations be sought to meet the
critical needs and growing demands of individuals of all ages who are blind;
. . . That research and technology promoting employment, independence, blindness
prevention and vision enhancement be supported;
. . . That input of employees is essential to agency management; and that
employees should be provided with the supervision, guidance, training and work
environment that moves them toward performance excellence; and
. . . That public and private rehabilitation facilities, colleges and training
institutions are essential elements in the rehabilitation process.
II. GENERAL POLICIES
LEGAL AUTHORITY
Authority for the operation of the Michigan Commission for the Blind is provided
by the federal Rehabilitation Act of 1973 as amended in 1998 in the Workforce
Investment Act and by Public Act 260 of 1978 of the State of Michigan as
amended.
NONDISCRIMINATION
Eligibility for vocational rehabilitation services is determined without regard
to sex, race, age, creed, color, national origin, religion, political
affiliation, duration of state residency, marital status or disability.
AFFIRMATIVE ACTION
It is the policy of the Michigan Commission for the Blind to employ, as
opportunities become available throughout our organization, the best-qualified
individuals, without regard to race, sex, color, religion, national origin,
disability, age or other categories of groups protected by law. We are committed
to promoting equal employment opportunity by employing and advancing persons
based on merit, ability and potential for development.
The Michigan Commission for the Blind will continue to employ and develop
employees, adhering to our policy of nondiscrimination which applies to all
aspects of employment including, but not limited to the following: recruitment,
hiring, placement, job classification, training development, promotion,
transfer, job assignment, layoffs and grievances. Because members of minority
groups are currently under represented in the field of rehabilitation, the
Michigan Commission for the Blind will promote, initiate and support efforts
involving colleges, high schools, community organizations and other interested
parties to insure that highly qualified individuals, including the Michigan
Commission for the Blind clients, from all under represented groups receive
training in Vocational Rehabilitation Counseling, Rehabilitation Teaching,
Orientation and Mobility, and any other areas that would benefit Michigan
Commission for the Blind clients.
The Michigan Commission for the Blind will review, identify and correct those
internal policies, procedures or work conditions that are barriers, to provide
all persons equal employment opportunity.
The Michigan Commission for the Blind will provide services to our clients
without regard to race, sex, religion, age, national origin, color, marital
status, impairment or political belief.
The Michigan Commission for the Blind will notify staff and clients of the goal,
objectives and proper execution of this policy and will maintain a working
environment where all employees find equal opportunity for advancement.
PREFERRED MODE OF COMMUNICATION
Standard print for the Michigan Commission for the Blind will be produced in 14
point print in a font that is easily read (Arial or Courier fonts are preferred)
with 1.1" margins. This is a reasonably large print and when documents are
provided on disc it allows people using voice output devices to read without
having to scroll off the screen. The Michigan Commission for the Blind will
provide individuals with a choice of media for all documents generated for them
or information from the agency. Choices will include standard print, large
print, Braille, disc or tape. To the extent possible, the Michigan Commission
for the Blind will also accommodate individuals who do not speak or understand
English.
CASE FILE MAINTENANCE AND DOCUMENTATION
Counselors/Teachers shall maintain a case file for each individual that has been
referred for vocational rehabilitation services. That file shall contain all
required documentation. This information, when generated by the agency, will be
maintained by computer record in the agency computer system. Documentation in
the form of a narrative should occur periodically based on the periodic
assessment of progress developed in the Individual Plan for Employment or at
other times as necessary to provide continuity of services and appropriate
follow up. Any information regarding an individual's case file generated by an
outside source and any document requiring the signature of a counselor/teacher
or the individual will be maintained in a paper file. The rationale for any
decision to provide, alter or deny services shall be documented in the case
record. Paper files of closed cases will be maintained for three years in the
office in which they were closed. Those files will then be maintained for two
additional years at the State of Michigan Records Center maintained by the
Department of Management and Budget. After five years all paper and computer
files will be destroyed.
CONFIDENTIALITY
The Michigan Commission for the Blind shall safeguard the confidentiality of all
personal information in our possession regarding an individual. Information
about an individual will be shared only with the individual and other parties
upon written directions from the individual or for purposes of furthering the
individual's rehabilitation program. There are two exceptions to this policy as
follows:
A. Where ordered by a court or law enforcement agency staff, after having
consulted with the Attorney General's Office, through the Director of Client
Services and have been advised to comply; and
B. For the protection of the individual or others when the individual poses a
threat to his or her safety or to the safety of others.
However, when information of a sensitive nature may be potentially harmful to
the individual, this information must be released through the appropriate
counselor/teacher or supervisor. This policy shall be thoroughly discussed with
the individual at the time of application. By signing the application the
individual is indicating he/she is willing to abide
by this policy. Information from substance abuse programs (according to Public
Act 56, Section 18) and the Social Security Administration must always be
removed before information is shared with courts or record copying services.
Subpoenas should be sent immediately to the Director of Client Services for use
in consultation with the Attorney General's Office. Before testifying or
providing records in a case the counselor/teacher should read the following
statement:
"The Michigan Commission for the Blind operates under federal and state
legislation which requires case information about a client to be held strictly
confidential. Please refer to Section 85 of Act 314 of the Public Acts of 1915
(Judicature Act), Section 27.934 and 27a.2165 of the Michigan Statutes
Annotated."
Then, if ordered, we must comply with the court.
LEGAL ASSISTANCE
Counselors/Teachers shall identify complex and potentially controversial legal
issues that require special guidance and consultation. After identifying such
issues, the Michigan Commission for the Blind Executive Director or the Director
of Client Services shall work with appropriate Family Independence Agency staff
in securing the appropriate assistance from the Office of the Attorney General.
Requests for formal Attorney General opinions and letters of advice on issues of
general applicability shall be made to the Family Independence Agency Director
who, in consultation with The Michigan Commission for the Blind, will determine
whether to forward the request to the Office of the Attorney General. The
purpose of this policy is to enable The Michigan Commission for the Blind and
the Family Independence Agency to resolve complex legal issues in a timely and
cost effective manner.
Legal Assistance and/or legal fees are not services provided to individuals.
TIMELY SERVICES
Counselors/Teachers shall process applications and determine eligibility or
ineligibility as soon as possible; but the time shall not exceed 60 days from
the date of application unless the staff person and the individual mutually
agree that an extension is necessary due to exceptional and unforeseen
circumstances beyond the control of the individual or agency. Any extension must
be for a specific period of time. Similarly, an Individual Plan for Employment
will be developed as soon as possible after a person is determined eligible for
services, but the time will not exceed 90 days from the date an individual was
determined eligible for vocational rehabilitation services, unless there is
documentation justifying the need for additional time. The Michigan Commission
for the Blind will provide all services in a timely and equitable manner.
INFORMED CLIENT CHOICE
Clients shall make informed choices regarding their long term vocational goal,
intermediate rehabilitation objectives, vocational rehabilitation services
(including assessment) they receive, service providers and any other part of
their rehabilitation programs. This process shall take place in partnership with
the appropriate counselor/teacher utilizing the best available information. This
information must include, at a minimum, information relating to the cost,
accessibility, duration of potential services, the qualifications of potential
service providers, types of services offered by the provider, the extent to
which those services are provided in an integrated setting and, if available,
consumer satisfaction with those services. Vocational rehabilitation services
will be provided in-state, provided that this preference does not effectively
deny an individual a necessary service. If the individual chooses an
out-of-state service at a higher cost than an in-state service and if either
service would meet the individual's rehabilitation needs, the Michigan
Commission for the Blind is not responsible for those costs in excess of the
cost of the in-state services.
STAFF RESPONSIBILITIES
Counselors/Teachers have the following responsibilities:
A. To respect the individual who has the right and responsibility to participate
in all decisions regarding his/her vocational future;
B. To facilitate with the individual the achievement of an employment outcome,
economic self-sufficiency; independence, inclusion and integration into society;
C. To provide individualized services in an organized, planned manner and to
exercise sound professional judgment in carrying out that responsibility; and
D. When unable to work through a conflict with an individual, to involve
management and to remind the individual or his/her representative of his/her
rights and the availability of assistance from the Client Assistance Program.
E. To return phone calls within 2 working days.
CONFLICT RESOLUTION
An individual or his/her representative may attempt to resolve any issues
regarding his/her case by discussing the circumstances with his/her
counselor/teacher and/or the counselor’s/teacher's supervisor.
If at any time an individual or his/her representative is dissatisfied with any
determinations made by his/her counselor/teacher, he/she or his/her
representative may request an informal Administrative Review conducted by a
Michigan Commission for the Blind Administrator, a formal Fair Hearing conducted
by a Family Independence Agency Administrative Law Judge or Mediation utilizing
Mediators from the Michigan Supreme Court Community Dispute Resolution Program.
In the case of Mediation or a Fair Hearing the individual or his/her
representative will be provided an opportunity to select from at least two
qualified professionals to handle the proceedings. A request for any, or all, of
these processes may be initiated in the form of a letter or phone call to the
Michigan Commission for the Blind Hearings Coordinator. The Michigan Commission
for the Blind will pay for the administrative costs of these services.
If a Fair Hearing is requested it will be conducted within 45 calendar days of
the request. The Administrative Law Judge will provide a report of his/her
findings and a decision to the Michigan Commission for the Blind and to the
individual or his/her representative within 30 calendar days of the completion
of the Fair Hearing. This decision must be based on the provisions of the
approved State Plan, the provisions of the 1998 Amendments to the Rehabilitation
Act, Public Act 260 and the Michigan Commission for the Blind policy.
Either party may request a review of the Administrative Law Judge’s decision by
the Director of FIA within 20 calendar days of the issuance of that decision. An
individual or his/her representative must request this review in writing to the
Michigan Commission for the Blind Hearings Coordinator. The Family Independence
Agency Director has up to 20 calendar days to notify an individual or his/her
representative if a review of the decision is being conducted. The Family
Independence Agency Director can not delegate the responsibility for this
decision. During this time both parties may submit additional evidence and
information relevant to the final decision under review. The Family Independence
Agency Director may not overturn the decision or any part of the decision that
supports the individual’s position unless the Family Independence Agency
Director concludes, based on clear and convincing evidence, that the
Administrative Law Judge’s decision is clearly erroneous on the basis of being
contrary to the laws cited above. If notice is not served the Administrative Law
Judge's decision is final. Within 30 calendar days the Family Independence
Agency Director will notify the individual or his/her representative of the
final agency decision and the grounds for the decision, in writing. The final
decision, either by the Administrative Law Judge or the Family Independence
Agency Director, if a review is conducted, will be implemented pending civil
action filed by either party in any State or Federal court with competent
jurisdiction. If an action is filed, the court shall review all pertinent
information, hear additional evidence if requested by either party, render a
decision based on the preponderance of the evidence and grant such relief as the
court determines appropriate.
If an Administrative Review is requested a Michigan Commission for the Blind
Administrator not directly involved with the case will be assigned to review the
information and make recommendations for possible resolution of the issue. This
review will be conducted within 10 days of the request and recommendations will
be made within 10 calendar days of when the Administrative Review was conducted.
Recommendations arising are not binding to either party. An Administrative
Review shall in no way deny or delay an individual’s right to a Fair Hearing.
Mediation is another form of dispute resolution that may be requested by an
individual or his/her representative with an unresolved issue regarding his/her
case. This process is voluntary on the part of both parties. Entering into the
Mediation process will in no way deny or delay the Fair Hearing process. The
mediation process should commence within 20 calendar days of the request and in
a location convenient to both parties. Mediation proceedings are confidential
and may not be used by either party as evidence during any subsequent due
process hearing or civil proceeding. Parties may be asked to sign a
"confidentiality pledge" before entering the process. If an agreement is reached
during the Mediation process, the parties will receive a written copy within 20
calendar days of the agreement.
CLIENT ASSISTANCE PROGRAM
The Client Assistance Program is available to assist individuals in resolving
disputes with the Michigan Commission for the Blind Vocational Rehabilitation
Program. The Client Assistance Program staff will also answer questions and
provide information regarding agency services. The following are the primary
objectives of the Client Assistance Program:
A. To provide information, advice and clarification to individuals about their
rights, responsibilities and the services available from the Michigan Commission
for the Blind;
B. To advocate for the fair and mutually satisfactory resolution of individual
complaints including assistance in the appeals process.
C. To report to management on the type and frequency of individual complaints,
dissatisfactions and misunderstandings for program assessment purposes.
Counselors/Teachers are to make individuals fully aware of the services of the
Client Assistance Program at the time of application, at the initiation of the
Individual Plan for Employment and at case closure. Clients must also be
informed of the Client Assistance Program phone number. That number is
800-292-5896.
DATA COLLECTION
The Michigan Commission for the Blind shall collect and utilize data necessary
to complete federal and state reports. Other data will be collected as necessary
to manage the program.
COMMUNITY RESOURCE UTILIZATION
The Michigan Commission for the Blind shall comply with the provisions of all
written agreements with individuals, service providers, referral resources and
other organizations. The Michigan Commission for the Blind shall assure that
maximum utilization is made of public, vocational and technical training
programs and other community resources in providing vocational rehabilitation
services. To the extent possible services will be provided in integrated
community settings. Service providers, materials and facilities must be
accessible. Personnel used by service providers must be qualified in accordance
with any applicable national, state or recognized licensing or registration
requirements or other comparable requirements that apply to the
profession/discipline of the personnel providing services.
Service providers must take affirmative action to employ and advance in
employment qualified individuals with disabilities. Service providers must
obtain the services of individuals who are able to communicate in the native
languages of applicants/eligible individuals who have limited English speaking
ability and must ensure that appropriate modes of communication for all
applicants/eligible individuals are used. Finally, service providers must have
adequate and appropriate policies and procedures to prevent fraud, waste and
abuse.
RATES OF PAYMENT
The Regional Supervisor must approve any exceptions to payment amounts in the
fee schedule. The duration of each major service must be determined on an
individual basis and reflected in that individual's Individual Plan for
Employment or subsequent amendments. Non-mandated agency services provided
during the eligibility determination and assessment of rehabilitation needs must
be justified in the case record. There are no absolute time limits on the
provision of specific services or on the provision of services to an individual.
Vendors must be given a written authorization simultaneous with or prior to the
purchase of a service. If an emergency arises which does not allow sufficient
time to transmit the written authorization to the vendor, the responsible
counselor/teacher or his/her supervisor may give oral authorization, which must
be documented immediately in the case file. The authorization to the vendor must
be made no later than the working day following the oral authorization and there
must be a notation in the case narrative as to the cause and action which was
taken. The Michigan Commission for the Blind, as a state agency, is exempt from
paying sales tax on goods and services.
EQUIPMENT PURCHASE
Equipment (a single item or components of a working unit) which costs more than
$1000, purchased for an individual by the Michigan Commission for the Blind,
will be tagged according to state policy and will remain the property of the
Michigan Commission for the Blind for a period of three years from the date of
delivery. During the three years this equipment will be reclaimed by
counselor/teacher if the equipment is no longer necessary as dictated by the
details of the individual's Individual Plan for Employment or if there is
evidence that equipment is being abused. The Michigan Commission for the Blind
will be responsible for the repair and routine maintenance of the equipment
while the individual's case remains open. The individual is responsible for the
proper care and handling of this equipment while it is in his/her possession.
CLIENT PARTICIPATION IN COSTS
Individuals will be encouraged, to the extent possible, to contribute
financially to the costs of achieving the goals outlined in their Individual
Plan for Employment.
COMPARABLE BENEFITS
Prior to providing any vocational rehabilitation services to an eligible
individual, or to members of the individual's family, The Michigan Commission
for the Blind shall determine whether comparable services and benefits exist
under any other program and whether those services and benefits are currently
available to the individual. If comparable services and benefits are currently
available the Michigan Commission for the Blind shall utilize them, in whole or
in part, to offset the cost to the Michigan Commission for the Blind. If
comparable benefits exist but are not available at the time needed to achieve
the individual's rehabilitation objectives, the Michigan Commission for the
Blind shall provide the services until the comparable benefits and services
become available. If acquiring comparable benefits would delay the provision of
vocational rehabilitation services to any individual who is determined to be at
extreme medical risk, based on documentation by an appropriate qualified medical
professional, or an immediate job placement would be lost due to a delay in the
provision of comparable services and benefits, the Michigan Commission for the
Blind will proceed with those services. The Michigan Commission for the Blind
may proceed with the following services without determining the availability of
comparable services:
A. Assessment for determining eligibility and priority for services;
B. Assessment for determining vocational rehabilitation needs;
C. Counseling, guidance and referral;
D. Training and related expenses except those for higher education;
E. Placement services;
F. Rehabilitation Technology; and
G. Post-employment services related to items A-F above.
III. REFERRAL
The Michigan Commission for the Blind shall make a good faith effort to contact
all individuals who have been referred to inform them of application
requirements. All individuals referred to the Michigan Commission for the Blind
Vocational Rehabilitation Program shall be assigned to work with a
counselor/teacher based on geographic location or need for specific sub-program
and shall be registered in the computerized case management system. If an
individual moves his file will be transferred to the appropriate
counselor/teacher in his/her new geographic region.
A contact by phone or by letter shall be made as soon as possible, not to exceed
five working days of receipt of the referral. The name and phone number of a
friend or relative shall be obtained for use at times when the staff is having
difficulty getting in touch with the individual. No funds for case services may
be expended on an individual until the individual is considered to have
submitted an application for services.
IV. APPLICATION
An individual is considered to have submitted an application when the
individual, or as appropriate, the individual's parent, family member, guardian,
advocate or authorized representative has signed an agency application form or
has otherwise submitted a signed written request for services, or has otherwise
requested services and has provided information necessary to initiate an
assessment for determining eligibility and priority of services and the
individual is available to complete the assessment process.
At the time of application an individual should have a thorough understanding of
what services and outcomes he/she might anticipate. An individual should also
understand the choices he/she will need to make as well as his/her rights and
responsibilities. He/she must be made fully aware of the availability of the
Client Assistance Program. The individual or, as appropriate, the individual's
designee should sign the application. If the individual or his/her
representative does not wish to sign the application, this should be documented
on the application form and if a reason is given, this too should be documented.
Services may be provided in spite of this refusal to sign. Once the application
process has been completed, funds may be authorized to cover expenses related to
assessing the individual's eligibility for services.
During this process and throughout the vocational rehabilitation process
thorough demographic information, including information about secondary
disabilities must be obtained to insure appropriate reporting of data in federal
reports.
V. ASSESSMENT FOR DETERMINING ELIGIBILITY
In order to be eligible for vocational rehabilitation services:
A. An individual must have a visual impairment as defined by Public Act 260.
DEFINITION OF LEGAL BLINDNESS: THE INDIVIDUAL’S VISUAL ACUITY WITH BEST
CORRECTION MUST BE 20/200 OR WORSE IN THE BETTER EYE OR HIS/HER VISUAL FIELDS
MUST SUBTEND AN ANGLE OF LESS THAN 20 DEGREES IN EACH EYE.
or
THE INDIVIDUAL MUST HAVE A VISUAL ACUITY WITH BEST CORRECTION 20/100 OR WORSE IN
THE BETTER EYE WITH A PROGNOSIS OF RAPID DETERIORATION.
B. The impairment must constitute or result in a substantial impediment to
employment for the individual.
C. It is presumed that the individual can benefit in terms of an employment
outcome.
D. A determination is made that the individual requires vocational
rehabilitation services to prepare for, enter into, engage in, or retain gainful
employment.
Individuals who are allowed Social Security Disability Insurance beneficiaries
or are Social Security Supplemental Income recipients and meet the Michigan
Commission for the Blind definition of visual impairment are automatically
eligible for vocational rehabilitation services without additional tests or
procedures to assess "intent" of applicants that would hinder speedy access to
vocational rehabilitation services. These individuals are considered to be an
"individual with a significant disability". This information must be documented
in the Certification of Eligibility.
There is no state residency requirement for the provision of VR services. Aliens
may be eligible for services if they have the appropriate work permit.
Non-immigrant aliens may work if they have certain permits and may therefore be
eligible for services. The Director of Client Services must be consulted in any
matters relating to eligibility of Michigan Commission for the Blind staff or
their families to insure appropriate handling and confidentiality.
Eligibility for vocational rehabilitation services is based on an assessment of
an individual’s functional limitations as they relate to impediments to
employment. Functional limitations in the following areas should be considered
when determining the impediments to employment:
A. Mobility - the physical and psychological ability to travel to and from
destinations in the community; this includes orientation - the ability of the
individual to know where he/she is, where he/she wants to go and how to get
there, as well as the ability to adapt and adjust to new environments;
B. Communication - the ability to effectively exchange information through
spoken or written words, sign, Braille concepts, gestures, or any other means;
this includes language - the ability to place labels and meaning to objects,
actions, and concepts such as who, what, where, when, and how; this also
includes Braille literacy - the ability for an individual to read and write
Braille or written words at a level equivalent to his/her age;
C. Self-care - the ability to manage one's own living situation thereby allowing
participation in training or work activities; includes management of special
health and safety needs;
D. Self-direction - the ability to plan, initiate, problem solve, and carry out
goal-directed activities;
E. Interpersonal skills - ability to make and maintain personal, family, and
community relationships;
F. Work tolerance - capacity to effectively perform job requirement with or
without accommodations;
G. Work skills - ability to do specific tasks required for a particular job.
Where possible, it is absolutely necessary to use pre-existing information and
thorough counseling interviews to determine the individual's functional
limitations. Regardless of the age of the information it must reflect the
current functioning of the individual. To document a substantial impediment to
employment, the counselor/teacher may obtain information from a variety of
sources such as: direct observation; statements from the individual, the
individual's family or others involved in the individual's activities; medical,
psychological and other diagnostic reports; records from the Social Security
Administration, Veteran's Administration and educational institutions. Assistive
technology and services must be used to the extent possible in gathering
additional assessment information. To the extent possible additional assessment
should be obtained in realistic integrated employment settings.
In the special case of the Michigan Commission for the Blind, it is important to
obtain visual acuities where there is a question regarding the individual's
legal blindness. If this information is not available from currently existing
sources, an optometric or ophthalmological exam must be obtained. In the case of
an obvious visual disability such as a person who has two enucleated eyes or a
person who has been known to the Michigan Commission for the Blind in the past,
it is not necessary to obtain these reports for determining eligibility.
If an individual is determined eligible, a Certificate of Eligibility must be
completed and signed by the appropriate counselor/teacher. If the
counselor/teacher believes the individual is not eligible due to the severity of
the impairment such that the individual can not benefit from services, the
procedures for a trial work experience must be followed. If the individual's
visual impairment does not meet the criteria for eligibility stated above, the
individual must be referred to the appropriate Michigan Department of Career
Development Rehabilitation Services office.
Only individuals who are considered most severely impaired, have three or more
functional limitations based on the list above, are eligible for supported
employment service. If appropriate this must be documented in the Certification
of Eligibility.
VI. TRIAL WORK EXPERIENCE
In order to rebut the individual’s ability to benefit from vocational
rehabilitation services due to the severity of disability the teacher/counselor
must provide trial work experiences in realistic employment settings of
sufficient variety and over a sufficient period of time to determine if the
individual is incapable of benefiting in terms of an employment outcome from
vocational rehabilitation services. The trial work experience must explore the
individual’s abilities, capabilities, and capacity to perform in work situations
with appropriate supports and training provided by the Michigan Commission for
the Blind
VII. COMPREHENSIVE ASSESSMENT OF
REHABILITATION NEEDS
To the extent necessary, in order to make a determination of the goals,
objectives, nature and scope of vocational rehabilitation services to be
included in the individual's Individual Plan for Employment, there will be a
comprehensive assessment of the individual's rehabilitation needs. This
assessment will be limited to that information which is necessary to identify
the rehabilitation needs of the individual and to jointly develop an Individual
Plan for Employment with the individual. To the maximum extent possible and
appropriate, this assessment will use primarily existing information and any
information that can be provided by the individual and by the family of the
individual.
The comprehensive assessment will focus on the unique strengths, resources,
priorities, interests and needs, including the need for supported employment of
eligible individuals. It will be conducted in a timely and efficient manner. It
will be carried out in the most integrated setting, consistent with the informed
choice of the individual. To the degree needed, the assessment will include
information about the following areas as they relate to the individual:
A. An analysis of pertinent medical, psychiatric, psychological,
neuropsychological, and other pertinent vocational, educational, cultural,
social, recreational factors, environmental factors, and, related functional
limitations that affect the employment and rehabilitation needs of the
individual;
B. An analysis of the individual's personality, career interests, interpersonal
skills, intelligence and related functional capacities, educational
achievements, work experience, vocational aptitudes, personal and social
adjustments, and employment opportunities;
C. An appraisal of the individual's patterns of work behavior and services
needed to acquire occupational skills and to develop work attitudes, work
habits, work tolerance, and social and behavior patterns suitable for successful
job performance; and
D. An assessment, through provision of rehabilitation technology services, of
the individual's capacities to perform in a work environment, including in an
integrated setting, to the maximum extent feasible and consistent with the
individual's informed choice.
Current general medical information is necessary when an individual is being
referred to the Michigan Commission for the Blind Training Center for services.
An individual who is blind may be more reliant upon his/her hearing so special
consideration should be given for the possible need of an audiological
assessment. This must be discussed fully with the individual to make him/her
aware of the importance and availability of such an assessment.
The comprehensive assessment must include referral of the individual to
appropriate resources for assistance in rehabilitation and any other relevant
issues. Goods and services necessary to complete the assessment shall also be
provided.
VIII. INDIVIDUAL PLAN FOR EMPLOYMENT
JOINT DEVELOPMENT
An Individual Plan for Employment shall be promptly developed (time period not
to exceed 90 days) after an individual has been determined eligible unless the
staff person and the individual mutually agree that an extension is necessary
due to unforeseen circumstances beyond the control of the individual or the
agency. The individual or his/her representative and his/her counselor/teacher
taking into consideration the needs of the individual will agree upon the
Individual Plan for Employment. The Individual Plan Employment shall be designed
to achieve the employment objectives of the individual consistent with the
unique strengths, resources, priorities, concerns, abilities and capabilities of
the individual. It will include those services necessary to achieve his/her
chosen vocational outcome. The case record must contain documentation supporting
the development of the vocational goal, the rehabilitation objectives, and the
nature and scope of services in the Individual Plan Employment and the
Individual Educational Plan. The individual or, as appropriate, his/her
representative and the counselor/teacher must sign the Individual Plan
Employment. A copy of the Individual Plan Employment shall be provided to the
individual or his/her representative in the individual's chosen mode of
communication and, to the extent possible in his/her native language.
CONTENT
Each Individual Plan Employment shall include a statement of:
A. A description of the specific employment outcome that is chosen by the
eligible individual based on the comprehensive assessment for determining
vocational rehabilitation needs including an assessment of career interests for
the individual. The plan shall, to the maximum extent appropriate, include
services and employment in integrated settings. If the employment is not
projected to be in an integrated setting, the case record must contain a
justification for the non-integrated setting. The vocational goal does not have
to be exact, but should identify a particular profession or occupation;
B. The specific vocational rehabilitation services to be provided to achieve the
employment outcome, including if appropriate, rehabilitation technology services
and on-the-job and related personal assistance services, provided in the most
integrated setting that is appropriate for the service involved and is
consistent with the informed choice of the eligible individual;
C. The projected dates for the initiation of each vocational rehabilitation
service, the anticipated duration of each service, a timeline for the
achievement of the employment outcome and the cost of each service;
D. A description of the entity chosen by the eligible individual, or as
appropriate his/her representative, that will provide the vocational
rehabilitation services and the methods used to procure those services;
E. A description of the criteria to evaluate progress toward achievement of the
employment outcome;
F. How, in the words of the individual or, as appropriate, in the words of the
individual's representative, he/she was informed about and involved in choosing
among alternative goals, objectives, services, providers, and methods used to
procure or provide services;
G. The terms and conditions for the provision of vocational rehabilitation
services, including:
1. The responsibilities of the individual in implementing the Individual Plan
Employment;
2. The extent of the individual's participation in the cost of the services;
3. The extent to which goods and services will be provided in the most
integrated settings possible, consistent with the informed choices of the
individual;
4. The extent to which comparable services and benefits are available to the
individual under any other program;
5. The entity or entities that will provide the services and the process used to
provide or procure the services;
H. The rights of the individual and the means by which the individual may
express and seek remedy for any dissatisfaction, including the opportunity for a
review of counselor/teacher determinations;
I. The availability of assistance for the Client Assistance Program;
J. The basis on which the individual has been determined to have achieved an
employment outcome;
K. A statement concerning:
1. The expected need for post-employment services, based on an assessment during
the development of the Individual Plan for Employment;
2. A reassessment of the need for post-employment services prior to the
determination that the individual has achieved an employment outcome;
3. A description of the terms and conditions for the provision of any
post-employment services, including the anticipated duration of those services
subsequent to the achievement of an employment outcome by the individual; and
4. If appropriate, a statement of how post-employment services will be provided
or arranged through cooperative agreements with other service providers.
L. If applicable, a description of how services for a student, who is receiving
special education services are coordinated with the Individual Education Plan
for that individual in terms of the goals, objectives and services identified in
the Individual Education Plan.
M. Information identifying other related services and benefits provided pursuant
to any federal, state, or local program that will enhance the capacity of the
individual to achieve the vocational objectives of the individual.
INDIVIDUAL PLAN FOR EMPLOYMENT FOR SUPPORTED EMPLOYMENT
In addition to the above items, an Individual Plan for Employment for supported
employment of the most significantly impaired individuals must contain the
following:
A. A description of the supported employment services to be provided by the
Michigan Commission for the Blind; and
B. A description of the extended services needed and identification of the
source of extended services or, in the event that identification of the source
is not possible at the time the Individual Plan for Employment is developed, a
statement explaining the basis for concluding that there is a reasonable
expectation that services will become available.
ANNUAL REVIEWS AND AMENDMENTS
The counselor/teacher shall review an individual’s Individual Plan for
Employment with the individual as often as necessary, but at least once each
year to assess the individual's progress in meeting the goals and objectives
identified in the Individual Plan for Employment. At that time the individual or
his/her representative will be afforded an opportunity to review his/her
Individual Plan for Employment and jointly redevelop and agree to its terms.
Each Individual Plan for Employment will be amended as necessary. Any major
change to a goal, objective or service resulting from such a review or at any
time will require an amendment. Amendments shall not take effect until agreed to
and signed by the individual or the individual's designee. Amendments shall be
incorporated into and affixed to the Individual Plan for Employment.
IX. SCOPE OF SERVICES
Vocational rehabilitation services shall be provided, as necessary, to an
individual to assess his/her eligibility for services, to more specifically
determine what services are necessary to attain his/her vocational objective,
and to help him/her achieve his/her vocational objective according to the
following categories:
A. Assessment for determining eligibility and priority for services;
B. Assessment for determining vocational rehabilitation needs;
C. Vocational rehabilitation counseling and guidance
Individuals shall receive extensive vocational rehabilitation counseling and
guidance, as necessary, to assist in establishing an appropriate vocational
objective and in developing an Individual Plan for Employment. These services
may also be ongoing to assist individuals in dealing with any impediments to
success throughout the rehabilitation process;
D. Referral and other services
Referral and other services to help applicants and eligible individuals secure
needed services from other agencies.
Individuals shall be made aware of the services of the Client Assistance Program
during the application process and throughout the vocational rehabilitation
process, but especially when a conflict arises between the individual and
his/her counselor/teacher;
E. Physical and mental restoration services
The following restoration services to achieve an employment outcome:
1. Corrective surgery or therapeutic treatment that is likely, within a
reasonable period of time, to correct or modify substantially a stable or slowly
progressive physical or mental impairment that constitutes a substantial
impediment to employment;
2. Diagnosis of and treatment for mental or emotional disorders by qualified
personnel in accordance with State licensure laws;
3. Dentistry;
4. Nursing Services;
5. Necessary hospitalization (either inpatient or outpatient care) in connection
with surgery or treatment and clinic services;
6. Drugs and supplies
7. Prosthetic, orthotic or other assistive devices, including hearing aids;
8. Low vision services
Eyeglasses and visual services, including visual training, and the examination
and services for the prescription and provision of eyeglasses, contact lenses,
microscopic lenses, telescopic lenses and other special visual aids prescribed
by personnel that are qualified in accordance with State licensure law and
Michigan Optometric Certification rules shall be provided by the Michigan
Commission for the Blind. Prior to receiving these services an individual shall
have an introduction to the "Skills of Blindness" as defined by the Michigan
Commission for the Blind:
THE CONCEPTS, ATTITUDES AND TECHNIQUES NECESSARY FOR A BLIND OR VISUALLY
IMPAIRED INDIVIDUAL TO MAXIMIZE HIS/HER POTENTIAL ACCORDING TO HIS/HER
INDIVIDUAL ABILITIES, NEEDS AND ASPIRATIONS.
9. Podiatry
10. Physical therapy
11. Occupational therapy
12. Speech or hearing therapy
13. Mental health services
14. Treatment of either acute or chronic medical complications and emergencies
that are associated with or arise out of the provision of physical and mental
restoration services or that are inherent in the condition under treatment;
15. Special services for the treatment of individuals with end-stage renal
disease, including transplantation, dialysis, artificial kidneys and supplies;
and
16. Other medical or medically related vocational rehabilitation services.
F. Vocational and other Training
Vocational and other training services, including personal and vocational
adjustment training, books, tools and other training materials, except that no
training or training services in an institution of higher education
(universities, colleges, community or junior colleges, vocational schools,
technical institutes or hospital schools of nursing) shall not be paid unless
maximum efforts have been made by the counselor/teacher and the individual to
secure grant assistance in whole or in part from other sources to pay for the
training.
G. Maintenance in connection with the rendering of any vocational rehabilitation
service
Maintenance money to an eligible individual or an individual receiving extended
evaluation services for those expenses, such as food, shelter and clothing that
are in excess of the normal expenses of the individual and that are necessitated
by the individual's participation in a program of vocational rehabilitation
services. State rates will be paid for food and shelter.
H. Transportation in connection with the rendering of any vocational
rehabilitation service
Every effort must be made to assist individuals in becoming totally independent
in their travel. In those instances where financial assistance in connection
with the rendering of any vocational rehabilitation service is appropriate,
individuals shall be reimbursed for the cost of their travel and related
expenses at state rates. The most economical and practical mode of
transportation must be used. The "state travel agent" must be utilized to make
air travel arrangements unless, under unusual circumstances, an exemption is
obtained from the Family Independence Agency Travel Unit.
I. Services to Family Members
Vocational rehabilitation services to family members of an applicant or eligible
individual to enable the applicant or eligible individual to achieve an
employment outcome;
J. Interpreter, intervenor and reader service
Interpreter services for individuals who are deaf, tactile interpreter services
for individuals who are deaf-blind, intervenor services for individuals who are
deaf-blind and reader services for individuals determined to be blind;
K. Skills of blindness training
Among these personal adjustment skills are orientation and mobility,
communications, Braille, cooking and related rehabilitation teaching;
L. Recruitment and training
Recruitment and training services to provide new employment opportunities in the
fields of rehabilitation, health, welfare, public safety, law enforcement and
other appropriate public service employment;
M. Work related placement services
Job search assistance, placement assistance, job retention services including
job coaching and other supportive services to individuals to obtain or maintain
suitable competitive employment in the community.
N. Supported Employment Services
Supported Employment services shall be provided to those individuals who by the
Michigan Commission for the Blind definition have the most significant
disabilities; for whom competitive employment has not traditionally occurred or
for whom competitive employment has been interrupted or intermittent as a result
of a significant disability; who, because of the nature and severity of their
disabilities, need intensive supported employment services from the Michigan
Commission for the Blind and extended services after transition in order to
perform this work. Among specific services funded under Title VI, Part C
(Supported Employment) are:
1. A supplemental assessment to help develop, finalize or reassess an Individual
Plan for Employment for supported employment;
2. Job development and job placement;
3. Provision of time limited services needed to support an individual in
employment as follows:
a. Intensive on-the-job skills training and other training and support services
needed to achieve and maintain job stability;
b. Follow-up services with employers, supported employee, parents and guardians
and others for the purpose of supporting and stabilizing the job placement;
c. Discrete post employment services (following transition to extended services)
that are not available from the extended service provider and are needed to
maintain job placement; and
d. Other services listed in this section of the manual.
An Individual Plan for Employment for Supported Employment must state how follow
along contacts will be made twice a month once the vocational rehabilitation
program obligations have been met. The individual's choice of a suitable
employment outcome goal must be stated as well.
O. Personal Assistance Services
Personal assistance services designed to assist an individual with a disability
to perform daily living activities on or off the job that the individual would
typically perform without assistance if the individual did not have a
disability. The services must be designed to increase the individual's control
in life and ability to perform everyday activities on or off the job. The
services must be necessary to the achievement of an employment outcome and may
be provided only while the individual is receiving other VR services. The
services may include training in managing, supervising and directing personal
assistance services;
P. Post-employment Services
Post-employment services may be provided to ensure that the employment outcome
remains consistent with the individual's strengths, resources, priorities,
concerns, abilities, capabilities and interests. These services are available to
meet rehabilitation needs that do not require a complex and comprehensive
provision of services and, thus, should be limited in scope and duration. If
more comprehensive services are required, then a new rehabilitation effort
should be considered. Post-employment services are to be provided under an
amended Individual Plan for Employment, thus a re-determination of eligibility
is not required. Post-employment services are available to assist an individual
to maintain employment. Some examples are: the individual's employment is
jeopardized because of conflicts with supervisors or co-workers and the
individual needs mental health services and counseling to maintain the
employment, to regain employment; the individual's job is eliminated through
reorganization and new placement services are needed and to advance in
employment or the employment is no longer consistent with the individual's
strengths, resources, priorities, concerns, abilities, capabilities and
interests;
Q. Occupational licenses, tools, equipment, initial stocks and supplies;
R. Rehabilitation technology
Rehabilitation technology including telecommunications, sensory, rehabilitation
engineering and other technological aids is provided and devices to meet the
needs of and address the barriers confronted by individuals with disabilities in
areas that include education, rehabilitation, employment, transportation,
independent living, integration into the community and recreation.
Rehabilitation engineering includes the systematic application of engineering
sciences to design, develop, adapt, test, apply and distribute technological
solutions to problems confronted by individuals with disabilities in functional
areas, such as mobility, communications, hearing, vision and cognition;
S. Transition services
A coordinated set of activities designed within an outcome-oriented process that
promotes movement from school to post-school activities, including
post-secondary education, vocational training, integrated employment (including
supported employment), continuing and adult education, adult services,
independent living or community participation. These activities must be based
upon the individual student's needs, taking into account the student's
preferences and interests and must include other post-school adult living
objectives and, if appropriate, acquisition of daily living skills and
functional vocational assessment. Transition services must promote or facilitate
the accomplishment of long-term rehabilitation goals and intermediate
rehabilitation objectives identified in the student's Individual Plan for
Employment. Services must be coordinated with the goals, objectives and services
identified in an individual's Individual Educational Plan.
Transition services are not meant to remove the responsibilities of school
systems under the special education laws. They are meant to augment and enhance
those services already being provided. The services may start as soon as
appropriate.
T. Other goods and services necessary for the individual with a disability to
achieve an employment outcome.
Vocational rehabilitation services may also be provided to groups of individuals
according to the following categories:
A. The establishment, development or improvement of a public or other nonprofit
community rehabilitation program that is used to provide services that promote
integration and competitive employment;
B. Telecommunications systems that have the potential for substantially
improving vocational rehabilitation service delivery methods and developing
appropriate programming to meet the particular needs of individuals with
disabilities, including telephone, television, video description services,
satellite, tactile-vibratory devices and similar systems as appropriate;
C. Special services to provide recorded material or video description services
for individuals who are blind, captioned television, films or video cassettes
for individuals who are deaf, tactile materials for individuals who are
deaf-blind and other special services that provide information through tactile,
vibratory, auditory and visual media;
D. Technical assistance and support services, such as job site modification and
other reasonable accommodations, to businesses that are not subject to Title I
of the Americans with Disabilities Act of 1990 and that are seeking to employ
individuals with disabilities.
E. Small business enterprises operated by groups of individuals with the most
severe disabilities under the supervision of the Michigan Commission for the
Blind, including enterprises established under and initial expenses as outlined
in the governing regulations of the Randolph-Sheppard Program, management
services and supervision, acquisition of equipment, initial stocks and supplies.
X. OUTCOMES
COMPETITIVE REHABILITATIONS
An individual who is determined rehabilitated has, at a minimum, maintained, for
a period of 90 days, an employment outcome that is:
A. The result of services provided under the individual's Individual Plan for
Employment
B. Commensurate with the individual's abilities, capabilities, interests and
informed choice.
C. In the most integrated setting possible, consistent with the individual's
informed choice.
D. The individual and the counselor/teacher agree that the employment outcome is
satisfactory and that the individual is performing well on the job.
The case record must contain evidence of the above criteria and evidence that
the counselor provided referral to assist the individual in securing needed
services available through other agencies. The Michigan Commission for the Blind
considers individuals working full time in the community, at competitive wages,
with significant fringe benefits, to be the most desirable rehabilitation
outcome. However, individuals meeting the above criteria under Supported
Employment programming and individuals meeting the criteria for Homemakers are
also valued rehabilitations. For competitive rehabilitations including Supported
Employment cases, there must be information in the case record that an
individual is compensated at or above minimum wage but not less than the
customary wage and level of benefits paid by the employer for the same or
similar work performed by individuals who do not have disabilities.
HOMEMAKER REHABILITATIONS
To close an individual's case where he/she is rehabilitated with the vocational
goal of Homemaker, case recording must demonstrate substantial services were
provided and that those services contributed significantly to the individual's
vocational goal. The individual must be personally performing substantial work
in each of four core areas of: Kitchen Skills, Travel Skills, Home Management,
and Communication Skills in order to be considered successfully rehabilitated.
This information must be documented in the case record. Individuals over age 55,
who meet the requirement of a severe impediment to employment but who are not
capable of competitive employment and who are not capable of performing
substantial work in the four core areas mentioned above shall be referred to the
Michigan Commission for the Blind Independent Living Program.
CLOSURES BASED ON INELIGIBILITY
An individual who is determined ineligible at any time in the vocational
rehabilitation process must be notified in writing of the reasons for the
ineligibility determination. The determination for closing a case because the
individual is incapable of benefiting from vocational rehabilitation services
must be based on clear and convincing evidence and the case record must contain
evidence of an extended assessment. A determination of ineligibility made prior
to the initiation of an Individual Plan for Employment must include:
A. The reasons for such a determination;
B. The rights and remedies available to the individuals, including, if
appropriate, recourse to the processes such as an Administrative Review,
Mediation or a Fair Hearing; and
C. The availability of services through the Client Assistance Program.
A decision based on a finding that an individual is incapable of achieving an
employment outcome is made only in full consultation with the individual or
his/her designee and will be reviewed within 12 months and annually thereafter
if requested by the individual or his/her designee.
This review need not be conducted if the individual has refused, the individual
is no longer present in the state, the individual's whereabouts are unknown or
the individual's medical condition is rapidly progressive or terminal. An
ineligibility decision made after an Individual Plan for Employment has been
developed must contain items A and B above and is treated as an amendment to the
Individual Plan for Employment.
CLOSURES OTHER THAN INELIGIBILITY
If an individual's case is closed for any reason other than ineligibility, the
case record must document that the individual declines to participate in the
program or is not available to complete an assessment and that the VR
counselor/teacher has made a reasonable number of attempts to encourage the
individual's participation. If possible a notice should be sent to the
individual.
EXTENDED EMPLOYMENT
An individual who is working in Extended Employment (i.e. employment in a
community rehabilitation program) shall have his/her employment status reviewed
annually to determine if the individual is ready to pursue employment in an
integrated community based position. This review must include input from the
individual or his/her representative to determine the interests, priorities and
needs of the individual for employment in or training for competitive employment
in an integrated setting which could very likely include supported employment.
XI. ORDER OF SELECTION
INTRODUCTION
The Michigan Commission for the Blind intends to evaluate all applicants without
delay to determine eligibility for services (i.e. within 60 days) and to provide
services to all eligible individuals until such time as a reduction in services
must be imposed due to a shortage of funds, staff or other resources. In the
event such a shortage should occur, the Michigan Commission for the Blind will
implement an Order of Selection for services to assist individuals who are
legally blind and who are found eligible on and after the implementation date.
Services will be provided without restriction to all individuals who have
completed an Individual Plan for Employment prior to the implementation date and
to those in a Trial Work Experience in order to determine eligibility. There
will be no restriction of services to individuals receiving post-employment
services. A waiting list will be maintained by category and by application date
of all those eligible individuals. Within categories, individuals will be served
on a "first-come first-serve" basis. Individuals in Category A will be served
first. Other categories will be served in ascending order based on the
availability of funds. All principles will be applied uniformly throughout the
state.
In the event the Michigan Commission for the Blind is under an Order of
Selection, information about alternative services will be provided to
individuals who are not in open categories. In addition, referrals will be made
to other appropriate sources of services. A standard Michigan Commission for the
Blind Referral Form will be used for this process.
CATEGORIES FOR THE ORDER OF SELECTION
It is understood that Public Safety Officers will receive priority for services
within each category.
A. Individuals with the most significant disabilities;
B. Individuals with significant disabilities;
C. Individuals with less significant disabilities;
D. Individuals with non-significant Disabilities;
DEFINITIONS
A. Eligible Individuals: Individuals with a disability and requiring vocational
rehabilitation to prepare for, enter, engage in or retain gainful employment
will be considered eligible. In the specific case of the Michigan Commission for
the Blind the definition of disability only includes individuals with a visual
acuity of 20/200 or less in the better eye with best correction; or a limitation
of the field of vision not greater than 20 degrees; or a visual acuity of 20/100
in the better eye with a deteriorating condition as a primary disability.
Individuals may have other conditions (secondary disabilities) which will be
taken into consideration when determining their eligibility for services.
Blind/deaf individuals and individuals who are blind as a result of Traumatic
Brain Injury are classified under federal guidelines as special categories.
However, they are still considered blind by the Michigan Commission for the
Blind.
B. Functional Limitations: Limitations in life-skills as delineated by the
following seven functional areas --
1. mobility - the physical and psychological ability to travel safely to and
from destinations in the community; this includes orientation - the ability of a
individual to know where he/she is, where he/she wants to go and how to get
there as well as the ability to adapt and adjust to new environments;
2. communication - the ability to effectively exchange information through
spoken or written words, sign, Braille, concepts, gestures, or any other means;
this includes language - the ability to place labels and meaning to objects,
actions, and concepts such as who, what, where, when, and how; this also
includes Braille literacy - the ability for an individual to read and write
Braille or written words at a level equivalent to his/her age;
3. self-care - the ability to manage one's own living situation thereby allowing
participation in training or work activities; includes management of special
health and safety needs;
4. self-direction - the ability to plan, initiate, problem solve, and carry out
goal-directed activities;
5. interpersonal skills - ability to make and maintain personal, family, and
community relationships;
6. work tolerance - ability to effectively perform job requirements with or
without accommodations;
7. work skills - ability to do specific tasks required for a particular job;
C. Most Significantly Disabled Individuals: Eligible individuals who have
limitations in three or more of the listed functional areas and will require
multiple services over an extended period of time.
D. Significantly Disabled Individuals: Eligible individuals who have limitations
in two of the listed functional areas and who will require multiple services
over an extended period of time.
E. Less Significantly Disabled Individuals: Eligible individuals who have
limitations in one of the listed functional areas and who will require multiple
services over an extended period of time.
F. Non-significantly Disabled Individuals: Eligible individuals who have a
limitation in one of the listed functional areas, but who will not need multiple
services over an extended period of time.
G. Public safety officer: The term "public safety officer" means a individual
serving the United States, a state, or a unit of government, with or without
compensation, in any activity pertaining to:
1. The enforcement of the criminal laws, including highway patrol, or the
maintenance of civil peace by the National Guard or the Armed Forces; or
2. A correctional program, facility, or institution where the activity is
potentially dangerous because of contact with criminal suspects, defendants,
prisoners, probationers, or parolees; or
3. A court having criminal or juvenile delinquent jurisdiction where the
activity is potentially dangerous because of contact with criminal suspects,
defendants, prisoners, probationers, or parolees; or
4. Fire fighting, fire prevention, or emergency rescue missions.
IMPLEMENTATION DETERMINATION
The Executive Director and the Director of Client Services will continually
monitor the budget, referrals, staffing levels and caseload size to determine
the necessity of developing an amendment to the State Plan to implement the
Order of Selection. If possible, the Executive Director will make this decision
prior to the start of a fiscal year and it will be incorporated in the State
Plan. Upon approval of the Michigan Commission for the Blind Board and the
Rehabilitation Services Administration the plan will be implemented. Examples of
reasons to invoke an Order of Selection are as follows:
A. A 20% reduction of staff with no ability to fill vacancies, such as in the
case of a "hiring freeze."
B. 75% of case service funds are encumbered prior to April 1 in any given fiscal
year.
C. The average caseload size exceeds 100 individuals.
D. Severe budget limitations placed on the Michigan Commission for the Blind due
to limited funding authority or restrictions on obligating federal funds.
IMPLEMENTATION
A. At the time of application, the individual will be advised of the Michigan
Commission for the Blind policy regarding Order of Selection for services.
Definitions of priority categories and the criteria used in assigning
individuals to these categories will be explained by the counselor/teacher.
B. At the time an applicant is determined eligible for services, the
counselor/teacher will assign that individual to the highest priority category
for which he/she is qualified. The category and the rationale for the decision
must be documented in the case record. The counselor/teacher must clearly
describe how the functional limitations restrict the individual's capacity to
obtain, maintain or prepare for employment.
C. The individual will be advised, in writing, as to which category he/she has
been assigned and which categories are currently being served. He/she must also
be given the opportunity to appeal that decision and be given information about
the Client Assistance Program to assist him/her in an appeal.
D. Once an individual is assigned to a specific category he/she cannot be moved
from that category unless new circumstances occur that would put the individual
in a higher category. If an individual is accidentally placed into a category
higher than appropriate, the individual must be advised, in writing, of the
error and the changes that will be made. He/she must also be given the
opportunity to appeal that decision.
E. All individuals for which an Individual Plan for Employment has not been
written on the date the Order of Selection is implemented will be advised, in
writing, of the situation and advised of their classification. He/she must also
be given notification of his/her right to appeal.
F. The Executive Director, Director of Client Services and Supervisors will
inform all staff, clients, referral resources and vendors that an Order of
Selection is being implemented.
G. Supervisors will be responsible for monitoring the provision of services
according to the Order of Selection. They will review assignments to categories
and the provision of services to individuals based on the principles of the
Order of Selection.
H. Categories will be opened on the basis of the availability of resources.
Individuals within categories will be served on a "first-come first-serve"
basis.
I. The Director of Client Services will monitor the activities of the Order of
Selection to determine if any changes need to be made in terms of the number of
individuals served by opening or closing additional Order of Selection priority
categories.
SERVICE GOALS AND PROJECTED OUTCOMES
When preparing the Amendment to the State Plan regarding an Order of Selection
for public review and comment, the Agency Executive Director and Director of
Client Services will prepare a projection of the service goals and projected
outcomes for each category based on the best current information regarding
available resources for the projected time-frame.
XII. OTHER MICHIGAN COMMISSION FOR THE BLIND PROGRAMS
BUSINESS ENTERPRISE PROGRAM
The Michigan Commission for the Blind operates a separate Business Enterprise
Program under the auspices of the Randolph-Sheppard Act of 1936, as amended.
Individuals wishing to operate a retail food program, usually a snack bar,
vending operation or cafeteria may do so by qualifying for and participating in
this program. Most locations are in state or federal facilities. Extensive
supervision and management services are provided by Business Enterprise Program
staff after the individual's vocational rehabilitation case has been closed.
Under the program all equipment remains the property of the Michigan Commission
for the Blind. However, a "set aside" fee is collected to purchase equipment for
new locations as well as providing repairs or replacing equipment in existing
locations.
In order to be eligible for the Business Enterprise Program vending or snack bar
training individuals must meet the following criteria:
A. The individual must be eligible for the Michigan Commission for the Blind
Vocational Rehabilitation Program;
B. He/she must be legally blind;
C. He/she must be unemployed or must be earning less than or equal to 40 hours a
week times the federal minimum wage;
D. He/she must pass an interview with the appropriate Business enterprise
Program Promotional Agent;
E. He/she must pass a three-day assessment at the Michigan Commission for the
Blind Training Center or may pass with a waiver for physical limitations if it
is deemed that the individual is physically capable of carrying out the
responsibilities. Included in this assessment will be an assessment of skills of
blindness, including orientation and mobility and skills of daily living.
General academic preparedness, including reading will also be assessed;
F. He/she must provide documentation of passing a business math course through
Adult Education or college with a grade of "C" or better or he/she may provide
evidence of having successfully taken the College Level Examination Program for
business math;
G. He/she must pass, with a score of 75% or better, the National Restaurant
Association Education Foundation Test and the Michigan Department of Community
Health Applied Food Service Sanitation course;
H. He/she must be at least 18 years of age;
I. He/she must be a citizen of the United States.
To be placed on the Potential Licensee List to obtain a license to operate a
Business Enterprise Program location an individual must:
A. Successfully complete the five week Business Enterprise Program training with
a score of 75% or better;
B. Successfully complete 80 hours of on-the-job training in a snack bar or dry
stand; and
C. Successfully complete 80 hours of on-the-job training in a vending location.
The appropriate counselor teacher must forward a referral packet, by registered
I.D. Mail, to the Program Manager of the Business Enterprise Program. The packet
shall consist of the following:
A. A referral memorandum containing appropriate background information;
B. An eye exam report, verified by the Michigan Commission for the Blind
Consulting Ophthalmologist documenting the individual's legal blindness;
C. Reports reflecting satisfactory completion of the five-week training program,
as well as satisfactory completion of the on-the-job training programs.
Individuals will be placed on the Potential Licensee List in the order in which
their referrals are received by the Business Enterprise Program Manager based on
the first working day after the individual completes training as demonstrated by
documents submitted. In the case of a tie referrals will be rank ordered by the
individual's scores in the following order:
A. the National Restaurant Association Food Service Sanitation course exam;
B. The vending facility training final exam;
C. The Michigan Community Health Agency Food Service Sanitation course exam.
If there is still a tie the first individual to bid will be considered the first
on the licensee list.
To operate a cafeteria, in addition to the requirements for vending facilities
and snack bars, individuals must successfully complete courses in an institution
of higher learning offering programs in food service or motel and hotel
management. To be eligible individuals must complete the following competency
areas:
A. Principles of Food Production;
B. Food and Beverage Cost Control;
C. Food and Beverage Purchasing;
D. Basic Restaurant Accounting;
E. Hospitality Law;
F. Human Relations and Supervisory Development
G. Communications; and
H. Building and Equipment Maintenance.
Individuals must also complete a ten-week on-the-job training program for
cafeterias. The individual's counselor/teacher must make a referral with all the
information listed for vending facilities, dry snack bars and cafeterias to the
Business Enterprise Program Program Manager for placement on the Cafeteria
Potential Licensee List.
INDEPENDENT LIVING
Individuals who are age 55 or older and who have been determined to have a
severe impediment to employment, but who are not capable of performing
substantial work in the four core areas mentioned in the Homemaker
Rehabilitation section of the manual, shall be referred to the Michigan
Commission for the Blind Independent Living Program. The main objective of the
Independent Living Program is to assist senior citizens, who are blind, to
become independent or maintain their independence such that they will be able to
maintain themselves in the community. This reduces the need of costly nursing
home and related services. Individuals who meet the criteria for both programs
may be served concurrently.
YOUTH LOW VISION
The Michigan Commission for the Blind Youth Low Vision Program serves
individuals with central visual acuities for near or far-point vision of 20/70
or less in the better eye after routine refractive correction or peripheral
field of vision restricted to not more than 20 degrees in schools or even
earlier. Youth Low Vision Program students in need of vocational rehabilitation
services shall be referred to the Michigan Commission for the Blind Vocational
Rehabilitation Program if they meet the established criteria for blindness.
Students not meeting those blindness criteria shall be referred, as appropriate,
to the Michigan Department of Career Development Rehabilitation Services for
those services.
XIII. FINANCIAL SECTION
FEE SCHEDULE
The Michigan Commission for the Blind will pay usual, customary and reasonable
fees for a service that is not specifically named on the following list. Usual
means a fee regularly charged and received for a given service. The fee
determined to be the usual fee shall not exceed the lowest fee that is regularly
charged other public agencies or the general public. Customary means a fee
within the range of usual fees charged by service providers of similar training
and experience for the same service within the same specific and limited
geographic area. Reasonable means a fee that meets the above two criteria or is
justifiable considering the special circumstances of the particular case in
question.
Business Enterprise Program
On-The-Job Training $30.00/day + meals
Child Care Minimum Wage
College Tuition Private School or Same rate as the
Out of State School University of Mich.
Community Rehabilitation Same rate as Michigan Department of Career Development
Rehabilitation Services unless specifically stated
Computer Technology Assessment and/or Training Community Based $50.00/hr.
(includes travel expense)
Interpreter Service
Intervenor Service $11.00
Low Vision Assessment $70.00/half-hour or major part thereof
Low Vision Devices Provider's Invoice Cost x two
Medical Records (requested) $15.00
Ophthalmological Consultation $20.00
Orientation and Mobility Assessment and/or Training $50.00/hr.
Community Based (includes travel expense)
Reader Service Minimum Wage
Travel and Related Expenses: In State
Lodging $63.00 plus taxes
Breakfast $ 6.50
Lunch $ 7.25
Dinner $16.25
Michigan Select Cities
(Ann Arbor, Charlevoix, Gaylord, Mackinac Island, Petoskey, Traverse City, all
of Wayne County, and all of Oakland County)
Lodging $63.00
Breakfast $ 8.50
Lunch $ 8.50
Dinner $21.00
Out-of-State
Lodging Actual costs
Breakfast $ 8.00
Lunch $ 8.75
Dinner $20.25
Out-of-State Select Cities
(Baltimore, Los Angeles, Chicago, Boston, New York & Washington, D.C.)
Lodging Actual Cost
Breakfast $11.00
Lunch $11.00
Dinner $22.00
Mileage .2725 per mile
The Michigan Commission for the Blind will charge third parties at the following
rates:
Services at the Michigan Commission for the Blind
Training Center $1,700.00/wk.
(School Students) $ 250.00/wk.
Teaching or Counseling Service $ 75.00/hr.
THIRD PARTY PAYMENT FOR SERVICES
Occasionally, an individual is eligible for the sponsorship of his/her VR
Services through a third party. Usually this is the result of a work-related
accident, automobile accident, or long term illness covered by insurance.
However, occasionally a foreign government is willing to pay for services to
their citizens in our country. In the case of an insurance related case our
first effort should be to communicate with the insurance carrier to obtain their
approval, in writing, to pay for the costs of any vocational rehabilitation
services the Michigan Commission for the Blind might provide. Services arranged
by the Michigan Commission for the Blind at the Michigan Commission for the
Blind Training Center and at Detroit Receiving Hospital-University Health Center
should be billed at the current rate for services at those two facilities. All
other services should be billed at the current rate being paid by the Michigan
Commission for the Blind. The bill should be sent to the company in the form of
a letter. The company's check should be made payable to the State of Michigan.
In the event a company will not agree to cover the cost of services, assistance
should be obtained through the individual's attorney, if he she has an attorney.
Assistance may also be sought through the Bureau of Worker's Disability
Compensation. If there will be a significant delay in services, the Michigan
Commission for the Blind shall proceed with services and request that the
attorney seek reimbursement for the Michigan Commission for the Blind when the
case is settled.
XIV. LISTS
OFFICES AND SERVICE DELIVERY AREAS
SOUTHEAST REGION
State of Michigan Plaza Building
3rd Floor - North Tower
1200 6th Street
Detroit, Michigan 48226
(313) 256-1524
Geographical Territory: Counties of Wayne, Monroe, Macomb, Oakland, and Lenawee.
CENTRAL REGION
Flint State Office Building
125 E. Union, 7th Floor
Flint, Michigan 48502
(810) 760-2030
Geographical Territory: Counties of Huron, Lapeer, St. Clair, Sanilac, Tuscola,
Shiawassee, Livingston, and Genesee Counties.
Saginaw State Office Building
411 E. Genesee
Saginaw, Michigan 48607
(517) 758-1765
Geographical Territory: Counties of Arenac, Bay, Gratiot, Isabella, Midland,
Saginaw, Clare, Gladwin, Iosco, Ogemaw, Roscommon
Victor Building, 2nd Floor
201 N. Washington
Post Office Box 30652
Lansing, Michigan 48909
(517) 373-6425
Geographical Territory: Counties of Clinton, Eaton, Ingham, Jackson, Hillsdale,
and Washtenaw
NORTHWEST REGION
State Office Building
305 Ludington
Escanaba, Michigan 49829
(906) 786-8602
Geographical Territory: Counties of Keweenaw, Houghton, Ontonagon, Gogebic,
Baraga, Iron, Marquette, Dickinson, Menominee, Alger, Delta, and Schoolcraft
State Office Building, 4th Floor
350 Ottawa, NW
Grand Rapids, Michigan 49503
(616) 451-8265
Geographical Territory: Counties of Kent, Montcalm, Muskegon, Ottawa, Allegan,
Ionia, Leelanau, Benzie, Manistee, Mason, Grand Traverse, Wexford, Lake,
Kalkaska, Missaukee, Osceola, Oceana, Newaygo, and Mecosta
209 W. First Street, Suite 102
Gaylord, Michigan 49735
(517) 732-2448
Geographical Territory: Counties of Luce, Mackinac, Chippewa, Emmet, Charlevoix,
Cheboygan, Presque Isle, Antrim, Otsego, Montmorency, Alpena, Crawford, Oscoda,
and Alcona
1541 Oakland Drive
Kalamazoo, Michigan 49008
(616) 337-3875
Geographical Territory: Counties of Branch, St. Joseph, Berrien, Kalamazoo,
Calhoun, and Cass
LOW VISION CLINICS
Beaumont Eye Institute Optometric Institute and
Low Vision Clinic Clinic of Detroit
3535 W. 13 Mile Road 3800 Woodward, Main Lobby
Royal Oak, MI 48073 Detroit, MI 48201
810-551-2020 313-832-2088
Federal ID#: 38-1459362 Federal ID#: 38-1910186
Department of Blind--University of Michigan
Rehabilitation Low Vision Clinic
Western Michigan University W.K. Kellogg Eye Center
Kalamazoo, MI 49008 1000 Wall Street
616-387-3455 Ann Arbor, MI 48105
Federal ID#: 38-6007327 Federal ID#: 38-6006309
Ferris State College Vision Enrichment Services
College of Optometry 215 Sheldon Avenue, S.E.
Optometric Clinic Grand Rapids, MI 49502
Big Rapids, MI 49307 616-458-1187
616-592-2222 Federal ID#: 38-1387122
Federal ID#: 38-6005159
Vision Enrichment Services
Henry Ford Hospital 501 Comerica Bldg.
Low Vision Service Muskegon, MI 49440
Department of Ophthalmology 616-727-6014
2799 W. Grand Blvd. Federal ID#: 38-1387
Detroit, MI 48203
313-876-3229 Vision Rehabilitation Institute
Federal ID#: 38-2634332 Sinai Hospital
14800 W. McNichols
Kresge Eye Institute Detroit, MI 48235
4717 St. Antoine 313-493-5514
Detroit, MI 48201 Federal ID#: 38-1416522
313-577-1320
Federal ID#: 38-2004031
LOW VISION PRACTITIONERS
Elizabeth Becker, O.D.
837 South Lapeer Rd.
Oxford Prof. Bldg.
Oxford, MI 48371
248-628-3441
Federal ID#: 38-2052081
David J. Beecher, O.D.
31330 Schoolcraft Rd.
Livonia, MI 48150
734-525-8170
Federal ID#: 38-1900492
Steven Bennett, O.D.
2000 Green Rd., Ste. 200
Ann Arbor, MI 48105
734-930-2373
Federal ID#: 38-1722395
Walter Betts, O.D.
Ferris State College
Michigan College of Optometry
Big Rapids, MI 49307
231-591-2186
Federal ID#: 38-6005159
Dennis Cobler, O.D.
810 Terrace
Muskegon, MI 49440
231-726-4234
Federal ID#: 38-2211324
Daniel Dudley, O.D.
2904 Division Street
St. Joseph, MI 49085
616-983-2020
Federal ID#: 38-2690353
Mary Jo Ference, D.O.
14800 W. McNichols, #310
Detroit, MI 48235
313-493-5514
Federal ID#: 38-1416522
Mary Jo Ference, D.O.
28501 Orchard Lake Road
Farmington Hills, MI 48334
248-848-9007
Federal ID#: 38-1416522
Robert Foote, O.D.
5199 N. Royal Drive
Traverse City, MI 49686
231-935-0630
Federal ID#: 38-1994263
Paul Gayeff, O.D.
Doctors Park, Suite 217
Escanaba, MI 49829
906-789-1400
Federal ID#: 38-2269826
Susan R. Gormezano, O.D.
3000 Town Center, Suite 111
Southfield, MI 48075
248-352-1772
Federal ID#: 38-2634332
Susan Hahn, O.D.
3535 W. 13 Mile Road, Ste. 555
Royal Oak, MI 48073
248-551-2020
Federal ID#: 38-1459362
William Hooker, O.D.
1536 Haslett Rd., PO Box 621
Haslett, MI 48840
517-339-4100
Federal ID#: S366-62-7871
Dolores J. Kowalski, D.O.
3660 Southfield Dr.
Saginaw, MI 48601
517-777-1040
Federal ID#: 38-2415591
Carol Marston-Foucher, O.D.
32037 Plymouth Road
Livonia, MI 48150
734-421-5454
Federal ID#: 38-2411023
Edwin Novak, O.D.
4067 E. Court
Burton, MI 48509
810-715-2020
Federal ID#: 38-1679981
Andrea M. Parlardy-Nielsen,O.D.
3535 W. 13 Mile Road, Ste. 555
Royal Oak, MI 48073
248-551-2020
Federal ID#: 38-1459362
Phillip Raznik, O.D.
3000 Town Center, Suite 111
Southfield, MI 48075
248-352-1772
Federal ID#: 38-2634332
Allyn Uniacke, O.D.
Ferris State College
Michigan College of Optometry
1310 Cramer Circle
Big Rapids, MI 49307
231-591-3706
Federal ID#: 38-6005159
Robert Unser, O.D.
241 E. Michigan
Kalamazoo, MI 49007
616-382-6500
Federal ID#: 38-1734365
Robert Walt, O.D.
3232 Central Blvd.
Hudsonville, MI 49426
616-669-2530
Federal ID#: 38-2567898
Donna Wicker, O.D.
W.K. Kellogg Eye Center
1000 Wall Street
Ann Arbor, MI 48105
313-763-9142
Federal ID#: 38-6006309
Mark Williams, O.D.
4067 E. Court
Burton, MI 48509
810-715-2020
Federal ID#: 38-1679981
BUSINESS ENTERPRISE PROGRAM ON-THE-JOB TRAINERS
SNACK BAR FACILITY TRAINERS
Craig McGlassion
Ann Arbor 313-330-2860
Environmental Protection Agency
Rick Panin
Mt. Clemens 810-468-8811
Macomb County
Public Services Bldg.
VENDING MACHINE FACILITY TRAINERS
Mike Costantini
Pontiac 810-235-7866
Vending Route
Sharon Kingsbury
Detroit 313-475-9025
McNamara Bldg.
Trainee needs security clearance
The BEP secretary will be available to assist VR staff who currently have
clients in training to help them locate appropriate housing and meal needs while
completing their experience.
COMPUTER CONSULTANT LIST
Advance Computer Products
Attention: Hart Smalley
(517) 775-2610
Rendell J. Austin
(616) 327-3272 (H)
or (616) 343-4677 X310 (W)
Matthew Brink
(517) 244-9523
Cyberpane
(734) 913-4543
Doug Davis
(517) 548-2420
Michael Ellis
(517) 335-4348
Neal Freeling
(313) 381-7844
Charles Geyer
(734) 477-5944
Kendall Harold
(248) 619-9311
or (248) 515-2024
Iceberg Computers
(906) 632-3722
Nino Pacini
(313) 224-6626
Peg Dubuc d/b/a
Personal Computing Services
(810) 695-3713
Marlene Schwartz
(616) 337-3757
Nathan Stevenson
(810) 574-6033
Bob Tinney
(616) 337-3877
U.P. Data Systems
(906) 786-3238
MICHIGAN COMMISSION FOR THE BLIND ORIENTATION & MOBILITY INSTRUCTORS
Bashore, Lori
5729 Carlton St.
Haslett, MI 48840
Phone: (517) 339-8159
Or (517) 743-3471 X 266(W)
Location: Lansing, Ingham & Shiawassee counties evenings or summer only
Nancy E. Bell
12154 Dutch Settlement Rd.
Three Rivers, MI 49093
Phone: (616) 244-8687
Location: Cass, St. Joseph,
Lake Michigan communities
Bormann, Doug
522 Lafayette St.
Ionia, MI 48846
Phone: (616) 527-1772
Or (616) 527-4910 X1213
Location: South Central
& Southwest Michigan
evenings and Summer only
Bosley, Sharon
245 Lake Forest Blvd.
Kalamazoo, MI 49006
Phone: (616) 382-1902
Location: Southwest Michigan
Bringle, Barbara S.
2011 Greenlawn
Kalamazoo, MI 49006
Phone: (616) 345-4063 (H)
Or (616) 674-8091 (W)
Location: West, Central, & Northern Mich. (summers only)
Bush, Dennis L.
2902 Boone S.W.
Wyoming, MI 49509
Phone: (616) 538-5646
Location: Kent, Ottawa, Muskegon, Newaygo, Allegan, & Ionia Counties
Caruana, Frank
45264 Rector
Canton, MI 48188
Phone: (734) 397-0866
Location: West & North Suburbs
Ensing, Constance (Connie)
5565 Buthview NE
Comstock Park, MI 49321
Phone: (616) 784-6905 (H)
Or (616) 784-9968
Location: Within 1 hr. from
Grand Rapids
Firos, Karen
1300 S. Geneva
Dewitt, MI 48820
Phone: (517) 669-3331
Or (810) 257-1420
Location: Greater Lansing
Garn, Gary
804 Newton St.
Sault Ste Marie, MI 49783
Phone: (906) 635-5980
Location: Eastern U.P.
Glatz, Paul
1820 Paddington Rd.
Kalamazoo, MI 49001
Phone: (616) 344-9465
Location: Statewide
Jennifer Graham
3319 S. Creek Dr., S.E., #102
Kentwood, MI 49512
Phone: (616) 975-2019
Location: Grand Rapids,
Kalamazoo, Lansing, and East Lansing
Haase, Julie
4832 S. Howard Road
Petoskey, MI 49770
Phone: (616) 439-0788
Location: Northern Michigan and some areas of the Upper Peninsula
Hall, Robert S.
5710 Lamplighter
Kalamazoo, MI 49009
Phone: (616) 375-1051
Location: West Michigan
Haneline, Rod
13405 Fagan Rd.
Holly, MI 48442
Phone: (248) 634-1724
Or (248) 651-9011
Location: Flint, Oakland
& Genesee counties
Diane Hansen
15137 Wildfield Drive
Spring Lake, MI 49456
Phone: (616) 842-2246 (H)
Or (616) 720-2645 (W)
Location: Ottawa and
Muskegon counties
Hurst, Coleen
983 Miners Road
St. Joseph, MI 49085
Phone: (616) 556-9549
Location: Berrien and
Surrounding counties
Hwang, Tom T.
1930 N. Harrison Rd.
East Lansing, MI 48823
Phone: (517) 355-1871
Location: Lansing area
Jansen, Wayne
1029 Montevideo
Lansing, MI 48917
Phone: (517) 323-2911
Location: Lansing area
Kolberg, Kandice
1031 Miami Rd.
Niles, MI 49120
Phone: (616) 687-9897
Location: Niles, Buchanan,
Galien, & Berrien Springs
Lai, Anling
2620 Richards Dr., SE
Grand Rapids, MI 49506
Phone: (616) 285-9887 (H)
Or (616) 337-3863 (W)
Location: Within 60 miles
Of Grand Rapids
Li, Alicia
1930 N. Harrison Rd.
East Lansing, MI 48823
Phone: (517) 333-3724
Location: Greater Lansing Area
Maes, Heather M.
3810 Cambell Rd.
Fort Gratiot, MI 48059
Phone: (810) 984-3044
Location: St. Clair, Macomb,
Sanilac, and Lapeer counties & part of Tuscola County
Mulder, Lori A.
2507 Sugarloaf Ave.
Portage, MI 49024
Phone: (616) 344-4775
Location: Southwest Mich.
Kelly Pickens
12438 N. Sherman Lake Rd.
Augusta, MI 49012
Phone: (616) 731-4008
Location: West part of State
Perkins, Cindy
6306 Beechfield Dr.
Lansing, MI 48911
Phone: (517) 272-9023
Location: Central Mich. Area
Pratt, Heidi M.
8516 Durand Rd.
Durand, MI 48429
Phone: (810) 288-2278/ 255-1149
Location: Flint, Lansing areas
Schmidt, Kathy
2839 Pebble Creek Dr.
Ann Arbor, MI 48108
Phone: (734) 677-2478
Location: Western Wayne,
Southern Livingston, Lenawee & Washtenaw counties
Shannon, Vicki L.
633 Gunson St.
East Lansing, MI 48823
Phone: 332-5893
Location: MSU, Ingham, Eaton, & Clinton counties
Michele M. Southwell
1262 Levant St.
Jackson, MI 49203
Phone: (517) 789-8881
Location: Southern Mich.
Mary Szekely
51793 Oak Drive
Mattawan, MI 49071
Phone: (616) 668-2222
Location: Southwest Michigan
Ulrey, Sherry
163 Waupaka Dr.
Battle Creek, MI 49017
Phone: (616) 963-7763
Location: A 55 mile radius
of Battle Creek
CIL LIAISONS
SOUTHEAST REGION
1. Great Lakes Center for Independent Living – Leamon Jones, Detroit
2. Oakland Macomb Center for Independent Living – Bob Arnold, Sterling Heights
CENTRAL REGION
3. Ann Arbor Center for Independent Living – Terry Donnelly, Ann Arbor
4. Blue Water Center for Independent Living – Beth White, Port Huron
5. Capital Area Center for Independent Living – Karla Hudson, Lansing
6. The Center for Independent Living of Mid Michigan – Ray Kirklin, Midland
7. The Disability Network – Debbie Wilson, Flint
NORTHWEST REGION
8. Michigan Center for Independent Living – Michelle Visscher, Grand Rapids
9. Lakeshore Center for Independent Living – Nancy Ladley, Holland
10. Bay Area Coalition for Independent Living – Karyn Hill, Traverse City
11. Superior Alliance for Independent Living – John McMahon and Beth Smedley,
Marquette
12. Disability Resource Center – Lisa Kisiel, Kalamazoo
XV. FORMS
All these forms are available inside of System 6. The asterisk indicates that
coding information is available within System 6 through function key one.
A. (Call or Close Letter)
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
CLIENT SERVICES DIVISION
STREET
CITY, STATE ZIP
PHONE
DATE
PREFIX First Name Last Name
STREET
STREET2
CITY, STATE ZIP
Dear First Name,
When you applied for services we agreed on the importance of staying in close
touch. Since then I have tried to reach you multiple times both by phone and
letter. I have not received any response. Therefore, if I do not hear from you
in the next ten (10) days I will presume that you are no longer interested in
vocational rehabilitation services from this agency and will close your case. If
you are still interested in our services, please get in touch with me.
Sincerely,
FIRST NAME LAST NAME
******************************************************************************************
B. Initial Information - VR Form
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
CLIENT SERVICES DIVISION
STREET, CITY, STATE ZIP
PHONE
INITIAL INFORMATION - VR
Last: First: MI:
SSN:
Street:
Additional: City:
County*: Zip*:
Phone:
Birthdate:
Marital Status*
Staff:
Date of Referral:
Referral Source*:
Disability Information:
Primary*
Secondary*
Other*
Significantly Disabled*
At Application:
Education Level*
Residence*
Work Status*
Previously Employed?
Year Last Employed:
Hours of Paid Work During Previous Week*
Gross Earnings During Previous Week:
Primary Source of Support*
Medical Insurance Coverage*
Insurance Available from an Employer*
Type of Medical Insurance
Public Support (Y=Yes N=No):
SSI Aged?
SSI Blind?
SSI Disabled?
Temporary Assistance for Needy Families (TANF)?
General Assistance?
Social Security Disability Insurance?
Veteran's Disability Benefits?
Other Disability Benefits?
All Other Public Support Payments?
Total amount of SSI, TANF, & General Assistance:
Worker's Compensation?
Honorably Discharged Veteran?
Public safety Officer injured in line of duty?
Deaf/Blind?
Migratory Agricultural Worker?
Projects with Industry?
Supported Employment Planning Information:
Funding Source*
Case Manager for funding source
Phone number at funding source
***************************************************************************************
C. Closure form
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
CLIENT SERVICES DIVISION
STREET
CITY, STATE ZIP
PHONE
Client:
SS#:
Counselor:
CLOSURE FORM
You are considered to be successfully rehabilitated in that you have maintained
satisfactory employment for at least 90 days.
Job Title*:
Wages:
Benefits:
Employer*:
Employer's Address
Street:
City: State: Zip:
The following services contributed to your success:
This employment is commensurate with your abilities, capabilities, interests and
informed choice.
This employment is in the most integrated setting possible, consistent with your
informed choice.
You and I agree that your employment outcome is satisfactory and that you are
performing well on the job.
You and I have assessed the need for post-employment services and have agreed on
the following services and how they will be provided:
You are also aware that unplanned post-employment services are available if
necessary to maintain your employment.
As indicated in your application, if you are dissatisfied with any determination
made by your vocational rehabilitation staff person, you may request and
Administrative Review with your counselor's supervisor or you may request a
formal hearing by contacting the Michigan Commission for the Blind Hearing
Coordinator at 517-373-2062. Please be reminded that you may receive assistance
from the Protection and Advocacy Service at 1-800-292-5896.
Client's Signature: Date:
(or Designee)
Counselor's Signature: Date:
******************************************************************************************
D. Demographic Form
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
CLIENT SERVICES DIVISION
STREET
CITY, STATE ZIP
PHONE
DEMOGRAPHIC INFORMATION
Title*: Last: First: M.I.: SSN:
Birthdate:
Residential Address:
Street:
City:
County*:
State: Zip:*
Directions to home:
Mailing Address (if different):
Address:
City:
State: Zip*:
Contacts:
Home Phone:
Work Phone:
Fax:
E-Mail:
Preferred Communication form:*
Manual Communication? TDD?
Contact Person: Contact Phone:
Other Information:
Sex M/F:
Race*
Hispanic?
Arab-American-Chaldean?
English speaking?
If No, language used:
Registered voter?
If No, want to register?
School-to-Work Student?
Location*
School contact information:
Caseload Manager/Number*:
Office Number*:
************************************************************************************
E. Diagnostic Service Authorization
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
CLIENT SERVICES DIVISION
STREET, CITY, STATE ZIP
PHONE
DIAGNOSTIC SERVICE AUTHORIZATION
AUTHORIZATION #: Date Issued:
Budget Account*:
Client: SS#:
Vendor SSN*:
Vendor Name:
Pay to Number:
Address:
Description of Service*:
Service Dates: Thru
Serv. Type:
Unit Price:$ per Unit: No. Units: Amt:$
Service detail:
Agency Object:
Void After:
Total amount authorized: $
Authorized Signature:
Authorizer's Name:
Please Submit invoices to the authorizer and Address above. Authorization is
hereby given to provide the services describe above. Payment can only be made
for the services authorized and at the rates authorized. If there is any change
required in this authorization the Vendor must contact the authorizer first.
Payment will be made promptly upon receipt of properly prepared invoices.
Authority: P. A. 260 of 1978, as amended Index:
Completion: Mandatory PCA:
Penalty: Services may not be provided
************************************************************************************
F. Eligibility form
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
CLIENT SERVICES DIVISION
STREET
CITY, STATE ZIP
PHONE
Client:
SS#:
Counselor:
CERTIFICATION OF ELIGIBILITY
The above individual has the following impairments:
These impairments result in the following functional limitations and significant
impediment to employment:
This individual can benefit from the following services:
It is presumed that this individual can benefit in terms of an employment
outcome.
Counselor's Signature: Date:
**************************************************************************************
G. Eye Exam Report
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
CLIENT SERVICES DIVISION
STREET
CITY, STATE ZIP
PHONE
Client: SS#:
Address: Phone:
Birthdate: Sex (m/f):
Counselor:
EYE EXAMINATION REPORT
NOTE TO EXAMINER
You are hereby authorized to release the information requested below to the
Michigan Commission for the Blind (MCB). This exam is at the patient's expense
unless this form is accompanied by an MCB Service Authorization.
Client Signature: Date:
(or Designee)
1. History:
A. Age at onset of significant visual defect:
B. Injuries, infections, surgeries, hereditary factors:
2. Diagnosis:
R.E.:
L.E.:
3. Describe Abnormal Findings:
R.E.:
L.E.:
4. Intraocular Pressure in mm. Hg. (specify instrument used)
R.E.:
L.E.:
5. Vision Measurements:
Without Correction: Distance: R.E.: 20/ L.E.: 20/
Near: R.E.: 20/ L.E.: 20/
With Correction: Distance: R.E.: 20/ L.E.: 20/
Near: R.E.: 20/ L.E.: 20/
Correction Needed:
RE:
L.E.:
Addition:
6. Peripheral Field of Vision: Provide a verbal description of visual fields and
attach copies of the charts, if available.
7. Prognosis ("X" appropriate terms):
Patient's vision is considered ("X" appropriate terms) – Stable:
Deteriorating:
Capable of improvement:
Uncertain:
8. Treatment Recommended:
9. Functional limitations caused by visual condition:
The following 3 criteria substantiate a disability for purposes of determining
eligibility for rehabilitation services from MCB (please check all that apply):
1. Visual acuity in the better eye is 20/200 or less with best correction.
2. Visual fields are limited to subtending an angular distance not greater than
20 degrees.
3. Visual acuity is 20/100 or less in the better eye with a progressively
worsening condition.
(Please print clearly or type)
Examiner:
Address: Phone:
Examiner's Signature: Date:
Authority: P.A. 260, as amended: Completion: Mandatory
Penalty: Non-payment of Service
ALL SERVICES WILL BE AVAILABLE TO INDIVIDUALS REGARDLESS OF RACE, SEX, RELIGION,
AGE, NATIONAL ORIGIN, COLOR, MARITAL STATUS, IMPAIRMENT OR POLITICAL BELIEF
**********************************************************************************
H. General Medical Form
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
CLIENT SERVICES DIVISION
STREET, CITY, STATE ZIP
PHONE
Client:
SS#:
Address: Phone:
Birthdate: Sex (m/f):
Counselor:
GENERAL MEDICAL EXAMINATION REPORT
NOTE TO EXAMINER
You are hereby authorized to release the information requested below to the
Michigan Commission for the Blind (MCB). This exam is at the patient's expense
unless this form is accompanied by a MCB Service Authorization.
Client Signature: Date:
1. History of disabling condition:
2. General Inspection:
3. Height: Weight: Pulse Rate:
Blood Pressure: Cardiac Rhythm:
4. Findings ("X" only if abnormal):
()Head & Neck -- Eyes ()Ears ()Nose and throat
()Thyroid ()Lungs ()Cervical Nodes
()Chest – Heart ()Abdomen - Masses
()Hernia ()Genitor – Urinary ()Rectum
()Extremities -- Weakness ()Paralysis ()Amputation
()Neuro-Muscular – Speech ()Gait ()Reflexes
()Tremors ()Coordination
()Mental State – Emotional Stability ()Mentality
5. Laboratory Studies:
()Urine – Date: ()Albumen ()Sugar
()Blood – Date: ()HGB: ()Serology
6. Diagnosis:
7. Characteristics of Impairment ("X" appropriate terms):
STATUS: ()Improving
()Stable
()Deteriorating
PROGNOSIS: ()Remediable by treatment
()Improvement by treatment
()Not Remediable
()Terminal
8. Lifting/Carrying Restrictions ("X" appropriate terms):
0-5 lbs. Never: () Occasionally: () Frequently: ()
6-10 lbs. Never: () Occasionally: () Frequently: ()
11-20lbs. Never: () Occasionally: () Frequently: ()
21-25 lbs. Never: () Occasionally: () Frequently: ()
26-50 lbs. Never: () Occasionally: () Frequently: ()
51-100 lbs. Never: () Occasionally: () Frequently: ()
9. Standing, Walking & Sitting:
Please estimate the hours that our client might tolerate the following
activities during a workday:
Standing hours/day
Walking hours/day
Sitting hours/day
10. Additional Functional Limitations (i.e. driving, bending, climbing exposure
to dust, exposure to fumes, etc.):
11. Medication (please specify type, dosage, schedule and potential side
effects):
12. Recommendations (please indicate any additional diagnostic studies,
treatments or referrals to specialists necessary):
(Please print clearly or type)
Examiner:
Address: Phone:
Examiner's Signature: Date:
Authority: P.A. 260, as amended: Completion: Mandatory
Penalty: Non-payment of Service
ALL SERVICES WILL BE AVAILABLE TO INDIVIDUAL REGARDLESS OF RACE, RELIGION, AGE,
NATIONAL ORIGIN, COLOR, MARITAL STATUS, IMPAIRMENT OR POLITICAL BELIEF
*************************************************************************************
I. Individual Plan for Employment – Amendment Form
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
CLIENT SERVICES DIVISION
STREET, CITY, STATE ZIP
PHONE
Client:
SS#:
Counselor:
INDIVIDUAL PLAN FOR EMPLOYMENT – AMENDMENT
The following are changes to your Individual Plan for Employment agreed upon
between you and me:
Service*:
Beginning Date: Ending Date:
Vendor:
Sponsor*:
Cost to MCB:
All other aspects of your plan remain the same.
If you are dissatisfied with any determination made by a staff person, you may
request an administrative review with that individual's supervisor or you may
request a formal hearing by contacting the MCB Hearing Coordinator in writing or
by phoning 517-373-3062.
You may contact the Michigan Protection and Advocacy office if you want
assistance or representation at an administrative review or hearing. You may
contact them at 1-800-292-5896.
Client's (or Designee)Signature: Date:
Counselor's Signature: Date:
*************************************************************************************
J. Individual Plan for Employment Form
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
CLIENT SERVICES DIVISION
STREET, CITY, STATE ZIP
PHONE
Client: FirstName LastName
SS#:
Counselor: FNAME LNAME
INDIVIDUALIZED PLAN FOR EMPLOYMENT (IPE)
DOT Code*:
Vocational Goal:
Anticipated Date of Achievement:
Preferred Mode of Communication*:
Consumers may complete this IPE on their own or request technical assistance
from a rehabilitation counselor to complete it.
This Individualized Plan for Employment shall be developed and implemented in a
manner that affords eligible individuals the opportunity to exercise informed
choice in selecting an employment outcome, the specific vocational
rehabilitation services to be provided under the plan, the entity that will
provide the services, and the methods used to procure the services.
OUTLINE OF SERVICES
Service*:
Beginning Date: FROM Ending Date:
Vendor:
Sponsor*:
Cost to MCB:
To the maximum extent appropriate, the vocational goal and services outlined in
this IPE will occur in the most integrated setting.
The following criteria will be used to evaluate progress towards the achievement
of the employment outcome:
The agency will have the following responsibilities in implementing this plan:
The consumer will have the following responsibilities in implementing this plan:
The following comparable benefits are available:
In a supported employment situation, long-term follow along services will be
provided by:
If you are dissatisfied with any determination made by a staff person, you may
request an administrative review with that individual's supervisor or you may
request a formal hearing by contacting the MCB Hearing Coordinator in writing or
by phoning 517-373-2062.
You may contact the Michigan Protection and Advocacy office if you want
assistance or representation at an administrative review or hearing. You may
contact them at 800-292-5896.
Client's (or Designee) Signature: Date:
Counselor's Signature: Date:
******************************************************************************************
K. Referral Form
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
CLIENT SERVICES DIVISION
STREET
CITY, STATE ZIP
PHONE
Client:
SS#:
Address: Phone:
Counselor:
REFERRAL FORM
The above named individual is being referred for the following services:
Reason For Referral:
Pertinent Background Information:
Attachments:
Counselor's Signature: Date:
************************************************************************************
L. Rehabilitation Teacher Diagnostic Report Form
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
CLIENT SERVICES DIVISION
STREET, CITY, STATE ZIP
PHONE
Client:
SS#:
Counselor:
REHABILITATION TEACHING DIAGNOSTIC REPORT
MOBILITY
Functional Limitation:
Recommendation:
COMMUNICATIONS
Functional Limitations:
Recommendations:
SELF CARE
Functional Limitations:
Recommendations:
SELF DIRECTION
Functional Limitation:
Recommendations:
INTERPERSONAL SKILLS
Functional Limitations:
Recommendations;
WORK TOLERANCE
Functional Limitations:
Recommendations:
WORK SKILLS
Functional Limitations:
Recommendations:
ADDITIONAL COMMENTS
Rehabilitation Teacher: Date:
*******************************************************************************************
M. Rehabilitation Teaching Progress Report Form
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
CLIENT SERVICES DIVISION
STREET, CITY, STATE ZIP
PHONE
Client:
SS#:
Counselor:
REHABILITATION TEACHING PROGRESS REPORT
MOBILITY
Objective:
Progress:
COMMUNICATIONS
Objectives:
Progress:
SELF CARE
Objectives:
Progress:
SELF DIRECTION
Objectives:
Progress:
INTERPERSONAL SKILLS
Objectives:
Progress:
WORK TOLERANCE
Objectives:
Progress:
WORK SKILLS
Objectives:
Progress
ADDITIONAL COMMENTS
Rehabilitation Teacher: Date:
************************************************************************************************
N. Release of Information Form
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
CLIENT SERVICES DIVISION
STREET, CITY, STATE ZIP
PHONE
Client: LastName, FirstName SS#:CLIENT_NO
Address: STREET Phone: TELEPHONE
STREET2
CITY, STATE ZIP
Birthdate: Birthdate Sex (m/f):
Counselor: FNAME LNAME
AUTHORIZATION FOR RELEASE OF INFORMATION
TO WHOM IT MAY CONCERN:
You are hereby authorized to furnish the following specific information to the
Michigan Commission for the Blind:
This authorization is good until:
Please send the information to my counselor at the office address above.
Sincerely,
Client Signature: Date:
(or Designee)
Authority: P.A. 260, as amended: Completion: Mandatory
Penalty: Non-payment of Service
ALL SERVICES WILL BE AVAILABLE TO INDIVIDUALS REGARDLESS OF RACE, SEX, RELIGION,
AGE, NATIONAL ORIGIN, COLOR, MARITAL STATUS, IMPAIRMENT OR POLITICAL BELIEF.
*************************************************************************************
O. Vocational Rehabilitation Application Form
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
CLIENT SERVICES DIVISION
STREET, CITY, STATE ZIP
PHONE
Client: FirstName LastName
SS#:
Counselor:
APPLICATION FOR VOCATIONAL REHABILITATION SERVICES
In accordance with the 1998 Amendments to the Rehabilitation Act of 1973 and
Public Act 260 of the State of Michigan, I am applying for vocational
rehabilitation services.
ELIGIBILITY
I understand that in order to be eligible I must have a visual impairment as
defined by the Michigan Commission for the Blind (MCB), the impairment must
constitute or result in a significant impediment to employment and I must need
vocational rehabilitation services in order to prepare for employment. It is
presumed that I can benefit in terms of an employment outcome as a result of
vocational rehabilitation services unless the MCB can demonstrate by clear and
convincing evidence that I am not capable of an employment outcome. This
determination of eligibility will, to the extent possible, be based on existing
information and will be completed within 60 days, unless my counselor and I
mutually agree that an extension is necessary due to exceptional and unforeseen
circumstances beyond my control or the agency's control and I sign an agreement
that an extension of time is warranted. The extension must be for a specific
period of time.
If I am eligible, an Individual Plan for Employment (IPE) will be written with
my direct participation. In the development of this plan I will be given
comprehensive information in order to assist me in making appropriate choices of
service with my counselor. My Counselor and I will review this plan every 12
months to assess my progress towards my Employment Objective. I will be included
in any decisions to change this plan. I will receive copies of information
pertinent to my case in the media I have indicated, i.e. Braille, tape. large
print, computer disk or regular print.
ORDER OF SELECTION
Under an order of selection, I will be classified based on the categories below.
In the most severe category I may be eligible for all appropriate paid and
non-paid services. In lower categories I may only be eligible for non-paid
services which might include diagnostic service, counseling and guidance,
referral and job placement. If I am found eligible for services I will be
assigned to the highest possible category. My category may change should my
circumstances change.
SELECTION CATEGORIES
1. Individuals with the most significant disabilities;
2. Individuals with significant disabilities;
3. Individuals with less significant disabilities;
4. Individuals with non-significant disabilities;
INELIGIBILITY
If my impairment is judged to be too severe to allow me to benefit from services
at any time in the vocational rehabilitation process, I must be allowed to
undergo an extended assessment, which may last up to 18 months before I may be
determined ineligible. The basis for an ineligibility decision will be recorded
in my record and will be certified by an appropriate staff person.
RIGHTS
If I am dissatisfied with any service or decision, I may request an
Administrative Review with my counselor. If I am dissatisfied with the findings
of this review, I may request a Fair Hearing on the appropriate form. I further
understand that the Client Assistance Program is available to assist and/or
represent me in an Administrative Review and/or Fair
Hearing. Services from that program may be obtained by calling the following
toll-free number: 1-800-292-5896.
ALL SERVICES WILL BE AVAILABLE TO ME REGARDLESS OF RACE, SEX, RELIGION, AGE,
NATIONAL ORIGIN, COLOR, MARITAL STATUS, IMPAIRMENT OR POLITICAL BELIEF.
The above information has been discussed with me and I have received a copy in
the media of my choice.
Client Signature: Date:
(or Designee)
*********************************************************************************
P. Vocational Rehabilitation Authorization Form
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
CLIENT SERVICES DIVISION
STREET, CITY, STATE ZIP
PHONE
SERVICE AUTHORIZATION
AUTHORIZATION #: Date Issued:
Budget Account*:
Client: SS#:
Vendor SSN*:
Vendor Name:
Pay to Number:
Address:
Description of Service*:
Service Dates: Thru
Serv. Type:
Unit Price:$ per Unit No. Units: Amt:$
Service detail:
Agency Object:
Void After:
Total amount authorized: $
Authorized Signature:
Authorizer's Name:
Please submit invoices to the authorizer at address above. Authorization is
hereby given to provide the services described above. Payment can only be made
for the services authorized and at the rates authorized. If there is any change
required in this authorization the Vendor must contact the authorizer first.
Payment will be made promptly upon receipt of properly prepared invoices.
Authority: P. A. 260 of 1978, as amended Index:
Completion: Mandatory PCA:
Penalty: Services may not be provided
****************************************************************************************
Q. Closure Information – VR Form
FAMILY INDEPENDENCE AGENCY
MICHIGAN COMMISSION FOR THE BLIND
CLIENT SERVICES DIVISION
STREET, CITY, STATE ZIP
PHONE
CLOSURE INFORMATION - VR
Last: First: MI:
SSN:
Street:
City:
County*: Zip*:
Phone:
Birthdate:
VR Services Provided:
Assessment Services*
Restoration*
Counseling & Guidance*
Job Finding*
Transportation*
Job Placement*
Maintenance*
Other Services*
Training Services
Adjustment*
College/University*
Business & Vocational*
On-the-job*
Miscellaneous*
Other Services
Reader Assistance*
Interpreter Services*
Attendant Services*
Rehab.Engineering*
Assistive Tech. Devices*
Assistive Tech. Services*
Public Support (Y=Yes N=No):
SSI Aged
SSI Blind
SSI Disabled
Temporary Assistance for Needy Families (TANF) General Assistance
Social Security Disability Insurance
Veteran's Disability Benefits
Other Disability Benefits
All Other Public Support Payments
Total amount of SSI, TANF, & General Assistance: $
Worker's Compensation
Honorably Discharged Veteran
Public Safety Officer injured in line of duty
Deaf/Blind
Migratory Agricultural Worker
Projects with Industry
At Closure:
Education Level*
Residence*
Work Status*
Previously Employed*
Year Last Employed:
Hours of Paid Work During Previous Week:
Gross Earnings that Week:
Primary Source of Support*
Medical Insurance Coverage*
Insurance Available from an Employer*
Type of Medical Insurance:
Status 26 Closure Information:
Occupation Code*
DOT:
Employer*
Information related to closure in other Statuses:
Reason for Closure*
Supported Employment Closure Information:
Long Term Funding Source*
Supported Employment Status*
Supported Employment Outcome Type*
Date Opened in Supported Employment:
XVI. ADMINISTRATIVE POLICIES
PROCEDURES RELATIVE TO INDIVIDUALS WITH AIDS, ARC, A POSITIVE HUMAN
IMMUNODEFICIENCY VIRUS ANTIBODY TEST, OR OTHER INFECTIOUS AND/OR COMMUNICABLE
DISEASES
I. GENERAL STATEMENT
This policy deals with two major diseases that could have health implications
for the Michigan Commission for the Blind staff. It also covers several other
communicable diseases.
Michigan Commission for the Blind staff should, as other health providers do,
consider that each and every person with whom they come in contact could
potentially have a communicable disease and should act accordingly.
Current information and guidelines indicate that people, who have communicable
diseases and are eligible for services from the Michigan Commission for the
Blind, have the same rights and privileges as any other eligible individual.
Because information is being expanded continuously in the area of Aids and
related disorders, staff needs to keep informed of current relevant information.
II. AS RELATED TO INDIVIDUALS
The Michigan Commission for the Blind staff have, as a basic obligation, the
responsibility to serve all individuals who are blind or visually impaired and
meet program eligibility criteria.
III. AS RELATED TO THE MICHIGAN COMMISSION FOR THE BLIND STAFF
The Office of the State Employer in concert with various employee unions in
their mutually accepted contracts agree "...to cooperate in the objective of
eliminating safety and health hazards..." (Agreement between UAW Local 6000 and
the State of Michigan 12/31/90). Written statements throughout other contracts,
manuals, etc., have attempted to identify the concept that the safety and
welfare of the employee is always significant in job assignments and that the
safest possible work place will be provided.
IV. SUGGESTED PROCEDURES
A. All employees should avail themselves of current information related to
working with people who have contracted Aids and/or other infectious/contagious
diseases.
1. This information will be provided through the Michigan Commission for the
Blind; Family Independence Agency, Office of Personnel and Labor Relations;
Michigan Department of Community Health; local county or city health
departments; current union contracts; and/or through guidelines established by
the Center for Disease Control in Atlanta, Georgia.
2. Staff, who are providing services to individuals with Aids and who have colds
or other contagious infections, should avoid contact with the individual until
recovered. This is for the protection of the individual. In addition, due to the
constantly changing status of the individual's health, each worker should confer
with the individual (i.e. telephone or direct conversation) before each contact
or training session occurs to verify that the individual's and worker's health
status is appropriate for carrying out the planned activity.
V. GENERAL PROCEDURES FOR DELIVERING DIRECT SERVICES TO INDIVIDUALS WITH
INFECTIOUS AND/OR COMMUNICABLE DISEASES
A. Hand washing is essential for the protection of individuals and staff.
B. If the handling of body fluids is within the scope of a staff member's job
responsibility (e.g. nurse, janitor), gloves must be worn when in contact with
these body fluids.
C. If a staff member is to have physical contact with an individual and has open
lesions, cuts, scratches or other openings on the hands or other body parts,
which may be contacted in the course of instruction, the staff member is
encouraged to appropriately cover these lesions.
D. Staff should receive instructions in the proper use and disposal of gloves,
Towelettes, etc. (Place in plastic bags and dispose).
E. Staff members, who provide services in the home setting, should arrange to
provide services when a care provider is present.
F. If the individual has a blood spill, emesis, etc., when a staff member is
present, the individual should clean up the spill, emesis, etc., if he/she is
able. If the individual is unable to care for himself/herself, then his/her care
provider should be asked to do so.
G. Hand-held and other low vision devices, which could become contaminated,
should be cleansed with an appropriate disinfectant after use and before being
used with another client. Check manufacturer's recommendation for proper
cleaning products.
H. Vocational rehabilitation and independent living staff are encouraged to make
use of a single provider to deliver a number of services to an individual.
I. The Michigan Commission for the Blind will provide items, in a kit, to assist
the worker when working with a person known to have Aids or other communicable
diseases; i.e. rubber gloves, disposable Towelettes, disposable plastic bags,
etc.
VI. VIRAL HEPATITIS
A. Introduction
Hepatitis, an inflammation of the liver caused by any one of several viruses, is
found throughout the world. Its occurrence is highest in some African and Asian
countries, but it strikes at least one million individuals in the United States
each year.
B. Types of Viral Hepatitis
1. Hepatitis A: This form of hepatitis is caused by the hepatitis A virus. It
usually is spread by the fecal-oral route, for example, by eating food which has
been contaminated with feces. It causes a gastrointestinal illness, which is
usually not life-threatening.
2. Hepatitis B: Hepatitis B is usually spread by contact with infected blood or
blood products in such ways as illicit injectable drug use, tattooing, and ear
piercing. Transmission can also occur through close contact, including sexual
contact, and the sharing of razors or toothbrushes. The disease can be very
serious and even fatal, or could lead to chronic liver problems.
3. Non-A, Non-B Hepatitis (Hepatitis C): This form is caused by one or more
viruses and seems to be spread mainly through blood transfusion. Of the three
common forms of viral hepatitis, Hepatitis B appears to be the most serious
because of its potential for complications.
C. Please see Item VI for more information related to hepatitis.
D. Vaccines to Help Prevent Hepatitis B
There are now vaccines available that provide active immunity against Hepatitis
B for most susceptible individuals who are at increased risk of contracting the
disease.
E. General Procedures for Delivering Direct Services to individuals with Viral
Hepatitis
Please see "General Procedures for Delivering Direct Services to Individuals
with Infectious and/or Communicable Diseases such as AIDS" above.
VII. OTHER COMMUNICABLE DISEASES
A. Pediculosis (Head Louse Infestation), Sarcoptes Scabiei (Scabies), Tinea
(ringworm) represent a group of communicable diseases that are not life
threatening but are definitely of the nuisance variety. The Michigan Commission
for the Blind staff may be exposed to these and other similar diseases in the
individual's home, in the office, at The Michigan Commission for the Blind
Training Center or other places where the general public congregate. If staff
contract any of these conditions, they should contact their personal physician
for resolution of the problem. Family Independence Agency, Office of Personnel
and Labor Relations should be contacted to determine if the situation is
classified under Workers' Compensation.
B. Another group of communicable diseases such as syphilis, gonorrhea, clap,
congenital herpes, etc. are transmitted through sexual activity. Individuals who
have these infections do not represent any significant health concern to
individuals who may interact with him/her in a teaching or counseling role.
Because some of these conditions can be corrected, appropriate medical
intervention should be required during the rehabilitation process.
VIII. COMPLICATIONS OF HEPATITIS B
Although Hepatitis B infection is an unpredictable disease that may incapacitate
a person for weeks or months and lead to complications, most patients recover.
However, five to ten percent of individuals who become infected with Hepatitis B
virus become chronic carriers capable of spreading the disease to others for an
indefinite period of time. This group usually has no symptoms but has the
greatest potential for developing long term complications, such as chronic
active hepatitis, chronic persistent hepatitis, cirrhosis, and primary cancer of
the liver. It is estimated that almost 4,000 individuals in the United States
die from Hepatitis B-related cirrhosis every year. In addition, carriers have a
risk 273 times greater than that of the general population of contracting liver
cancer.
A. The Chronic Carrier State
The chronic carrier state now exists in 1 out of every 200 individuals in the
United States, and this group is growing by 2 to 3 percent each year. Although
carriers usually have no symptoms, they can transmit the disease to others for a
long period of time. Carriers can be detected only by a blood test.
B. Groups at Greatest Risk of Contracting Hepatitis B Infection
Considering the various modes of transmission of hepatitis B, it's not
surprising that individuals at increased risk of contracting the disease are
those who frequently handle blood and other body fluids in the course of their
work or who live in crowded conditions, have poor hygiene, or have many sexual
contacts. Individuals at increased risk of contracting Hepatitis B include:
- Physicians and surgeons.
- Dentists, oral surgeons, and dental hygienists.
- Nurses and other hospital personnel.
- Blood bank workers.
- Paramedical personnel.
- Patients and staff in hemodialysis units.
- Residents and staff of institutions.
- Certain immigrant populations (Indo-Chinese and Haitian refugees and Alaskan
Eskimos).
- Individuals who repeatedly contract sexually transmitted diseases,
homosexually active males, and female prostitutes.
- People who have household and other intimate contacts with Hepatitis B
carriers.
Since information related to Aids and related complications is constantly
changing, this policy should be reviewed annually and modified accordingly.
Information regarding hepatitis obtained from a pamphlet entitled "Hepatitis B,
A Disease in Need of Prevention", presented as a service to the medical
community by Merck, Sharp & Dohme. Obtained from the Kalamazoo County Department
of Public Health.
The Michigan Department of Community Health, Special Office on AIDS Prevention,
reviewed and added significant information into this policy.
The Michigan Commission for the Blind Board adopted this policy at its June 14,
1991 meeting.
COLLEGE PARTICIPATION
The purpose of the Michigan Commission for the Blind participation in college
programs is to help the individual to become competitively employed. Clients of
the Michigan Commission for the Blind are encouraged to select a vocational goal
that will be pursued throughout their rehabilitation program, and until they
have found employment in the competitive labor market.
Michigan Commission for the Blind participation for a college program will only
be available after the individual has demonstrated his or her knowledge about
the demands of the job market and the jobs available locally as well as
nationally, and presented a program to complete the college degree within the
time required by the Michigan Commission for the Blind policy. A
counselor/teacher will be available to assist the individual in acquiring the
needed information and in the development of the plan. The vocational objective
selected must be consistent with the individual's aptitude and abilities, and
the individual will be encouraged to select a goal that will be pursued until
his or her rehabilitation program is completed leading to placement in the
competitive labor market.
Students in programs leading to a bachelor's degree must complete their studies
within a period of five academic years, while those working toward associate's
degrees must complete requirements in three academic years. In cases in which
the bachelor's degree requires five academic years for all students in such
programs, eligible individuals must complete course work in six as three
trimesters, four quarters or two semesters and a summer session per year,
depending upon the designated unit of study utilized by the college or
university being attended.
The Michigan Commission for the Blind advocates attendance at community colleges
until the junior year. The Michigan Commission for the Blind participation will
be limited to one associate degree. Individuals completing an associate degree
may if it is in keeping with the vocational objective continue to completion of
a bachelor's degree program. The Michigan Commission for the Blind financial
participation will be limited to one bachelor's degree. An exception may be made
if it can be shown that there are circumstances, which prevent the individual
from accepting, or continuing employment in his/her chosen occupation.
The Michigan Commission for the Blind financial support for the procurement of
advanced degrees will be limited to specific situations in which employment
cannot be obtained with a bachelor's degree, or when such degree programs are
included as vocational objectives within the student's Individual Plan for
Employment prior to completing the undergraduate program. The inability of the
student to procure employment with a bachelor's degree relates primarily to two
situations. The first is the case in which the individual is a newly blinded
person, who presently holds an undergraduate degree, but requires further formal
education to become potentially employable. The second is the case in which an
individual has completed an undergraduate degree, but is unable to find a
position relating to the field in which he/she was trained. In the latter case,
a period of one year must elapse following graduation, and the student must
furnish written documentation, which demonstrates a significant effort to
procure employment.
Individuals completing their college studies are to be encouraged to seek
employment wherever there are job opportunities within their chosen field.
Individuals receiving Michigan Commission for the Blind participation in their
program of higher education shall complete all courses taken with acceptable
grades.
Eligible individuals desiring the Michigan Commission for the Blind
participation in their program of higher education shall apply for financial aid
prior to the deadline for applications for federal student aid and deadline
dates established by the student's college or university. All financial aid
received by a student administered through the student's college or university,
employer benefits, workers compensation, and similar benefits shall be applied
to tuition, books, supplies, and maintenance. All financial aid received by the
individual is to be used to reduce the Michigan Commission for the Blind
participation with the following exceptions:
A. Individuals attending an out-of-state or private college may use the
financial aid to reduce their financial participation.
B. Grants and scholarships received from sources other than those identified
above are not to be incorporated into the Individual Plan for Employment.
In no instance shall the Michigan Commission for the Blind contribute to the
payment of tuition for a comparable program, in an amount greater than the
highest tuition rate for Michigan residents attending a state supported college
or the University in Michigan.
Eligible Individuals in need of maintenance to attend college shall apply for
social security benefits, and use these benefits for maintenance. The Michigan
Commission for the Blind may supplement the maintenance if the maintenance at
college is greater than the assistance received by the individual. The Michigan
Commission for the Blind will not participate in a plan to provide maintenance
where the budget includes more than one household.
The Michigan Commission for the Blind encourages students to participate in
work-study programs, co-op programs, and full or part time employment. Where the
student does participate in these programs, exceptions may be justified to
lengthen the Michigan Commission for the Blind participation to more than five
years for a bachelor's degree program. The Director of Client Services must
approve all exceptions to the time limit policy of the Michigan Commission for
the Blind.
Financial support provided by the Michigan Commission for the Blind is intended
for eligible individuals who are enrolled in full-time college or university
programs. However, in cases in which the individual is physically or mentally
unable to carry such an academic load or the individual is experiencing
temporary circumstances preventing full-time attendance funding of programs may
be granted. In either case the individual must demonstrate the potential to
assume full time enrollment. The individual and his/her counselor/teacher must
meet all the prerequisite requirements listed. Also, the time period in which
the degree program must be completed shall not be waived or extended.
Before an Individual Plan for Employment is developed for Michigan Commission
for the Blind participation in a program of higher learning, the individual must
demonstrate his or her ability to function in the academic environment. The
individual shall demonstrate his or her ability in the areas of communication
skills, written note taking, travel, activities of daily living, and other areas
which may be deemed necessary by the individual's counselor/teacher.
Where specialized equipment is needed, the counselor/teacher will work with the
university to develop facilities grants for the purchase of needed equipment to
be used by all students who are blind at the institution. Where individualized
equipment is needed such as a computer and high tech equipment may be provided
to a student if it is included in the IPE justifying the need, and providing
evidence that the student is capable of using the equipment.
The Michigan Commission for the Blind advocates the use of volunteer readers,
and recording services to meet the reading needs of college students. Paid
reader service should only be used when these services are not available.
All students planning to enroll or enrolled in institutions of higher education
must be informed of this policy as a part of the Individual Plan for Employment
development process.
This policy continues to be in effect with the changes taking immediate effect.
The Michigan Commission for the Blind Board adopted this policy at its December
12, 1986. This policy was amended at their June 20, 1994 meeting to allow the
purchase of computers and high tech equipment for college students.
ESTABLISHMENT OF SMALL BUSINESS
Eligible individuals who are applicants for the establishment of small
businesses will provide evidence of their ability to cope with their disability
and have the personal skills necessary to function independently. Areas to be
considered, but are not limited to would be levels of communication, independent
travel, literacy, personal management, and other particular skills which would
be necessary to operate the business. Such evidence could be provided through an
evaluation at a rehabilitation center, or the equivalent. In addition the
individual shall have completed, or will take within the first year of his/her
program courses in business relevant to operating his/her business at his/her
local community college or equivalent educational facility.
When an individual is considering self-employment as a vocational objective, the
individual with the counselor/teacher will develop a pre-plan. The regional
supervisor will review the pre-plan before further development is considered.
The pre-plan will not be part of the Individualized Plan for Employment. During
the pre-plan management the Michigan Commission may purchase services and other
consultation for the Blind.
If after the pre-planning is completed an individual continues to be interested
in the establishment of a small business, the individual must apply for services
and a direct loan from the Small Business Administration. In addition the
individual may also apply for guaranteed loans through a bank. The individual as
one of the options for funding the small business may consider loans from the
Small Business Administration or a bank. Individuals will also be encouraged to
make application to the units within the office of Business and Community
Development of the Michigan Department of Consumer and Industry Services for
funding of their proposed small business and other services that might be
available. All similar benefits must be utilized as a part of the development of
the program such as veteran's benefits, workmen's compensation disability
benefits, and others which would help to fund the small business.
In any plan of $20,000 or more to establish a small business, a management
consulting firm is to be employed by the Michigan Commission for the Blind to
provide the necessary marketing studies and other studies and consultation
needed to evaluate the potentials of the business and for the establishment of
the business. Management consulting services may also be provided for a business
of under $20,000 if it is deemed necessary by the individual or the Michigan
Commission for the Blind.
Planning for the establishment of a small business must cover a minimum of two
years. The planning will be incorporated into an Individualized Plan for
Employment. Even though the planning will include at a minimum two years, the
Michigan Commission for the Blind participation will be limited to the initial
establishment of the business which would include occupational licenses, tools,
equipment, initial stock, supplies, and other initial goods and services which
are identified. Product liability insurance, and insurance on the equipment
owned by the Michigan Commission for the Blind shall be required as a part of
the Individual Plan for Employment. In some instances it may be necessary to
extend the purchase of the initial stock up to one year. Even though the plan
will extend for a minimum of two years, the Michigan Commission for the Blind
funds will not be provided to fund the ongoing operation of the business. It
will be the responsibility of the individual to capitalize the business in such
a way to allow for reserved resources necessary in the operation of the
business.
As a rule the Michigan Commission for the Blind will not participate in the cost
associated with the establishment of a small business that is in excess of an
average, and/or range of cost for business enterprises developed within the 1st
three years preceding the year in which the service is to be provided.
Establishment costs shall be reasonable, and within the budgetary limits of the
Michigan Commission for the Blind. Every effort shall be made by the individual
to use similar benefits. We anticipate based upon the average number of small
businesses, and the money spent that we can allocate from our case services an
estimated expenditure of $60,000 dollars for the establishment of small
businesses during the fiscal year. The Michigan Commission for the Blind
financial participation may be up to 100% for the first $20,000 minus any
similar benefit for which an individual is eligible and receiving, and shall not
exceed 50% of the balance of the Michigan Commission for the Blind participation
over $20,000.
The intent of the establishment of the small business is to help an individual
become financially independent. Therefore, the Michigan Commission for the Blind
financial participation will not be available in the establishment of any small
business unless it can be shown that the business can provide an income to the
individual sufficient to make him or her financially independent and off of the
public assistance or disability insurance benefit roles.
The entire program to develop a small business with the Michigan Commission for
the Blind participation will be incorporated into an Individual Plan for
Employment. The management consultant's report is to be referenced in the IPE,
and the individual's participation section of the Individual Plan for Employment
to include a statement that the individual will follow the recommendations
incorporated in the management study in all instances except where variances are
included in the Individual Plan for Employment. The Individual Plan for
Employment is to identify the specific items to be purchased with vocational
rehabilitation funds. These funds are to be used for the purchase of tangible
items. The individual's funds used for non-tangible items. The Individual Plan
for Employment will be co-signed by the individual and his/her counselor/teacher
and forwarded to the appropriate regional supervisor for approval. Any
Individual Plan for Employment totaling $25,000 or more will be forwarded to the
Director of Client Services for approval to insure that all conditions have been
met, and not to judge or determine the feasibility of the establishment of the
small business. After approval of the Individual Plan for Employment, a Joint
Agreement is to be completed requiring the signatures of the individual, his/her
counselor/teacher, the counselor/teacher’s supervisor and the Director of Client
Services. The Agreement is then to be filed by the counselor/teacher in the
County Clerk's office in the county in which the business is to be established.
After the Individual Plan for Employment is completed and approved, and the
agreement is filed with the County Clerk's Office, it will be the responsibility
of the individual to fully implement the program. The individual will arrange
for all occupational licenses, tools, equipment, initial stock, supplies, and
other goods and services that have been included in the Individual Plan for
Employment to establish a small business. The individual will be responsible for
obtaining at least three bids for the purchase of all equipment, initial stock
and other goods and services except where it can be verified that there is a
single source. The counselor/teacher is to ensure verification of all
merchandise and equipment purchased when an individual is purchasing an existing
business, or establishing a new business. The Michigan Commission for the Blind
can provide up to 20% advanced payment where it is necessary, and provide
payment for the balance of the Michigan Commission for the Blind participation
based upon the receipts provided by the individual.
All items including initial stock purchased with vocational rehabilitation funds
will be depreciated over seven years. At the end of the depreciation period,
titles to and ownership of all items will be transferred to the individual. The
Michigan Commission for the Blind will maintain title to and full ownership of
all items purchased with vocational rehabilitation funds through the
depreciation period. If a piece of equipment must be replaced for any reason
during the depreciation period, the individual may contact the Michigan
Commission for the Blind for approval to use the equipment for trade in
purposes. In such instances, if the individual's financial participation is
required for the replacement, title to and ownership of that specific equipment
will be transferred to the individual. The Individual Plan for Employment is to
clearly state that the individual is prohibited from the sale of the business
prior to the end of the depreciation period.
The Michigan Commission for the Blind financial participation in the
establishment of a small business is limited to the original Individual Plan for
Employment. If after the initial establishment of the business additional
financial participation is required to maintain the business, it will be the
responsibility of the individual to obtain the additional funding through
resources other than the Michigan Commission for the Blind. If the additional
resources are not available, and the business must fold, the Michigan Commission
for the Blind will reclaim all items including initial stock purchased with
funds prior to the dissolving of the business.
To protect the interest of the Michigan Commission for the Blind in equipment
and merchandise when a business is abandoned, and to ensure that individuals do
not inappropriately dispose of equipment or merchandise belonging to the
Michigan Commission for the Blind or they will refer these situations to the
appropriate state agency responsible for collection.
After the business is started, the individual will be required to forward
monthly business statements to the Michigan Commission for the Blind. This
practice must continue for at least two years following the closure of the
individual as rehabilitated. The individual is also to be encouraged to
establish a management team to review the progress of the business on at least a
quarterly basis for the first two year. Follow up by the counselor/teacher
serving the area where the business is established will continue at least two
years after closure.
Counselors/teachers are instructed to inform the Michigan Commission for the
Blind Board when and if we should approach the $60,000 limit for expenditures in
this category. This dollar limit will be reviewed by the Michigan Commission for
the Blind prior to each fiscal year.
Procedures will be developed by counselors/teachers to implement the Michigan
Commission for the Blind policy of the development of small businesses for
clients of the Michigan Commission for the Blind.
The Michigan Commission for the Blind Board adopted this policy at its August
14, 1987.
FACILITY GRANT FUNDING OF COMMUNICATION RESOURCE PROGRAMS AT VOCATIONAL TRAINING
AND HIGHER EDUCATION INSTITUTIONS
Background
Back in 1971 State Services for the Blind recognized that many electronic aids,
appliances and equipment would become available and benefit some people who are
blind in their pursuit of economic and social independence. Also, it was not
possible or practical to provide each individual with specialized equipment that
would allow:
A. Him/her to compete with his/her sighted peers on a more equitable basis;
B. The motivated student to study on a more independent basis; and
C. Exposure to such equipment so the student had hands-on opportunity to
experience the use of equipment that may increase his/her chances of becoming
competitively employed as well as opening up new career avenues that were
previously closed to him/her.
Consequently, it was a previous Blind Services Administration decision to
develop and fund "reading resource rooms" at select universities and colleges
under provisions of the Rehabilitation Act of 1973, as amended in 1974, being
facilities and services for groups of individuals.
The following criteria was used for the funding of such programs:
A. Number of students who are blind and attending the education institution on a
regular and on-going basis.
B. The active involvement of blind students in the development, implementation,
and operation of a comprehensive program.
C. The institution's commitment to adequately fund, staff, and provide long term
and on-going support for a comprehensive program.
D. Priority was given to the five major state universities.
E. Geographic location of the institution.
Policy
The Michigan Commission for the Blind advocates for staff to work with
vocational training and higher education institutions to develop and apply for
grants through the Facilities Development Section of the Michigan Commission for
the Blind for the establishment of "Communication Resource Programs" to be used
by all students who are blind at the institution. In addition, it shall be the
responsibility of the counselors/teachers to inform all potential students of
the schools that have available communication resource programs and the
advantages of attending such institution.
Communication resource programs are to consist of a variety of specialized
equipment that will assist the blind student to compete on a more independent
basis with his/her sighted peers.
As a minimum, the following criteria will be used in determining the funding of
such programs:
A. History of the number of students who are blind and attend the institution on
a regular and on-going basis;
B. The active involvement of blind students in the development, implementation,
and operation of a comprehensive program at the institution;
C. The institution's commitment to adequately fund, staff, and provide long term
and on-going support for a comprehensive program;
D. Priority will be given to state institutions with which we have had a long
standing working relationship; and
E. The geographic location of the institution.
The Michigan Commission for the Blind Board adopted this policy at its June 10,
1983. The Michigan Commission for the Blind amended this policy at the June 20,
1994 meeting to allow the purchase of computers and high tech equipment for
college students.
GIFT FUNDS
The Michigan Commission for the Blind may accept contributions or gifts in cash
or otherwise from individuals, associations, or corporations. Contributions and
gifts shall be expended as provided by law, in the same manner as monies
appropriated for implementing the purpose of this act. The donor of the gift may
stipulate the manner in which the gift shall be expended within the guidelines
of this act:
A. The Michigan Commission for the Blind is responsible for the agency's gift
fund, which is a special account into which gifts, bequests and donations may be
received. The purpose of the gift fund is not to relieve the state and federal
governments of their responsibilities, but to provide funding for the enrichment
of the program. The Michigan Commission for the Blind will insure that priority
shall first be given to available state and federal resources. The gift fund may
be utilized to capture state, federal, or other funding sources. The purpose of
the gift fund is to enable the Michigan Commission for the Blind:
1. To meet certain program goals and objectives which are not otherwise met.
2. To match against additional federal funds
3. To utilize for the acquisition of equipment or special maintenance purchases.
4. To provide a stipend to graduate and undergraduate student interns or
practice students who are assigned to work with the Michigan Commission for the
Blind staff, with a priority given to those who are blind.
B. To promote the goals and objectives of the gift fund, the Michigan Commission
for the Blind Executive Director or his designee shall have discretionary powers
to develop, implement and expend the gift fund monies for this purpose through
the public media or other public relations activities.
PROCEDURES
A. The person making the request shall be known as the applicant and the request
for the allocation shall be known as the application. The applicant must include
all requested information on the application, and show that reasonable efforts
have been made to secure funds from other sources or agencies.
1. An allocation from the gift fund may be either in the form of a cash outlay
or the direct purchase of services, supplies, materials and equipment to fulfill
the request.
2. Any individuals on their own behalf, or that of their group or program, may
complete a written application requesting gift fund monies.
B. Applications shall be processed through designated or appropriate Michigan
Commission for the Blind staff in accordance with current Michigan Commission
for the Blind and Family Independence Agency guidelines. The designated or
appropriate Michigan Commission for the Blind staff shall maintain a file of all
applications received and the final dispensation of each application, and shall
insure that all transactions are processed in accordance with this policy, the
Family Independence Agency and the State of Michigan.
1. Routine applications under $3500 shall be processed within 30 days. Requests
exceeding $3500 shall be processed within 60 days, to allow adequate time for
Michigan Commission for the Blind Board approval.
2. The gift fund shall not be utilized to reimburse Michigan Commission for the
Blind staff or other individuals and agencies that have expended their own
personal resources without following the previously stated procedure.
3. The designated or appropriate Michigan Commission for the Blind staff shall
be responsible for providing recognition to individuals or groups who have
donated to the fund.
C. Appeals may be started within ten working days of the notification date that
the application was disapproved. Appeals may be filed in written format, on tape
or in Braille. Applicants shall be notified of the final decision regarding
their appeals within 30 days of the filing date.
1. Appeals for disapproved applications of $250 or less shall be directed to the
Michigan Commission for the Blind Executive Director or his designee for a final
decision.
2. Appeals for disapproved applications over $250 shall be directed to the
Michigan Commission for the Blind Board for a final decision.
This policy was approved by the Michigan Commission for the Blind Board at its
November 12, 1982 meeting.
SERVING PEOPLE WHO ARE EMPLOYED
The policy of serving people who are employed applies to new applicants as well
as individuals previously served and reapplying for service. Any training needed
for adjustment to blindness or to develop new skills to use aids and devices as
a result of improved technology will be provided by the Michigan Commission for
the Blind as a part of an Individual Plan for Employment for the individual who
is employed.
The Michigan Commission for the Blind will serve people who are employed, if it
is determined they are underemployed or whose job is in jeopardy in accordance
with the Rehabilitation Act of 1973, as amended. It is well known that many
people who are blind take jobs well below their capacities in order to enter the
labor market. When a person who is blind and working substantially below his/her
potential applies for service the individual should be provided vocational
rehabilitation services to help him/her engage in occupations more consistent
with his/her capacities and abilities. This policy does not mean that people who
are blind would be found eligible simply to gain a promotion.
In addition to a job being in jeopardy, or being underemployed a person who is
blind may need assistance for upward mobility or to find employment in a
different occupation. When a person applies for service to the Michigan
Commission for the Blind for upward mobility services or for help in finding
employment in a new occupation the only services of the Michigan Commission for
the Blind that will be provided are guidance and counseling services, and
placement services. The Michigan Commission for the Blind will not participate
in the purchase of service when a person is employed and requesting upward
mobility service or help in placement to change occupations.
Issues that appear to vary from this policy are to be referred by field staff to
the Director of Client Services for review.
The Michigan Commission for the Blind participation in the provision of services
for aids and appliances, telecommunications, sensory aids, other technical aids
and devices, and occupational tools and supplies for people who are employed
will be based upon the following criteria:
A. When the Michigan Commission for the Blind participation is requested, a
complete evaluation of the job, job site, and alternatives will be completed
before services are provided.
B. The provision of services will be incorporated into an IPE.
C. There is evidence from the employer that the job is in jeopardy.
D. There is evidence that the employer will not provide the service needed to
maintain employment. In such cases, the employer will be informed of the intent
of the Michigan Commission for the Blind to serve as an advocate for the
individual in pursuing the employer's responsibility for the purchase of such
equipment.
E. If a tangible device is purchased by the Michigan Commission for the Blind,
there must be an identifiable agreement for the maintenance of the device to
include repair and replacement without the use of Michigan Commission for the
Blind funds. If there is a service contract available for any device purchased
with Michigan Commission for the Blind funds, the contract will be purchased
with Michigan Commission for the Blind funds, providing the individual and the
counselor/teacher agree that it is in the best interest to purchase such a
maintenance contract. Purchase of such contracts will be limited to one year. If
service contracts are not available, the Michigan Commission for the Blind will
be responsible for repairs on items purchased with Michigan Commission for the
Blind funds for up to one year. Except where there is evidence of the
individual's neglect of equipment.
F. Equipment purchased by the Michigan Commission for the Blind shall be owned
and maintained by the Michigan Commission for the Blind for a period of one (1)
year. Equipment in this policy is defined as any one piece of equipment, or the
total components of a working unit, which costs $500, or more. At the end of one
year the ownership and maintenance responsibility will be transferred to the
individual. Therefore, any replacement or repair of the equipment needed to
maintain the individual's employment will be the responsibility of the
individual. Although the individual assumes ownership of equipment purchased by
the Michigan Commission for the Blind after twelve (12) months, the individual
will be strongly encouraged to return equipment that is no longer utilized for
training or employment to the Michigan Commission for the Blind for the use by
other people who are blind.
G. If the device or equipment needed is similar to that provided to other
employees, the Michigan Commission for the Blind will not participate in the
purchase of such equipment. An example might be a typewriter, talking
calculator, or other office equipment.
H. When a tangible device is needed to maintain employment for a job which is in
jeopardy, the individual will be asked to purchase the equipment in full. If
this is not possible, the individual will be encouraged to participate in the
purchase.
I. When there is evidence that the employer will not purchase the needed device,
but would participate in a co-payment, the employer would be encouraged to
participate in the co-payment with the same conditions of ownership and
depreciation applying as that for co-payment with individuals. At the end of the
depreciation period, the title to and ownership of the equipment will be
transferred to the employer.
J. As a rule the Michigan Commission for the Blind will not participate in the
cost associated with the purchase of tangible devices for people who are
employed that is in excess of an average and/or range of cost of such programs
developed within the last three years preceding the year in which the service is
to be provided. Costs shall be reasonable, and within the budgetary limits of
the Michigan Commission for the Blind. Every effort shall be made by the
individual to use similar benefits. We anticipate based upon the average number
of people who are employed that are served, and previous money spent that we can
allocate from our case services an estimated expenditure of $30,000 dollars for
the purchase of tangible devices for people who are employed.
K. Michigan Commission for the Blind participation in the provision of service
when a job is in jeopardy will be limited to one time only with an agreement on
record for solving future problems as they might occur.
L. All purchases will be limited to needs at the job site only.
M. When there is Michigan Commission for the Blind participation in the purchase
of any tangible device, the individual case record will be maintained in the
local Michigan Commission for the Blind office for the duration of the
depreciation period.
All other services needed to maintain employment for a job in jeopardy will be
reviewed by the individual’s counselor/teacher with the individual and the
employer, and if it is determined that Michigan Commission for the Blind
participation is required, an Individualized Plan for Employment will be
developed to include the service.
The Director of Client Services is instructed to inform the Michigan Commission
for the Blind Board when and if we should approach the $30,000 limit for
expenditures in this category. This dollar limit will be reviewed by the
Michigan Commission for the Blind Board prior to each fiscal year.
Material will be developed and submitted to the Vocational Rehabilitation
Program to implement this policy.
This policy was approved by the Michigan Commission for the Blind Board at their
April 8, 1988 meeting.
MAINTENANCE
Maintenance is a supportive service of the agency that may be provided to cover
an individual's food, shelter, or other subsistence expenses during the
rehabilitation process. Maintenance may be provided only when supportive of
other services and is provided only to enable an individual to participate in
the rehabilitation program. Maintenance costs may not exceed the amount of
increased expenses that the rehabilitation program causes the individual.
Maintenance may not be provided to raise an individual's standard of living. It
is limited to those circumstances where extra costs of food, shelter, clothing,
or other subsistence items are necessitated by involvement in a rehabilitation
program. Through the Individual Plan for Employment, the counselor/teacher and
individual are to mutually agree upon maintenance services that will be
necessary for the individual based upon the individual's listing of actual
expenses. When the Michigan Commission provides maintenance for the Blind a
budget must be incorporated into the Individual Plan for Employment listing the
individual's budget, income, and unmet need.
It is important to consider all possible resources for the provision of
necessary maintenance items. Other agencies such as the Family Independence
Agency, veteran organizations, and private agencies are to be contacted if the
individual might qualify for their assistance. Maintenance shall not be provided
to individuals who are found ineligible for Social Security Supplemental Income
or Social Security Disability Insurance benefits.
The Michigan Commission for the Blind will only participate in a short-range
program where the budget includes two households. For a short-term training
program it is not practical for an individual to give up his/her homestead to
enter into a rehabilitation program. In no case shall an Individual Plan for
Employment be developed which includes maintenance for more than one year if the
budget includes two households. Maintenance for two households shall not be
included for any part of a multiple year training program.
Maintenance budget for college students will be based upon fees for double
occupancy for dorm room and board at the college or university. Incidental
expenses may be included in the budget in the amount of $40 per month, and this
amount shall be reviewed annually by the Michigan Commission for the Blind. If a
student elects to live in a residence other than the dorm, maintenance shall not
exceed the double occupancy rate charged by the college or university for dorm
room and board.
This policy takes immediate effect, and manual material is to be developed to
implement this policy.
This policy was approved by the Michigan Commission for the Blind Board at its'
August 12, 1988 meeting.
STAFF TRAINING - COLLEGE PROGRAMS
As a component of staff training and career development, the Michigan Commission
for the Blind may provide reimbursement of tuition costs for full time employees
attending college programs. Support for this type of training will be contingent
on three basic factors:
A. Permission of the agency responsible for the federal training grant.
B. Availability of grant funds.
C. Policies set by the Michigan Commission for the Blind as elaborated below:
Types of Programs Supported
A. Master's degree programs in an employee's area of responsibility.
B. Bachelor's degree programs in field related to the staff person's work
assignment. Field staff employees in the placement and business enterprise
programs may enter a bachelor's programs in their specific area of
responsibility. In addition, clerical and certain other support staff who
possess an associate's degree may utilize this training program in order to work
for a bachelor's degree and prepare themselves for a potential field assignment.
C. Other college training may be approved to meet a special training need as
identified by the staff member or requested by the supervisor.
Approval for College Training
Staff members requesting agency reimbursement for college training should submit
a memo to their supervisor identifying the degree to be sought, program title,
the college or university, an estimate for the time of completion, and a clear
justification for Michigan Commission for the Blind support of the program.
First level of approval to be received from the employee's immediate supervisor
who will consult with the Michigan Commission for the Blind training officer
concerning the appropriateness of the program in relation to the training grant.
Approval must also be received from the Director of Client Services and the
Michigan Commission for the Blind Executive Director. Supervisory approval or
denial shall be accompanied by an explanation of the reason(s) for the decision.
Approved programs not already identified on the staff member's needs assessment
will be added as an addendum to that form.
Approval for Class Attendance
When an employee has approval for agency reimbursement for a degree program, and
has identified the courses to be taken on the Individual Training Needs
Assessment is to be submitted requesting permission to proceed with the plan.
Reimbursement
Reimbursement must be sought using the appropriate departmental forms. It is the
Michigan Commission for the Blind policy to provide reimbursement for tuition
only, with exception of the situation described below.
Reasonable Accommodations
Employees will be expected to meet special accommodation needs to university and
community resources. If these resources cannot be obtained, the Michigan
Commission can support reader and interpreter services for the Blind on an
individual basis.
Educational Leave
The Michigan Commission for the Blind may approve up to 4 (four) hours of
administrative leave per week for educational purposes in order to allow an
employee to pursue a bachelor's or master's degree. This time shall include
class attendance and travel time only. For approval, the employee must show that
the course is not (and will not be during the rest of the projected program)
offered during non-working hours, and that the course is necessary for
completion of the degree.
General Conditions Regarding the Michigan Commission for the Blind staff
Involved in College or University Programs
A. The Michigan Commission for the Blind does not place any restrictions on the
number of credits which can be taken during a semester or term; however, it is
emphasized that an employee must continue to fulfill job responsibilities on a
satisfactory basis.
B. Participants must maintain a grade point average acceptable to the college or
university for satisfactory completion of the degree program.
C. No employee shall receive tuition reimbursement if he/she is receiving
educational monies from any source.
D. New employees must complete the six-month probationary period satisfactorily
before being eligible for tuition reimbursement or educational leave. Exceptions
may be made when a course of study is specifically requested by the employee's
supervisor.
E. When employees are located in a geographical area where it is not possible to
attend a college offering an appropriate degree, then that employee may submit a
request to obtain a degree in a related field as delineated in Civil Service Job
Specifications for the Michigan Commission for the Blind.
F. All programs will require approval of the staff member's supervisor, staff
development officer, and the Michigan Commission for the Blind Executive
Director.
G. The Michigan Commission for the Blind reserves the right to modify this
policy at any time.
This policy was approved by the Michigan Commission for the Blind Board at it's
November 7, 1980 meeting.
BUSINESS ENTERPRISE PROGRAM "IN NEED OF EMPLOYMENT"
The Randolph-Sheppard Act in Section II, (A)(6)(B)(b) specifically indicates
that preference shall be given to individuals who are "in need of employment".
For purposes of compliance with this statute, the policy of the Michigan
Commission for the Blind shall be to determine an individual "in need of
employment" and eligible for Business Enterprise Program training and assignment
when:
A. An individual is unemployed, or
B. A person is earning less than or equal to 40 hours a week times the minimum
wage, or
C. A person is employed in a Business Enterprise Program location, or
D. Active rehabilitation clients whose vocational objective is placement in the
Business Enterprise Program and whose name is placed on the potential operators
list, and who takes employment while waiting to be placed in the Business
Enterprise Program. In these situations the potential operator will remain on
the potential operator’s list with full rights as a potential operator until one
of the following occurs:
E. Is awarded a Business Enterprise Program location, or
F. After being at the top of the potential operators list does not take one of
the first three (3) opportunities offered for bid, or
G. Elects to have his/her name removed from the potential operators list.
When an individual does not meet the requirements set forth above, or is not "in
need of employment", the individual will not be eligible for Business Enterprise
Program training or placement in the program.
When an active client accepts employment as defined in #4 above the case may be
closed as rehabilitated. If the case is closed the individual is to be informed
that if under this policy the individual is placed in a BEP location the
individual may be eligible for post-employment services or to reapply for
services if thee is a substantial impediment to employment.
This policy was approved by the Michigan Commission for the Blind Board at it's
April 11, 1986 meeting.
OPERATING COSTS, EQUIPMENT, AND STOCK IN VENDING STANDS
It is the opinion of the Michigan Commission for the Blind that the services
within the Business Enterprise Program for the individuals being served should
be equitable to all individuals which would include those who are presently
operating a Business Enterprise Program establishment, and those potential
operators who will enter the program. Therefore, this policy shall apply to all
potential operators, and all Business Enterprise Program operators.
The Michigan Commission for the Blind maintains titles to all equipment and
itemized stock within each Business Enterprise Program facility. Equipment and
stock to be itemized, and each operator held responsible for the equipment and
itemized stock.
The Business Enterprise Program shall classify all locations in the program by
type of location. Within each classification all operating costs of the Business
Enterprise Program will be the responsibility of the individual being placed in
the Business Enterprise Program. Such operating costs would include insurance,
salaries and wages, fringe benefits, and other costs that might be identified.
When an operator accepts a promotion to a location in a different classification
the Business Enterprise Program shall determine the operating costs for the new
location. If the operating costs in the new location is greater than the
operating costs in the operator's present location, and the operator is not able
to provide the funding for the additional cost the Business Enterprise Program
shall refer the operator to the Michigan Commission for the Blind Vocational
Rehabilitation Program for determination of eligibility. With the referral the
Business Enterprise Program is to provide a detailed list of services which are
needed, and the cost for the services. The cost is to be based on the minimal
amount of services needed to launch the operation.
The Michigan Commission may provide moving expense needed by a potential
operator to accept entry into the Business Enterprise Program for the Blind
Vocational Rehabilitation Program.
Moving expense shall not be provided for any operator in the Business Enterprise
Program even if the operator is referred to the Michigan Commission for the
Blind Vocational Rehabilitation Program for service. In such cases moving
expenses shall be the total responsibility of the Business Enterprise Program
operator.
Procedures for implementing this policy will be written and submitted to all the
Michigan Commission for the Blind manual holders.
This policy was approved by the Michigan Commission for the Blind Board at its'
April, 1987 meeting.
MOVING EXPENSE FOR CLIENTS
When it is necessary for an eligible individual to move to participate in
his/her Individual Plan for Employment the payment for moving expense will be in
accordance with the policy of the Michigan Commission for the Blind and included
in the individual’s Individual Plan for Employment. Individuals will be
encouraged to arrange for the physical move in the least expensive method
possible, and also encouraged to help in their own moving through the rental of
trucks or trailers using their own resources for manpower. If commercial moving
is required the payment for moving expense will be in accordance with the
Michigan Department of Management and Budget Administrative Manual, Subject:
Payment of Household Moving Expense for State Employees found in Chapter 8,
Section 3, Subject 5 of the Administrative Manual. The Chapter will be an
attachment to this policy, and updated without Michigan Commission for the Blind
Board action with each new issuance by the Department of Management and Budget.
This policy was approved by the Michigan Commission for the Blind Board at its'
May, 1992 meeting.
LOW VISION
The process of low vision services is not a process of restoration of vision; it
is the process of enhancing residual vision through the use of such prosthetic
devices and appliances. The low vision process should be used as a beneficial
process on its own merits, and not as an alternative to or substitute for the
individual learning the skills of blindness. For these reasons, the low vision
evaluation shall come after a person has learned the skills of blindness.
Prior to the initial referral for a low vision evaluation, the case record must
contain evidence that the individual can read and write Braille, and possesses
the skills of cane travel, or has had a thorough exposure to the skills of
blindness which will provide knowledge of Braille and cane travel and knowledge
of how these skills can be used as devices to help function with the loss of
sight. An exception may be made where there is evidence that a physical
disability prevents the individual from learning the skills.
When making a referral for a low vision services, all pertinent information such
as eye examination reports should be provided to the low vision specialist.
Information about vocational goals, training programs, and other vocational
information should also be shared with the examining practitioner.
When arrangements are made for a diagnostic evaluation for an independent living
or rehabilitation services client, arrangements shall be made for the
appropriate field staff to be present during all discussions where devices and
other services are being considered. When low vision services are scheduled
outside of the referring field staff's area arrangements for another field staff
can be made to help reduce the travel time for staff attendance at the low
vision evaluation and recommendations. If for any reason arrangements cannot be
made to have a Michigan Commission for the Blind staff person in attendance
during the final evaluation the evaluation shall be canceled, and re-scheduled
at a convenient time for all parties.
In case of the Youth Low Vision examination, personnel from the student's school
should be in attendance rather than the Michigan Commission for the Blind staff
person.
The Low Vision Committee of the Michigan Optometric Association has worked very
closely with the Michigan Commission for the Blind to develop standards for the
provision of services, and also equitable methods for establishing fees. The Low
Vision Committee's recommendations will be included as a part of the Michigan
Commission for the Blind low vision policy. The following is the recommendation
of the Low Vision Committee:
"When establishing a reimbursement rationale, the following aspects of a
comprehensive low vision service should be considered:
A. Low Vision Clinical Assessment - including case history review, definition of
goals, acuities, internal and external examinations, keratometry, binocular
assessment, adaptive refraction, visual fields, color vision, assessment for
magnification at distance, near and intermediate, selective absorption filters,
prism application, and non-optical considerations. Subsequent referral to
associated professionals is also part of the assessment. Disposition, prognosis
and treatment plan formulated from the evaluation results. Average time is 1-2
hours (2-4, 30-minute units).
B. Provision of Low Vision aids - associated services include frame fitting and
technical measurements, order procedures, verification of finished aids, and
physical adjustment of head-borne aids on the patient. Professional services
associated with report processing and clerical personnel are also factored into
this part of the service. Other aspects of office overhead including auxiliary
personnel, rent, equipment and maintenance is also factored into this aspect of
the service.
C. Low Vision Rehabilitation Service - includes verification of functional
response as low vision aids are dispensed. Instruction of the use of each low
vision aid provided in terms of fixation, working distance, posture and
position, focusing, scanning and tracking techniques are included in the
service. Individual response is reported to associated professionals (including
counselors, teachers, teacher /counselors, teacher consultants, referring
physicians, etc.) who will work with the individual in the educational, work or
independent living environment. Usual time frame, for this service, is 1/2 - 1
hour per aid (or 1-2 units) depending on the complexity of the aid and the
cognitive ability of the individual.
Fees for Service
Fees for diagnostic and evaluation services, and other direct services provided
by the low vision provider will be based on a unit cost. Fees for low vision
devices will be based upon the provider's invoice cost times a standard multiple
determined by the Michigan Commission for the Blind.
Devices such as electronic magnifiers, and other devices ordered from the
manufacturer shall be purchased in accordance with Family Independence Agency
Purchasing Section policy and procedures. To fully implement this policy
in-service training will be essential. All field staff and the Michigan
Commission for the Blind Training Center teaching and counseling staff shall be
provided training in regards to this policy by the end of the 1993 calendar
year. Training on this policy will also be included in the training of new
staff. Providers of low vision service are also to be invited to the training
program.
The Michigan Commission for the Blind Board approved this policy at its' June,
1993 meeting. This policy will take effect October 1, 1993.
INNOVATION AND EXPANSION GRANTS
Under the enabling authority of the Rehabilitation Act Amendments of 1992, Title
I, Part C, THE MICHIGAN COMMISSION FOR THE BLIND will award Innovation and
Expansion (I&E) grants to selected nonprofit agencies, organizations,
colleges/universities or other institutions that can most effectively address
the Michigan Commission for the Blind priority needs as identified in its
Strategic Plan.
Innovation and Expansion grants are intended to support the aims of the Michigan
Commission for the Blind Strategic Plan by expanding and improving the
vocational rehabilitation services.
As a pass-through grant, these funds may be awarded to selected recipients to
provide specialized services and rehabilitation for individuals who are blind.
Applicants must possess good track records of providing education, teaching,
counseling and other professional services for the blind.
This policy was approved by the Michigan Commission for the Blind Board at its'
March 20th, 1995 meeting.
PURCHASE OF EQUIPMENT
Equipment purchased by the Commission for the Blind will remain the property of
the Commission for a period of three (3) years from the date of the purchase.
After three (3) years, the agency no longer retains title to equipment purchased
for a client. Equipment is defined as any one piece of equipment, or the total
components of a working unit that costs $500.00 or more. During the time the
client has possession of the equipment, the client is responsible for its care.
The maintenance of the equipment is the responsibility of the Michigan
Commission for the Blind.
At the time the Individual Plan for Employment is developed the client is to be
advised on this policy. The client shall be encouraged to notify the regional
office if the equipment is no longer being used so that arrangements can be made
to reclaim it. By doing so, the equipment can be given to another client to be
used in a training or employment situation.
Arrangements to reclaim the equipment will be made within 10 days. If it is not
possible for the equipment to be picked up by the counselor, arrangements can be
made with a commercial carrier to do so. It will be necessary to check with the
Purchasing Section if a commercial carrier is to be utilized.
Supervisors are responsible for overseeing the process of reassigning equipment.
Each office will maintain a list of all equipment currently assigned to clients
in their region. At the end of each fiscal year, the counselor or other
designated staff, is responsible for documenting that the equipment is still in
the possession of the client and is being used as planned. This should be
documented in the case file as well as on the list. If the equipment is no
longer being used, it is up the counselor to reclaim the equipment. When
equipment is reassigned, it must be reflected on the system listing as well as
in the receiving client's case file.
This procedure does not apply to equipment purchased under the establishment of
a small business.
The Michigan Commission approved this policy for the Blind
Board its' March 20, 1995 meeting.
XVII. PROCEDURES
MINI-ADJUSTMENT PROGRAMS
The Michigan Commission for the Blind believes that Mini-Adjustment training
programs are an extremely valuable tool to provide a significant level of
training to a large number of clients in a relatively short period of time. The
following is a procedure developed to assist in making the arrangements for a
Mini-Adjustment Training Program:
1. SCHEDULING - Program dates and locations will be determined after receiving
input from the Michigan Commission for the Blind Board and the Michigan
Commission for the Blind Executive Director, as well as clients, staff and
various community partners.
2. SITE LOCATION - Regional and center staff, as assigned, will work together to
determine the specific location for training. Arrangements will be made taking
into consideration state rates for payment.
3. ANCILLARY PROGRAMS - Local staff, as assigned by their supervisor, will be
responsible for any ancillary activities, such as an open house, that might be
held in conjunction with a Mini-Adjustment Program.
4. COST - Per client costs will be determined by the local supervisor and
reported to field staff for inclusion in a client’s case record expenditures.
Travel costs will be authorized by the referring staff person and attributed to
the client’s case.
5. REFERRALS - Staff should send a complete referral packet to the coordinators
of the Mini-Adjustment Programs at the Michigan Commission for the Blind
Training Center. The packet should include a completed referral form with
specific consideration of a client’s needs regarding their skills of blindness
and other considerations such as the desire for a smoking room or the need for
assistive devices in their room. It should also include appropriate medical
information, including an eye report.
6. SCHEDULE - Generally the Mini-Programs will run from 3:00 p.m. on Sunday to
11:00 a.m. on Friday. Clients requiring housing should arrive at the designated
facility on Sunday, between 3:00 and 5:00 p.m. Classes will be scheduled from
9:30 a.m. to 3:30 p.m. daily except that they will end early on Friday. Other
activities will occur throughout the day and evening on a voluntary basis.
7. MEALS - Dinner will be at 6:00 on Sunday Evening. There will be three meals
per day provided Monday through Thursday. Breakfast will be served at 8:00 a.m.,
Lunch at noon and Dinner at 5:00 p.m. Only Breakfast will be served on Friday.
Snacks will be available throughout the day for those who need them.
8. ORIENTATION - Clients will receive an orientation to their surroundings soon
after arrival. This will consist of an orientation to the amenities of their
room and an orientation to the facility.
9. TRAINING – Clients will receive training in, at least, the following skills
of blindness: a. Orientation and Mobility, b. Communications, c. Managing and
Administering Medications, d. Monitoring Blood Sugar Levels, e. Braille, f.
Assistive Devices for the Hearing Impaired, g. Writing Guides, h. Talking
Watches and Clocks, and i. Computers and Keyboarding.
10. STAFFING – the coordinators of the Mini-Adjustment Programs from the
Michigan Commission for the Blind Training Center will be responsible for
directing the program. Teaching will be conducted by field staff, Center staff,
volunteers and students from the Blind Rehabilitation Teaching Program at
Western Michigan University as available and as designated by the Michigan
Commission for the Blind Training Center Director and the Director of Client
Services. Several staff will be housed at the facility. At least one staff
person will be available at all times to deal with issues as they arise.
11. RELATED ACTIVITIES – Clients will have an opportunity to interact with other
individuals who are blind throughout the week. In addition, there will be many
opportunities for recreational activities throughout the week. Depending on the
location and facility activities could consist of walking, shopping, swimming,
games, crafts and visits to local points of interest. Clients should bring some
spending money to participate in some of the evening activities.
12. DRESS – The dress is casual. Clients should pack a swimming suit if they
wish. Otherwise clothing should be selected based on location and season.
Comfortable shoes should be emphasized for use in mobility lessons. Clients
should also bring any assistive devices, like white canes, they might have.
13. INFORMATION – Clients should be provided significant information, reflecting
many of the above points, prior to their attendance at a Mini-Adjustment
Program. During the week each client will be provided the opportunity to
schedule further training at the Michigan Commission for the Blind Training
Center.
PURCHASE OF HEARING AIDS
Before purchasing hearing aids for clients the counselor/teacher should arrange
for an otological assessment by an otologist and an audiological assessment by
an audiologist with a Certificate of Clinical Competence (CCC) to determine the
appropriateness of the device or devices for the client. These exams may not be
necessary if the client has been recently examined and the information is
available.
Insurance coverage should be investigated prior to providing these services.
Medicare will usually pay for an otological assessment, but not for an
audiological assessment. Medicaid will sometimes pay for an audiological
assessment and one new aid every three years. Sometimes the Michigan Commission
for the Blind can pay for the other one, if needed.
Generally, the otological assessment is done first and that information is
forwarded to the audiologist prior to the audiological assessment. If this is
not convenient to the client, arrangements may be made otherwise. If ear molds
are necessary they should be authorized as part of a hearing aid assessment and
purchase of aids.
The report of the audiological assessment should contain a prescription for a
specific hearing aid or hearing aids.
The counselor/teacher should then obtain three bids on the recommended aid or
aids. Many audiologists will provide three bids with or, at least, indicate
potential vendors with their reports. If three bids are not obtainable the
counselor/teacher should at least try to get two bids. Unless a client has a
substantial reason for not selecting the lowest bid, the aid should be purchased
from the vendor with the lowest bid. Hearing aids should not be purchased from
the same vendor that does the audiological assessment, otological assessment and
hearing aid assessment in an effort to avoid a conflict of interest. The vendor
should be notified that the payment will not be processed until the audiologist
completes a satisfactory 30-day follow up exam.
A telephone coil should be considered for ease of using phones and other
assistive devices of amplification. In some instances digital and programmable
hearing aids are being prescribed. Although, they are not widely used, they may
be appropriate for some clients and may be purchased if appropriate.
Devices should be shipped directly to the audiologist performing the assessment.
This is so that the device can be checked to make sure it is appropriate and
that it is functioning properly. If the device is satisfactory, the client
should then be fitted. However, the bill for the aid/aids should not be paid
until there has been a satisfactory follow-up visit with the audiologist.
A follow-up visit with an audiologist should be arranged, 30 days after the
fitting of the device or devices, to make sure it is functioning properly. If
the client agrees that the aid or aids are satisfactory, then the bill for the
aids should be paid.
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