A A Moderate Intellectual Disability Loading Guidelines V 2.2 Disclaimer This document is not a stand-alone document and does not contain the entirety of Disability Employment Services Programme Providers' obligations. It should be read in conjunction with the Disability Employment Services Deed and any relevant Guidelines or reference material issued by the Department of Social Services under or in connection with Disability Employment Services Deed. Moderate Intellectual Disability Loading Guidelines V2.2 TRIM ID: D14/421607 1 Effective Date: 25 August 2014 Table of Contents: Document Change History 3 Background 4 Changes to the Moderate Intellectual Disability Loading from July 2013 4 Claiming Moderate Intellectual Disability Loading fees 5 Flow Chart – Moderate Intellectual Disability Loading 6 Disability Employment Services Deed Clauses 7 Reference documents relevant to these Guidelines 7 Explanatory Notes 7 Moderate Intellectual Disability Loading Guidelines 8 Attachment A – Authority to Obtain Information from Centrelink Moderate Intellectual Disability Loading Guidelines V2.2 TRIM ID: D14/421607 2 13 Effective Date: 25 August 2014 Moderate Intellectual Disability Loading Guidelines Document Change History: Version 2.2 Start Date 25 August 2014 Effective Date 25 August 2014 End Date Change & Location p5 amended previous reference on claiming the Moderate Intellectual Disability Loading & inserted table of fees. References to ‘DES providers must enter the participant’s date of commencement in DES into the ‘Start Date’ field on the Moderate Intellectual Disability Loading claim,’ removed. 2.1 6 August 2013 6 August 2013 24 August 2014 2 1 July 2013 1 July 2013 6 August 2013 Q&As deleted. Table on p14 amended to provide correct loading fee amounts for FL1 26wk outcomes & FL2 13wk outcomes for participants commenced in DES on or after 1 July 2013. Narrative: Background (p4) updated to reflect changes to the payment of the loading from 1 July 2013. Flow chart p5 updated to remove references to loading on Service Fees. Guidelines p10 updated to remove reference to Service Fee instructions. P10-11 includes new step for DES providers to make claims for participants with a start date of 30 June 2013 or earlier. Attachment (Q&As) amended and table of Fees updated to reflect the changes to loading available from 1 July 2013. 1.4 26 July 11 26 July 11 30 June 2013 Narrative: References to Job Capacity Assessments/Employment Services Assessments modified to reflect terminology changes (p1-13) Removed reference to two year trial period (p2) Updated Authority to obtain information from Centrelink form (p12 - Attachment B) 1.3 21 Feb 11 21 Feb 11 Moderate Intellectual Disability Loading Guidelines V2.2 TRIM ID: D14/421607 3 Narrative: Section 2 p6 deleted conflict of interest information. Effective Date: 25 August 2014 1.2 1 Feb 11 1 Feb 11 21 Feb 11 Narrative: Section 3 p7 inserted paragraph on Moderate Intellectual Disability flag and deleted note about the unavailability of the Moderate Intellectual Disability flag. Section 3 p7-8 inserted JCA report option for Moderate Intellectual Disability documentary evidence and footnote regarding requirement for DES providers to obtain written consent from a Participant prior to contacting Centrelink for information about a Participant’s IQ. Section 4 p9-11 amended information about Service Fees and claims for payment. Attachments: Attachment A – Frequently Asked Questions: added the last two questions. Attachment B – ‘Authority to Obtain Information from Centrelink’ form added. 1.1 8 Jul 10 8 Jul 10 1 Feb 11 Narrative: Amended to reflect timing of DEEWR IT Systems update (p7 - Step 3, paragraph 2). 1.0 29 Jun 10 1 Jul 10 8 Jul 10 Original version of document Background These Guidelines outline the steps to be taken by Disability Employment Services Programme providers (referred to as ‘DES providers’) to identify participants for whom they may be eligible to claim a Moderate Intellectual Disability Loading on selected Disability Employment Services Programme Fees. The Moderate Intellectual Disability Loading is only available to eligible participants with Moderate Intellectual Disability in the Disability Employment Services - Employment Support Service (DES-ESS). References to ‘the Department’ refer to the Department of Social Services. Changes to the Moderate Intellectual Disability Loading from July 2013 In the 2013-14 Budget, the Australian Government announced that the Moderate Intellectual Disability Loading will move from pilot status to become part of Disability Employment Services mainstream Programme with minor changes made to the payment of the loading from 1 July 2013. From 1 July 2013, an 88 per cent Moderate Intellectual Disability Loading is claimable on Job Placement and 13 and 26 Week Full Outcome Fees, when a DES provider places an eligible participant, that commenced in DES-ESS on or after 1 July 2013, in a job of at least 15 hours per week. DES providers will no longer be eligible to claim the Moderate Intellectual Disability Loading on the first two Service Fees for participants that commence a period of service in DES-ESS on or after 1 July 2013. Moderate Intellectual Disability Loading Guidelines V2.2 TRIM ID: D14/421607 4 Effective Date: 25 August 2014 DES providers will be eligible to claim the following Moderate Intellectual Disability Loading fees for eligible Participants: Funding Level 1 Base fee First Two Service Fees** Job Placemen t Fee 13 Week Outcome Fee 26 Week Outcome Fee Funding Level 2 Moderate Intellectual Disability Loading (70%) Moderate Intellectual Disability Loading (88%) Participant Commenced in DES Pre 1 July 2013 Participant Commenced in DES on or after 1 July 2013 Base fee Moderate Intellectual Disability Loading (70%) Moderate Intellectual Disability Loading (88%) Participant Commence d in DES Pre 1 July 2013 Participant Commenced in DES on or after 1 July 2013 $1,330** N/A $890 $623** N/A $1,90 0 $770 $539 $677.60 $1,54 0 $1,078 $1,355.20 $2,86 0 $2,002 $2,516.80 $5,50 0 $3,850 $4840 $4,40 0 $3,080 $3872 $7,70 0 $5,390 $6,776 ** From 1 July 2013, the Moderate Intellectual Disability Loading is only claimable on the first two Service Fees when an eligible participant commenced in DES prior to 1 July 2013. Claiming Moderate Intellectual Disability Loading fees DES providers can claim Moderate Intellectual Disability Loading payments through the Overrides and Special Claims application in the Department’s IT system. By default, the system will use the date that the participant most recently commenced in Employment Assistance as the special claim Start Date. Providers must ensure that this field correctly shows the participant’s date of commencement in DES, to ensure that the correct loading is calculated. Contract Managers will check that the correct loading has been used for all Moderate Intellectual Disability Loading special claims. Where the loading amount is incorrect the claim will be rejected and the Provider will be advised to resubmit the claim. The Department will continue to monitor claims made for Moderate Intellectual Disability Loading. Moderate Intellectual Disability Loading Guidelines V2.2 TRIM ID: D14/421607 5 Effective Date: 25 August 2014 Flow Chart – Moderate Intellectual Disability Loading Moderate Intellectual Disability Loading Guidelines V2.2 TRIM ID: D14/421607 6 Effective Date: 25 August 2014 Note: This should not be read as a stand-alone document, please refer to the Disability Employment Services Deed Disability Employment Services Deed Clauses: Clause 121 – Service Fees Clause 122 – Job Placement Fees Clause 123 – Outcome Fees Annexure A – Definitions Reference documents relevant to these Guidelines: Direct Registration Guidelines Service Fee Guidelines Referral and Commencement Guidelines Documentary Evidence for Claims for Payment Guidelines Transfer Guidelines Exits Guidelines Records Management Instructions Guidelines Eligible School Leaver Guidelines Explanatory Notes: 1. All capitalised terms have the same meaning as in the Disability Employment Services Deed (The Deed). 2. In this document, ‘must’ means that compliance is mandatory and ‘should’ means that compliance represents best practice. 3. Italicised text is a hyperlink to the relevant reference material. Moderate Intellectual Disability Loading Guidelines V2.2 TRIM ID: D14/421607 7 Effective Date: 25 August 2014 Moderate Intellectual Disability Loading Guidelines: Who is Responsible: 1. The DES provider DES provider identifies a participant who may be eligible for a Moderate Intellectual Disability Loading 2. The DES provider DES provider determines eligibility for Moderate Intellectual Disability Loading What is Required: A job seeker who is eligible for the Moderate Intellectual Disability Loading may be identified through Direct Registration, Referral, via a Job Capacity Assessment or Employment Services Assessment, or at Commencement, or they may already be on a DES provider’s caseload when eligibility for the Moderate Intellectual Disability Loading is assessed. If a job seeker is identified as a person who may be eligible for the Moderate Intellectual Disability Loading, e.g. they have a significant level of intellectual disability, proceed to Step 2. If a job seeker is not identified as a person who may be eligible for the Moderate Intellectual Disability Loading, end of process. Moderate Intellectual Disability Loading eligible participant Definition To be eligible for the Moderate Intellectual Disability Loading, the job seeker must meet the eligibility criteria for Disability Employment Services – Employment Support Service, and either: have an assessed Intelligence Quotient (IQ) of 60 or less, or have been classified by a registered psychologist, using a recognised assessment tool, as having moderate intellectual disability. Where the Participant does not have an assessed IQ of 60 or less, the assessment presented as evidence of moderate intellectual disability must: include consideration of both the job seeker’s IQ and any adaptive behaviour, and be completed by a registered psychologist. Registration Requirements To be accepted as a registered psychologist for the purposes of assessing eligibility for the Moderate Intellectual Disability Loading, the psychologist must: be fully registered with the relevant State and Territory Psychologists Registration Boards, meeting any mandatory accreditation or competency-based standards, allowing them to practice without any supervisory requirements. In States or Territories where a registering body does not operate, the assessor must hold qualifications that would make Moderate Intellectual Disability Loading Guidelines V2.2 TRIM ID: D14/421607 8 Effective Date: 25 August 2014 them eligible for full registration in one or more of the other States or Territories. Note: If the job seeker is Direct Registered as an Eligible School Leaver, all criteria under Eligible School Leaver Guidelines must also be met. 3. The DES provider Once the eligibility of the participant has been established with documentary evidence, the DES provider can apply the DES provider confirms Status Moderate Intellectual Disability flag to the Participant’s as Moderate Intellectual registration screen in the Department’s IT System. The flag can Disability Loading eligible be applied by adding ‘Moderate Intellectual Disability’ special participant client type on the Circumstances tab. DES providers are required to retain suitable Documentary Evidence to support their decision to apply the Moderate Intellectual Disability Loading. See the Documentary Evidence Guidelines for more detail. 1. a copy of an IQ assessment report clearly indicating the individual’s assessed IQ of 60 or less, or 2. a signed statement from a registered psychologist stating that the individual has an assessed IQ of 60 or less, or 3. a signed statement from an appropriate representative of a recognised and credible institution such as Centrelink*, a Job Capacity Assessor or Employment Services Assessor, an Education authority or a State or Territory Disability Commission indicating that they have evidence on file verifying that the individual’s IQ is 60 or less, or 4. a signed statement from a registered psychologist stating that, using a recognised assessment tool, and based on a combination of IQ and other adaptive behaviour factors, the individual falls within the classification of having moderate intellectual disability. The statement must indicate the name of the assessment tool, including any version or revision number, the score or assessment relevant to the classification scale and the assessment outcome, or 5. a copy of a Job Capacity Assessment or Employment Services Assessment report where the assessor specifically states that he or she has cited a relevant Assessment which indicates that the Participant has an IQ of 60 or less. A 'Signed Statement' must be in the form of a letter or memo and can be a hardcopy original, photocopy or FAX of an original statement or a scanned copy of an original statement. It can be Moderate Intellectual Disability Loading Guidelines V2.2 TRIM ID: D14/421607 9 Effective Date: 25 August 2014 filed in either hardcopy or electronically. 4. The DES provider DES provider claims Moderate Intellectual Disability Loading for participants commenced in DES-ESS (or a new period of DES) on or after 1 July 2013. For information on claiming a Moderate Intellectual Disability Loading related to participants that commenced prior to 1 July 2013, refer to Step 5 below *Should a DES provider wish to obtain information about a Participant’s IQ from Centrelink, they must obtain the Participant’s written consent by completing a ‘Disability Employment Services - Authority to Obtain Information from Centrelink’ form (see Attachment A). Once the form has been signed by the Participant or their Legal Guardian the DES provider can either Fax, Post or takes the form directly to the Centrelink Customer Service Centre where the Participant is registered. From 1 July 2013, a Moderate Intellectual Disability Loading of 88 per cent may be claimed on: Job Placement Fees 13 week Full Outcome Fees, and 26 week Full Outcome Fees where these fees apply to a job of at least 15 hours per week and the eligible participant commenced in DES-ESS on or after 1 July 2013. Claiming the Moderate Intellectual Disability Loading To claim the Moderate Intellectual Disability Loading the DES provider must first claim the relevant ‘base fee’, for example, the Job Placement Fee. Once the base fee has been claimed, the DES provider can claim the additional Moderate Intellectual Disability Loading through the Overrides and Special Claims function. DES provider should select the request type of 'Moderate Intellectual disability loading' and then the specific request type from the drop down bar for the relevant fee, i.e.: Job Placement Fee loading (15+ hour job) DES ESS 13 week Full Outcome (15+ hour job) DES ESS 26 week Full Outcome (15+ hour job) Job Placement Fee Loading To claim the Moderate Intellectual Disability Loading on a Job Placement Fee, the Participant must: have worked 15 hours within 10 Consecutive Days from the Job Placement Start Date. The Payment type to use is: JPD4- DES-ESS Funding Level 1 Job Placement Fee Loading, or JPD5- DES-ESS Funding Level 2 Job Placement Fee Loading 13 Week Full Outcome Fee Loading To claim the Moderate Intellectual Disability Loading on a 13 Moderate Intellectual Disability Loading Guidelines V2.2 TRIM ID: D14/421607 10 Effective Date: 25 August 2014 Week Full Outcome, the Participant must: have worked a minimum of 195 hours in 13 Consecutive Weeks for a 13 Week Outcome. The Payment type to use is: DFD1- DES-ESS1 13 week Full Outcome Loading for Funding Level 1 Participants DFD2- DES-ESS2 13 week Full Outcome Loading for Funding Level 2 Participants 26 Week Full Outcome Fee Loading To claim the Moderate Intellectual Disability Loading on a 26 Week Full Outcome, the Participant must: have worked a minimum of 390 hours in 26 Consecutive Weeks for a 26 Week Outcome. The Payment type to use is: DFE1- DES-ESS1 26 week Full Outcome Loading for Funding Level 1 Participants DFE2- DES-ESS2 26 week Full Outcome Loading for Funding Level 2 Participants 5. The DES Provider DES Provider claims Moderate Intellectual Disability Loading for participant that commenced in DES-ESS prior to 1 July 2013. For eligible participants that commenced in DES-ESS prior to 1 July 2013, Providers can claim a 70 per cent Moderate Intellectual Disability Loading on: the first two Service Fees the Job Placement Fee, and 13 and 26 week Outcomes. The Moderate Intellectual Disability Loading is payable on Job Placement Fees and 13 and 26 week Outcomes where these fees apply to a job of at least 15 hours per week. Claiming the Moderate Intellectual Disability Loading To claim the Moderate Intellectual Disability Loading the DESESS provider must first claim the relevant ‘base fee’, for example, the Job Placement Fee. Once the base fee has been claimed, the DES provider can claim the additional Moderate Intellectual Disability Loading through the Overrides and Special Claims function. DES provider should select the request type of 'Moderate intellectual disability loading' and then the specific request type from the drop down bar for the relevant fee, i.e.: Service Fee 1 loading Service Fee 2 loading Job Placement Fee loading (15+ hour job) DES ESS 13 week Full Outcome (15+ hour job) DES ESS 26 week Full Outcome (15+ hour job) Service Fee Loading Moderate Intellectual Disability Loading Guidelines V2.2 TRIM ID: D14/421607 11 Effective Date: 25 August 2014 To claim the Moderate Intellectual Disability Loading on a Service Fee, the Participant must: have been verified as eligible for the Moderate Intellectual Disability Loading by the DES provider, and meet all the requirements for payment of a Service Fee in accordance with the Deed and relevant Guidelines. The Payment type to use is: DS60- DES-ESS1 Intellectual Disability Service Loading for Funding Level 1 Participants DS70- DES- ESS2 Intellectual Disability Service Loading for Funding Level 2 Participants. Job Placement Fee Loading To claim the Moderate Intellectual Disability Loading on a Job Placement Fee, the Participant must: have worked 15 hours within 10 Consecutive Days from the Job Placement Start Date. The Payment type to use is: JPD4- DES-ESS Funding Level 1 Job Placement Fee Loading, or JPD5- DES-ESS Funding Level 2 Job Placement Fee Loading 13 Week Full Outcome Fee Loading To claim the Moderate Intellectual Disability Loading on a 13 Week Full Outcome, the Participant must: have worked a minimum of 195 hours in 13 Consecutive Weeks for a 13 Week Outcome. The Payment type to use is: DFD1- DES-ESS1 13 week Full Outcome Loading for Funding Level 1 Participants DFD2- DES-ESS2 13 week Full Outcome Loading for Funding Level 2 Participants 26 Week Full Outcome Fee Loading To claim the Moderate Intellectual Disability Loading on a 26 Week Full Outcome, the Participant must: have worked a minimum of 390 hours in 26 Consecutive Weeks for a 26 Week Outcome. The Payment type to use is: DFE1- DES-ESS1 26 week Full Outcome Loading for Funding Level 1 Participants DFE2- DES-ESS2 26 week Full Outcome Loading for Funding Level 2 Participants Moderate Intellectual Disability Loading Guidelines V2.2 TRIM ID: D14/421607 12 Effective Date: 25 August 2014 Attachment A – Authority to Obtain Information from Centrelink Authority to Obtain Information from Centrelink Purpose of this form This form must be used when a Disability Employment Services (DES) provider wishes to obtain information about a Participant’s intellectual disability from Centrelink for the purpose of identifying a Participant as being Moderate Intellectual Disability Loading eligible. Instructions for DES providers DES providers must complete this form and fax it to their local Centrelink office. If Centrelink has the appropriate evidence, the evidence will be provided to the DES provider via the method indicated on the second page of this form. If Centrelink does not have the evidence, they will fax the second page of this form back to the DES provider. Participant’s JSID:........................................................ Declaration: I................................................................................................................................................... .............. (Full Name of Participant or Nominee) of................................................................................................................................................. .............. (Address) Authorise Centrelink to release any relevant information in relation to my/the above Participant’s intellectual disability to the following DES provider: Provider Details: DES Provider Name:................................................................................................. Address:................................................................................................. Phone: (.....)................................... Fax: (.....)................................... Moderate Intellectual Disability Loading Guidelines V2.2 TRIM ID: D14/421607 13 Effective Date: 25 August 2014 I understand that the information being requested will be used by the DES provider for the purpose of confirming eligibility for the Moderate Intellectual Disability Loading. Signed:........................................................ (Signature of Participant or Nominee) Dated:.......................................................... This section must be completed by the DES Provider: Participant’s JSID:........................................................ Please select the method for Centrelink to notify you of the results of their search by ticking the appropriate box below: Provider representative to collect Authorised Courier to collect Centrelink to send via Registered Post* *If selecting this option DES Providers must supply Centrelink with a self-addressed, Prepaid Registered Post envelope. The following section is for Centrelink use only: 1. Does Centrelink have IQ information for this customer? Yes/No 2. Does the information held by Centrelink, indicate the customer has an IQ of 60 or less? Yes/No 3. If IQ score is unknown, does the information held by Centrelink indicate a range of IQ? Yes/No If yes, please state: ___________ Moderate Intellectual Disability Loading Guidelines V2.2 TRIM ID: D14/421607 14 Effective Date: 25 August 2014