Attachment II
Colorado Division of Vocational Rehabilitation Mental Health Supported
Employment Program
Application Budget Worksheet and Outcome Measures
The following guidance has been developed to assist Applicants in identifying the
number of consumers who could realistically receive services under the Vocational
Rehabilitation Mental Health Services Supported Employment Program as well as
identifying the cost of providing services to these consumers.
NUMBERS SERVED
1. Number of DVR–eligible consumers your agency/business will serve under this
Program from 7/1/14 to 6/30/15: _____
2. Number of DVR-eligible consumers served by your agency/business who will achieve
job stability resulting in a DVR service record closure (with transfer to extended support
services) from 7/1/14 to 6/30/15: _____
Historical program data suggests that agencies providing services under this Program
typically serve five (5) clients for every one (1) who achieves employment stability and
successful DVR case closure. The ratio cannot exceed 5 to 1 (i.e. 6 to 1).
BUDGET
The payment system indicated in the table below creates a range of amounts that are paid
for individual consumers, based on their course toward employment. For example, a
consumer who drops out after one month in Eligible status maybe result in a billable
amount of only $300. On the other hand, a consumer who receives 11 months of service
and achieves job stability may result in a billable amount of up to $5,400. This
illustration is atypical and is intended to demonstrate both the lower and the upper end
examples of service reimbursement. It will be important for programs to strive to keep a
balance of Eligible, Service, and Employed status consumers each month.
Historical program data suggests that the annual cost of providing supported employment
services under this program equates to approximately $1,800 annually for each consumer.
It is suggested that you calculate your budget by multiplying the number of consumers
you plan to serve by $1800. While there may be some variation from this in your
submitted total, costs significantly higher or lower than this may not be considered for
funding. The final budget amount you negotiate with DVR cannot be exceeded during the
RFA period, without the written approval of DVR.
3. Considering the payment structure discussed above, indicate the amount of total
reimbursement your agency will require to serve the numbers of individuals
served/employed in Questions #1 and #2 above: _____ (please justify any variation from
the formula described in the paragraph above).
1
Payment, DVR Status, and Service Descriptors for the DVR Mental Health Supported
Employment Program
Monthly Payment
Rate
$300 per month
(3 billable months
maximum)
Monthly Payment
Rate
$400 per month
(18 month maximum)
DVR Status
Detail
Eligible (but not
yet under an
IPE)
Used when the consumer
has been determined
eligible for VR services.
Comprehensive
assessment activities,
identification of
rehabilitation needs, plan
development & vocational
goal identification occur in
this status.
DVR Status
Detail
Service –
Consumer with
developed IPE
Used for consumers for
whom an Individualized
Plan for Employment has
been signed, approved and
implemented.
Also used for consumers
who are deemed to be “job
ready”
$400 per month
(Maximum billable is
3 months per job)
Employed –
Consumers who
become
employed and
are achieving
job stability
Used when a consumer
obtains employment
Supported Employment
Services
Informal and other
Situational Assessment
Job Shadows
Job Tours
Work Experience
Vocational Evaluation
Vocational Guidance
Case Management (not
billable as a stand-alone
service)
Transitional Employment (as
a Situational Assessment)
Typical MH SE Services
Case Management (not
billable as a stand-alone
service)
Vocational Guidance
Job Development
Job Seeking Skills Training
Personal Adjustment
Training
Transitional Employment
Job Retention Classes (to
build soft transferrable skills)
Vocational Guidance
Job Development
Personal Adjustment
Training
Job Coaching (2 hours/week)
Vocational Guidance
Transition to extended
service provider (prior to
DVR closure)
Case Management (not
billable as a stand-alone
service)
2
No payment
Services
Interrupted
$1,000
(One time payment.
Is paid in the month
the DVR service
record is closed)
Closed –
Rehabilitated
Used when services to the
consumer have been
interrupted for whatever
reason and the plan must
be put “on hold”
Used when a consumer has
achieved 90 days of
continuous employment
and is stable, meeting all
regulatory successful
closure criteria
Generally, no direct services
Minimal Case Management
(not billable as a stand-alone
service) services may be
appropriate in some cases
Extended support services –
minimum of 2 contacts a
month provided by MHC
staff (not billable to DVR)
3