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d. 2. E. Cooperative Agreements with Private Nonprofit Organizations

(Formerly known as Attachment 4.8(b)(3)). Describe the manner in which the designated State agency establishes cooperative agreements with private non-profit VR service providers.

Current Narrative:

VR purchases an array of services from a variety of vendors and community rehabilitation providers. Community Rehabilitation Providers specifically provide discovery, employment services, vocational evaluation, job shadow, placement, and supported employment services. VR promotes consumer informed choice in the provision of services. There are a total of 87 agencies with Provider Agreements for providing employment services in Indiana. The 87 providers include Community Rehabilitation Programs and Community Mental Health Centers.

Purchased employment services follow a new Employment Service Model that is based on an outcome–based payment model with hourly rates for Discovery activities and Supported Employment services, as well as other specialized services. The new Employment Services Model was implemented July 1, 2015 and was designed to be more consumer–centric by allowing for more flexibility and individualization in meeting the needs of all consumers, including those with the most significant disabilities. The new model address unintended consequences of the previous Results Based Funding model, which was not adequate in serving consumers with high support needs. The new model also increased availability of supports to consumers to achieve stabilization on the job, and increased consumer access to more intensive career exploration process through an enhanced menu of Discovery activities.