WSR 99-12-030

PROPOSED RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Division of Vocational Rehabilitation)

[ Filed May 25, 1999, 3:50 p.m. ]

Original Notice.

Preproposal statement of inquiry was filed as WSR 99-06-081.

Title of Rule: New chapter 388-890 WAC, Rehabilitation services for individuals with disabilities, will replace the following rules which are being repealed: Repealing WAC 490-500-005 Definitions, 490-500-010 Application for services, 490-500-015 Initial interview, 490-500-022 Assessment for determining eligibility and vocational rehabilitation needs, 490-500-025 Eligibility for services, 490-500-030 Eligibility for services--Criteria, 490-500-050 Certification for decision of eligibility or ineligibility, 490-500-055 Notice to applicant, 490-500-065 Ineligibility--Review required, 490-500-070 Extended evaluation, 490-500-080 Extended evaluation--Plan, 490-500-170 Criteria for order of selection, 490-500-180 Economic need, 490-500-185 Economic need--Financial statement required, 490-500-190 Economic need--Standards for determining, 490-500-200 Economic need--Notification of decision, 490-500-205 Comprehensive assessment, 490-500-257 Individualized, written rehabilitation plan, 490-500-260 Individualized, written rehabilitation plan--Content, 490-500-270 Individualized, written rehabilitation plan--Participation, 490-500-275 Individualized, written rehabilitation plan--Review, 490-500-300 Vocational rehabilitation--Employment outcome, 490-500-325 Comparable services and benefits available from other agencies, 490-500-350 Vocational rehabilitation services, 490-500-380 Vocational rehabilitation services--Counseling, guidance, and work-related placement services, 490-500-385 Vocational rehabilitation services--Physical and mental restoration, 490-500-389 Vocational rehabilitation services--Telecommunications, sensory, and other technological aids and devices, 490-500-390 Vocational rehabilitation services--Training, 490-500-418 Vocational rehabilitation services--Rehabilitation assistive technology services, 490-500-420 Vocational rehabilitation services--Additional living expenses, 490-500-430 Vocational rehabilitation services--Occupational licenses, tools, equipment, and initial stocks and supplies, 490-500-435 Vocational rehabilitation services--Transportation, 490-500-437 Vocational rehabilitation services--Interpreter services and reader services, 490-500-445 Vocational rehabilitation services--Services to family members, 490-500-450 Vocational rehabilitation services--Other goods and services, 490-500-455 Vocational rehabilitation services--Post employment services, 490-500-460 Vocational rehabilitation services--Information and referral services, 490-500-465 Vocational rehabilitation services--Recruitment and training services, 490-500-470 Vocational rehabilitation services--Transition services, 490-500-475 Vocational rehabilitation services--Supported employment, 490-500-477 Vocational rehabilitation services--Independent living services, 490-500-480 Vocational rehabilitation services--On-the-job or other related personal assistance, 490-500-485 Vocational rehabilitation services--Services to groups, 490-500-500 Purchase of services, 490-500-505 Purchase of services--Selection criteria--Schools or training organizations, 490-500-510 Purchase of services--Selection criteria--On-the-job training, 490-500-525 Termination of services under an individualized, written rehabilitation plan--Ineligible, 490-500-530 Termination of services under an individualized, written rehabilitation plan--For reasons other than ineligibility, 490-500-542 Termination of services under an individualized written rehabilitation plan--Rehabilitated, 490-500-545 Notification of termination, 490-500-555 Confidential information--Disclosure, 490-500-560 Administrative review, 490-500-580 Fair hearing--Adjudicative proceeding, 490-500-590 Client records, 490-500-600 Independent living program, 490-500-605 Independent living program--Eligibility/ineligibility, 490-500-615 Independent living program--Economic need and comparable services and benefits, 490-500-620 Independent living program--Written independent living plan, 490-500-622 Independent living program--Independent living services, 490-500-625 Independent living program--Termination, 490-500-627 Independent living program--Client records, 490-500-630 Statewide independent living council, and 490-500-635 State rehabilitation advisory council.

Purpose: To repeal old rehabilitation rules and adopt new rules to comply with the Rehabilitation Act of 1973 as amended in August, 1998 including the following Titles: I Vocational Rehabilitation Services; VI Employment Opportunities for Individuals with Disabilities; and VII Independent Living Services and Centers for Independent Living. These rules have been written to comply with the Governor's Executive Order 97-02, Regulatory Improvement.

Statutory Authority for Adoption: RCW 74.29.020, 74.08.090.

Statute Being Implemented: Chapter 74.29 RCW, Rehabilitation Act of 1973 as amended in August 1998.

Summary: The rules inform the public what rehabilitation services and/or benefits are provided by the Division of Vocational Rehabilitation (DVR) and under what conditions DVR provides the services and/or benefits.

Reasons Supporting Proposal: To comply with Rehabilitation Act of 1973 as amended in August 1998 and the Governor's Executive Order 97-02, Regulatory Improvement.

Name of Agency Personnel Responsible for Drafting: Phyllis Hansen, Kelly Boston, Division of Vocational Rehabilitation, P.O. Box 45340, Olympia, WA 98504-5340, (360) 438-8047, (360) 438-8000 V/TTY; Implementation and Enforcement: Don Kay, Division of Vocational Rehabilitation, P.O. Box 45340, Olympia, WA 98504-5340, (360) 438-8015.

Name of Proponent: Department of Social and Health Services, Division of Vocational Rehabilitation, governmental.

Rule is necessary because of federal law, Rehabilitation Act of 1973 as amended in August 1998.

Explanation of Rule, its Purpose, and Anticipated Effects: The rules inform the public what rehabilitation services and/or benefits are provided by the Division of Vocational Rehabilitation (DVR) and under what conditions DVR provides the services and/or benefits. Major areas covered include: Informed choice; application and eligibility; vocational rehabilitation program; supported employment program; independent living program; participant rights to appeal; confidentiality; access to DVR services for limited English speaking people; order of selection; and vocational rehabilitation services for groups of individuals with disabilities.

The rules are intended to increase the rights and responsibilities of DVR applicants and eligible individuals with disabilities, support full partnership between service participants and DVR, and support DVR's mission to help people with disabilities go to work. The new rules are organized for ease in use and simplified for clear understanding.

Proposal Changes the Following Existing Rules: DVR is repealing the old program rules in chapter 490-500 WAC and replacing them with new easier to read rules in new chapter 388-890 WAC. Major content changes include adding and changing definitions, adding options for applicants and eligible individuals to make informed choices, changing elements of eligibility, extending the period of time to close a case service record after a participant becomes employed, changing from an individualized written rehabilitation plan to an individualized plan for employment, changes to the appeals process, changes to the use of comparable services and benefits, and changes to economic need and financial participation.

No small business economic impact statement has been prepared under chapter 19.85 RCW. The proposed rules do not regulate any businesses. The proposed rules regulate DVR in the provision of rehabilitation services and anyone interested in receiving rehabilitation services from DVR.

RCW 34.05.328 applies to this rule adoption. The rules meet the definition of a "significant legislative rule" and a cost benefit analysis has been prepared. To obtain a copy, contact Phyllis Hansen or Kelly Boston, DVR Program Administrators, P.O. Box 45340, Olympia, WA 98504-5340, phone (360) 438-8000 V/TTY, (Phyllis) e-mail hansepa@dshs.wa.gov, (Kelly) e-mail bostok@dshs.wa.gov.

Hearing Location: Lacey Government Center (behind Tokyo Bento Restaurant), 1009 College Street S.E., Room 104-B, Lacey, WA 98503, on July 27, 1999, at 10:00 a.m.

Assistance for Persons with Disabilities: Contact Paige Wall by July 16, 1999, phone (360) 664-6094, TTY (360) 664-6178, e-mail wallpg@dshs.wa.gov.

Submit Written Comments to: Identify WAC Numbers, Paige Wall, Rules Coordinator, Rules and Policies Assistance Unit, P.O. Box 45850, Olympia, WA 98504-5850, fax (360) 664-6185, by July 27, 1999.

Date of Intended Adoption: August 27, 1999.

May 24, 1999

Marie Myerchin-Redifer, Manager

Rules and Policies Assistance Unit

2560.6
Chapter 388-890 WAC

REHABILITATION SERVICES FOR INDIVIDUALS WITH DISABILITIES

PURPOSE AND DEFINITIONS
NEW SECTION
WAC 388-890-0005
What is the purpose of this chapter?

This chapter explains the types of vocational rehabilitation services (referred to as "VR services" in this chapter) and independent living (IL) services available to individuals who are eligible through the department of social and health services (DSHS), division of vocational rehabilitation (DVR).

VR services are offered to assist individuals with disabilities to prepare for, get and keep jobs that are consistent with their abilities, capabilities, and interests. This chapter is consistent with the laws included under the Rehabilitation Act of 1973, as amended by the Rehabilitation Act Amendments of 1998 and codified in 34 Code of Federal Regulations, Parts 361, 363 and 364.

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NEW SECTION
WAC 388-890-0010
What definitions apply to this chapter?

Client assistance program is a program that offers free advice and information about your rights when you are receiving services from DVR.

DSHS means the Washington state department of social and health services.

DVR means the DSHS division of vocational rehabilitation.

IL counselor means an independent living counselor employed by the DSHS division of vocational rehabilitation.

Impediment to employment means the physical or mental limitations resulting from a disability that hinder your ability to prepare for a job, find a job, or keep a job that matches your abilities and potential.

Integrated setting:

(1) for the purpose of receiving services, means a setting commonly found in the community where you would interact with nondisabled people, other than people who are providing VR services to you.

(2) for the purpose of employment, means a setting commonly found in the community in which you interact with nondisabled people to the same extent that a nondisabled person in the same type of job interacts with others.

VR counselor means a vocational rehabilitation counselor employed by the DSHS division of vocational rehabilitation.

You, as used in this chapter, includes your representative or guardian, if a representative or guardian is acting on your behalf or assisting you to make informed decisions about VR or IL program services.

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INFORMED CHOICE
NEW SECTION
WAC 388-890-0015
What is informed choice?

Informed choice is a way to make decisions by comparing the meaningful options available to you and choosing one that matches your strengths, needs, capabilities and interests.

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NEW SECTION
WAC 388-890-0020
How does DVR support the informed choice process?

DVR supports the informed choice process by:

(1) Helping you understand the options available to you;

(2) Sharing information to help you make decisions that match your strengths, needs, capabilities, and interests; and

(3) Discussing the information provided and offering advice.

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NEW SECTION
WAC 388-890-0025
What decisions can I make using informed choice?

(1) You have the right to make informed choices throughout the rehabilitation process.

(2) Your informed choices include, but are not limited to:

(a) Your employment goal;

(b) VR services you need to reach your employment goal;

(c) Service provider(s) for each VR service;

(d) Whether to get services in an integrated or nonintegrated setting.

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NEW SECTION
WAC 388-890-0030
What if I don’t know how to use the informed choice decision making process?

DVR explains to you how to make informed choices in the vocational rehabilitation process, including:

(1) Any conditions that limit your choices; and

(2) Support and assistance if the type of disability you have makes it difficult for you to understand and use informed choice to make decisions.

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ELIGIBILITY FOR VR SERVICES
NEW SECTION
WAC 388-890-0035
Who is eligible to receive VR services?

You are eligible for VR services if you meet all of the following conditions:

(1) You have a physical, mental, or sensory limitation resulting from a disability that hinders your ability to prepare for, get, or keep a job that matches your abilities and potential;

(2) You intend to and can work after receiving VR services; and

(3) You require VR services to prepare for, get or keep a job.

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NEW SECTION
WAC 388-890-0040
How does DVR determine whether VR services will enable me to work?

(1) In making an eligibility decision, DVR presumes that VR services will enable you to work, unless, because of the significance of your disability, a VR counselor cannot make such a presumption.

(2) If a VR counselor cannot presume that VR services will enable you to work because of the significance of your disability, you may complete a trial work experience as outlined under WAC 388-890-670 through WAC 388-890-705 before an eligibility decision is made.

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NEW SECTION
WAC 388-890-0045
Am I eligible for VR services if I receive Social Security disability benefits?

(1) If you are eligible for disability benefits under Title II or Title XVI of the Social Security Act and intend to work, DVR presumes that you are eligible, unless, because of the significance of your disability, a VR counselor cannot presume that VR services will enable you to work.

(2) If it cannot be presumed that VR services will enable you to work because of the significance of your disability, you may complete a trial work experience as outlined in WAC 388-890-670 through WAC 388-890-705.

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NEW SECTION
WAC 388-890-0050
What criteria are not considered in the eligibility decision?

DVR does not base an eligibility decision on your:

(1) Type of disability;

(2) Age, gender, race, color, creed, national origin, or sexual orientation;

(3) Rehabilitation needs;

(4) Cost of services; or

(5) Income level.

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NEW SECTION
WAC 388-890-0055
What information does DVR use to make an eligibility decision?

(1) To determine whether you are eligible for VR services, a VR counselor reviews existing, current records about your disability.

(2) Information may be provided to DVR by you, your family, or other service providers who have information about your disability, such as your doctor, schools you attended, or the Social Security Administration.

(3) If existing information does not verify whether you are eligible, DVR explains what additional information is needed and the options for getting the information.

(4) DVR provides or pays for any medical evaluations, tests, or other services needed to document that you are eligible for VR services.

(5) When enough information is available, a VR counselor reviews the information and makes an eligibility decision.

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NEW SECTION
WAC 388-890-0060
After I submit my application to DVR, how long does it take DVR to make an eligibility decision?

DVR makes an eligibility decision as soon as enough information is available, but no longer than sixty days after you complete the application requirements under WAC 388-890-105.

(1) If DVR does not have enough information to determine your eligibility within sixty days, you and a VR counselor must:

(a) Discuss the reason for the delay and whether other methods to get the information are needed;

(b) Extend the eligibility period, if you agree; or

(c) Begin a trial work experience as outlined under WAC 388-890-670 through 388-890-705.

(2) If you do not agree to extend the eligibility determination period, DVR must close your case service record.

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NEW SECTION
WAC 388-890-0065
What happens if DVR determines that I am not eligible?

(1) Before making a decision that you are not eligible for VR services, a VR counselor consults with you and gives you an opportunity to discuss the decision.

(2) DVR sends you a notice of ineligibility in writing, or using another method of communication, if needed. The written notice includes:

(a) An explanation of the reasons you are not eligible;

(b) Your rights to appeal the decision as outlined under WAC 388-890-1180.

(c) An explanation of the services available from the client assistance program as outlined in WAC 388-890-1185.

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NEW SECTION
WAC 388-890-0070
If I am not eligible for VR services, can DVR help me find other services and programs to meet my needs?

If DVR determines that you are not eligible for VR services, DVR provides you with information and refers you to other agencies or organizations that may provide services to meet your needs.

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APPLICATION REQUIREMENTS
NEW SECTION
WAC 388-890-0075
Who can apply for vocational rehabilitation services?

Any individual has the right to apply for VR services, including individuals who:

(1) Applied before, were determined eligible and received VR services; or

(2) Were previously determined ineligible or were denied VR services for other reasons.

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NEW SECTION
WAC 388-890-0080
Can I receive VR services if I am not a United States citizen?

DVR serves individuals who are not United States citizens.

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NEW SECTION
WAC 388-890-0085
Am I required to provide proof of my identity and work status?

If you apply for VR services, you must provide copies of legal documents requested by DVR that verify your identity and that verify you can legally work in the United States before DVR can offer you VR services.

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NEW SECTION
WAC 388-890-0090
If I don’t live in Washington, can I receive VR or IL program services?

(1) The state in which you live has the primary responsibility to provide VR services to you.

(2) You may receive services from DVR if you are present or intend to be present in Washington in a way that you would be counted for census purposes, including but not limited to:

(a) You pay income taxes,

(b) You maintain a home, or

(c) You are registered to vote.

(3) To receive IL program services, you must be able to receive the services at a DVR office where IL program services are offered.

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NEW SECTION
WAC 388-890-0095
Can I receive VR services if I am legally blind?

Under an interagency agreement with DSHS, the department of services for the blind provides vocational rehabilitation services to individuals if blindness or a visual impairment results in an impediment to employment.

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NEW SECTION
WAC 388-890-0100
Can I receive VR or IL program services if I am Native American?

DVR serves eligible Native Americans, including Native Americans who belong to an Indian tribe. If you live on an Indian reservation that operates a vocational rehabilitation program, you may apply for VR services from the tribe or from DVR.

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NEW SECTION
WAC 388-890-0105
How do I apply for VR services?

To complete the application process:

(1) Sign an application form provided by DVR or provide a written request that includes the following information:

(a) Your name and address;

(b) The nature of your disability;

(c) Your age and sex;

(d) The date of application; and

(e) Your social security number.

(2) Meet with a DVR representative to:

(a) Learn about VR services and processes; and

(b) Provide information needed to begin an assessment of your eligibility and VR service needs.

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GENERAL CONDITIONS FOR RECEIVING VOCATIONAL REHABILITATION SERVICES
NEW SECTION
WAC 388-890-0110
Under what general conditions does DVR provide individual vocational rehabilitation services?

(1) DVR provides individual VR services under the following general conditions.

(a) The services are needed to:

(i) Get and keep a job or advance in employment;

(ii) Determine your eligibility for services;

(iii) Identify your vocational rehabilitation needs; or

(iv) Develop or complete your individual plan for employment (IPE).

(b) You have an open case service record and DVR authorizes the services before the services begin;

(c) The services are provided directly by a VR counselor or purchased by DVR from a service provider who meets local, state and/or national standards required to practice in the field and/or do business in the state;

(d) The services are provided in accordance with payment for services requirements under WAC 490-690-1100 through 490-690-1175; and

(e) The services are consistent with your informed choice, including whether to receive services in an integrated or nonintegrated setting.

(2) Unique or additional conditions that apply to a specific service are outlined under WAC 388-890-150 to 388-890-450.

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NEW SECTION
WAC 388-890-0115
Can I ask for an exception to a rule or a condition relating to VR services?

You or a VR Counselor may request an exception to any rule or condition relating to VR services in this chapter if the exception is needed to:

(1) Complete an assessment to determine eligibility;

(2) Identify the VR services you need; or

(3) Achieve your employment goal.

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NEW SECTION
WAC 388-890-0120
How do I ask for an exception to a rule or condition in this chapter?

(1) A request for exception to a rule or condition in this chapter is submitted to the regional administrator in writing, and must include:

(a) A description of the exception being requested;

(b) The reason for the exception; and

(c) The duration of the exception, if applicable.

(2) An exception requesting a medical service that is otherwise not provided by DVR may only be requested on a trial basis or for a short duration to be specified in the request.

(3) After getting your request for an exception, the regional administrator considers:

(a) The impact of the exception on accountability, efficiency, choice, satisfaction, and quality of services;

(b) The degree to which your request varies from the rule or condition; and

(c) Whether the rule or condition is a federal rule or regulation that cannot be waived.

(4) The regional administrator responds to the request for an exception within ten working days of receipt of the request.

(a) If the request is approved, the regional administrator will provide a written approval that includes:

(i) The specific WAC for which an exception is approved;

(ii) Any conditions of approval;

(iii) Duration of the exception.

(b) If the request is denied, the regional administrator will provide a written explanation of the reasons for the denial.

(5) If the regional administrator makes a decision that you do not agree with, you have the right to appeal the decision as outlined under WAC 388-890-1180.

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NEW SECTION
WAC 388-890-0125
What happens if the service I want exceeds what I need or is more expensive than a comparable service?

(1) DVR pays for services at the level required to meet your needs at the lowest cost possible.

(2) You may select the following service providers without regard to the fees charged:

(a) Assistive technology service providers;

(b) Community rehabilitation program service providers; and

(c) Independent living service providers.

(3) If you and a VR Counselor cannot agree on the type or level of services you need, you may ask for a review of the decision as outlined under WAC 388-890-1180.

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NEW SECTION
WAC 388-890-0130
Can a guardian or another representative act on my behalf?

(1) You may select another person as your representative during the VR or IL program.

(2) If you have a legal guardian or a court-appointed representative, he or she must act as your representative.

(a) A legal guardian or court-appointed representative must provide DVR with documentation of guardianship.

(b) Your legal guardian or court-appointed representative must sign the application and other documents that require your signature.

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VOCATIONAL REHABILITATION SERVICES
NEW SECTION
WAC 388-890-0135
What are individual vocational rehabilitation (VR) services?

Individual VR services are services provided to you to meet your specific needs to prepare for, get, and keep a job, or to advance in employment if you are working. Individual vocational rehabilitation services include services listed in WAC 388-890-145.

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NEW SECTION
WAC 388-890-0140
How do I know which VR services are right for me?

DVR explains how the different individual VR services are used and gives you the information and support you need to make decisions about the services you need.

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NEW SECTION
WAC 388-890-0145
What individual vocational rehabilitation services are available from DVR?

The following individual VR services are available from DVR:

(1) Assessment services;

(2) Assistive technology devices;

(3) Assistive technology services;

(4) Counseling and guidance services;

(5) Independent living services;

(6) Interpreter services;

(7) Job placement and job retention services;

(8) Maintenance services;

(9) Occupational licenses;

(10) Other goods and services;

(11) Personal assistance services;

(12) Physical and mental restoration services;

(13) Post-employment services;

(14) Reader services;

(15) Referral services;

(16) Rehabilitation engineering services;

(17) Self-employment services;

(18) Services to family members;

(19) Supported employment services;

(20) Tools, equipment, initial stocks, and supplies;

(21) Training services;

(22) Transition services;

(23) Transportation services.

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NEW SECTION
WAC 388-890-0150
What are assessment services?

(1) Assessment services are used to collect information about your:

(a) Disability and how it keeps you from working;

(b) Strengths;

(c) Resources;

(d) Priorities;

(e) Concerns,

(f) Abilities;

(g) Capabilities;

(h) Interests; and

(i) Needs, including your need for supported employment.

(2) Assessment services include the individual VR services listed under WAC 388-890-145.

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NEW SECTION
WAC 388-890-0155
To determine whether I am eligible for VR services, who decides what assessment services I need and where to get the assessment services?

If enough information is not available to determine whether you are eligible for VR services:

(1) DVR decides what assessment services are needed; and

(2) You use informed choice to choose service providers for assessment services you need.

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NEW SECTION
WAC 388-890-0160
If I need assessment services to help me choose an employment goal and what VR services I need, who decides what assessment services I need and where to get the assessment services?

If you need assessment services to determine your vocational rehabilitation needs or to develop your individualized plan for employment (IPE), you use informed choice to select the:

(1) Assessment services; and

(2) Service providers.

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NEW SECTION
WAC 388-890-0165
What if I already have assessment information to help me and DVR make the decisions we need to make?

No assessment services are needed if the information you already have is complete and current enough:

(1) For a VR counselor to make a decision about your eligibility; and

(2) To help you make decisions about your vocational rehabilitation needs and the VR services you need on your IPE.

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NEW SECTION
WAC 388-890-0170
How do I provide needed assessment information to DVR?

You may give information needed for an assessment directly to DVR or you may give written consent to DVR to get the information from other sources including, but not limited to:

(1) Doctors or other medical service providers;

(2) Community programs or organizations that have provided services to you; and

(3) Schools you attended.

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NEW SECTION
WAC 388-890-0175
What is an assistive technology device?

An assistive technology device is any item, piece of equipment or product, either commercially available or custom-designed that is used to increase, maintain or improve your functional capacities. Assistive technology devices include, but are not limited to:

(1) Telecommunications devices;

(2) Sensory aids and devices including hearing aids, telephone amplifiers and other hearing devices, captioned videos, taped text;

(3) Eyeglasses, contact lenses, microscopic lenses, Brailled and large print materials; electronic formats; graphics and other special visual aids;

(4) Simple language materials;

(5) Vehicle modifications;

(6) Computer and computer-related hardware and software; and

(7) Other technological aids and devices.

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NEW SECTION
WAC 388-890-0180
Under what conditions does DVR provide and issue assistive technology devices?

(1) DVR provides assistive technology devices to you under conditions specified in WAC 388-890-110;

(2) DVR issues assistive technology devices to you under conditions specified in WAC 388-890-455 through 388-890-480.

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NEW SECTION
WAC 388-890-0185
Under what conditions does DVR provide vehicle modifications?

DVR provides vehicle modifications to you under conditions specified in WAC 388-890-110, and:

(1) If a used vehicle is to be modified, an inspection from a certified or journey level auto mechanic must be performed and documented to ensure the vehicle is in good condition and capable of being modified;

(2) You, your spouse, or other family member is the registered and/or legal owner of the vehicle;

(3) You agree to pay for and have driver insurance and vehicle insurance adequate to cover the cost of replacement for loss or damage at the time of modification;

(4) A specialist in evaluation and modification of vehicles for individuals with disabilities prescribes and inspects the modification, except prescriptions are not required for:

(a) Placement of a wheelchair lift, ramp, or scooter lift and tie downs for passenger access only;

(b) Replacement of hand controls;

(c) Wheelchair carriers; and

(d) Other minor driving aids.

(5) If you operate the vehicle:

(a) Your disability must be stable or slowly progressive and not likely to impair your driving ability in the future;

(b) You agree to pay for and have a current driver's license and vehicle license with required endorsements;

(c) Following modification, you are adequately trained to operate the vehicle as modified; and

(d) You demonstrate that you can safely operate the vehicle as modified.

(6) If someone else operates the vehicle for you, you agree to pay for and have a current vehicle license with required endorsements.

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NEW SECTION
WAC 388-890-0190
What are assistive technology services?

Assistive technology services help you to select, get or use an assistive technology device. Assistive technology services include, but are not limited to services that:

(1) Evaluate your needs and how you perform activities in your daily environment;

(2) Select, design, fit, customize, adapt, apply, maintain, repair, or replace an assistive technology device;

(3) Coordinate and use other therapies or services which have assistive technology devices such as existing education and rehabilitation plans and programs;

(4) Train or give technical assistance on the use of assistive technology to you or your family members, guardians, advocates or authorized representatives; and

(5) Train or give technical assistance to professionals, employers, or others who provide services to you, hire you, or are involved in your major life activities if they need training on the use of assistive technology to help you get or keep a job.

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NEW SECTION
WAC 388-890-0195
Under what conditions does DVR provide assistive technology services?

DVR provides assistive technology services under the conditions outlined in WAC 388-890-110.

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NEW SECTION
WAC 388-890-0200
What are counseling and guidance services?

Counseling and guidance services are information and support services provided by a VR counselor to assist you to make informed decisions about your VR services. Counseling and guidance services include, but are not limited to:

(1) Explaining your responsibilities in a VR program;

(2) Explaining the nature and scope of VR services;

(3) Explaining the use of services and resources available from other programs as comparable services and benefits;

(4) Explaining information about your strengths, resources, priorities, interests, and rehabilitation needs;

(5) Explaining your opportunities to make informed choices;

(6) Helping you collect and understand information needed to decide on a employment goal;

(7) Providing you information and support to decide which services and activities you need to reach your employment goal;

(8) Providing support and information to you and someone you choose to develop all or part of your individualized plan for employment;

(9) Explaining how to use services to reach your employment goal;

(10) Providing you support and advice when issues arise during your VR program that relate to health, family, finances, interpersonal relationships, appearance, and other issues that could impact your vocational rehabilitation; and

(11) Providing information and support, with your permission, to employers, family members, relatives or others to help you get or keep a job.

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NEW SECTION
WAC 388-890-0210
Under what conditions does DVR provide counseling and guidance services?

A VR counselor provides counseling and guidance services as needed throughout the rehabilitation process.

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NEW SECTION
WAC 388-890-0220
What are independent living services?

Independent living services help you deal with life issues that may prevent you from getting and keeping a job. Independent living services include, but are not limited to:

(1) An evaluation to help you find out about the:

(a) Issues in your life that may present problems for you in vocational rehabilitation and in work;

(b) Ways to deal with life issues that present problems for you; and

(c) Services you need to help you deal with the issues.

(2) Self-advocacy to help you find out about and manage the services you need to live independently and to help you find out about benefit rights and responsibilities;

(3) Independent living counseling to help you set personal goals, learn how to make decisions that relate to life issues and employment and to help your family with issues related to your disability and independence;

(4) Independent living skills training to help you get skills to manage and balance your life in areas including, but not limited to budgeting, meal preparation and nutrition, shopping, hygiene, time management, recreation, necessary community resources, and attendant management; and

(5) Living arrangement counseling, including helping you to:

(a) Find out about housing resources and the qualifications for applying for housing;

(b) Make decisions about the living arrangements you want and need; and

(c) Make decisions about changing to a more independent living arrangement.

[]


NEW SECTION
WAC 388-890-0225
Under what conditions does DVR provide independent living services?

DVR provides independent living services under the conditions outlined in WAC 388-890-110 and DVR does not pay your family members to provide independent living services.

[]


NEW SECTION
WAC 388-890-0230
What are interpreter services?

Interpreter services are services to assist deaf, deaf-blind, and hard of hearing individuals who use sign language or another form of communication to express and receive information with other individuals who use speech and hearing to communicate. An example of interpreter services is the use of an interpreter by a deaf person who communicates in American Sign Language to express and receive information with a person who speaks English. Interpreter services include:

(1) Oral interpreting, in which the interpreter mouths (without voice) what the speaker says, using some natural facial expressions.

(2) Sign interpreting, in which the interpreter signs what the speaker says.

(3) Tactile interpreting, in which a hands-on interpreting method is used with people who are deaf-blind. The interpreter communicates what the speaker says by signing and/or fingerspelling into the hands of the deaf-blind person.

(4) Voice interpreting, in which the interpreter speaks what a deaf person is mouthing or signing.

[]


NEW SECTION
WAC 388-890-0235
Under what conditions can I receive interpreter services?

DVR provides interpreter services under the conditions outlined in WAC 388-890-110.

[]


NEW SECTION
WAC 388-890-0240
What are job placement and job retention services?

Job placement and job retention services help you get or keep a job that meets your employment goal.

(1) Job placement includes job search to help you look for and find a job.

(2) Job retention includes follow-up and follow-along services to help you keep a job once you are working.

[]


NEW SECTION
WAC 388-890-0245
Under what conditions can I receive job placement and job retention services?

DVR provides job placement and job retention services to you under the conditions listed in WAC 388-890-110, and:

(1) A VR counselor provides job placement services to help you conduct a self-directed job search; or

(2) DVR purchases job placement services only if:

(a) You and your VR counselor agree that you are unable to conduct a self-directed job search because of the significance of your disability; or

(b) You have tried to conduct a self-directed job search without success.

[]


NEW SECTION
WAC 388-890-0250
What are maintenance services?

Maintenance services include financial assistance for food, shelter, and/or clothing expenses that occur in excess of your usual living expenses in order for you to participate in another VR service. The following examples include, but are not limited to, the ways maintenance may be used:

(1) A uniform or other suitable clothing required to look for or get a job;

(2) Short-term lodging and meals required to participate in assessment or training services not within commuting distance of your home;

(3) A security deposit or utility hook-ups on housing you need to relocate for a job.

[]


NEW SECTION
WAC 388-890-0255
Under what conditions does DVR provide maintenance services?

DVR provides maintenance services under the conditions in WAC 388-890-110, and if you and your VR counselor agree that you need maintenance services to participate in another VR service.

[]


NEW SECTION
WAC 388-890-0260
What are occupational licenses?

Occupational licenses are licenses, permits or certificates showing you meet certain standards or have accomplished certain achievements and/or have paid dues, fees or otherwise qualify to engage in a business, a specific occupation or trade, or other work related activity.

[]


NEW SECTION
WAC 388-890-0265
Under what conditions can I get an occupational license?

DVR pays fees for occupational licenses under the conditions listed in WAC 388-890-110 and if you meet the requirements to hold the occupational license as established by the licenser.

[]


NEW SECTION
WAC 388-890-0270
What other goods and services does DVR provide?

DVR provides other miscellaneous goods and services to meet your specific needs for vocational rehabilitation and employment.

[]


NEW SECTION
WAC 388-890-0275
Under what conditions does DVR provide and issue other goods and services?

(1) DVR provides other goods and services to you under conditions specified in WAC 388-890-110.

(2) DVR issues other goods and services to you as outlined under WAC 388-890-455 through 388-890-480.

[]


NEW SECTION
WAC 388-890-0280
What are personal assistance services?

Personal assistance services increase your ability to perform daily living activities on or off the job to help you get or keep a job. Personal assistance services include, but are not limited to, bathing, dressing, cooking, eating, and helping you move around.

[]


NEW SECTION
WAC 388-890-0285
Under what conditions does DVR provide or pay for personal assistance services?

DVR provides personal assistance services under the conditions listed in WAC 388-890-110, and:

(1) If needed to help you participate in another VR service;

(2) Your family members cannot be paid to provide personal assistance services.

[]


NEW SECTION
WAC 388-890-0290
What are the physical and mental restoration services DVR provides?

Physical and mental restoration services are used to diagnose and treat physical and mental impairments for the purposes of correcting, improving, modifying or accommodating a physical or mental condition. Physical and mental restoration services include:

(1) Cognitive rehabilitation services;

(2) Corrective surgery or therapy;

(3) Diagnosis and treatment of mental or emotional disorders by licensed individuals;

(4) Dental treatment if the treatment is directly related to an employment outcome, or in emergency situations involving pain, acute infections, or injury;

(5) Nursing services;

(6) Hospitalization, including surgery or treatment, and clinic services;

(7) Drugs and supplies;

(8) Prosthetic and orthotic devices;

(9) Visual examinations and visual training;

(10) Podiatry;

(11) Physical therapy;

(12) Occupational therapy;

(13) Speech or hearing therapy;

(14) Treatment of acute or chronic medical conditions and emergencies that occur when providing physical and mental restoration services, or that are related to the condition being treated;

(15) Special services for the treatment of end-stage renal disease, which includes dialysis, kidney transplants, artificial kidneys, and supplies; and

(16) Other medical or medically-related rehabilitation services.

[]


NEW SECTION
WAC 388-890-0295
Under what conditions does DVR provide physical and mental restoration services?

DVR provides physical and mental restoration services under the conditions in WAC 388-890-110, and if:

(1) Your disabling condition is stable or slowly progressive; and

(2) The service is expected to substantially modify, correct, or improve a physical or mental impairment that is a substantial impediment to employment for you within a reasonable length of time.

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NEW SECTION
WAC 388-890-0300
What are the medical treatments DVR does not pay for?

DVR does not pay for the following medical treatments:

(1) Maintenance of your general health including, but not limited to, vitamins, in-patient hospital based weight loss programs or for-profit weight loss programs, exercise programs, health spas, swim programs and athletic fitness clubs;

(2) Facelifts, liposuction, cellulite removal;

(3) Maternity care;

(4) Hysterectomies, elective abortions, sterilization, and contraceptive services as independent procedures;

(5) Drugs not approved by the Federal Drug Administration for general use or by state law;

(6) Life support systems, services, and hospice care;

(7) Transgender services including surgery and medication management;

(8) Homeopathic and herbalist services, Christian Science practitioners or theological healers;

(9) Treatment which is experimental, obsolete, investigational, or otherwise not established as effective medical treatment.

[]


NEW SECTION
WAC 388-890-0305
What are post-employment services?

Post employment services are one or more of the individual vocational rehabilitation services listed in WAC 388-890-145, provided after you are working and you need additional services to help you keep, regain or advance in employment.

[]


NEW SECTION
WAC 388-890-0310
Under what conditions does DVR provide post-employment services?

Post-employment services are provided under the conditions listed in WAC 388-890-110, and if:

(1) You received VR services that helped you get a job and you were working in that job for at least ninety days when your case was closed;

(2) Your VR case service record has been closed less than three years; and

(3) The impediments to employment related to your disability have not changed to the extent that you require more than short term intervention to keep, regain, or advance in employment within the same or closely related occupation.

[]


NEW SECTION
WAC 388-890-0315
What are reader services?

Reader services help you get information from printed text if your disability impairs or prevents you from getting information from printed text. An example of reader services is the use of a person to read print materials such as job announcements and letters from possible employers to an individual with dyslexia or an individual who is blind.

[]


NEW SECTION
WAC 388-890-0320
Under what conditions does DVR provide reader services?

DVR provides reader services under the conditions listed in WAC 388-890-110.

[]


NEW SECTION
WAC 388-890-0325
What are referral services?

Referral services help you find and get services or benefits from other programs or agencies.

[]


NEW SECTION
WAC 388-890-0330
Under what conditions does DVR provide referral services?

DVR provides referral services under the conditions listed in WAC 388-890-110, and if:

(1) A VR counselor determines you are not eligible for DVR services; or

(2) You and a VR counselor identify services or benefits available to you from another agency or organization and you agree to be referred.

[]


NEW SECTION
WAC 388-890-0335
What is rehabilitation engineering?

Rehabilitation engineering is a type of rehabilitation technology service. Rehabilitation engineering uses engineering sciences to design, develop, adapt, test, evaluate, and implement new and unique products to help you maintain or improve your ability to move around, communicate, hear, see, and understand things.

[]


NEW SECTION
WAC 388-890-0340
Under what conditions does DVR provide rehabilitation engineering?

DVR provides rehabilitation engineering services under the conditions listed in WAC 388-890-110.

[]


NEW SECTION
WAC 388-890-0345
What are self-employment services?

Self-employment services include:

(1) Consultation and technical assistance to help you conduct market analyses, develop business plans, and use other resources to pursue self-employment, to telecommute or to establish a small business to become self-employed;

(2) All services required to help you in self-employment including, but not limited to:

(a) Planning,

(b) Consultation,

(c) Initial stocks and supplies,

(d) Tools,

(e) Equipment,

(f) Business licenses, and

(g) Fees.

[]


NEW SECTION
WAC 388-890-0350
Under what conditions does DVR provide self-employment services and issue items for self-employment?

(1) DVR provides self-employment services under the conditions listed in WAC 388-890-110;

(2) DVR issues items for self employment under WAC 388-890-455 through 388-890-480;

(3) Before DVR supports a self-employment goal, you must complete a business plan that demonstrates that the self-employment you are considering is feasible, sustainable, and results in employment;

(4) DVR does not support hobbies or activities that do not result in an income-producing self-employment outcome.

[]


NEW SECTION
WAC 388-890-0355
What are services to family members?

Services to family members are provided to a family member, guardian, or household member with whom you have a close interpersonal relationship. Services to family members include, but are not limited to:

(1) Homemaker services to prepare a family member to assist you in a program of independent living skills and to help you change to new or different methods of home management;

(2) Family or marital counseling;

(3) Information and referral services to family members as appropriate; and

(4) Child care.

[]


NEW SECTION
WAC 388-890-0360
Under what conditions does DVR provide services to my family members?

DVR provides services to family members under the conditions listed in WAC 388-890-110 and the following additional conditions for child care:

(1) DVR pays for child care regulated by department of social and health services child care licensing requirements for:

(a) Child day care centers according to WAC 388-189020;

(b) Family child day care homes according to WAC 388-155-020;

(b) School-age child care centers according to WAC 388-151-020; and

(d) In home/relative child care according to WAC 388-15-176.

(2) DVR pays for child care directly to the child care provider.

[]

Reviser's note: The typographical error in the above section occurred in the copy filed by the agency and appears in the Register pursuant to the requirements of RCW 34.08.040.
NEW SECTION
WAC 388-890-0365
What are supported employment services?

See WAC 388-890-570 through 388-890-665 for supported employment program and services.

[]


NEW SECTION
WAC 388-890-0370
What are tools, equipment, initial stocks and supplies?

Tools, equipment, initial stocks and supplies are materials and hardware required to carry out the duties of a job.

[]


NEW SECTION
WAC 388-890-0375
Under what conditions does DVR provide and issue tools, equipment, initial stocks and supplies?

(1) DVR provides tools, equipment, initial stocks and supplies under the conditions listed in WAC 388-890-110.

(2) DVR issues tools, equipment, initial stocks and supplies under WAC 388-890-455 through 388-890-480.

[]


NEW SECTION
WAC 388-890-0380
What are training services?

Training services assist you to gain knowledge, skills and abilities needed for employment. Training services, include, but are not limited to:

(1) Training to develop work habits, work behaviors, and work skills;

(2) On-the-job training;

(3) Vocational, technical, trade or business training;

(4) Post-secondary academic training;

(5) Books, tools, fees, and other training supplies;

(6) Independent living training;

(7) Tutoring that supports another training service you are receiving; and

(8) Other types of training that strengthen your knowledge, skills and abilities.

[]


NEW SECTION
WAC 388-890-0385
What is on-the-job training?

On-the-job training is a way to gain work skills needed for a specific job after being placed in that job. After you start a job, the employer or the employer's designee provides individualized training to teach you the skills you need to perform the job. DVR may reimburse an employer for training costs that exceed the employer's usual costs to train a new employee.

[]


NEW SECTION
WAC 388-890-0390
Under what conditions does DVR provide on-the-job training?

DVR provides on-the-job training as a training service under the conditions in WAC 388-890-110 and if:

(1) An employer has hired you;

(2) The employer or employer's designee has the skills to provide the training you need to learn the job;

(3) The employer signs an agreement to include at a minimum:

(a) Training to be provided by the employer or designee;

(b) Duration or number of hours of training to be provided;

(c) How the employer will evaluate and report your progress to DVR;

(d) Employer's cost to provide the training; and

(e) Agreed-upon fee, including payment criteria.

[]


NEW SECTION
WAC 388-890-0395
Under what conditions does DVR provide training services and issue items for training?

(1) DVR provides training services under the conditions listed in WAC 388-890-110;

(2) DVR issues devices, tools, equipment or other items used for training under WAC 388-890-455 through 388-890-480;

(3) Training at an institution of higher education (universities, colleges, community or junior colleges, vocational schools, technical institutes, or hospital schools of nursing) is provided only after you and a VR counselor have made every effort to get and use grant funding, in whole or in part, from other sources to pay for the training;

(4) You must give DVR a copy of your grant funding award or denial form when it is available.

[]


NEW SECTION
WAC 388-890-0400
Do I have to apply for a student loan to pay for training services?

You are not required to apply for a student loan to pay for training services.

[]


NEW SECTION
WAC 388-890-0405
Can I receive training services from a private school, an out-of-state training agency or an out-of-state college?

If you choose training services from a private school, an out-of-state training agency or an out-of-state college when an in-state or public program is available and adequate to meet your needs, the following conditions apply:

(1) The private school, out-of-state training agency or out-of-state college must meet DVR standards; and

(2) You are responsible for any costs related to the training in excess of what DVR would pay for the training service from a public school or in-state training agency.

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NEW SECTION
WAC 388-890-0410
What are transition services?

(1) Transition services are work-related activities you begin while you are in high school that are coordinated with VR services to help you prepare for and go to work in the community after you leave high school.

(2) Transition services may include any of the VR services listed under WAC 388-890-145.

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NEW SECTION
WAC 388-890-0415
Under what conditions does DVR provide transition services?

DVR provides transition services under the conditions listed in WAC 388-890-110, and if you:

(1) Are a high school student with a disability; and

(2) Will complete high school during the next twelve months.

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NEW SECTION
WAC 388-890-0420
How does DVR coordinate with public high schools to provide transition services?

VR counselors work with teachers and other staff in public high schools to coordinate and provide transition services as outlined under an interagency agreement between DVR and the office of superintendent of public instruction.

[]


NEW SECTION
WAC 388-890-0425
How does DVR help me plan transition services?

DVR offers counseling and guidance to help you to make informed choices about what VR services and activities you need to:

(1) Assess your rehabilitation needs, including your need to move to a more independent living arrangement;

(2) Decide on an employment goal;

(3) Decide what VR services are needed to reach your employment goal.

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NEW SECTION
WAC 388-890-0430
Who decides what transition services I get from DVR?

With support from a VR counselor, you use informed choice to make decisions about which activities and VR services to use based on your individual needs, preferences and interests.

[]


NEW SECTION
WAC 388-890-0435
What activities does DVR support after I leave high school?

DVR supports activities that help you select and reach your employment goal, including but not limited to:

(1) Employment, including supported employment;

(2) Training at a vocational school, technical school, on-the-job training, or other training agency;

(3) Continuing education at a college, community college, or other post-secondary school; or

(4) Referral to other community services or organizations that offer services to adults to live more independently and to get or keep a job.

[]


NEW SECTION
WAC 388-890-0440
What are transportation services?

Transportation services help you get around in the community to participate in VR services or to get or keep a job. Transportation services include, but are not limited to:

(1) Public transportation fares or passes;

(2) Estimated cost of gasoline;

(3) Vehicle repair and maintenance;

(4) Attendant fees and travel costs while in travel status;

(4) Purchase of vehicles.

[]

Reviser's note: The typographical error in the above section occurred in the copy filed by the agency and appears in the Register pursuant to the requirements of RCW 34.08.040.
NEW SECTION
WAC 388-890-0445
Under what conditions does DVR provide transportation services?

DVR provides transportation services to you under conditions specified in WAC 388-890-110 and if provided in connection with another VR service.

[]


NEW SECTION
WAC 388-890-0450
Under what conditions does DVR provide and issue a vehicle?

(1) DVR provides a vehicle under the conditions outlined under WAC 388-890-110;

(2) DVR issues a vehicle under WAC 388-890-455 through 388-890-480;

(3) Your disability is stable or slowly progressive, and is not likely to impair your ability to drive in the future;

(4) You and a VR counselor agree it is a necessary service under your individualized plan for employment (IPE) because:

(a) No other transportation options are available and it is not feasible for you to relocate to live closer to employment or other transportation options; or

(b) A vehicle is required as a condition of employment before you can get or keep a job.

(5) The vehicle is provided in support of another VR service;

(6) You do not have a vehicle or your vehicle cannot be modified or repaired to the extent that you can drive it; and

(7) You agree to:

(a) Be the registered owner of the vehicle;

(b) Pay for and have a current driver's license, vehicle license, and vehicle registration; and

(c) Pay for and have driver insurance and vehicle insurance adequate to cover the cost of replacement for loss or damage at the time the vehicle is issued to you.

[]

ISSUING AND RETURNING EQUIPMENT AND DEVICES FOR PARTICIPANT USE
NEW SECTION
WAC 388-890-0455
Under what conditions does DVR issue a device, tool, piece of equipment or other item I need to participate in VR services or to get a job?

If you need a device, tool, piece of equipment or other item to participate in VR services or to go to work, DVR provides the item under the conditions listed in WAC 388-890-110 and if the item meets applicable local, state and national engineering safety, and, health standards.

[]


NEW SECTION
WAC 388-890-0460
What conditions apply to the use of a device, tool, piece of equipment or other item that is issued to me?

If DVR determines an item may be re-used by another person if it is returned, you must sign a statement agreeing to the following before DVR issues the item to you:

(1) DVR has ownership of the item issued to you, and you understand permission for use may be taken away by DVR at any time;

(2) You agree to immediately return the item if DVR requests you to do so;

(3) You agree to maintain the item according to manufacturer's guidelines, if applicable, and keep it secure from damage, loss or theft;

(4) You agree to engrave an identification number on all or part of the item, if requested to do so by DVR.

[]


NEW SECTION
WAC 388-890-0465
What types of devices, tools, pieces of equipment or other items can DVR issue to me?

DVR issues devices, tools, equipment, or other items that you need to participate in VR services or to get a job, including but not limited to:

(1) Assistive technology devices as outlined under WAC 388-890-175.

(2) Equipment, supplies or other items needed for self-employment as outlined under WAC 388-890-345.

(3) Tools, equipment, initial stocks or supplies as outlined under WAC 388-890-370.

(4) A vehicle as outlined under WAC 388-890-440.

(5) Tools and other training supplies as outlined under WAC 388-890-380.

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NEW SECTION
WAC 388-890-0470
Does DVR issue new or used devices, tools, pieces or equipment, or other items?

(1) If an item is readily available from DVR's inventory that is appropriate and adequate to meet your specific needs, DVR issues the item to you.

(2) If the item is not available from DVR's inventory, DVR locates the item for issue to you from another source.

[]


NEW SECTION
WAC 388-890-0475
What happens if I fail to return a device, tool, piece or equipment or other item if requested by DVR?

If DVR directs you to return any item issued to you but owned by DVR and you do not immediately return it, DVR reports the loss to the DSHS office of financial recovery (OFR). The OFR attempts to recover the item from you. If the OFR cannot recover the item(s), the OFR reports the loss to the local county prosecutor for legal action.

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NEW SECTION
WAC 388-890-0480
What happens to a device, tool, piece of equipment or other item if I need it when my DVR case service record is closed?

DVR transfers ownership of the device, tool, piece of equipment or other item to you at the time DVR closes your case if you:

(1) Are working in a job that requires the item; and

(2) Do not need additional VR services.

[]

INDIVIDUALIZED PLAN FOR EMPLOYMENT (IPE)
NEW SECTION
WAC 388-890-0485
What is an individualized plan for employment (IPE)?

(1) An individualized plan for employment (IPE) is a written document prepared on forms provided by DVR.

(2) An IPE is an agreement that records the decisions and commitments you and a VR counselor make about VR services and activities.

(3) The IPE documents the VR services you will use to prepare for, get or keep a job.

[]


NEW SECTION
WAC 388-890-0490
How do I develop an IPE?

(1) You have three options for developing an IPE. You may:

(a) Develop all or part of the IPE with assistance and support from a VR counselor;

(b) Develop the IPE on your own; or

(c) Develop the IPE with a representative, family member, advocate, or other individual of your choice.

(2) If you choose someone other than a VR counselor to help you develop the IPE, DVR does not pay for any related costs or fees charged by other parties.

[]


NEW SECTION
WAC 388-890-0495
What information does DVR give me to develop my IPE?

DVR gives you the following information in writing about how to develop an IPE:

(1) A description of the information that must be included on an IPE;

(2) Financial conditions or restrictions that relate to the IPE;

(3) Other information you request;

(4) Where to get help to fill out forms required by DVR;

(5) Your rights if you disagree with DVR about a decision relating to the IPE;

(6) Information about the client assistance program (CAP) and how to contact the program.

[]


NEW SECTION
WAC 388-890-0500
Who makes decisions about what to include on my IPE?

You use informed choice to make decisions about what to include on your IPE. You have the right to make decisions that are consistent with your strengths, abilities, capabilities, and interests, including but not limited to:

(1) The type of job you want;

(2) What VR services you need to help you reach your employment goal;

(3) What service provider to use.

[]


NEW SECTION
WAC 388-890-0505
Can I include any VR services I want on my IPE?

DVR provides only those VR services that you and a VR counselor agree are:

(1) Consistent with your strengths, abilities, capabilities, and interests; and

(2) Needed to achieve the employment goal listed on your IPE.

[]


NEW SECTION
WAC 388-890-0510
What if the employment goal I choose is religious in nature?

DVR is prohibited from supporting an employment goal that is religious in nature under the Washington State Constitution, Article 1, subsection 11.

[]


NEW SECTION
WAC 388-890-0515
What must be included on my IPE?

(1) An IPE must include all of the following items, at a minimum:

(a) Your employment goal;

(b) The VR services you plan to use;

(c) The date VR services included on the plan begin;

(d) When you expect to begin working;

(e) The name of the person or organization providing each service included on the IPE;

(f) What criteria you will use to evaluate whether you are making progress toward your employment goal;

(g) Terms and conditions, including:

(i) A description of what DVR has agreed to do to support your IPE;

(ii) A description of what you have agreed to do to reach your employment goal, including:

(A) Steps you will take to achieve your employment goal;

(B) What services you agree to help pay for, and how much you will pay;

(C) What services you agree to apply for as comparable services and benefits.

(h) What services will be provided by another organization as a comparable service or benefit;

(i) The expected need for post-employment services.

(2) An IPE that includes a supported employment outcome must also document:

(a) The extended services or natural supports you need;

(b) The name of the person or organization paying for the extended services, if extended services are used;

(c) If it is not known who will pay for extended services or natural supports when the IPE is developed, the IPE includes a statement explaining the expected source of extended service or a plan to identify a source of extended services;

(d) A goal for the number of hours per week you are going to work based on your strengths, abilities, capabilities, interest and informed choice;

(e) A description of how the services on your IPE are coordinated with other federal or state services you get under another individualized plan.

[]


NEW SECTION
WAC 388-890-0520
Who signs the IPE?

You and a VR counselor must agree to and sign your IPE. DVR gives you a copy of the signed IPE, in writing or in another method of communication, if needed.

[]


NEW SECTION
WAC 388-890-0525
Is the IPE reviewed and updated?

You and a VR counselor review the IPE at least once a year, or more often if needed.

(1) You and a VR counselor amend the IPE if there are major changes in the employment goal, the VR services to be used, or the service provider to be used.

(2) Changes to an IPE take effect when you and a VR counselor sign the updated IPE.

[]

CLOSING A CASE SERVICE RECORD AND ANNUAL REVIEWS
NEW SECTION
WAC 388-890-0530
Why does DVR close a case service record?

A VR counselor closes your case service record for any of the following reasons:

(1) You are working and no longer need VR services;

(2) You decline VR services;

(3) Anytime DVR determines that you are not eligible or no longer eligible;

(4) You are no longer available to participate in services;

(5) You cannot be located;

(6) You ask DVR to close your case service record; or

(7) You refuse to cooperate in required or agreed upon services

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NEW SECTION
WAC 388-890-0535
Under what conditions does DVR determine that I am working and no longer need VR services?

DVR determines that you are working and no longer need VR services if:

(1) You received services under an IPE that helped you get a job;

(2) Your job matches your strengths, needs, abilities, interests and choices;

(3) You have been working for at least ninety days; and

(4) You and a VR counselor agree the job is satisfactory and that you are performing the job well; and

(5) You are working in an integrated setting or in a nonintegrated setting of your choice.

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NEW SECTION
WAC 388-890-0540
Am I involved in the decision to close my case?

(1) Before closing your case service record, a VR counselor gives you an opportunity to discuss the decision.

(2) DVR notifies you in writing, or another method of communication, if needed, about the reason your case service record is being closed and your rights if you disagree with the decision as outlined under WAC 388-890-1180.

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NEW SECTION
WAC 388-890-0545
What is competitive employment?

Competitive employment is work in the competitive labor market that you perform on a full-time or part-time basis in an integrated setting for which you earn a wage at or above the minimum wage, but not less than the usual wage and level of benefits your employer pays to nondisabled employees who do the same or similar work as you.

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NEW SECTION
WAC 388-890-0550
What is extended employment?

Extended employment is:

(1) Work in a nonintegrated setting for a public or nonprofit agency or organization which provides support services to you to continue to train or prepare for competitive employment unless you choose to remain in extended employment; and

(2) Work for which you earn a wage according to special certificate provisions of 14 (c) of the U. S. Department of Labor Fair Labor Standards Act (29 U.S.C. 214 (c)).

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NEW SECTION
WAC 388-890-0555
If the job I get is in extended employment, what follow-up does DVR provide?

(1) If you go to work in extended employment, DVR reviews your status annually to:

(a) Determine your interest and need to move to competitive employment;

(b) Determine your interest and need to receive training for competitive employment; and

(c) Evaluate whether there are VR services or other services that would assist you to move to competitive employment.

(2) DVR provides an opportunity for you to give input during the annual review.

(3) DVR reviews your status annually for two years following the date you go to work.

(4) After two years, you may request that DVR continue to review your status annually.

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NEW SECTION
WAC 388-890-0560
Under what conditions does DVR follow up with me if I am determined ineligible for VR services?

(1) If DVR determines you are ineligible because you are too significantly disabled to benefit from VR services in terms of employment under any of the following conditions, DVR contacts you within twelve months of the date determined ineligible to review whether anything has changed to affect your eligibility:

(a) You are too significantly disabled to participate in a trial work experience;

(b) You decline a trial work experience and you and your VR counselor agree that you are too significantly disabled to benefit from VR services in terms of employment;

(c) You participate in a trial work experience as outlined under WAC 388-890-670 through 388-890-705 and are determined too significantly disabled to benefit from services in terms of employment; or

(d) You and your VR counselor cannot find a source for extended services and/or cannot establish natural supports during the initial eighteen months of your individualized plan for supported employment.

(2) After DVR completes the initial twelve month review, you or your representative may request subsequent reviews.

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SUPPORTED EMPLOYMENT PROGRAM
NEW SECTION
WAC 388-890-0570
What is supported employment?

(1) Supported employment is:

(a) Competitive work; or

(b) Work in an integrated setting while you work toward competitive work consistent with your strengths, resources, priorities, concerns, abilities, capabilities, interests, and informed choice; or

(c) Transitional employment for an individual with a most significant disability due to chronic mental illness.

(2) Supported employment is for an individual with a most significant disability who:

(a) Has not traditionally worked in competitive employment; or

(b) Has worked in competitive employment, but the disability has caused the individual to stop working, or work off and on; and

(c) Needs intensive supported employment services and extended services to work because of the nature and significance of the disability.

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NEW SECTION
WAC 388-890-0575
Who is eligible for supported employment?

You are eligible for supported employment services if:

(1) You are eligible for vocational rehabilitation services under WAC 388-890-035;

(2) You are an individual with a most significant disability under WAC 388-890-755 category one; and

(3) Supported employment is appropriate for you based on a comprehensive assessment of your needs, including an evaluation of your rehabilitation, career and job needs.

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NEW SECTION
WAC 388-890-0580
Who decides if I am eligible for supported employment?

DVR decides if you are eligible for supported employment services.

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NEW SECTION
WAC 388-890-0585
What is competitive work in supported employment?

Competitive work, as used in supported employment, is:

(1) Work in the competitive labor market that you perform on a full-time or part-time basis in an integrated setting; and

(2) Work for which you are paid at or above the minimum wage, but not less than the usual wage your employer pays to nondisabled employees who do the same or similar work as you.

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NEW SECTION
WAC 388-890-0590
What is an integrated setting in supported employment?

An integrated setting in supported employment is a work setting commonly found in the community in which you interact with nondisabled people to the same extent that a nondisabled person in the same type of job interacts with other persons.

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NEW SECTION
WAC 388-890-0595
Is my work setting integrated if my interactions at the work site are with nondisabled supported employment service providers?

Interactions at your work site between you and a nondisabled supported employment service provider do not meet the requirement for an integrated setting.

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NEW SECTION
WAC 388-890-0600
What is transitional employment?

Transitional employment is a work model using a series of consecutive jobs in competitive employment for individuals with the most significant disabilities due to mental illness.

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NEW SECTION
WAC 388-890-0605
What are supported employment services?

Supported employment services are:

(1) Ongoing support services as described in WAC 388-890-610; and

(2) Individualized vocational rehabilitation services listed in WAC 388-890-145.

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NEW SECTION
WAC 388-890-0610
What are ongoing support services?

Ongoing support is a type of supported employment service to help you get and keep a job. Ongoing support services include:

(1) An assessment of your employment situation at least twice a month, or under special circumstances and especially at your request, an assessment regarding your employment situation that takes place away from your worksite at least twice a month to:

(a) Determine what is needed to maintain job stability; and

(b) Coordinate services or provide specific intensive services that are needed at or away from your worksite to help you maintain job stability.

(2) Intensive job skill training for you at your job site by skilled job trainers;

(3) Job development, job placement and job retention services;

(4) Social skills training;

(5) Regular observation or supervision;

(6) Follow-up services such as regular contact with your employer, you, your representatives, and other appropriate individuals to help strengthen and stabilize the job placement;

(7) Facilitation of natural supports at the worksite;

(8) Other services similar to services described in subsections (1) through (7) above; and

(9) Any other individualized vocational rehabilitation service described in WAC 388-890-145 through 388-890-450.

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NEW SECTION
WAC 388-890-0615
Under what conditions does DVR provide supported employment services?

DVR provides supported employment services under the conditions in WAC 388-890-110 and if you are an individual with a most significant disability as described in category one, WAC 388-890-755.

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NEW SECTION
WAC 388-890-0620
What is included on my individualized plan for supported employment?

Your individualized plan for supported employment includes the information specified in WAC 388-890-515.

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NEW SECTION
WAC 388-890-0625
What are extended services?

Extended services help you keep your job after DVR stops providing supported employment services.

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NEW SECTION
WAC 388-890-0630
Does DVR provide extended services?

DVR does not provide extended services.

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NEW SECTION
WAC 388-890-0635
Who provides the extended services I need?

Extended services are provided by nonprofit private organizations such as community rehabilitation programs, state and local public agencies, employers, or any other appropriate resources.

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NEW SECTION
WAC 388-890-0640
What is natural support?

Natural support is a method used to help you keep your job after DVR stops providing supported employment services. Natural support uses the people who you ordinarily come into contact with at work and/or at home to help you with work routines and social interactions at the work site.

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NEW SECTION
WAC 388-890-0645
Are supported employment services time-limited?

DVR provides supported employment services as part of your individualized plan for employment for a period not to exceed eighteen months, unless under special circumstances you and your VR counselor jointly agree to extend the time in order to achieve the employment goals in your individualized plan for employment.

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NEW SECTION
WAC 388-890-0650
What is required for me to change from supported employment services to extended services?

Prior to helping you change from supported employment services to extended services, DVR must ensure the following:

(1) You have made substantial progress toward meeting the number of work hours per week you want to work as documented on your individualized plan for employment;

(2) You are stabilized in the job; and

(3) Extended services are readily available and can be provided to you without an interruption in services.

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NEW SECTION
WAC 388-890-0655
What happens if my VR counselor and I do not find a source for extended services and/or we cannot establish natural supports during the initial eighteen months of my individualized plan for employment?

If you and your VR counselor do not find a source for extended services and/or cannot establish natural supports during the initial eighteen months of your individualized plan for employment, DVR must determine that you are no longer eligible for VR services under WAC 388-890-065.

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NEW SECTION
WAC 388-890-0660
Under what conditions does DVR close my case service record for supported employment?

DVR closes your case service record for supported employment under WAC 388-890-530 through 388-890-540, except if DVR is closing your case service record because you are successfully employed, DVR must wait at least ninety days after helping you change from supported employment services to extended services before DVR closes your case service record.

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NEW SECTION
WAC 388-890-0665
Under what conditions does DVR provide supported employment services as post-employment services?

DVR provides supported employment services to you as post-employment services following the change from supported employment services to extended services if:

(1) Your extended service provider cannot provide the services; and

(2) You need such services as job station redesign, repair and maintenance of assistive technology devices and replacement of prosthetic and orthotic devices to keep your job.

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TRIAL WORK EXPERIENCE
NEW SECTION
WAC 388-890-0670
What is a trial work experience?

A trial work experience is a method of assessment used by DVR to determine eligibility for VR services:

(1) Only if a VR counselor cannot presume that VR services will enable you to work because of the significance of your disability;

(2) After you have applied for VR services and before an individualized plan for employment is developed.

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NEW SECTION
WAC 388-890-0675
What happens during a trial work experience?

(1) During a trial work experience, you are placed in a sufficient variety of work or work-like settings and provided with VR services to assess how you perform.

(2) The trial work experience continues long enough to provide sufficient information for a VR counselor to determine whether:

(a) VR services will enable you to work and that you are eligible for VR services; or

(b) VR services will not enable you to work, because of the significance of your disability; and/or

(c) Service providers are able to meet your VR service needs.

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NEW SECTION
WAC 388-890-0680
Who decides if a trial work experience is needed to determine if I am eligible for DVR services?

DVR determines whether a trial work experience is needed to determine your eligibility for VR services.

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NEW SECTION
WAC 388-890-0685
What services does DVR provide during a trial work experience?

DVR may use the individual VR services listed under WAC 388-890-145 through 388-890-450 during a trial work experience.

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NEW SECTION
WAC 388-890-0690
What if I am too significantly disabled to participate in a trial work experience?

If DVR is unable to identify VR services or service providers that would enable you to perform a trial work experience because of the significance of your disability, DVR follows the procedures outlined under WAC 388-890-065 to determine that you are not eligible for VR services.

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NEW SECTION
WAC 388-890-0695
What choices can I make about the trial work experience?

If a trial work experience is needed to decide if you are eligible for VR services, DVR provides information and support to help you make informed choices that include but are not limited to:

(1) What type of work setting to use; and

(2) What service providers to use.

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NEW SECTION
WAC 388-890-0700
Am I evaluated during the trial work experience?

DVR evaluates your progress in a trial work experience as often as needed, but at least every ninety days.

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NEW SECTION
WAC 388-890-0705
When does DVR make an eligibility decision when I am in a trial work experience?

There is no time limit for a trial work experience. As soon as DVR has enough information to decide whether VR services will enable you to get or keep a job, DVR must:

(1) Make an eligibility decision;

(2) Document the basis for eligibility or ineligibility; and

(3) Discontinue trial work experience.

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VOCATIONAL REHABILITATION SERVICES FOR GROUPS OF INDIVIDUALS
NEW SECTION
WAC 388-890-0710
Are there any vocational rehabilitation services that can be provided to a group of individuals with disabilities?

The following vocational rehabilitation services may be provided to a group of individuals with disabilities:

(1) Services to establish, develop, or improve a community rehabilitation program may be provided to a group of individuals with disabilities who are currently not being served or whose service needs are not being met by DVR.

(2) Services may be provided to an identified group of individuals with disabilities if the VR services:

(a) Are likely to contribute to the rehabilitation of those in the group; and

(b) Cannot be purchased on an individual basis.

(3) Consulting and/or technical assistance services may be provided to support planning the development of school programs to meet the long-term employment needs of a group of students with disabilities.

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NEW SECTION
WAC 388-890-0715
Under what conditions does DVR provide services to a group of individuals with disabilities to establish, develop or improve a community rehabilitation program?

(1) DVR may provide services to a group of individuals with disabilities to establish, develop, or improve a community rehabilitation program if:

(a) DVR has identified a group of individuals with disabilities who are not being served or whose service needs are not being met by DVR because of limited staff resources;

(b) Services of a community rehabilitation are needed in a geographic area;

(c) DVR has evaluated the community rehabilitation program services and determined that VR services to groups are needed and are likely to meet the service needs of the group.

(2) DVR does not pay for the cost of construction related to establishing or developing a community rehabilitation program.

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NEW SECTION
WAC 388-890-0720
Under what conditions does DVR provide services to a group of individuals with disabilities that cannot be purchased under an individual IPE?

(1) DVR may provide services to a group of individuals with disabilities if the services are likely to contribute to the rehabilitation of those in the group, but cannot be purchased under an individualized plan for employment of any one person within the group because:

(a) The services are needed by the individuals in the group to apply for DVR services when a barrier exists that hinders access to VR services for a group of individuals with disabilities.

(b) The services needed by the group are not designated by a unit or per person cost and/or cannot be prorated equitably to the IPE's of those in the group.

(2) DVR does not purchase equipment in excess of five thousand dollars as a service to groups of individuals with disabilities.

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NEW SECTION
WAC 388-890-0725
Under what conditions does DVR provide consulting and/or technical assistance to plan for the transition of students with disabilities?

(1) DVR may purchase consulting and/or technical assistance for schools to plan for the transition of students with disabilities if:

(a) DVR has determined that the school needs consulting or technical assistance services to plan for the transition of students with disabilities;

(b) The school has expressed a commitment to provide the resources needed to implement a plan for the transition of students with disabilities;

(c) DVR has determined the services are likely to result in increased capacity within the school system to assist students with disabilities to transition from school to work;

(d) DVR does not have adequate staff resources to provide the needed consulting or technical assistance.

(2) DVR does not pay for:

(a) The cost to implement a plan; or

(b) Individual VR services to students with disabilities as a service to groups.

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ORDER OF SELECTION
NEW SECTION
WAC 388-890-0730
What if DVR does not have funding to serve all eligible individuals?

(1) When funds or other resources are not available to serve all eligible individuals, DVR establishes an order to select eligible individuals for services.

(2) When the selection order is in effect and you are eligible for services, DVR assigns your name to one of three selection categories.

(3) You are accepted for services based on:

(a) The priority of the selection category you are in; and

(b) The order in which you applied for DVR services as indicated by the date on your application. If you are a public safety officer with a disability that was acquired while acting in the line of duty you are placed first within a category, regardless of the date on your application.

(4) When the selection order is in effect and you are eligible for DVR services, but do not meet the criteria for selection category one, DVR provides you with vocational rehabilitation information, guidance, and referral services to access other federal and state programs suited to address specific employment needs of individuals with disabilities.

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NEW SECTION
WAC 388-890-0735
What criteria is used to determine the selection category?

The selection categories are based on the significance of your disability and the limitations your disability presents in terms of getting or keeping a job.

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NEW SECTION
WAC 388-890-0740
What disabilities