Updated: 09/2021
To plan appropriately for and track expenditures, service categories are entered on plans with adequate descriptions for each service item, and service categories with subcategories, as needed, are entered on authorizations.
Below, the service categories and subcategories are listed alphabetically as they appear in the Service Category drop down box when writing plans.
As noted, a few of these service categories are available for use on plans only.
Service Category: APPRENTICESHIP SERVICES
Available for Authorization Type: Vendor (required on plan.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| n.a. |
Pre-Apprenticeship Program |
Tuition and fees for Pre-Apprenticeship Program. |
| n.a. |
Registered Apprenticeship |
Tuition and fees for Registered Apprenticeship Program. |
| n.a. |
Apprenticeship Training Books & Required Supplies |
Books and required supplies for Pre-Apprenticeship or Registered Apprenticeship Program. |
Service Category: ASSESSMENT FOR POTENTIAL MODIFICATIONS
(requires Administrative Approval)
Available for Authorization Type: Central (only those with security to use Central auths may draft/issue)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 01 |
Assessment – Clinical Pre-Driving – Adapted Vehicle |
During the Clinical Pre-Driving Assessment an Occupational Therapist (OT) administers perceptual, motor and reaction assessments that help to predict an individual’s capability to drive, who may or may not require any vehicle adaptations. This assessment is also required for individuals whose impairment is low vision.
Also requires Assessment – Behind-the-Wheel Adapted Driving Assessment (car or van). |
| 01 |
Behind-the-Wheel Adapted Driving Assessment-Car |
During the evaluation the consumer is given a vision screening, brake reaction test, and 2-4 hours of “behind the wheel” evaluation. This assessment is also required for individuals whose impairment is low vision.
Also requires a Clinical Pre-Driving Assessment (see above). |
| 01 |
Behind-the-Wheel Adapted Driving Assessment-Van |
This will be added if the consumer needs an assessment in an adapted van as opposed to a car. The following questions/conditions will help to determine whether you need to include this assessment when drafting the service authorization:
- If your consumer uses a wheelchair and cannot transfer independently you will need this assessment;
- If your consumer uses a wheelchair and is able to transfer it is likely that you will not need this assessment. If the need to use the van becomes apparent in the middle of an assessment, RTS Supervisor will add this service to the service authorization and provide with the van assessment.
Also requires a Clinical Pre-Driving Assessment (see above). |
| 01 |
Behind-the-Wheel – Van Extended Assessment |
Additional time required for complex driving system assessments (high-tech modifications). Original authorization shall be amended up to a total of 8 hours. |
| 01 |
Vendor Travel for Assessment for Potential Mods |
Evaluator travel to/from designated consumer location. |
| n.a. |
Vendor VEAPA (estimate) |
The VEAPA is to be requested via referral to the DRS/CDRS who completed the adapted driving assessment and training. The DRS/CDRS will write the VEAPA based upon the adapted driving assessment and training provided, and will provide cost estimates for proposed vehicle modifications.
A copy of the VEAPA will be provided to the consumer, field counselor, and RTS driving program supervisor. |
Service Category: TRAINING FOR POTENTIAL MODIFICATIONS
(requires Administrative Approval and Required on IPE)
Available for Authorization Type: Central (only those with security to use Central auths may draft/issue)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 20 |
Driver Training – Adapted Car |
Training services are provided by a Driver Rehabilitation Specialist (DRS) or Certified Driver Rehabilitation Specialist (CDRS) in an adapted car. This training is usually 8 to 12 hours “behind the wheel (BTW)” with the instructor. |
| 20 |
Driver Training – Adapted Van |
Training services are provided by a Driver Rehabilitation Specialist (DRS) or Certified Driver Rehabilitation Specialist (CDRS) in an adapted van. Unlicensed driver training in an adapted van takes a minimum of 66 hours of BTW training, as required by the MVA. |
Service Category: MODIFICATIONS
(requires Administrative Approval and Required on IPE)
Available for Authorization Type: Central (only those with security to use Central auths may draft/issue)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 20 |
Home Modifications |
Provision of home modifications as indicated in approved specifications. |
| 20 |
Vehicle Mod Step 1: Modification of Vehicle |
This service is provided at WTC by RTS and will be used once the VEAPA has been discussed between consumer and field counselor and the consumer has provided a copy of their driver’s license.
The consumer should not purchase a vehicle until they have provided the Vehicle Identification Number (VIN) to RTS Supervisor to confirm the vehicle can be modified, as required to meet the consumer’s needs.
Once the vehicle is purchased, consumer must provide a copy of the sales receipt and Title. If the consumer does not have a Title, they need to provide documented proof that they have put a down payment on a particular vehicle (make, model and year need to be identified in the proof document), as well as, an affidavit from their bank indicating that they have been approved for the loan to purchase vehicle identified above. |
| 20 |
Vehicle Mod Step 2: Fitting (Mid/ Final) |
The Adapted Driving Assessment specialist who wrote the Adapted Driving Assessment report and the VEAPA will travel to the modification vendor’s location to meet the consumer and make sure the vehicle modification fits the consumer and the consumer is able to drive the vehicle with the new adaptations/ equipment. |
| 20 |
Vehicle Mod Step 3: Final Modifications Inspection |
A final inspection of the vehicle modifications must be completed before the vehicle can be released to the consumer. This inspection ensures the modifications are operational and have been installed properly. |
| 20 |
Vehicle Mod Step 4: Post-Modification Training |
Refer to driver training report for recommendations; minimum of 5 hours required. |
| 20 |
Vendor Travel for Modification Services |
Evaluator travel to/from designated consumer location, including travel for missed appointments. |
Service Category: ASSESSMENT
Available for Authorization Type: Vendor
| A2 Code |
Service Subcategory |
Services to be Provided |
| 01 |
Non-Adapted Driving: Behind-the-Wheel Assessment |
During the evaluation the consumer is given a vision screening, brake reaction test, and 2-4 hours of "behind the wheel" evaluation.
This is required with a Clinical Pre-Driving Assessment (see below). |
| 01 |
Non-Adapted Vehicle: Clinical Pre-Driving Assessment |
During the Clinical Pre-Driving Assessment an Occupational Therapist (OT) administers perceptual, motor and reaction assessments that help to predict an individual’s capability to drive.
This is required with an Driving Assessment. |
| 01 |
Augmentative Communication Assessment |
Evaluation of augmentative communication needs. |
| 01 |
Assistive Listening Assessment |
Evaluation for assistive listening devices other than hearing aids. |
| 01 |
Audiology Assessment |
Audiology exam only. |
| 01 |
Audiology Assessment – Additional Testing |
Acoustic immittance testing, including tympanometry (impedance testing), acoustic reflex threshold testing and acoustic reflex decay testing. |
| 01 |
Audiology Assessment-Communication Evaluation |
Aural rehabilitation and/or auditory processing |
| 01 |
Background Check |
Background Check. |
| n.a. |
Blindness Skills Assessment |
Assessment leading to development of a comprehensive service plan, includes I.L., mobility, and computer training needs. |
| 01 |
Career Assessment – Community-based |
Community-based CAS. |
| 01 |
Career Assessment – Comprehensive |
Comprehensive CAS. |
| 01 |
Career Assessment – Exploratory |
Exploratory CAS. |
| 01 |
Career Assessment – Focused |
Focused CAS. |
| 01 |
Career Assessment – Itemized |
Itemized CAS. |
| 01 |
Computer Assessment |
Evaluation for computer access. |
| 01 |
Drug Screen |
Drug screen. |
| 01 |
Functional Capacity Assessment |
Functional capacity evaluation administered by licensed OT/PT provider. |
| 01 |
Interactive Complexity During Assessment |
May be included when an interpreter, language translator, guardian, or other third parties such as welfare agencies, parole and probation officers, or school officials are needed during the appointment. |
| 01 |
Medical Exam Not In Gen Fees – Approval Required |
Medical Exams conducted in hospital or other facilities; requires CPT code and Fee Exception Request. |
| 01 |
Medical Radiological Services (X-Rays) |
X-rays and radiologic services. |
| 01 |
Medical Record(s) |
Medical records, either copies or abstract dictated by medical professional. |
| 01 |
Medical Office Visit |
General medical office visit (new or established patient); formerly referred to as "Health Status (GME). |
| 01 |
Missed Appointment Fee – assessments |
Missed appointment fee for missed assessments. |
| 01 |
Neuropsychological Assessment |
Neuropsychological evaluation only. |
| 01 |
Occupational Therapy Assessment |
Evaluation administered by an occupational therapist. |
| 01 |
Optometric Exam |
Exam administered by an optometrist. |
| 01 |
Oral Exam |
Exam administered by a dentist. |
| 01 |
Orientation and Mobility Assessment |
Assessment of O&M training needs (Blind only). |
| 01 |
Physical Therapy Assessment |
Evaluation administered by a physical therapist. |
| 01 |
Private Vehicle Repair Assessment |
Full Service Vehicle Inspection of privately-owned vehicle to determine if it needs and qualifies for repairs (not including vehicle modification). |
| 01 |
Psychiatry Assessment |
Psychiatric evaluation only. |
| 01 |
Psychological Assessment for Adult |
Psychological evaluation for an adult (ages 18 and older) that is not neuropsychological. |
| 01 |
Psychological Assessment for Child |
Psychological evaluation for a child (ages 17 and younger) that is not neuropsychological. |
| 01 |
Psychological Assessment – LD Supplement |
Supplemental testing to evaluate the extent of an individual’s learning disability. |
| 01 |
Psychological Assessment – Memory Supplement |
Supplemental testing for evaluation of memory impairment using the Wechsler Memory Scale IV. (See Fee Schedule or Referral for Psychological Evaluation for criteria to use when determining whether to authorize this assessment.) |
| 01 |
Rehab Teaching Assessment |
Assessment of rehab teaching needs. |
| 01 |
Rehab Technology Assessment |
Assessment of rehabilitation technology needs for training or employment by P.T., O.T., or A.T. technologist. May include assessments in the work site. |
| 01 |
Sign Language provided by Psychologist |
Sign language interpretation provided directly by psychologist. |
| 01 |
Specialist Exam |
Exam provided by physician other than a general practitioner. |
| 01 |
Speech and Language Assessment |
Evaluation by licensed speech/language practitioner. |
| 01 |
Vendor Travel for Assessment |
Vendor travel for certain assessment services, per fee schedule. |
Service Category: BASIC ACADEMIC OR OTHER FUNDAMENTAL TRAINING
Available for Authorization Type: Vendor (Required on plan if service cost exceeds $200.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 28 |
Books & Required Supplies for Remediation |
Books and required supplies for tutoring or academic remediation. |
| 10 |
Developmental, Literacy or Academic Training |
Tutoring or academic remediation. |
| 13 |
Driver’s Education |
Driver Education classes provided by community vendor, including 30 hours classroom instruction and 6 hours behind-the-wheel. |
| 13 |
Driver Training-BTW-Non-Adapted Vehicle |
Behind-the-wheel instruction over and above the six hours provided during driver’s education. This training is for individuals who may or may not have MVA Reportable Conditions (see RSM 2, Attachment 1600-3), and whose physical disabilities do not require vehicle modifications (e.g., low vision). |
| 13 |
GED Exam Fee |
GED administration fee. |
| 13 |
GED Training |
GED preparation. |
| 28 |
Missed appointment fee – Tutoring |
Missed appointment fee for basic academic or other fundamental training. |
Service Category: BENEFITS COUNSELING AFTER IPE
Available for Authorization Type: Vendor (Required on plan if service cost exceeds $200.)
See Fee for Service Benefits Planning Services (RS-1n) fact sheet for a full explanation of services and rates.
| A2 Code |
Service Subcategory |
Services to be Provided |
| n.a. |
Phase 1: Pre-Employment Consultation |
See Fee for Service Benefits Planning Services (RS-1n) fact sheet for a full explanation of services and rates. |
| n.a. |
Phase 2: Job Placement and Employment/Maintenance |
See Fee for Service Benefits Planning Services (RS-1n) fact sheet for a full explanation of services and rates. |
| n.a. |
Phase 3: Developing Supports for DORS Case Closure |
See Fee for Service Benefits Planning Services (RS-1n) fact sheet for a full explanation of services and rates. |
| n.a. |
Special Circumstances |
$50/hour – See Fee for Service Benefits Planning Services (RS-1n) fact sheet for list of services. |
| 26 |
Missed Appointment Fee – Benefits Counseling after IPE |
Missed appointment fee for benefits counseling services. |
| 26 |
Vendor Travel for Benefits Counseling |
Vendor travel for benefits counseling per fee schedule. |
Service Category: BENEFITS COUNSELING: GENERAL BENEFITS CONSULTATION
Available for Authorization Type: Vendor
| A2 Code |
Service Subcategory |
Services to be Provided |
| 26 |
General Pre-Employment Consultation |
This service is only available to VR consumers prior to DORS IPE. This may be particularly useful for those consumers who are ambivalent about working or are unsure of an earnings goal.
After verifying that a beneficiary has been appropriately assigned to disability priority Category 2, DORS counselors may refer these consumers for a fee-for-service General Benefits Consultation while they are on the DORS Waiting List. |
| 26 |
Missed Appointment Fee – General benefits counseling pre-employment |
Missed appointment fee for missed assessments. |
| 26 |
Vendor Travel for General Benefits Counseling |
Vendor travel for benefits counseling per fee schedule. |
Service Category: BENEFITS COUNSELING: BENEFITS CHECK-IN
Available for Authorization Type: Vendor
| A2 Code |
Service Subcategory |
Services to be Provided |
| n.a. |
None |
See Fee for Service Benefits Planning Services (RS-1n) fact sheet for a full explanation of services and rates. |
Service Category: COLLEGE/UNIVERSITY TRAINING
Available for Authorization Type: Vendor (Required on plan if service cost exceeds $200.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 28 |
College Books and Required Supplies |
Books and required supplies for students attending 2- or 4-year college or university. |
| 19 |
College Room and Board |
Room & Board for students attending 2- or 4-year college or university. |
| 05 |
Four-Year College or University Training |
Tuition and fees for Bachelor’s degree program at a college or university. |
| 04 |
Graduate College or University Training |
Tuition and fees for Graduate degree program through a college or university. |
| 06 |
Junior/Community College – AA Degree |
Tuition and fees for AA degree program at a junior or community college. |
| 13 |
Junior/Community College – Miscellaneous Training |
Tuition and fees for miscellaneous course work taken at a junior or community college . |
| 24 |
Junior or Community College – Self-Employment Service |
Tuition and fees for self-employment services provided through a junior or community college. |
| 07 |
Junior/Community College – Vocational Certificate |
Tuition and fees for occupational or vocational certificate program at a junior or community college. |
| 28 |
Other College-related Expenses |
Other approved expenses not elsewhere classified for students attending 2- or 4-year college or university. |
Service Category: COMMUNICATION SERVICES
Available for Authorization Type: Vendor (Required on plan if service cost exceeds $200.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 28 |
Deaf/Blind Support Services Provider (SSP) |
SSP services for VR. |
| 28 |
Foreign Language Translation/ Interpreter (Non-Deaf) |
Foreign language translation or interpretation for non-deaf consumer. |
| 22 |
Interpreting – On-site ASL or Other Signed System |
Real-time, in-person visual language interpretation, such as American Sign Language, Pidgin Signed English, Signed Exact English (I and II), Oral, Tactile and/or Cued Speech. |
| 22 |
Interpreting – Foreign Language for Deaf |
Foreign language interpretation for deaf consumer. |
| 22 |
Interpreting – Video Remote Interpreting |
Video Remote Interpreter services requires the interpreter to use video conferencing equipment to provide visual language interpreting services from an off-site location to the individual requiring the visual language interpretation service.
Note: Optional services as described in Interpreting-Optional Services may be requested for Oral Transliteration, Cued Speech Transliteration, SEE I and SEE II, and CDI. |
| 22 |
Interpreting – On-site CART |
Computer Assisted Real-Time Transcription (CART) is the instant verbatim translation of the spoken word into English text by a CART provider using a stenotype machine, notebook computer and real-time software. Also known in the industry as Communication Access Real-time Translation. |
| 22 |
Interpreting – Remote CART |
Instant verbatim translation of the spoken word into English text by a remote CART provider using a computer and real-time software through an Internet or telephone connection from an off-site location. |
| 22 |
ILOB Interpreting – Optional Services |
Supplemental testing to evaluate the extent of an individual’s learning disability.Optional service may include Oral Transliteration, Cued Speech Transliteration, PSE, SEE I and SEE II, Tactile Services, and Certified Deaf Interpretation (CDI).
Optional services may be requested to meet consumer needs for Deaf/Blind, LFD (Lower Function Deaf) or MLS (minimal language skill) services. |
| 14 |
RCS Intake and Planning |
RCS initial meeting with consumer to determine consumer’s employment and communication needs; agreed upon specific employment objectives and activities will be developed and submitted in writing by the RCS following the meeting. RCD may also attend this meeting. |
| 14 |
RCS Job Development |
Job development and communication support activities throughout the job seeking, interview, and placement process. |
| n.a. |
RCS Job Development Prep |
As required, resume and cover letter preparation and interview preparation. |
| 16 |
RCS Job On-Site Follow-Up |
On-site communication support within the first 90 days of new employment. Assistance with matters, such as, but not limited to: orientation and training; communication facilitation between employer, employee and co-workers to develop natural supports; and problem resolution. |
| 16 |
RCS Job Retention Evaluation |
Services to address communication and performance concerns for consumers who are in job jeopardy, to include on-site evaluations, as needed.
Requires a written summary to include recommendations for improvement and an Action Plan with measurable goals. |
| 16 |
RCS Job Retention On-Site Follow-Up |
Worksite, time-limited services to assist consumer in carrying out an Action Plan to improve performance, and to offer support and education to employer. |
| 22 |
Missed appointment fee – communication services |
Missed appointment fee, per state contract. |
| 22 |
Vendor Travel for Communication Service |
Vendor travel for Communication Service per fee schedule. |
| n.a. |
VI – Job Development Preparation |
Vocational Interpreter Job Development Preparation (e.g., mock interviewing) in combination with services provided by either WTC employment services, Business Service Representatives, RCS, or CRPs. |
| n.a. |
VI – On-site Interview Assistance |
Vocational Interpreter On-Site Job Interview Assistance in combination with services provided by either WTC employment services, Business Service Representatives, RCSs, or CRPs. |
| n.a. |
VI- On-site Vocational Interpretation |
On-Site Vocational Interpretation (e.g., during informational interviews with employers, job fairs, short-term training or supervisory meeting) singly or in combination with services provided by either WTC employment services, Business Service Representatives, RCS, or CRPs. |
| n.a. |
VI – On-Site Vocational Interpretation during WBLE |
On-Site Vocational Interpretation during Pre-ETS Work-Based Learning Experience singly or in combination with services provided by either WTC employment services, Business Service Representatives, RCS, or CRPs.
Hours authorized should initially be based on the Short-Term Job Coaching Fading Schedule. Administrative Approval required to exceed this number. |
Service Category: COUNSELING AND GUIDANCE
Available for Authorization Type: Vendor (Required on plan if service cost exceeds $200.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| none |
Not Available for Authorizations |
Include as a separate service on all plans. |
Service Category: DISABILITY-RELATED SKILLS TRAINING
Available for Authorization Type: Vendor (Required on plan if service cost exceeds $200.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 12 |
Low Vision Training |
Training on use of low vision devices. |
| 12 |
Missed appointment fee – disability-related skills |
Missed appointment fee for disability-related skills training services. |
| n.a. |
Non-residential Adjustment to Blindness Training |
Long-term immersion training (Non-residential). |
| 12 |
Orientation & Mobility Training |
Orientation & Mobility training for blind and visually impaired consumers. |
| 12 |
Rehab Teaching |
Rehabilitation teaching services to individuals who are blind or visually impaired, provided by a non-DORS teacher. |
| 12 |
Residential Adjustment to Blindness Training |
Long-term immersion training (Residential). |
| 12 |
Sign Language/Speech Reading Training |
Instruction in learning to use sign language or speech reading for consumers who are deaf or hard of hearing. |
| 12 |
Travel Training
Note: For blind consumers, use Orientation & Mobility Training. |
Instruction in using public transportation (NOT for blind consumers). |
| 12 |
Vendor Travel for Disability-Related Skills Training |
Vendor travel for disability-related skills training per fee schedule. |
Service Category: GOODS/SERVICES REQUIRED FOR TRAINING OR EMPLOYMENT
Available for Authorization Type: Vendor (Required on plan if service cost exceeds $200.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 28 |
Clothing &/or Shoes |
Clothing or shoes required for job interviews or work uniforms. |
| 28 |
License or Certification |
Occupational license or certification required for employment/training, including motor vehicle learner’s permit or driver’s license fees. |
| 28 |
Occupational Tools & Equipment |
Tools or equipment needed for employment/training. |
| 28 |
Other Goods/Services, including shipping/handling |
Specific items (e.g., batteries for wheelchairs or for CCTVs) and services not elsewhere classified, including shipping and handling. |
| 28 |
Relocation Expenses for Employment |
Costs for initial relocation required for employment. |
| 28 |
Vehicle Repair |
Vehicle repair for training or employment (does not include vehicle modification). |
| 28 |
Workers’ Compensation Insurance |
Workers’ compensation insurance premium. |
Service Category: INCIDENTAL GOODS REQUIRED FOR ASSESSMENT
Available for Authorization Type: Vendor
| A2 Code |
Service Subcategory |
Services to be Provided |
| 01 |
Rehabilitation Technology |
Goods found under Service Category: Rehabilitation Technology being provided for assessment purposes for consumers in application status per Administrative Approval. |
| 01 |
Treatment |
Goods found under Service Category: Treatment being provided for assessment purposes during application status per Administrative Approval. |
Service Category: JOB SEARCH, PLACEMENT & SHORT-TERM JOB COACHING SERVICES
Available for Authorization Type: Vendor (Required on plan if service cost exceeds $200.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 14 |
Background Check During Job Search |
Background check required for job search. |
| 14 |
Birth or Other Personal Records |
Birth certificate, Social Security Card, ID, or other personal records required for job search. |
| 14 |
Drug Screen During Job Search |
Drug Screen required for job search |
| n.a. |
Expungement Services |
Assistance with expunging a criminal record provided during job search. |
| 14 |
Job Development Preparation |
Assistance with Resume, Cover Letter, Interview Prep, Job Placement Planning. 2 hours each/8 hours maximum. |
| 14 |
Assistance During Job Search |
Job coaching provided specifically for provision of job search services leading up to interview. |
| 15 |
Assistance with Interview Process |
Job coaching provided specifically for interview arrangement & accompaniment. |
| 11 |
Job Coaching – Unpaid Internships |
Work supports provided for consumers participating in work activity as part of Project Search, Summer Youth, QUEST, or other unpaid internships. |
| n.a. |
Short-Term Job Coaching |
Job coaching after work placement for individuals not eligible for long-term supported employment. |
| n.a. |
Employment Stability Follow-Up Fee |
Authorization may be completed for this service at Stable Date for individuals not eligible for long-term supported employment to support continued employment to 90 days following Stability. |
| n.a. |
Employment Stability Verification Fee at 90 Days |
Option for a $100 employment stability verification fee at 90 days, when there are no other Placement incentives available. |
| n.a. |
Quality Incentive: 25% above Minimum Wage |
A consumer obtains a position in the area related to their Individualized Plan for Employment (IPE) and is paid 25% above the state or local minimum wage (whichever is higher). Pay the related invoice only after 90 days of employment which meets DORS successful closure standards. |
| n.a. |
Quality Incentive: Ex-Offender |
A consumer who qualifies as an ex-offender has been subject to some stage of the criminal justice process. Pay the related invoice only after 90 days of employment which meets DORS successful closure standards. |
| n.a. |
Quality Incentive: Specialized Disability Population |
This include consumers whose primary disability is ABI, Autism, Blind, Deaf, or Deaf/Blind. Pay the related invoice only after 90 days of employment which meets DORS successful closure standards. |
| n.a. |
Quality Incentive: STEM Discipline |
The Code, Occupation, and the S.T.E.M. discipline will correspond with the O*Net Online listing of S.T.E.M. disciplines. Pay the related invoice only after 90 days of employment which meets DORS successful closure standards. |
| n.a. |
Quality Incentive: Ticket to Work SGA Incentive |
A Social Security disability beneficiary who’s Ticket to Work is in use with DORS obtains a position earning over Substantial Gainful Activity (SGA) for blind or non-blind, as appropriate. Pay the related invoice only after 90 days of employment which meets DORS successful closure standards. |
| 15 |
30 Day Rapid Work Incentive after 90 Days Employed |
Authorization may be completed for this service after timeline is met for eligibility for the rapid work incentive payment:
- Within 30 days of original authorization
- Consistent with IPE goal
- Consistent with range of work hours per week indicated
Pay the related invoice only after 90 days of employment which meets DORS successful closure standards. |
Service Category: SUPPORTED EMPLOYMENT SERVICES
Available for Authorization Type: Vendor (Required on plan if service cost exceeds $200.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| n.a. |
(SE) DORS Funding for Youth Extended Services |
|
| n.a. |
(SE) Intensive Hours – Before Natural Supports |
Supported employment job coaching according to 8-week fading schedule prior to expected transition to Natural Supports. |
| n.a. |
(SE) Intensive Job Coaching Before BHA Supports |
Supported employment job coaching according to 6-week fading schedule prior to expected transition to ongoing supports provided by BHA funding.. |
| n.a. |
(SE) Intensive Job Coaching Before DDA Supports |
Supported employment job coaching according to 6-week fading schedule prior to expected transition to ongoing supports provided by DDA funding. |
| n.a. |
(SE) Job Stability w Natural Support Follow-Up Fee |
Authorization may be completed for this service when confirming employment stable date for individuals eligible for long-term supported employment provided by Natural Supports. $200 flat rate. |
| n.a. |
(SE) Milestone 1 for EBPSE |
Initiation of job coaching services specifically for job development by an EBPSE provider. |
| n.a. |
(SE) Milestone 2 for EBPSE |
Initiation of intensive job coaching by an EBPSE provider once a job is secured. Complete authorization for this service only after placement is secured. |
| n.a. |
(SE) Milestone 3 for EBPSE |
Job coaching by an EBPSE provider for stabilization of a job placement at 45 days. Complete authorization for this service only after placement is maintained. |
Service Category: EXTENDED SERVICES PROVIDED BY NATURAL SUPPORTS
| A2 Code |
Service Subcategory |
Services to be Provided |
| n.a. |
Supported Employment Natural Supports Incentive |
Available when an individual receives supported employment services and maintains stability in the job for 90 days after transitioning to extended services provided via natural supports. $450 Flat Rate. |
Service Category: EXTENDED SERVICES FUNDED BY BHA
| A2 Code |
Service Subcategory |
Services to be Provided |
| n.a. |
Not Available for Authorizations |
Include as a separate service on Supported Employment plans including BHA funding for ongoing supports. |
Service Category: EXTENDED SERVICES FUNDED BY DDA
| A2 Code |
Service Subcategory |
Services to be Provided |
| n.a. |
Not Available for Authorizations |
Include as a separate service on Supported Employment plans including DDA funding for ongoing supports. |
Service Category: MAINTENANCE
Available for Authorization Type: Recurring and Vendor (Required on plan if service cost exceeds $200.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 19 |
(Description required) |
Maintenance costs over the usual living expenses (e.g., college room & board, hotel expense, meals) at any phase of process. |
Service Category: PERSONAL ATTENDANT SERVICES
Available for Authorization Type: Recurring and Vendor (Required on plan if service cost exceeds $200.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 23 |
Personal Attendant Services |
Used to provide funding for personal attendant services to the consumer in support of his or her participation in other rehabilitation services. |
| 23 |
Missed appointment fee – personal attendant services |
Missed appointment fee for personal attendant services. |
Service Category: READER SERVICES
Available for Authorization Type: Recurring and Vendor (Required on plan if service cost exceeds $200.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 21 |
Reader services |
Services of a reader for someone who is blind, visually impaired or print impaired, needed to complete classwork. |
| 21 |
Missed appointment fee – reader services |
Missed appointment fee for reader services. |
Service Category: REHABILITATION TECHNOLOGY
Available for Authorization Type: Vendor (Required on plan if service cost exceeds $200.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 20 |
Assistive Listening Device(s) |
Assistive Listening Devices other than hearing aids (e.g., FM loop). |
| 20 |
Assistive Technology Training |
Training in use of specific assistive technology devices. |
| 20 |
Augmentative Communication Equipment |
Augmentative communication equipment. |
| 02 |
Augmentative Communication Treatment |
Treatment provided by a certified specialist to improve communication methods. |
| 20 |
Computer Hardware/Software or Service |
Computer hardware or software purchase, or service/repair on computer. |
| 20 |
Environment Control Unit Purchase |
Environmental Control Unit purchase. |
| 20 |
Hearing Aid(s) |
Hearing aids only (digital, analog & programmable), including in-service training on use. |
| 20 |
Hearing Aid(s) Appliance |
Batteries, ear molds, tube, t-coil, dehumidifier, hearing aid FM system/audio shoe. |
| 20 |
Hearing Aid(s) Check |
Testing, fitting and programming hearing aids. |
| 20 |
Hearing Aid(s) Evaluation |
Evaluation to determine the most appropriate aid(s) for the consumer. |
| 20 |
Home Modifications |
Home modification provision. |
| 20 |
Low Vision Aids |
“Low tech” or “no tech” items such as those recommended by a rehab teacher. |
| 20 |
Low Vision Device(s) |
Low Vision devices, such as those recommended after a low vision evaluation, including low vision device fitting. |
| 20 |
Missed Appointment Fee - rehab tech services |
Missed appointment fee for rehabilitation technology services. |
| 20 |
Rehabilitation Technology Devices |
Devices prescribed by OT, PT, or Assistive Technologist. |
| 20 |
Rehabilitation Engineering/Fabrication |
Build or customize products/equipment to meet specific need. |
| 20 |
Vendor Travel for Rehab Technology Services |
To be used to pay for vendor travel for rehabilitation technology services. |
| 20 |
Wheelchairs or electric scooters |
Wheelchairs, electric scooters. |
| 20 |
Work Site Modifications |
Modifications provided on the worksite by an OT, PT, or A.T. technologist to enable the individual to perform the essential functions of the job. |
Service Category: RISE SELF-EMPLOYMENT SERVICES
| A2 Code |
Service Subcategory |
Services to be Provided |
| n.a. |
Not Available for Authorizations |
Include as a separate service on self-employment plans. |
Service Category: SELF-EMPLOYMENT SERVICE (NOT THRU RISE OR COLLEGE)
Available for Authorization Type: Vendor (Required on plan if service cost exceeds $200.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 24 |
Technical Assistance for Self-Employment |
Used to provide technical assistance or advice for self-employment through a provider other than RISE or a college program. |
Service Category: SERVICES TO FAMILY MEMBERS
Available for Authorization Type: Vendor (Required on plan if service cost exceeds $200.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 28 |
Daycare: In Service Item Description
Describe formula used to calculate cost (e.g., # of hours x # of weeks x # of children, as applicable) |
Daycare for consumer’s family member required for consumer’s vocational programming or initial employment. |
| 28 |
Family Member Support Service (Other) |
Expenses related to other services for family members required to facilitate consumer’s vocational programming or initial employment. |
| 28 |
Personal Attendant Care of Family Member |
Personal attendant care for consumer’s family member required for consumer’s vocational programming or initial employment. |
Service Category: TRANSPORTATION
Available for Authorization Type: Recurring and Vendor (Required on plan if service cost exceeds $200.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 18 |
(Description required) |
Transportation costs at any point in the process, including expenses related to costs of moving/relocation required for employment. |
Service Category: TREATMENT
Available for Authorization Type: Vendor (Required on plan if service cost exceeds $200.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 02 |
Cognitive Therapy Services |
Cognitive rehabilitation services. |
| 02 |
Convalescent Home Care Service |
Home nursing care on short-term basis. |
| 02 |
Dental Treatment or Dentures |
Dental treatment/services, which may include dentures. |
| 02 |
Glasses, Contacts or Artificial Eyes |
Eyeglasses, contact lenses, artificial eyes. |
| 02 |
Inpatient Hospital Services |
Inpatient hospital services. |
| 02 |
Interactive Complexity During Treatment |
May be included when an interpreter, language translator, guardian, or other third parties such as welfare agencies, parole and probation officers, or school officials are needed during the appointment. |
| 02 |
Limbs (Prosthetic) |
Prosthetic arms, legs, hands and feet. |
| 02 |
Medical Care (Acute Illness) |
Medical care for acute illness. |
| 02 |
Medication (prescribed) |
Prescription drugs. |
| 02 |
Missed Appointment Fee – Treatment |
Missed appointment fee for treatment services. |
| 02 |
Mobility devices (excluding wheelchairs & scooters) |
Leg braces, canes, crutches, walkers, and other assistive devices for mobility. (Wheelchairs and scooters are found under Rehabilitation Technology.) |
| 02 |
Nursing Care (Not In-home) |
Nursing care not in the home. |
| 02 |
Occupational Therapy Treatment |
OT treatment, not evaluation. |
| 02 |
Physical Therapy Treatment |
PT treatment, not evaluation. |
| 02 |
Physician Services |
Doctor’s fees for specific treatment. |
| 20 |
Psychotherapy Services |
Psychotherapy services. |
| 02 |
Speech Therapy Services |
Speech therapy/treatment fees. |
| 02 |
Surgery Costs (excluding hospitalization fees) |
Surgical costs (does not include hospitalization fees). |
| 02 |
Surgery and Treatment (not otherwise classified) |
Surgery and Treatment not elsewhere classified. |
| 02 |
Vendor Travel for Treatment Service |
To be used to pay for vendor travel for treatment service. |
Service Category: VOCATIONAL & OCCUPATIONAL SKILLS TRAINING
Available for Authorization Type: Vendor (Required on plan if service cost exceeds $200.)
| A2 Code |
Service Subcategory |
Services to be Provided |
| 11 |
CRP Employee Development Services (EDS) |
Vocational adjustment training provided directly by DORS-approved provider. |
| 07 |
CRP Employment Skills Training (Not EDS) |
Skills training for specific occupation (Not EDS). |
| 28 |
CRP Employment Skills Training Books/Required Supplies |
Books and required supplies for employment training provided directly by CRP. |
| 08 |
On the Job Training |
On-the-job training (OJT) provided by employer. |
| 28 |
On the Job Training Books/Required Supplies |
Books and required supplies for OJT provided by employer. |
| 07 |
Proprietary/Vocational School |
Tuition, fees and other approved costs for skills training provided by proprietary/vocational school. |
| 28 |
Proprietary/Vocational School Books & Required Supplies |
Books and required supplies for skills training provided by proprietary/vocational school. |
