Q & A Vocational Services July 17, 2007 (pdf)
Answer: The address is http://mentalhealth.samhsa.gov/cmhs/communitysupport/toolkits/employment/.
Answer: We really don't want you to do that because we know the best outcomes are produced by fidelity to the model. We suggest you organize a local workgroup, including a DRS person, to develop a plan to address the vocational needs of your clients. You should also understand the Director and other executive staff of DRS are very committed to this program. You may contact Gene Oulvey call 217-785-7751 for further assistance.
Answer: This would most likely be billed as job retention support. Just a reminder: if DRS is paying you for the job coaching activity, you cannot bill DMH for the same activity.
Answer: Benefits counseling can be provided on an on-going basis.
The state of Illinois has a program to provide current information on benefits and related regulations. This is the Work Incentives Planning and Assistance (WIPA) project. These projects are available in three offices - which serve different areas of the state.
1-312-746-5743 - voice
1-312-746-5713 - TTY
1-800-807-6962 - Voice
1-866-444-8013 - TTY
Secondly, you should bill according to the service that is being provided. It may be a vocational service or it may be community support or case management.
Answer: Yes, the agency receives the milestone payments. However you must first have an agreement with DRS in order to receive the payment.
Answer: The 40% requirement for services to be provided in natural settings will be based on total time, not the number of contacts.
Answer: No, you also need to update the mental health assessment. The goal is on the treatment plan because it is an assessed need for the client. The non-Medicaid vocational services must meet the same standards as any Rule 132 service with regard to assessment and treatment planning.
Answer: No, not if it is a provider site. If the location was a one-stop center, it would qualify as a natural setting.
Answer: Yes, you may bill DMH. It is not double billing. The payment from DRS is for outcomes, i.e., one day on the job, 30 days on the job, and DMH pays for services that support the client and related vocational outcomes.
Answer: Yes. The payment source column and the comments column were not intended to be associated with each other. We will clarify on the grid that ACT vocational services can be provided only to clients 18 years of age or older.
Answer: Agencies that really embrace recovery and believe that work is integral to recovery include work in the mental health assessment. At a minimum, you must address the requirements of Rule 132.
Answer: Gene Oulvey is the point person for DRS. Each region also has a program adviser. It is also good to introduce yourself to the local DRS office. You can also contact DMH regional staff for assistance in identifying local DRS staff.
Answer: No. Job readiness could possibly be billed as a pre- vocational part of PSR. We would suggest these services be moved off site, optional, time limited, and structured to meet the requirements for vocational engagement or job finding supports. The research shows that focusing on a specific job and the related responsibilities is more successful than a general job readiness.
Answer: Yes. There are also other resources. The book "A Working Life" by Debbie Becker is excellent.
Answer: Case management is linkage and advocacy, and Community Support is helping the client to integrate into their natural environment.
Answer: The research shows that these types of jobs - for example, work crews at the agency - do not generalize into competitive employment.
Answer: This type of service has been shown to be effective when it is geared toward a specific position for which the client is applying. Generalized interview skills or resume training is not. It has been shown that getting actual experience in real life interviews and completing resumes for jobs the client is applying for is the best way to do this. Note that there is a maximum caseload of 25 clients per vocational specialist.
Answer: This document was not developed for training on the completion of a treatment plan. Medicaid has requirements on what is needed for those services, and Rule 132 is very specific. However, these are non-Medicaid services that are not audited by BALC
Answer: No, the 90 day cooperative agreement is not the same as the milestone agreement.
Answer: The evidence-based model for ACT requires one of the staff to have special training in vocational and educational support.
Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
IDHS Office Locator
IDHS Help Line
© 2020 Illinois Department of Human Services