CHAPTER VI - Closure Statuses
The counselor assumes
responsibility for taking prompt action for case closure when this is
appropriate. When a case is closed, VR requirements for closure of cases, as
stated in this chapter, will be observed. Closure information from the VR
IPE Closure template (Word) and the VR
IPE Closure Narrative template will be entered into STARBASE. The
online STARBASE
Users Manual provides information regarding closure codes.
Overview of
Status 08
A case is closed in Status 08
when an individual has been processed through referral, applicant, or extended
evaluation and cannot be accepted for vocational rehabilitation services.
Status 08 is the status for individuals who do not meet the federal criteria
for VR services or who are not interested in VR services. If an individual does
not meet our visual criteria, does not have a substantial impediment to
employment, and/or there is no reasonable expectation that the provision of VR
services will improve their employability. Status 08 closures cover situations
where an individual cannot be located, has left
Virginia, refuses VR services, is deceased,
etc. If an individual cannot be located and is closed, the case record must
reflect the efforts made to locate the individual. Every VR case must, after
moving through Statuses 00 and/or 02 (and possibly 06), either go through
Status 10 (accepted for VR and IPE being developed) or be closed in
Status 08.
The responsibilities of the
counselor in closing a case are:
- To determine when a case should be closed,
using sound judgment so as not to close a case prematurely or to hold a
case open longer than necessary.
Reasons for closure are:
- Unable to locate, contact, or moved
- Disability too severe or unfavorable medical
prognosis
- Refused services
- Death
- Customer institutionalized
- Transferred to another agency
- Failure to cooperate
- No disabling condition - closure from Status
00 or Status 02 only
- No vocational disability - closure from
Status 00 or Status 02 only
- Transportation not feasible or available
- Services are not required
- No extended services available (potential
supported employment case)
- All other reasons
- To refer an individual to another agency,
when appropriate.
- To provide feedback to the referral source.
- To involve the customer, parent, or guardian,
when available, in the case closure process so that they understand the
reasons for case closure.
- To inform the customer, parent, or guardian
that if they do not agree with the reasons for closure that they are entitled
to request an appeal of the ineligibility determination (Procedures for
Appeal Process, Chapter 8A - Agency Services).
- To explain the specific circumstances to the
applicant or why he/she does not meet the eligibility criteria for VR
services.
- Determine the appropriateness of referral of
the customer to independent living (IL) services.
- To inform the individual of the availability
of the Client
Assistance Program (CAP), when appropriate.
VR shall ensure that a
determination of ineligibility was made based on the review, and to the extent
necessary, the preliminary assessment. This includes the reasons for such a
determination and other rights and remedies available to the individual.
When an individual is closed in
Status 08 from 06 because they are not capable of achieving a vocational goal
because the disability is too severe (no reasonable expectation), the following
information must be documented:
- The individual has been informed of their
right in a method that could be adequately understood.
- The individual has been informed of the
availability of CAP.
- The individual was informed of the IL
program.
Status
00 to Status 08
- Complete the VR
IPE Closure template.
- Document the reason for closure in a
narrative.
- Complete the Notice
of Ineligibility (DBVI-04-009).
- File copies of the above documentation in the
Services Not Indicated (SNI) file.
Status
02 to Status 08
- Complete the appropriate section on the VR
IPE Closure template to be entered into STARBASE. (Word) Reference
online STARBASE
User's Manual.
- Complete the VR
IPE Eligibility/Ineligibility template (Word) for the file, but do not enter into STARBASE.
- Document the reason for closure and that the
individual was informed of the availability of CAP in a narrative.
- Complete the Notice
of Ineligibility Form (DBVI-04-009).
- Mark the closure date and status on the
outside of the case folder.
- If open to VR only, transfer the case folder
from active to the closed file.
Status
06 to Status 08
- Complete a new VR
IPE Eligibility/Ineligibility template (Word) for the file, but do not enter into STARBASE.
- Complete the VR
IPE Closure Narrative template (word)according to reason for closure:
- If the customer is closed from Status 06 to
Status 08 because the disability is too severe for the individual to
benefit from VR services in terms of an employment outcome, complete the
justification in sections A and B. The signatures of the counselor and
customer are required.
- If the customer is closed from Status 06 to
Status 08 for any other reason, complete section A. The signatures of the
counselor and customer are not required.
- Complete the appropriate section on the VR
IPE Closure template. (Word) STARBASE automatically moves the
customer into Status 08 when this data is entered into the system.
- Complete the Notice
of Ineligibility Form (DBVI-04-009) and place a copy of it in the IPE
section of file.
- Mark VR closure date and status on the
outside of the case folder.
- If open to VR only, transfer the case folder
from active to the closed file.
The Counselor's Role
A case is closed in this status
when the counselordetermines via documentation that
the individual:
- Received an evaluation of vocational
rehabilitation potential.
- Received counseling and guidance with other
service(s).
- Showed that services rendered under an IPE
had a substantial impact on the customer's job at the time of closure.
- Obtained vocational goal.
- Had been determined to be suitably employed
for a minimum of 90 days.
Actions Required
- Make sure there are no outstanding bills
(check payment report in the authorization file against the case file).
- Delete any services planned but not provided
from the IPE.
- Complete the VR
IPE Closure template. (Word) STARBASE automatically moves the customer
into Status 26 when this data is entered into the system.
- Obtain the postoperative report for a physicalrestoration case.
- Complete VR related information on the
customer's status card.
- Complete the VR
IPE Closure Narrative template (Word) for the IPE and mail a copy to
the customer. The justification statements address:
- The reason the case is closed as
rehabilitated (e.g., customer is employed or is functioning as a
homemaker), weekly gross earnings at closure, whether the job is
full-time or part-time, and the name and address of the employer.
- How the customer has made a satisfactory
adjustment to the job.
- Satisfaction of the customer and employer.
- How VR services helped the customer
obtain/maintain employment.
- Whether or not post-employment or extended
services are planned.
- The fact that the customer has been informed
that their case is being closed.
- Complete the Case
Closure Check-off for Closed Case Form (Word).
- If open to VR only, remove the case folder
from the VR active file and place it in the closed file. Mark the VR
closure date on the outside front of the case folder.
Status
28 - Case Closed Not Rehabilitated After Rehabilitation Program Has Been
Initiated
Status 28 is the status for
customers who must be closed as "not rehabilitated" after having been
accepted for VR services and whose services, under the IPE, had already begun.
On the basis of clear evidence, the counselor must determine that the customer
cannot progress to the point of entering employment. Some examples of reasons
for Status 28 closures include: death, no longer has rehabilitation potential
(due to failing health, etc.), will not be employed in an integrated work
setting, has left
Virginia
and has no job, or refuses further VR services. Discuss the reason(s) on the
IPE (VR closure status and justification for closure).
When a customer is closed because
they are no longer eligible for rehabilitation services, and if the customer,
parent, guardian, or representative is dissatisfied with the decision to close
the case, the counselor must inform them of their right for an administrative
review and fair hearing. All information regarding the administrative review
and fair hearing must be communicated in a language or method that is
understandable to all parties.
28-2 Documentation
Requirements
Actions Required:
- Make sure there are no outstanding bills
(check payment report in the authorization file against the case file).
- Delete any services planned but not provided
from the IPE.
- Complete the appropriate section on the VR
IPE Closure template. (Word) STARBASE automatically moves the customer
into Status 28 when this data is entered into the system.
- Complete the VR
IPE Closure Narrative template for the Justification for
Closure. The justification statements addresses:
- If the customer is closed from active status
to Status 28 because the disability is too severe for the individual to
benefit from VR services in terms of an employment outcome, complete the
justification in Sections A and B and mail a copy to the customer. The
signatures of the counselor and customer are required.
- If the customer is closed from active status
to Status 28 for any other reason, complete section A. The completed form
is not sent to the customer. Signatures of the counselor and customer are
not required.
- The secretary should remove the case folder
from the active file and place it in the closed file and mark the VR
closure date and status on outside front of the case folder.
From Statuses 10
or 12
The above title is basically
self-explanatory. Status 30 closures are for cases which have been accepted for
VR services but have to be closed in a non-rehabilitative status before VR
services were initiated. Closures in Status 30 are always from Statuses 10 or
12. Reasons for closure in Status 30 are the same as those for Status 28.
When the counselor and customer
determine on the basis of clear evidence that the customer cannot progress to
the point of entering employment or will be unable to (or choose not to) work
in an integrated work setting, the case is closed in Status 30.
Actions Required
- Document on the VR
IPE Closure Narrative template (Word) for the IPE the following
information according to reason for closure:
- If the customer is closed from active status
to Status 30 because the disability is too severe for the individual to
benefit from VR services in terms of an employment outcome, complete the
justification in sections A and B and mail a copy to the customer.
Signatures of the counselor and customer are required.
- Complete the appropriate section on the VR
IPE Closure template. (Word) STARBASE automatically moves the customer
into Status 30 when this data is moved into the system.
Post-employment services are
vocational rehabilitation services provided to customers who need such services
in order to maintain/regain employment after the case of the individual has
been closed in Status 26. An IPE must be written for post-employment services.
Status 32 CANNOT be utilized to pay a bill for vocational rehabilitation services that were
rendered prior to the customer being closed in Status 26. This situation must
be staffed with the regional manager.
- Philosophy
There are times when employment-related problems occur after a customer's
case has been closed in Status 26 and VR services may be needed in order
to assist the individual to maintain/regain their employment.
Post-employment services are appropriate if the additional services needed
do not involve an extended period of time, do not involve large case
service expenditures, and do not involve major new services. No specific
statement exists as to what constitutes a major case service expenditure or a major new service. When in doubt, consult
your immediate supervisor.
It is also possible to plan for the provision of post-employment services
before closure in Status 26. In the past, VR counselors have tended not to
plan post-employment services before closure in Status 26 because VR
attempts to provide all known needed VR services before a case is closed in Status 26. A case may be moved into Status 32 only from Status 26. An example of a typical
post-employment usage is moving a case into Status 32 to purchase or
repair a piece of equipment which has been found to be needed for the
customer to function on their job.
- Selection Criteria in Developing the
Narrative Report
Any "rehabilitated" customers may be considered for
post-employment services. The counselor will evaluate each customer the
need for such services. When post-employment services are provided, they
must be documented in a narrative report using the criteria below as a
guide. In the event a case is in post-employment more than six months, the
six-month documentation requirement in a case narrative report is
required.
The following criteria are established for the selection of customers to
receive post-employment services:
- The customer has been determined to be
rehabilitated.
- The provision of post-employment services is
directly related to the major disability.
- The disabling medical condition must be
stable or slowly progressive.
- Post-employment services are necessary to
assist the customer in maintaining/regaining employment.
- Solution of the problem does not require a
complex or comprehensive rehabilitation effort.
- In most situations, post-employment services
would be provided within twelve months after case closure in Status 26.
If circumstances occur beyond twelve months to warrant consideration for
post-employment services, the case must be staffed with the immediate
supervisor.
- Duration of Post-employment Services
No hard and fast rule applies here. However, if the case has been closed
in Status 26 for longer than a year, or if the projected time in Status 32
exceeds a year, the case should probably be reopened in Status 00 instead
of in Status 32.
- Economic Need
Economic need must be applied in a post-employment case in the same manner
as for an active case.
- Scope of Post-employment Services
Post-employment services may include any VR service or any combination of
VR services necessary to assist the individual in maintaining or regaining
suitable employment if the services do not entail a complex or
comprehensive rehabilitation effort unrelated to the original IPE.
- Acute Conditions
Treatment of acute medical conditions cannot be provided in Status 32; however, these should be carefully distinguished
from exacerbation of existing conditions that might be predictable and
which may be covered under post-employment services.
- Post-employment Services for SSDI and
SSI Cases
These services are also available to all SSDI and SSI customers. Section
3725.06 of the (federal) Rehabilitation Services
Manual discusses post- employment services which require certain
special documentation and procedural requirements.
32-2 DocumentationRequirements
Actions Required
- Complete VR
IPE for Post-Employment w/Planned Services.
- Distribute authorization(s) as required.
- Record pertinent information on the narrative
report.
Definition(s)
Statuses 35 through 39 are
closures from post-employment; Status 32 - open and receiving post-employment
services. These statuses reflect the outcome of post-employment service efforts
as follows:
- Status 35 Closed from post-employment with customer
still employed
- Status 37 Closed from post-employment for any
other reason other than those defined in Statuses 35 and 39.
- Status 39 Closed from post-employment and reopened in
Referral, Status 00
A case is closed
in Status 35 from post-employment services (Status 32) when the counselor
determines:
- A satisfactory resolution of the problem
requiring post-employment services has been achieved.
- Sufficient independence to function without
continuing post- employment services has been attained.
- Employment appears secure as determined by
continuing suitable work performance, job satisfaction, and acceptance in
the particular employment setting with respect to employee benefits and
opportunities for advancement.
- Employment continues at a suitable level in
relation to the individual's capability and the particular locality and
labor market, or potential can be realized by an individual's own
initiative.
A case is closed
in Status 37 from post-employment services (Status 32) when the counselor
determines:
- VR post-employment services that have been
initiated will not enable the individual to gain or maintain employment.
- For any other reason the individual does not
continue to work.
A case is closed
in Status 39 from post-employment services (Status 32) when the counselor
determines:
The individual can be better served
by re-opening the case in VR - services needed are more extensive than can be
provided in post-employment.
- Make sure all post-employment service bills
have been paid.
- Complete the VR
Post-Employment Closure template. (Word) STARBASE automatically moves
the customer into the post-employment closure status you indicate on the
form.