Attachment 4.11(c )(3)
Order of Selection
Justification for order of selection
An order of selection is required under Section 101(a)(5) of the Rehabilitation Act, as amended, if a vocational rehabilitation agency determines that it is unable to provide services to all eligible individuals who apply for services. Due to limited financial resources, the Virginia Department of Rehabilitative Services (DRS) has been unable to provide services to all eligible individuals since 2004. With the receipt of funds from the American Recovery and Reinvestment Act (ARRA), DRS opened Priority Category I (Most Significantly Disabled) on May 1, 2009. However, once the ARRA funds allocated for case services were expended, DRS needed to again close categories in FFY 2011. Therefore, DRS will remain in order of selection during FFY 2012. DRS’ order of selection ensures that eligible individuals with the most significant disabilities receive priority.
Description of Priority categories
DRS’ established order of selection priority categories are as follows:
Priority Category I:An individual with a most significant disability
Priority Category II: An individual with a significant disability that results in serious functional limitations
in two functional capacities.
Priority III: An individual with a significant disability that results in a serious functional limitation in one functional capacity.
Priority IV: All other individuals determined eligible for the Vocational Rehabilitation program. Definitions and Terminology:
An individual with a significant disability means an individual with a disability: •who has a severe physical or mental impairment which seriously limits one or more functional capacities (mobility, communication, self-care, self-direction, interpersonal skills, work tolerance, or work skills) in terms of an employment outcome;
•whose vocational rehabilitation can be expected to require multiple vocational rehabilitation services over and extended period of time (6 months); and
•who has one or more physical or mental disabilities resulting from amputation, arthritis, autism, blindness, burn injury, cancer, cerebral palsy, cystic fibrosis, deafness, head injury, heart disease,
hemiplegia, hemophilia, respiratory or pulmonary dysfunction, mental retardation, mental illness,
multiple sclerosis, muscular dystrophy, musculo-skeletal disorders, neurological disorders (including stroke and epilepsy), paraplegia, quadriplegia and other spinal cord conditions, sickle cell anemia, specific learning disabilities, end-stage renal disease, or another disability or combination of disabilities determined on the basis of an assessment for determining eligibility and vocational rehabilitation needs to cause comparable substantial functional limitation.
An individual with a most significant disability is an individual with a significant disability that seriously limits three or more functional capacities.
Extended Period of Time: Needing services for a duration of six months or more.
Multiple Services: Two or more services needed to achieve a successful rehabilitation.
Priority of categories to receive VR services under the order
Depending upon agency resources, the categories are closed for services in order beginning with Priority Category IV, then III, then II and, finally Priority Category I. This policy does not affect consumers who began to receive services under an Individualized Plan for Employment prior to the implementation date of order of selection, or those in need of post-employment services.
After a consumer is found eligible for VR services, an order of selection determination is completed. Additional evaluations or assessments to make the eligibility determination may be provided. The VR counselor, in collaboration with the consumer, determines the consumer’s Priority Category by evaluating the consumer’s serious functional limitations, anticipated services needed and the duration of those services.
All consumers must be officially notified of their individual order of selection determination. Consumers in closed categories are provided with referral services to the One-Stop Centers or other appropriate sources, and are placed on a waiting list. After 12 months, consumers are contacted to determine if they wish to remain on the waiting list or have their case closed. If they do not notify their counselor that they wish to have their case closed, they remain on the list. Consumers in closed categories may request a review of their priority category assignment by submitting evidence that their disability has become more severe.
Service and outcome goals and the time within which the goals will be achieved
The following table provides information on the service and outcome goals for individuals in the four Priority Categories: Most Significantly Disabled (MSD); Significantly Disabled with two serious functional limitations (SD-2); Significantly Disabled with one serious functional limitation (SD-1); and all other Eligible Individuals (All Other).
Priority Number Estimated Estimated Time within which Cost of Category of number of number of goals are to be services
individuals individuals individuals achieved
to be who will exit who will exit
served with without
1 11,656 3,047 2,391 822 days $14,416,000 2 2,623 685 576 914 days $1,088,000 3 1,100 287 246 795 days $416,000 4 70 18 16 698 days $1,142