Core Rehabilitation Services

Core Rehabilitation Services (CRS) are a combination of Unified Services (formerly Unified Services Contract) and Supported Employment services, which includes: orientation, assessment, work readiness, job placement, services to youth, supported employment intensive and extended, assistive technology/rehabilitation technology, driver rehabilitation and adjunct services.

CRS (Contract Period: January, 2024 - December, 2028)

 

2024 Core Rehabilitation Services Guide 

(3/25/2024 Version, Update Summary.  We strongly recommend that you do not download or print a copy, and instead always access the CRS Program Guide from this link. This guide may need to be updated and we want to make sure you are always accessing the most up-to-date version.)

 

Request for Proposal

Word | PDF

 

Draft Authorization Process

Video Tutorial

Written Instructions

 

Vendor Training

Questions and Answers

Word | PDF pending

 

2025 CRS Rates

 

Deliverable Forms

Pre-Employment Transition Services

121X Post-Secondary Options Counseling

121x Word | 121x PDF | 121x Webform

1008x Post-Secondary Options Counseling for Potentially Eligible 

1008x Word | 1008x PDF | 1008x Webform

122X Job Exploration Counseling

122x Word | 122x PDF | 122X Webform

1005X Job Exploration Counseling for Potentially Eligible 

1005x Word | 1005x PDF | 1005x Webform

124X Instruction in Self-Advocacy

124x Word | 124x PDF | 124x Webform

1006X Instruction in Self-Advocacy for Potentially Eligible 

1006x Word | 1006x PDF | 1006x Webform

127X Workplace Readiness Training to Develop Social Skills and Independent Living

127x Word | 127x PDF | 127x Webform

1007X Workplace Readiness Training to Develop Social Skills and Independent Living for Potentially Eligible 

1007x Word | 1007x PDF | 1007x Webform

557X Work-Based Learning Experience

557x Word | 557x PDF | 557x Webform

1009X Work-Based Learning Experience Development

1009x Word | 1009x PDF | 1009x Webform

963X Work-Based Learning Experience Wage Reimbursement

963x Word | 963x PDF

1001X Work-Based Learning Experience Wage Reimbursement for Potentially Eligible

1001x Word | 1001x PDF

964X Work-Based Learning Experience Mentor 

964x Word | 964x PDF | 964x Webform

1002X Work-Based Learning Experience Mentor for Potentially Eligible

1002x Word | 1002x PDF | 1002x Webform

 

Entry Services

118X Entry Services II Services to Individuals 

118x Word | 118x PDF

1000X Entry Services I Services to Groups 

1000x Word | 1000x PDF

Application Information Sheet (AIS) (Revised 5/9/2024)

AIS Word | AIS PDF

Orientation Attendance Sheet (OA) (Revised 5/9/2024)

OA Word | OA PDF

Orientation Survey (OS) (Revised 5/9/2024)

OS Word | OS PDF

 

Assessment Services

052X Functional Capabilities Evaluations

052x Word | 052x PDF

100X Standardized Testing/Specialized Evaluations

100x Word | 100x PDF

110X Diagnostic Vocational Evaluation/Community Based Situational Assessment 

110x Word | 110x PDF

112X Community Based Workplace Assessment (CBWA)

112x Word | 112x PDF

120X Career Exploration Assessment 

120x Word | 120x PDF

 

Employment Preparation Services

123X Self-Advocacy for Employment 

123x Word | 123x PDF | 123x Webform

175X Benefits Advisement 

175x Word | 175x PDF | 175x Webform

125X Work Readiness 1 – Soft Skills Training  

125x Word | 125x PDF | 125x Webform

625X Work Readiness 2 – Skill Development 

625x Word | 625x PDF | 625x Webform

630X Work Readiness 3 – Skill Development and Work Experience 

630x Word | 630x PDF | 630x Webform

 

Job Placement Services

510X Employment Customization 

510x Word | 510x PDF

559X Work Experience Development 

559X Word | 559X PDF | 559X Webform

921X Direct Placement Intake 

921x Word | 921x PDF

929X Job Seeking and Development Services

929x Word | 929x PDF

935X Job Seeking and Job Development Deaf and Blind Services 

935x Word | 935x PDF

931X Job Placement (Revised 2/5/2024)

931x Word | 931x PDF

936X Job Placement Deaf and Blind Services (Revised 2/5/2024)

936x Word | 936x PDF

932X Job Retention Services

932x Word | 932x PDF

937X Job Retention Deaf and Blind Services 

937x Word | 937x PDF

933X Quality Wage Incentive for Vendor 

933x Word | 933x PDF

958X Community Work Experience Wage Reimbursement 

958 Word | 958x PDF

959X Coaching Supports for Employment

959x Word | 959x PDF

563X Deaf and Blind Coaching Supports for Employment 

563x Word | 563x PDF

Job Placement Monthly Placement Activity Report 

Word | PDF

Work Based Learning Monthly Placement Activity Report

Word | PDF

 

Supported Employment Services

571X Supported Employment Intake 

571x Word | (PDF Pending) 

572X Supported Employment Pre-Employment Assessment/Job Development Services

572x Word | 572x PDF

573X Supported Employment Intensive Services Job Placement for Adults

573x Word | PDF Pending

1573X Supported Employment Intensive Services Job Placement for Youth under age 25

1573x Word | PDF Pending

574X Supported Employment Stabilization for Adults

574x Word | PDF Pending

1574X Supported Employment Stabilization for Youth Under Age 25 

1574x Word | PDF Pending

575X Supported Employment Job Retention for Adults 

575x Word | PDF Pending

1575X Supported Employment Job Retention for Youth under age 25 

1575x Word | PDF Pending

576X Supported Employment Job Retention Hours Per Week

576x Word | PDF Pending

577X Supported Employment Quality Wage Incentive for Vendor 

577x Word | PDF Pending

578X Supported Employment Extended Services for Adults- Open VR Case (Revised 9/18/2024)

578x Word | PDF Pending

578X Supported Employment Extended Services for Adults ASE Case (Revised 9/18/2024)

578x Word | PDF Pending

582X Supported Employment Extended Services for Youth under age 25 (Revised 9/18/2024)

582x Word | PDF Pending

Supported Employment Monthly Progress

SEMP Word | PDF Pending

 

Assistive Technology/Rehabilitation Technology Services

165X Assistive Technology/Rehabilitation Technology Evaluation 

165x Word | 165x PDF

167X Assistive Technology/Rehabilitation Technology Training 

167x Word | 167x PDF

 

Driver Rehabilitation Services

133X Adaptive Driver Evaluation – Low Tech for Car or Van

133x Word | 133x PDF

134X Adaptive Driver Evaluation – High Tech for Car or Van 

134x Word | 134x PDF

880X Adaptive Driver Training – Low Tech for Car or Van

880x Word | 880x PDF

881X Adaptive Driver Training – High Tech for Car or Van 

881x Word | 881x PDF

 

Adjunct Services

142X Vendor Travel for Provision of CRS services 

142x Word | 142x PDF | 142x Webform

790X Coaching Supports for Post-Secondary Education, Internship or Other Activities in Pursuit of Employment Goals

790x Word | 790x PDF | 790x Webform

792X Coaching and Communication Supports for Post-Secondary Education and Employment 

792x Word | 792x PDF | 792x Webform

M Mobility Services

M Word | M PDF

V Transportation 1

V Word | V PDF

T Transportation 2

T Word | T PDF

 

1000 Forms

1000X Entry Services I Services to Groups 

1000x Word | 1000x PDF

1001X Work-Based Learning Experience Wage Reimbursement for Potentially Eligible

1001x Word | 1001x PDF

1002X Work-Based Learning Experience Mentor for Potentially Eligible

1002x Word | 1002x PDF

1006X Instruction in Self-Advocacy for Potentially Eligible 

1006x Word | 1006x PDF | 1006x Webform

1007X Workplace Readiness Training to Develop Social Skills and Independent Living for Potentially Eligible 

1007x Word | 1007x PDF | 1007x Webform

1008x Post-Secondary Options Counseling for Potentially Eligible 

1008x Word | 1008x PDF

1009X Work-Based Learning Experience Development

1009x Word | 1009x PDF

1575X Supported Employment Job Retention for Youth under age 25 

1575x Word | PDF Pending

1573X Supported Employment Intensive Services Job Placement for Youth under age 25

1573 Word | PDF Pending