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

 

 

Deliverable Forms

Pre-Employment Transition Services

121X Post-Secondary Options Counseling

Word | PDF

1008x Post-Secondary Options Counseling for Potentially Eligible 

Word | PDF

122X Job Exploration Counseling

Word | PDF

1005X Job Exploration Counseling for Potentially Eligible 

Word | PDF

124X Instruction in Self-Advocacy

Word | PDF | WebForm

1006X Instruction in Self-Advocacy for Potentially Eligible 

Word | PDF | WebForm

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

Word | PDF | WebForm

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

Word | PDF | WebForm

557X Work-Based Learning Experience

Word | PDF

1009X Work-Based Learning Experience Development

Word | PDF

963X Work-Based Learning Experience Wage Reimbursement

Word | PDF

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

Word | PDF

964X Work-Based Learning Experience Mentor 

Word | PDF

1002X Work-Based Learning Experience Mentor for Potentially Eligible

Word | PDF

 

Entry Services

118X Entry Services II Services to Individuals 

Word | PDF

1000X Entry Services I Services to Groups 

Word | PDF

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

Word | PDF

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

Word | PDF

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

Word | PDF

 

Assessment Services

052X Functional Capabilities Evaluations

Word | PDF

100X Standardized Testing/Specialized Evaluations

Word | PDF

110X Diagnostic Vocational Evaluation/Community Based Situational Assessment 

Word | PDF

112X Community Based Workplace Assessment (CBWA)

Word | PDF

120X Career Exploration Assessment 

Word | PDF

 

Employment Preparation Services

123X Self-Advocacy for Employment 

Word | PDF | WebForm

175X Benefits Advisement 

Word | PDF | Webform

125X Work Readiness 1 – Soft Skills Training  

Word | PDF | WebForm

625X Work Readiness 2 – Skill Development 

Word | PDF

630X Work Readiness 3 – Skill Development and Work Experience 

Word | PDF

 

Job Placement Services

510X Employment Customization 

Word | PDF

559X Work Experience Development 

Word | PDF

921X Direct Placement Intake 

Word | PDF

929X Job Seeking and Development Services

Word | PDF

935X Job Seeking and Job Development Deaf and Blind Services 

Word | PDF

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

Word | PDF

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

Word | PDF

932X Job Retention Services

Word | PDF

937X Job Retention Deaf and Blind Services 

Word | PDF

933X Quality Wage Incentive for Vendor 

Word | PDF

958X Community Work Experience Wage Reimbursement 

Word | PDF

959X Coaching Supports for Employment

Word | PDF

563X Deaf and Blind Coaching Supports for Employment 

Word | 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 

Word | (PDF Pending) 

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

Word | PDF

573X Supported Employment Intensive Services Job Placement for Adults

Word | PDF Pending

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

Word | PDF Pending

574X Supported Employment Stabilization for Adults

Word | PDF Pending

1574X Supported Employment Stabilization for Youth Under Age 25 

Word | PDF Pending

575X Supported Employment Job Retention for Adults 

Word | PDF Pending

1575X Supported Employment Job Retention for Youth under age 25 

Word | PDF Pending

576X Supported Employment Job Retention Hours Per Week

Word | PDF Pending

577X Supported Employment Quality Wage Incentive for Vendor 

Word | PDF Pending

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

Word | PDF Pending

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

Word | PDF Pending

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

Word | PDF Pending

Supported Employment Monthly Progress

Word | PDF Pending

 

Assistive Technology/Rehabilitation Technology Services

165X Assistive Technology/Rehabilitation Technology Evaluation 

Word | PDF

167X Assistive Technology/Rehabilitation Technology Training 

Word | PDF

 

Driver Rehabilitation Services

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

Word | PDF

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

Word | PDF

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

Word | PDF

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

Word | PDF

 

Adjunct Services

142X Vendor Travel for Provision of CRS services 

Word | PDF | WebForm

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

Word | PDF Pending

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

Word | PDF | WebForm

M Mobility Services

Word | PDF

V Transportation 1

Word | PDF

T Transportation 2

Word | PDF

 

1000 Forms

1000X Entry Services I Services to Groups 

Word | PDF

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

Word | PDF

1002X Work-Based Learning Experience Mentor for Potentially Eligible

Word | PDF

1006X Instruction in Self-Advocacy for Potentially Eligible 

Word | PDF | WebForm

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

Word | PDF | WebForm

1008x Post-Secondary Options Counseling for Potentially Eligible 

Word | PDF

1009X Work-Based Learning Experience Development

Word | PDF

1575X Supported Employment Job Retention for Youth under age 25 

Word | PDF Pending

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

Word | PDF Pending