COMMISSIONER OF ADMINISTRATION As delegated to Office of State Procurement Print Name: Xxxxxx Xxxxxxxxx Signature: Original signed Title: AMS Date: 7/14/2017 Attachment A – Work Plan Contractor shall hire, train, and make available qualified personnel to perform and administer vocational rehabilitation services. Contractor shall conduct background checks using primary sources on all personnel authorized to provide direct services or transport persons served under this contract. When transportation is provided for persons served under this contract, Contractor shall maintain current records of driving licenses and satisfactory driving history of drivers. Contractor shall provide for the integrity and security of its information assets including, but not limited to, each automated system, electronic file, database or paper file, by establishing appropriate internal policies and procedures for preserving the integrity and security of the personal information of individuals served. Contractor shall work collaboratively as part of the team with VRS staff in providing services that are part of the person’s served Employment Plan. Contractor shall develop and share detailed written information outlining the procedure for notifying VRS and the person or their guardian regarding their acceptance for services listed in Attachment B, Fee-for-Service Rate Schedule. The written information, at a minimum, should include: (a) start date notification, (b) intake process and location, (c) orientation to the Contractor, (d) service planning and delivery, (e) monitoring of service provided, (f) communication and progress reports, (g) service exit or termination. Contractor shall provide the most effective mode(s) of communication to all populations without charge to VRS or persons served. Contractor shall provide Interpreter services for all services in Attachment B, Fee-for-Service Rate Schedule, and Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/. Contractor is responsible for all necessary interpreting costs. Contractors need to notify VRS on the same day that the scheduled service(s) is cancelled in order to receive the cancellation fee. Documentation (phone calls, emails, report writing, case notes) time is built into the fee structure and rates, therefore is not billable. VRS expects all documentation be provided in accessible format whenever possible. Attachment B-1 – Fee-for-Service Rate Schedule Contractor: Enlightening Advantage, LLC SWIFT Number: 0000000000 Referral Contact(s) and Phone Number(s): Xxxxx Xxxxxxxx Effective Date: November 12, 2019 Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Cancellation Fee $100 Each Occurrence Employee Development Services (Community Based) $60 Hour Employment Supports/Job Coaching for Short Term Job Supports $50 $70 Per Hour (During Business Hours, 9 am- 5pm) Intake – Extended Employment $125 Each Job Seeking Skills Training $50 Hour Job Tryout $50 $60 Hour (w/out Coach) Hour (w/Coach) On-the-Job Evaluation $60 Hour Skill Training/Occupational Vocational Training: Customer Service Skill Training $80 Hour Service Title Fee Unit Transportation (Mileage Reimbursement) Current IRS Rate Mile Pre-Employment Transition Services (Pre-ETS) Pre-ETS Individual Rates Service Title Fee for Individual Rate Unit Pre-ETS Job Exploration Counseling Services $75 Hour Pre-ETS Post-Secondary Education Counseling Services $75 Hour Pre-ETS Benefits Information Services $75 Hour Pre-ETS Independent Living Services or Soft Skills Training $75 Hour Pre-ETS Job Seeking Skills Training $75 Hour Pre-ETS Public Transportation Training $75 Hour Pre-ETS Instruction in Self-Advocacy Services $75 Hour Pre-ETS Informational Interview $75 Hour Pre-ETS Job Shadow $75 Hour Pre-ETS Service Learning $75 Hour Pre-ETS Workplace Tour/Field Trip $75 Hour Pre-ETS Work Experience - Services $75 Hour Pre-ETS Work Experience- Wages Wages + 25% Hour Pre-ETS Group Rate The group rate may be used for all Pre-ETS services listed in the individual rate section, with the exception of Work Experience – Services and Work Experience – Wages. Pre-ETS Rates Services performed 0-25 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider Individual Rate $ 75 $ 75 Group Rates Number of Students in Group Cost Per Student Per Hour Total Payment to Provider 2 $ 40 $ 80 3 $ 30 $ 90 4 $ 25 $ 100 5 $ 21 $ 105 6 $ 18 $ 108 7 $ 16 $ 112 8 $ 15 $ 120 9 $ 15 $ 135 10 $ 15 $ 150 11 $ 15 $ 165 12 $ 15 $ 180 13 $ 15 $ 195 14 $ 15 $ 210 15 $ 15 $ 225 Pre-ETS Travel Differential The travel differential rates may be used for all Pre-ETS services listed in the individual rate section. Travel Differential 26-50 miles from provider Travel Differential 51-75 miles from provider Travel Differential 76-100 miles from provider Travel Differential 101-125 miles from provider Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 90 $ 90 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 105 $ 105 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 120 $ 120 Group Rates Individual Rate Individual Rate Cost Per Student Per Hour Total Payment to Provider per Hour Individual Rate $ 135 $ 135 Group Rates Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 50 $ 100 3 $ 35 $ 105 4 $ 30 $ 120 5 $ 26 $ 130 6 $ 23 $ 138 7 $ 21 $ 147 8 $ 20 $ 160 9 $ 20 $ 180 10 $ 20 $ 200 11 $ 20 $ 220 12 $ 20 $ 240 13 $ 20 $ 260 14 $ 20 $ 280 15 $ 20 $ 300 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 55 $ 110 3 $ 40 $ 120 4 $ 35 $ 140 5 $ 31 $ 155 6 $ 28 $ 168 7 $ 26 $ 182 8 $ 25 $ 200 9 $ 25 $ 225 10 $ 25 $ 250 11 $ 25 $ 275 12 $ 25 $ 300 13 $ 25 $ 325 14 $ 25 $ 350 15 $ 25 $ 375 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 65 $ 130 3 $ 45 $ 135 4 $ 40 $ 160 5 $ 36 $ 180 6 $ 33 $ 198 7 $ 31 $ 217 8 $ 30 $ 240 9 $ 30 $ 270 10 $ 30 $ 300 11 $ 30 $ 330 12 $ 30 $ 360 13 $ 30 $ 390 14 $ 30 $ 420 15 $ 30 $ 450 Number of Students in Group Cost Per Student Per Hour Total Payment to Provider per Hour 2 $ 70 $ 140 3 $ 50 $ 150 4 $ 45 $ 180 5 $ 41 $ 205 6 $ 38 $ 228 7 $ 36 $ 252 8 $ 35 $ 280 9 $ 35 $ 315 10 $ 35 $ 350 11 $ 35 $ 385 12 $ 35 $ 420 13 $ 35 $ 455 14 $ 35 $ 490 15 $ 35 $ 525 Attachment B – Fee-for-Service Rate Schedule Contractor: Enlightening Advantage, LLC SWIFT #:0000000000 Referral Contact(s) and phone number(s): Xxxxx Xxxxxxxx Effective Date: Service Title Fee Unit Placement and Retention Services under a Performance Based Agreement (PBA) See Performance Based Agreement (PBA) for Placement and Retention Services as referenced at xxxxx://xx.xxx/deed/job- seekers/disabilities/partners/ Yes No Cancellation Fee $100 Each Occurrence Employee Development Services (Community Based) $60 Hour Employment Supports/Job Coaching for Short Term Job Supports $50 Per Hour (During Business Hours, 9am- 5pm) $70 Per Hour (Outside Normal Business Hours) Intake (Not Applicable to PBA) $125 Each Job Seeking Skills Training $50 Hour Job Tryout $50 Hour (w/out Coach) $60 Hour (w/Coach) On-the-Job Evaluation $60 Hour Skill Training/Occupational Vocational Training: Customer Service Skills Training $80 Hour 7/14/2017 EXPIRED Service Title Fee Unit Transportation (Mileage Reimbursement) Current IRS Rate Mile EXPIRED
