Common use of Requirements for Exempt TA Participants Clause in Contracts

Requirements for Exempt TA Participants. (Reference 18 NYCRR 385.2 (e))‌ An exempt individual who has the potential to be restored to self-sufficiency through rehabilitation may be required to accept medical care to assist the individual in recovering from a mental or physical impairment, accept referral to and enrollment in a program of vocational rehabilitation, training, and/or other essential rehabilitation, and provide requested evidence that he/she is participating in the assigned program. a. Following is the district’s procedure for determining if an individual who is unable to work due to mental or physical impairment has the potential through treatment or other rehabilitative activities to improve the ability to work. This determination is different from the determination of the individual’s disability exemption as covered in Section 6.1 of this plan. Included here is who (e.g., medical practitioner, employment worker, TA worker, local review team, etc.) makes or assists in this determination that an individual can restore or improve employability through treatment or other rehabilitative activities. Also included is the source and type of information used to make the determination (e.g., information from individual’s medical practitioner, district contracted provider, specialist evaluation obtained as result of district referral, etc.): Case Managers review all medical documentation submitted by an individual (normally the LDSS 4526). If the medical documentation indicates that the treating physician is recommending non-invasive treatment or rehabilitation, the Case Manager will mail the individual a request to document attendance in recommended rehabilitation treatment regardless of expected duration of the medical exemption. Attendance documentation will be completed by the treating provider and submitted by the individual no less frequently than monthly. Non-invasive treatment or rehabilitation shall include but not be limited to mental health counseling, physical therapy, occupational therapy, and cardiac therapy. When an individual has been determined to be exempt due to a mental or physical impairment based on medical information received from the medical professional, and when the professional has recommended rehabilitation to assist in restoring the individual to self-sufficiency, the individual will be required to submit documentation of their participation in the recommended treatment. The timeframe for submitting documentation will be based on the recommended need for treatment and will be required to be submitted at a minimum oon a monthly basis. The medical status for each individual will also be reviewed at the end of the expected duration of the diagnosis and/or recertification. When an individual has been sanctioned for failure to comply with recommended rehabilitation treatment, the individual will be scheduled for an office meeting with a case manager no more frequently than once per month. Chautauqua County contracts with the Chautauqua W.I.B. to provide services for the work-limited population at both the Jamestown and Dunkirk Self-Sufficiency Center locations. The purpose of the program is to develop, establish, and sustain effective linkages that will benefit the work limited population. These benefits include both direct services and access to additional services and funds from the New York State Office of Adult Career and Continuing Education Services - Vocational Rehabilitation (ACCESS- VR). For those individuals who are determined to be totally and severly disabled, program staff provides assistance accessing Social Security or Supplemental Security benefits. These individuals are assisted with the SSI/SSDI application process, including the collection of documentation and the completion of paperwork. When appropriate, Self- Sufficiency Center staff also links individuals to Legal Assistance of Western New York (LAW NY). Self-Sufficiency Center staff will assess each TANF and Safety Net recipient referred by HHS for the Income Security Program for Work Limited Individuals from a holistic standpoint. They will develop an individualized plan of action that will include an array of services that will address their needs. This assessment will determine the services and activities that are offered to the participant and will lead to a return to full-time employment, optimal employment (with accommodations for individual barriers) or an exit from the labor market as a result of approval for SSI or SSDI. Referred individuals are expected to be work limited but non-exempt. The Self-Sufficiency Center staff will work together with each participant to determine the appropriate steps to employmnet or to secure Social Security or Supplemental Security Income benefits. b. Following is the district’s procedure for developing a treatment plan and for referring the participant to appropriate treatment, etc. Please be specific: Please see above. c. Following is the district’s procedure for tracking the participant’s compliance with the treatment plan, including who in the district is responsible for monitoring compliance. Include elements such as monthly confirmation of attendance at rehabilitation or other factors to judge participation and progress, along with how often the treatment plan is updated:

Requirements for Exempt TA Participants. (Reference 18 NYCRR 385.2 (e))‌ An exempt individual who has the potential to be restored to self-sufficiency through rehabilitation may be required to accept medical care to assist the individual in recovering from a mental or physical impairment, accept referral to and enrollment in a program of vocational rehabilitation, training, and/or other essential rehabilitation, and provide requested evidence that he/she is participating in the assigned program. a. Following is the district’s procedure for determining if an individual who is unable to work due to mental or physical impairment has the potential through treatment or other rehabilitative activities to improve the ability to work. This determination is different from the determination of the individual’s disability exemption as covered in Section 6.1 of this plan. Included here is who (e.g., medical practitioner, employment worker, TA worker, local review team, etc.) makes or assists in this determination that an individual can restore or improve employability through treatment or other rehabilitative activities. Also included is the source and type of information used to make the determination (e.g., information from individual’s medical practitioner, district contracted provider, specialist evaluation obtained as result of district referral, etc.): Case Managers TA staff review all medical documentation submitted information obtained by an individual (normally the LDSS 4526). If individual’s treatment provider and if the medical documentation indicates that the treating physician person is recommending non-invasive treatment or rehabilitation, the Case Manager will mail unable to work then the individual a request is coded appropriately and referred to document attendance in recommended rehabilitation treatment regardless of expected duration of the medical exemption. Attendance documentation will be completed by the treating provider and submitted by the individual no less frequently than monthly. Non-invasive treatment or rehabilitation shall include but not be limited to mental health counseling, physical therapy, occupational therapy, and cardiac therapy. When an individual has been determined to be exempt due to a mental or physical impairment appropriate services based on his/her treatment needs. TA staff review medical information received from the medical professional, and when the professional has recommended rehabilitation to assist in restoring the individual to self-sufficiency, the individual will be required to submit documentation of their participation in the recommended treatment. The timeframe for submitting documentation will be and/or treatment updates based on the recommended need for treatment and will be required to be submitted at individual’s circumstances on a minimum oon a monthly timely basis. The medical status for each individual will also be reviewed at the end of the expected duration of the diagnosis and/or recertification. When an individual has been sanctioned for failure to comply with recommended rehabilitation treatment, the individual will be scheduled for an office meeting with a case manager no more frequently than once per month. Chautauqua County contracts with the Chautauqua W.I.B. to provide services for the work-limited population at both the Jamestown and Dunkirk Self-Sufficiency Center locations. The purpose of the program is to develop, establish, and sustain effective linkages that will benefit the work limited population. These benefits include both direct services and access to additional services and funds from the New York State Office of Adult Career and Continuing Education Services - Vocational Rehabilitation (ACCESS- VR). For those individuals who are determined to be totally and severly disabled, program staff provides assistance accessing Social Security or Supplemental Security benefits. These individuals are assisted with the SSI/SSDI application process, including the collection of documentation and the completion of paperwork. When appropriate, Self- Sufficiency Center staff also links individuals to Legal Assistance of Western New York (LAW NY). Self-Sufficiency Center staff will assess each TANF and Safety Net recipient referred by HHS for the Income Security Program for Work Limited Individuals from a holistic standpoint. They will develop an individualized plan of action that will include an array of services that will address their needs. This assessment will determine the services and activities that are offered to the participant and will lead to a return to full-time employment, optimal employment (with accommodations for individual barriers) or an exit from the labor market as a result of approval for SSI or SSDI. Referred individuals are expected to be work limited but non-exempt. The Self-Sufficiency Center staff will work together with each participant to determine the appropriate steps to employmnet or to secure Social Security or Supplemental Security Income benefits. b. Following is the district’s procedure for developing a treatment plan and for referring the participant to appropriate treatment, etc. Please be specific: Please see aboveThe district does not develop treatment plans however we do refer individuals to treatment. We discuss with the individual their needs and review treatment options and providers to best meet their needs. Referrals may be done via phone contact or provider information given to the customer for them to follow up with. A release of information may be obtained or medical verification requested to document if follow up has taken place. Although, the district does not develop the treatment plan, the provider’s treatment plan may be requested and used by the district. Substance abuse treatment plans are determined by the providers and documentation of participation is received on at least a 90 day basis. Referrals are made to Finger Lakes Addictions Counseling and Referral Agency (FLACRA) for the assessment and based on the assessment treatment recommendations are made and must be followed by the client. The individual is required to participate in the necessary treatment as a condition of eligibility for temporary assistance. c. Following is the district’s procedure for tracking the participant’s compliance with the treatment plan, including who in the district is responsible for monitoring compliance. Include elements such as monthly confirmation of attendance at rehabilitation or other factors to judge participation and progress, along with how often the treatment plan is updated:

Requirements for Exempt TA Participants. (Reference 18 NYCRR 385.2 (e))‌ An exempt individual who has the potential to be restored to self-sufficiency through rehabilitation may be required to accept medical care to assist the individual in recovering from a mental or physical impairment, accept referral to and enrollment in a program of vocational rehabilitation, training, and/or other essential rehabilitation, and provide requested evidence that he/she is participating in the assigned program. a. Following is the district’s procedure for determining if an individual who is unable to work due to mental or physical impairment has the potential through treatment or other rehabilitative activities to improve the ability to work. This determination is different from the determination of the individual’s disability exemption as covered in Section 6.1 of this plan. Included here is who (e.g., medical practitioner, employment worker, TA worker, local review team, etc.) makes or assists in this determination that an individual can restore or improve employability through treatment or other rehabilitative activities. Also included is the source and type of information used to make the determination (e.g., information from individual’s medical practitioner, district contracted provider, specialist evaluation obtained as result of district referral, etc.): Case Managers review all We capture from medical documentation submitted by an individual reports (normally LDSS-4526 and facility-specific forms) the LDSS 4526). If the medical documentation indicates that the treating physician is recommending non-invasive treatment or rehabilitation, additional assessment recommendations made by medical practitioners and other health care practitioners. Their recommendations become the Case Manager will mail the individual a request to document attendance in recommended rehabilitation treatment regardless of expected duration foundation of the medical exemptionperson’s self-sufficiency plan. Attendance documentation will be completed by We rely heavily on the treating provider and submitted by answers in the individual no less frequently than monthly. Nonforward-invasive treatment or rehabilitation shall include but not be limited to mental health counselinglooking parts of the LDSS-4526, physical therapy, occupational therapyrecommendations for additional treatment, and cardiac therapy. When an individual has been determined the SSI referral section to be exempt due to a mental or physical impairment based on medical information received from the medical professional, and when the professional has recommended rehabilitation to assist in restoring the individual to self-sufficiency, the individual will be required to submit documentation of their participation in the recommended treatment. The timeframe for submitting documentation will be based on the recommended need for treatment and will be required to be submitted at a minimum oon a monthly basis. The medical status for each individual will also be reviewed at the end of the expected duration of the diagnosis and/or recertification. When an individual has been sanctioned for failure to comply with recommended rehabilitation treatment, the individual will be scheduled for an office meeting with a case manager no more frequently than once per month. Chautauqua County contracts with the Chautauqua W.I.B. to provide services for the work-limited population at both the Jamestown and Dunkirk Self-Sufficiency Center locations. The purpose of the program is to develop, establish, and sustain effective linkages that will benefit the work limited population. These benefits include both direct services and access to additional services and funds from the New York State Office of Adult Career and Continuing Education Services - Vocational Rehabilitation (ACCESS- VR). For those individuals who are determined to be totally and severly disabled, program staff provides assistance accessing Social Security or Supplemental Security benefits. These individuals are assisted with help distinguish between the SSI/SSDI application processSSDI-only path, including the collection of documentation and the completion of paperwork. When appropriate, Self- Sufficiency Center staff also links individuals path to Legal Assistance of Western New York (LAW NY). Self-Sufficiency Center staff will assess each TANF and Safety Net recipient referred by HHS for the Income Security Program for Work Limited Individuals from a holistic standpoint. They will develop an individualized plan of action that will include an array of services that will address their needs. This assessment will determine the services and activities that are offered to the participant and will lead to a return to full-time employment, optimal employment (. Much of this also depends on the ability of the person with accommodations for individual barriers) or an exit from the labor market as a result of approval for SSI or SSDI. Referred individuals are expected limitations to be work limited but non-exempt. The Self-Sufficiency Center staff will work together with each participant to determine the appropriate steps to employmnet either accommodated at work, or to secure Social Security or Supplemental Security Income benefits.retrained in another field b. Following is the district’s procedure for developing a treatment plan and for referring the participant to appropriate treatment, etc. Please be specific: Please see aboveThe treatment plan’s components are harvested from the various medical reports. When we suspect additional factors, as yet undiagnosed, we add referrals to other sources of assessment. Professional assessment using Medicaid can be difficult to find. We make facilitated referrals to ARC of Xxxxxx Xxxxxx’s Xxxx X. Xxxxxx Clinic when we suspect an undiagnosed developmental cognitive disability. When a neuropsych exam is warranted for a person suspected of other mental disabilities, we make a facilitated referral to ACCES-VR for the diagnostic tests, but only for those whose goal is vocational rehabilitation. c. Following is the district’s procedure for tracking the participant’s compliance with the treatment plan, including who in the district is responsible for monitoring compliance. Include elements such as monthly confirmation of attendance at rehabilitation or other factors to judge participation and progress, along with how often the treatment plan is updated:

Requirements for Exempt TA Participants. (Reference 18 NYCRR 385.2 (e))‌ An exempt individual who has the potential to be restored to self-sufficiency through rehabilitation may be required to accept medical care to assist the individual in recovering from a mental or physical impairment, accept referral to and enrollment in a program of vocational rehabilitation, training, and/or other essential rehabilitation, and provide requested evidence that he/she is participating in the assigned program. a. Following is the district’s procedure for determining if an individual who is unable to work due to mental or physical impairment has the potential through treatment or other rehabilitative activities to improve the ability to work. This determination is different from the determination of the individual’s disability exemption as covered in Section 6.1 of this plan. Included here is who (e.g., medical practitioner, employment worker, TA worker, local review team, etc.) makes or assists in this determination that an individual can restore or improve employability through treatment or other rehabilitative activities. Also included is the source and type of information used to make the determination (e.g., information from individual’s medical practitioner, district contracted provider, specialist evaluation obtained as result of district referral, etc.): Case Managers review all The employment worker reviews the client's medical documentation submitted to determine if treatment and/or other rehabilitative activities are recommended by an individual (normally the LDSS 4526). If the medical documentation indicates that the treating physician is recommending non-invasive treatment or rehabilitation, the Case Manager will mail the individual a request to document attendance in recommended rehabilitation treatment regardless of expected duration of the medical exemption. Attendance documentation will be completed by the treating provider and submitted by the individual no less frequently than monthly. Non-invasive treatment or rehabilitation shall include but not be limited to mental health counseling, physical therapy, occupational therapy, and cardiac therapy. When an individual has been determined to be exempt due to a mental or physical impairment based on medical information received from the medical professional, and when the professional has recommended rehabilitation to assist in restoring the individual to self-sufficiency, the individual will be required to submit documentation of their participation in the recommended treatmentpractitioner. The timeframe for submitting documentation will be based on the recommended need for agency then requires clients to follow through with such treatment and will be required and/or rehab activities. Please refer to be submitted at a minimum oon a monthly basis. The medical status for each individual will also be reviewed at the end of the expected duration of the diagnosis and/or recertification. When an individual has been sanctioned for failure to comply with recommended rehabilitation treatment, the individual will be scheduled for an office meeting with a case manager no more frequently than once per month. Chautauqua County contracts with the Chautauqua W.I.B. to provide services for the work-limited population at both the Jamestown and Dunkirk Self-Sufficiency Center locations. The purpose of the program is to develop, establish, and sustain effective linkages that will benefit the work limited population. These benefits include both direct services and access to additional services and funds from the New York State Office of Adult Career and Continuing Education Services Section 6.1 - Vocational Rehabilitation (ACCESS- VR). For those individuals who are determined to be totally and severly disabled, program staff provides assistance accessing Social Security or Supplemental Security benefits. These individuals are assisted with the SSI/SSDI application process, including the collection of documentation and the completion of paperwork. When appropriate, Self- Sufficiency Center staff also links individuals to Legal Assistance of Western New York (LAW NY). Self-Sufficiency Center staff will assess each TANF and Safety Net recipient referred by HHS for the Income Security Program for Work Limited Individuals from a holistic standpoint. They will develop an individualized plan of action that will include an array of services that will address their needs. This assessment will determine the services and activities that are offered to the participant and will lead to a return to full-time employment, optimal employment (with accommodations for individual barriers) or an exit from the labor market as a result of approval for SSI or SSDI. Referred individuals are expected to be work limited but non-exempt. The Self-Sufficiency Center staff will work together with each participant to determine the appropriate steps to employmnet or to secure Social Security or Supplemental Security Income benefitssame process followed. b. Following is the district’s procedure for developing a treatment plan and for referring the participant to appropriate treatment, etc. Please be specific: Please see aboveEmployment unit staff reviews medical documentation provided by a medical practitioner with the recipient to develop a treatment plan based on practitioner's recommendation to be added to his/her employment plan. c. Following is the district’s procedure for tracking the participant’s compliance with the treatment plan, including who in the district is responsible for monitoring compliance. Include elements such as monthly confirmation of attendance at rehabilitation or other factors to judge participation and progress, along with how often the treatment plan is updated:other

Requirements for Exempt TA Participants. (Reference 18 NYCRR 385.2 (e))‌ An exempt individual who has the potential to be restored to self-sufficiency through rehabilitation may be required to accept medical care to assist the individual in recovering from a mental or physical impairment, accept referral to and enrollment in a program of vocational rehabilitation, training, and/or other essential rehabilitation, and provide requested evidence that he/she is participating in the assigned program. a. Following is the district’s procedure for determining if an individual who is unable to work due to mental or physical impairment has the potential through treatment or other rehabilitative activities to improve the ability to work. This determination is different from the determination of the individual’s disability exemption as covered in Section 6.1 of this plan. Included here is who (e.g., medical practitioner, employment worker, TA worker, local review team, etc.) makes or assists in this determination that an individual can restore or improve employability through treatment or other rehabilitative activities. Also included is the source and type of information used to make the determination (e.g., information from individual’s medical practitioner, district contracted provider, specialist evaluation obtained as result of district referral, etc.): Case Managers review all medical documentation submitted by Following is the district’s process for determining an individual (normally the LDSS 4526)individual’s disabilities and/or work limitations: At application, re-certification, or as necessary, a determination of an individual’s ability to work is made. If the a person states they are unable to work, Employment Staff requests a medical/psychiatric statement to be returned in 10 days. If a medical documentation indicates that the treating physician is recommending non-invasive treatment or rehabilitationnot received, the Case Manager will mail case is ineligible until compliance. If a person is not able to work and meets the individual criteria for SSI, a request referral is made. A re-assessment of ability to document attendance in recommended rehabilitation treatment regardless of expected duration of the medical exemption. Attendance documentation work will be completed by the treating provider and submitted by the individual no less frequently than monthlymade at re- certification or when appropriate. Non-invasive treatment or rehabilitation shall include but not be limited to mental health counseling, physical therapy, occupational therapy, and cardiac therapy. When an individual has been determined The case continues to be exempt monitored and tracked. Referral Process to IMA: The DSS Employment Unit will identify the client based on the listed criteria: client claims to be unable to work or participate in work activities due to a medical or mental health condition and is suspected of not having the alleged medical or physical impairment based on mental health issues, client’s medical information received states numerous medical conditions, client’s medical from the medical professionaltheir provider does not identify diagnosis and/or length of time client is unable to work or is contradicted by other evidence, client has demonstrated an inability to successfully participate in work activities or employment and is suspected of having a disability/work limitation that is not being claimed, and when client does not have a current treating source or the professional has recommended rehabilitation current treating source is either unable or unwilling to assist in restoring the individual provide documentation needed to self-sufficiency, the individual determine employability. The referral will be required to submit documentation at the discretion of their participation in the recommended treatmentEmployment Unit and made by Employment Unit Staff. The timeframe for submitting documentation use of IMA will apply to TANF, Safety Net MOE, and Safety Net Non-MOE. Both PA applicants as well as recipients may be based on the recommended need for treatment and referred. IMA will be required to be submitted at a minimum oon a monthly basisdetermine employability whenever they are able to. The medical status for each individual district will also be reviewed at using IMA documentation to determine employability. If a person has limitations to their employability, Employment Staff will request a medical/psychiatric statement (10 days) during their employment assessment. This will be necessary to develop their EP in order to recommend the end appropriate employment activities in which the individual is able to participate. Individuals with verified limitations must work with Xxxxxxxx Co. Dept. of Social Services staff to access services such as education/training, rehabilitation, etc., that is necessary to remove or reduce their barriers. Individuals must also work with Herkimer Co. Dept. of Social Services staff to apply for SSI/SSD benefits and exhaust all possible appeals in the process. Whenever a determination of an individual’s medical condition is made the Department will notify the applicant or recipient in writing of such determination. The LDSS-4005 Notification of Disability Review Findings and the Right to Contest is sent. The district will inform work activity providers of any individual’s work limitations identified as part of the expected duration of the diagnosis and/or recertificationdisability review process. When an individual has been sanctioned for failure to comply a recipient with recommended rehabilitation treatmentlimitations is placed on a worksite, the individual Herkimer Co. Dept. of Social Services will send a notice advising the agency of these conditions and the necessity of not exceeding the specified limitations. The worksite will be scheduled for an office meeting with a case manager no more frequently than once per month. Chautauqua County contracts with the Chautauqua W.I.B. to provide services for the work-limited population at both the Jamestown and Dunkirk Self-Sufficiency Center locations. The purpose of the program is to develop, establish, and sustain effective linkages that will benefit the work limited population. These benefits include both direct services and access to additional services and funds from the New York State Office of Adult Career and Continuing Education Services - Vocational Rehabilitation (ACCESS- VR). For those individuals who are determined to be totally and severly disabled, program staff provides assistance accessing Social Security or Supplemental Security benefits. These individuals are assisted with the SSI/SSDI application process, including the collection of documentation and the completion of paperwork. When appropriate, Self- Sufficiency Center staff also links individuals to Legal Assistance of Western New York (LAW NY). Self-Sufficiency Center staff will assess each TANF and Safety Net recipient referred by HHS for the Income Security Program for Work Limited Individuals from a holistic standpoint. They will develop an individualized plan of action that will include an array of services that will address their needs. This assessment will determine the services and activities that are offered to the participant and will lead to a return to full-time employment, optimal employment (with accommodations for individual barriers) or an exit from the labor market as a result of approval for SSI or SSDI. Referred individuals are expected to be work limited but non-exempt. The Self-Sufficiency Center staff will work together with each participant to determine the appropriate steps to employmnet or to secure Social Security or Supplemental Security Income benefitsnotified if any conditions change. b. Following is the district’s procedure for developing a treatment plan and for referring the participant to appropriate treatment, etc. Please be specific: Please see aboveThe Employment Worker will review the medical report to determine the treatment plan. If the physician fails to provide a treatment plan, the Employment Worker will phone the physician's office in an attempt to identify the recommended treatment plan. c. Following is the district’s procedure for tracking the participant’s compliance with the treatment plan, including who in the district is responsible for monitoring compliance. Include elements such as monthly confirmation of attendance at rehabilitation or other factors to judge participation and progress, along with how often the treatment plan is updated:

Requirements for Exempt TA Participants. (Reference 18 NYCRR 385.2 (e))‌ An exempt individual who has the potential to be restored to self-sufficiency through rehabilitation may be required to accept medical care to assist the individual in recovering from a mental or physical impairment, accept referral to and enrollment in a program of vocational rehabilitation, training, and/or other essential rehabilitation, and provide requested evidence that he/she is participating in the assigned program. a. Following is the district’s procedure for determining if an individual who is unable to work due to mental or physical impairment has the potential through treatment or other rehabilitative activities to improve the ability to work. This determination is different from the determination of the individual’s disability exemption as covered in Section 6.1 of this plan. Included here is who (e.g., medical practitioner, employment worker, TA worker, local review team, etc.) makes or assists in this determination that an individual can restore or improve employability through treatment or other rehabilitative activities. Also included is the source and type of information used to make the determination (e.g., information from individual’s medical practitioner, district contracted provider, specialist evaluation obtained as result of district referral, etc.): Case Managers review all medical documentation submitted by an individual (normally The district makes the LDSS 4526). If the medical documentation indicates that the treating physician is recommending non-invasive treatment or rehabilitation, the Case Manager will mail the individual determination if a request to document attendance in recommended rehabilitation treatment regardless of expected duration of the medical exemption. Attendance documentation will be completed by the treating provider and submitted by the individual no less frequently than monthly. Non-invasive treatment or rehabilitation shall include but not be limited to mental health counseling, physical therapy, occupational therapy, and cardiac therapy. When an disabled individual has been determined the potential to be exempt due to a mental or physical impairment based on medical information received from the medical professional, and when the professional has recommended rehabilitation to assist in restoring the individual restored to self-sufficiency, the individual will be required to submit sufficiency based on current medical documentation of their participation in the recommended treatmentand physician’s recommendation. The timeframe for submitting Employment Unit discuss the documentation will be based on the recommended need for treatment and will be required to be submitted make determinations at a minimum oon a monthly basis. The medical status for each individual will also be reviewed at the end of the expected duration of the diagnosis and/or recertification. When an individual has been sanctioned for failure to comply with recommended rehabilitation treatment, the individual will be scheduled for an office meeting with a weekly TA case manager no more frequently than once per month. Chautauqua County contracts with the Chautauqua W.I.B. to provide services for the work-limited population at both the Jamestown and Dunkirk Self-Sufficiency Center locations. The purpose of the program is to develop, establish, and sustain effective linkages that will benefit the work limited population. These benefits include both direct services and access to additional services and funds from the New York State Office of Adult Career and Continuing Education Services - Vocational Rehabilitation (ACCESS- VR). For those individuals who are determined to be totally and severly disabled, program staff provides assistance accessing Social Security or Supplemental Security benefits. These individuals are assisted with the SSI/SSDI application process, including the collection of documentation and the completion of paperwork. When appropriate, Self- Sufficiency Center staff also links individuals to Legal Assistance of Western New York (LAW NY). Self-Sufficiency Center staff will assess each TANF and Safety Net recipient referred by HHS for the Income Security Program for Work Limited Individuals from a holistic standpoint. They will develop an individualized plan of action that will include an array of services that will address their needs. This assessment will determine the services and activities that are offered to the participant and will lead to a return to full-time employment, optimal employment (with accommodations for individual barriers) or an exit from the labor market as a result of approval for SSI or SSDI. Referred individuals are expected to be work limited but non-exempt. The Self-Sufficiency Center staff will work together with each participant to determine the appropriate steps to employmnet or to secure Social Security or Supplemental Security Income benefitsreviews. b. Following is the district’s procedure for developing a treatment plan and for referring the participant to appropriate treatment, etc. Please be specific: Please see aboveIf there is supporting medical documentation stating that there is potential to be restored to self-sufficiency, a treatment plan is developed based on the physician's recommendations. Employment Development Specialists then update the individual's employment assessment and plan with a focus on treatment activity assignments. These assignments align with the physician's recommendations. If appropriate, participants may be referred to FLACRA, ACCES VR, ARC of Xxxxx and Xxxx X. Xxxxx Mental Health Clinic or other providers as appropriate or indicated. c. Following is the district’s procedure for tracking the participant’s compliance with the treatment plan, including who in the district is responsible for monitoring compliance. Include elements such as monthly confirmation of attendance at rehabilitation or other factors to judge participation and progress, along with how often the treatment plan is updated:

Requirements for Exempt TA Participants. (Reference 18 NYCRR 385.2 (e))‌ An exempt individual who has the potential to be restored to self-sufficiency through rehabilitation may be required to accept medical care to assist the individual in recovering from a mental or physical impairment, accept referral to and enrollment in a program of vocational rehabilitation, training, and/or other essential rehabilitation, and provide requested evidence that he/she is participating in the assigned program. a. Following is the district’s procedure for determining if an individual who is unable to work due to mental or physical impairment has the potential through treatment or other rehabilitative activities to improve the ability to work. This determination is different from the determination of the individual’s disability exemption as covered in Section 6.1 of this plan. Included here is who (e.g., medical practitioner, employment worker, TA worker, local review team, etc.) makes or assists in this determination that an individual can restore or improve employability through treatment or other rehabilitative activities. Also included is the source and type of information used to make the determination (e.g., information from individual’s medical practitioner, district contracted provider, specialist evaluation obtained as result of district referral, etc.): Case Managers review all When caseworkers in the Disability/Employability Review Team (D/ERT) receive medical documentation submitted by an individual (normally the LDSS 4526). If the medical documentation information from a provider that indicates that the treating physician is recommending non-invasive treatment or rehabilitation, the Case Manager will mail the individual a request to document attendance in recommended rehabilitation treatment regardless of expected duration of the medical exemption. Attendance documentation will be completed by the treating provider and submitted by the individual no less frequently than monthly. Non-invasive treatment or rehabilitation shall include but not be limited is necessary to mental health counseling, physical therapy, occupational therapy, and cardiac therapy. When an individual has been determined restore the client to be exempt due to a mental or physical impairment based on medical information received from the medical professional, and when the professional has recommended rehabilitation to assist in restoring the individual to self-self - sufficiency, the individual worker brings the file to case conference for confirmation of what the next steps will be required regarding treatment expectations. An applicant or recipient is referred to submit documentation of IMA or other private providers to determine diagnosis and appropriate treatment recommendations. Client is scheduled an appointment or contacted by phone. D/ERT will monitor treatment. Clients are given a treatment log that their participation provider must complete. Client is responsible for submitting the log to D/ERT monthly or as determined by staff. D/ERT staff will enter treatment in the recommended treatment. The timeframe for submitting documentation will be based on the recommended need for treatment and will be required to be submitted at a minimum oon a monthly basis. The medical status for each individual will also be reviewed at the end of the expected duration of the diagnosis and/or recertification. When an individual has been sanctioned for failure to comply with recommended rehabilitation treatment, the individual will be scheduled for an office meeting with a case manager no more frequently than once per month. Chautauqua County contracts with the Chautauqua W.I.B. to provide services for the work-limited population at both the Jamestown and Dunkirk Self-Sufficiency Center locations. The purpose of the program is to develop, establish, and sustain effective linkages that will benefit the work limited population. These benefits include both direct services and access to additional services and funds from the New York State Office of Adult Career and Continuing Education Services - Vocational Rehabilitation (ACCESS- VR). For those individuals who are determined to be totally and severly disabled, program staff provides assistance accessing Social Security or Supplemental Security benefits. These individuals are assisted with the SSI/SSDI application process, including the collection of documentation and the completion of paperwork. When appropriate, Self- Sufficiency Center staff also links individuals to Legal Assistance of Western New York (LAW NY). Self-Sufficiency Center staff will assess each TANF and Safety Net recipient referred by HHS for the Income Security Program for Work Limited Individuals from a holistic standpoint. They will develop an individualized plan of action that will include an array of services that will address their needs. This assessment will determine the services and activities that are offered to the participant and will lead to a return to full-time employment, optimal employment (with accommodations for individual barriers) or an exit from the labor market as a result of approval for SSI or SSDI. Referred individuals are expected to be work limited but non-exempt. The Self-Sufficiency Center staff will work together with each participant to determine the appropriate steps to employmnet or to secure Social Security or Supplemental Security Income benefitsWTWCMS system. b. Following is the district’s procedure for developing a treatment plan and for referring the participant to appropriate treatment, etc. Please be specific: Please see above.: c. Following is the district’s procedure for tracking the participant’s compliance with the treatment plan, including who in the district is responsible for monitoring compliance. Include elements such as monthly confirmation of attendance at rehabilitation or other factors to judge participation and progress, along with how often the treatment plan is updated:

Requirements for Exempt TA Participants. (Reference 18 NYCRR 385.2 (e))‌ An exempt individual who has the potential to be restored to self-sufficiency through rehabilitation may be required to accept medical care to assist the individual in recovering from a mental or physical impairment, accept referral to and enrollment in a program of vocational rehabilitation, training, and/or other essential rehabilitation, and provide requested evidence that he/she is participating in the assigned program. a. Following is the district’s procedure for determining if an individual who is unable to work due to mental or physical impairment has the potential through treatment or other rehabilitative activities to improve the ability to work. This determination is different from the determination of the individual’s disability exemption as covered in Section 6.1 of this plan. Included here is who (e.g., medical practitioner, employment worker, TA worker, local review team, etc.) makes or assists in this determination that an individual can restore or improve employability through treatment or other rehabilitative activities. Also included is the source and type of information used to make the determination (e.g., information from individual’s medical practitioner, district contracted provider, specialist evaluation obtained as result of district referral, etc.): Case Managers review all All A/R medical documentation submitted by an individual (normally status is documented through submission of the LDSS 4526), Medical Examination for Employability Assessment, Disability Screening, and Alcoholism/Drug Addiction Determination. If In general, medical reports are updated every three months. Any relevant notation by the medical documentation indicates that practitioner, physician, and psychiatrist may affect the treating physician is recommending non-invasive treatment or rehabilitation, the Case Manager will mail the individual a request to document attendance in recommended rehabilitation treatment regardless of expected duration of three month frequency. Based on the medical exemption. Attendance documentation will be completed information received, a determination is made by the treating provider a Social Welfare Examiner and submitted by the individual no less frequently than monthly. Non-invasive treatment or rehabilitation shall include but not be limited to mental health counseling, physical therapy, occupational therapy, and cardiac therapy. When Employment Coordinator if an individual has been determined the potential through treatment or other rehabilitative activities to be exempt due to a mental or physical impairment based on medical information received from the medical professional, and when the professional has recommended rehabilitation to assist in restoring the individual to self-sufficiency, the individual will be required to submit documentation of their participation in the recommended treatment. The timeframe for submitting documentation will be based on the recommended need for treatment and will be required to be submitted at a minimum oon a monthly basis. The medical status for each individual will also be reviewed at the end of the expected duration of the diagnosis and/or recertification. When an individual has been sanctioned for failure to comply with recommended rehabilitation treatment, the individual will be scheduled for an office meeting with a case manager no more frequently than once per month. Chautauqua County contracts with the Chautauqua W.I.B. to provide services for the work-limited population at both the Jamestown and Dunkirk Self-Sufficiency Center locations. The purpose of the program is to develop, establish, and sustain effective linkages that will benefit the work limited population. These benefits include both direct services and access to additional services and funds from the New York State Office of Adult Career and Continuing Education Services - Vocational Rehabilitation (ACCESS- VR). For those individuals who are determined to be totally and severly disabled, program staff provides assistance accessing Social Security or Supplemental Security benefits. These individuals are assisted with the SSI/SSDI application process, including the collection of documentation and the completion of paperwork. When appropriate, Self- Sufficiency Center staff also links individuals to Legal Assistance of Western New York (LAW NY). Self-Sufficiency Center staff will assess each TANF and Safety Net recipient referred by HHS for the Income Security Program for Work Limited Individuals from a holistic standpoint. They will develop an individualized plan of action that will include an array of services that will address their needs. This assessment will determine the services and activities that are offered to the participant and will lead to a return to full-time employment, optimal employment (with accommodations for individual barriers) or an exit from the labor market as a result of approval for SSI or SSDI. Referred individuals are expected to be work limited but non-exempt. The Self-Sufficiency Center staff will work together with each participant to determine the appropriate steps to employmnet or to secure Social Security or Supplemental Security Income benefitswork. b. Following is the district’s procedure for developing a treatment plan and for referring the participant to appropriate treatment, etc. Please be specific: Please see aboveThe A/R is notified both in writing and verbally that he/she must participate in any recommended treatment programs expected to improve the A/R’s condition which should increase the likelihood of success towards employment and eventual self- sufficiency. c. Following is the district’s procedure for tracking the participant’s compliance with the treatment plan, including who in the district is responsible for monitoring compliance. Include elements such as monthly confirmation of attendance at rehabilitation or other factors to judge participation and progress, along with how often the treatment plan is updated:

Requirements for Exempt TA Participants. (Reference 18 NYCRR 385.2 (e))‌ An exempt individual who has the potential to be restored to self-sufficiency through rehabilitation may be required to accept medical care to assist the individual in recovering from a mental or physical impairment, accept referral to and enrollment in a program of vocational rehabilitation, training, and/or other essential rehabilitation, and provide requested evidence that he/she is participating in the assigned program. a. Following is the district’s procedure for determining if an individual who is unable to work due to mental or physical impairment has the potential through treatment or other rehabilitative activities to improve the ability to work. This determination is different from the determination of the individual’s disability exemption as covered in Section 6.1 of this plan. Included here is who (e.g., medical practitioner, employment worker, TA worker, local review team, etc.) makes or assists in this determination that an individual can restore or improve employability through treatment or other rehabilitative activities. Also included is the source and type of information used to make the determination (e.g., information from individual’s medical practitioner, district contracted provider, specialist evaluation obtained as result of district referral, etc.): Case Managers The Examiner and Senior Social Welfare Examiner review all medical documentation submitted by an individual (normally the LDSS 4526). If recommended treatment on the medical documentation indicates that the treating physician is recommending non-invasive treatment or rehabilitation, the Case Manager will mail the individual a request to document attendance in recommended rehabilitation treatment regardless of expected duration of the medical exemption. Attendance documentation will be completed by the treating provider and submitted by the individual no less frequently than monthly. Non-invasive treatment or rehabilitation shall include but not be limited to mental health counseling, physical therapy, occupational therapy, and cardiac therapy. When an individual has been determined to be exempt due to a mental or physical impairment based on medical information received from the medical professional, and when the professional has recommended rehabilitation to assist in restoring assists the individual to follow through with their doctor's recommended treatment plan. The individual will be provided an appointment for an orientation, an assessment and to develop a wellness plan. Services, referrals, and district policies will be discussed to assist the individual to obtain self-sufficiency, the individual will be required to submit documentation of their participation in the recommended treatment. The timeframe for submitting documentation will be based on the recommended need for treatment and will be required to be submitted at a minimum oon a monthly basis. The medical status for each individual will also be reviewed at the end of the expected duration of the diagnosis and/or recertification. When an individual has been sanctioned for failure to comply with recommended rehabilitation treatment, the individual will be scheduled for an office meeting with a case manager no more frequently than once per month. Chautauqua County contracts with the Chautauqua W.I.B. to provide services for the work-limited population at both the Jamestown and Dunkirk Self-Sufficiency Center locations. The purpose of the program is to develop, establish, and sustain effective linkages that will benefit the work limited population. These benefits include both direct services and access to additional services and funds from the New York State Office of Adult Career and Continuing Education Services - Vocational Rehabilitation (ACCESS- VR). For those individuals who are determined to be totally and severly disabled, program staff provides assistance accessing Social Security or Supplemental Security benefits. These individuals are assisted with the SSI/SSDI application process, including the collection of documentation and the completion of paperwork. When appropriate, Self- Sufficiency Center staff also links individuals to Legal Assistance of Western New York (LAW NY). Self-Sufficiency Center staff will assess each TANF and Safety Net recipient referred by HHS for the Income Security Program for Work Limited Individuals from a holistic standpoint. They will develop an individualized plan of action that will include an array of services that will address their needs. This assessment will determine the services and activities that are offered to the participant and will lead to a return to full-time employment, optimal employment (with accommodations for individual barriers) or an exit from the labor market as a result of approval for SSI or SSDI. Referred individuals are expected to be work limited but non-exempt. The Self-Sufficiency Center staff will work together with each participant to determine the appropriate steps to employmnet or to secure Social Security or Supplemental Security Income benefits. b. Following is the district’s procedure for developing a treatment plan and for referring the participant to appropriate treatment, etc. Please be specific: Please see aboveTreatment plans are developed based on information from the individual's medical or specialist provider, along with any records provided regarding treatment plans and diagnosis/prognosis using the LDSS 4526. The plan will include SMART goals. c. Following is the district’s procedure for tracking the participant’s compliance with the treatment plan, including who in the district is responsible for monitoring compliance. Include elements such as monthly confirmation of attendance at rehabilitation or other factors to judge participation and progress, along with how often the treatment plan is updated: