Rehabilitation Services

Performance-Based Agreements

Common Plan Elements

Although service providers will develop their own unique reporting formats, the following elements must be included in any Placement Plan before the VR counselor may authorize the plan milestone payment:

1. Consumer
1. Name
2. Phone number
2. Date of Plan
3. Expected Employment Outcome
1. Number of hours per week
2. Benefits
3. Wages
4. Special Considerations
1. Available days of the week
2. Available time of day
3. Transportation needs
4. Acceptable geographic area
5. Time frame issues
1. Child care
2. Therapy
3. Other
6. Physical limitations
7. Job accommodations
8. Other
5. Responsibilities of Parties to Implement the Plan
   1. Consumer
   1. Identify the specific things that the consumer will do
   2. Time frame
   2. Placement Provider
   1. Identify the specific things that the provider will do
   2. Time frame
   3. VR Counselor
   1. Identify the specific things that the counselor will do
   2. Time frame
6. Obtain signatures
1. Consumer/guardian
2. Placement provider
3. VR Counselor
4. Other