7.4 Assessment, Plan Development (IACA)

A personal adjustment evaluation is an individualized and systematic process to evaluate an individual's skills, behaviors, and needs in the areas of independent living, communications, homemaking, mobility, orientation and community travel, and personal functioning.

Personal Adjustment Evaluations are conducted on a one-on-one basis. However, DVR will permit payment at the one-on-one rate per individual when the service is provided simultaneously to up to three individuals.

(Procedure codes 08250-01, 08250-03)

Evaluation in a facility setting is typically provided directly to an individual and is only utilized to the extent an integrated community setting is not available to adequately meet the individual’s needs in a community rehabilitation program, clubhouse, independent living center, or residential facility.

Monthly Payment Rate

• 30+ hours of direct on-site evaluation of an individual

• Up to $480.00 per month

• Maximum of two months

• Covers all costs for the evaluation, including preparation of a written evaluation report

Payment for Partial Months

• 1-29 hours of direct on-site evaluation of an individual

• Up to $16.00 per hour

• Maximum of two months

• Covers all costs for the evaluation and preparation of monthly written reports 

(Procedure codes 04350-01, 04350-03)

Evaluation for an individual who is blind is typically provided in a community rehabilitation program, clubhouse, independent living center, or residential facility.

Monthly Payment Rate

• 30+ hours of direct on-site evaluation of an individual

• Up to $630.00 per month

• Maximum of two months

• Covers all costs for the evaluation, including a vision rehabilitation therapy evaluation, a mobility evaluation and preparation of a written evaluation report

Payment for Partial Months

• 1-29 hours of direct on-site evaluation of an individual

• Up to $21.00 per hour

• Maximum of two months

• Covers all costs for the evaluation including a vision rehabilitation therapy evaluation and a mobility assessment, and preparation of monthly written reports

(Procedure codes 08200-01, 08200-03)

Evaluations are provided at an individual's home or in community environments. 

Monthly Payment Rate

• 30+ hours of direct on-site evaluation of an individual

• Up to $1950.00

• Maximum of two months

• Covers all costs for the evaluation, including preparation of a written evaluation report

Payment for Partial Months

• 1-29 hours of direct on-site evaluation of an individual

• Up to $65.00 per hour

• Maximum of two months

• Covers all costs for the evaluation including preparation of monthly written reports

(Procedure codes 04300-01, 04300-03)

Evaluations are provided at an individual's home or in community environments. 

Payment Rate

• Up to $150.00 per hour

• Covers all costs for the assessment, including a vision rehabilitation therapy evaluation, a mobility assessment, and preparation of a written evaluation report

(Procedure code 04370-01)

Payment Rate

• Up to $150.00 per hour

• Can ONLY be provided one-on-one

• Covers all costs for the evaluation, including preparation of a written evaluation report

(Procedure code 08370-02)

Payment Rate

• Up to $65.00 per hour

• Can ONLY be provided one-on-one

• Covers all costs for the assessment, including preparation of a written evaluation report

(Procedure code 04500-01)

Goods such as equipment, tools, clothing, and grooming supplies may be purchased if necessary and appropriate for assessment to determine the nature and scope of VR services to be included as part of an individual’s IPE.

(Procedure code 04500-02)

Short-term training may be part of assessment if necessary and appropriate to determine the nature and scope of VR services to be included as part of an individual’s IPE.

(Procedure code 04500-03)

An employed individual may receive job coaching services as part of assessment to determine the nature and scope of VR services to be included as part of an individual’s IPE.

(Procedure codes 04000-02, 04000-01)

Type of vocational evaluation utilizing formalized testing tools and standard protocols. Standardized vocational evaluations typically involve the use of formalized normed work samples, such as the Valpar written test, etc.

Payment for a Comprehensive Evaluation

• 10+ hours of direct evaluation of an individual

• Up to $825.00 each

• Covers all costs for the assessment, including preparation of a written evaluation report

Payment by the Hour

• 1-9 hours of direct evaluation of an individual

• Up to $82.50 per hour

• Covers all costs for the evaluation, including preparation of a written evaluation report

This is assessment of work behaviors, interpersonal skills, and job-related skill levels for purposes of establishing eligibility, providing Trial Work Experience (TWE), or developing an Individualized Plan for Employment (IPE). They may take place in community-based settings, including real-life work settings and transitional employment settings, or in facility-based settings, such as community rehabilitation program facilities. Situational assessments may be used for supplemental evaluations.

Typically, all SAs are provided one-on-one. However, DVR will allow for payment to be made when the service is being provided simultaneously to up to three individuals as follows:

• 1-3 individuals - 100% of identified direct service one-on-one rate per individual

During a facility-based Situational Assessment, assessment is provided in a community rehabilitation program, clubhouse, etc. and cannot exceed two full months. During a community- based assessment, assessment is provided at job sites in the community. Rather than providing an individual with uniquely designed situational assessment services, a Standard 2-week Situational Assessment uses standardized protocols and practices for all participating individuals.

(Procedures codes 04150-01, 04150-03 )

Assessment is provided in a community rehabilitation program, clubhouse, etc. 

Monthly Payment Rate

• 30+ hours of direct on-site assessment of an individual

• Up to $1000.00 per month

• Maximum of two months

• Covers all costs for the assessment, including preparation of a written evaluation report

Payment for Partial Months

• 1-29 hours

• Up to $33.50 per hour of direct on-site assessment of an individual

• Maximum of two months

• Covers all costs for the assessment and preparation of monthly written reports

(Procedure code 04100-01, 04100-03)

Assessment is provided at worksites in the community and can be used for work experiences, job shadowing, and supplemental evaluations.

Monthly Payment Rate

• 30+ hours of direct on-site assessment of an individual

• Up to $1,950.00

• Covers all costs for the assessment, including preparation of a written report

Payment for Partial Months

• 1-29 hours of direct on-site assessment of an individual

• Up to $65.00 per hour

• Covers all costs for the assessment, including preparation of monthly written reports

(Procedure code 04100-05)

Rather than providing an individual with uniquely designed situational assessment services, a standard 2-week situational assessment uses standardized protocols and practices for all participating individuals.

Payment Rate

• Up to $1000.00 of direct on-site assessment of an individual

• Covers all costs for the assessment, including preparation of a written report

(Procedure code 04100-06)

A Job Site Evaluation is a limited community-based SA that consists of observing an individual on a specific job to determine if the particular job and/or work setting are appropriate for the individual and what accommodations may be needed.

Payment Rate

• Up to $65.00 per hour of direct on-site assessment of an individual

• Maximum of three hours

• Covers all costs for the assessment, including preparation of monthly written reports

(Procedure code 04100-08)

An on-site evaluation of an individual’s skills, behaviors and needs in areas related to employment in production agriculture. This may include AgrAbility services.

Payment Rate

• Up to $96.50 per hour of direct on-site evaluation of an individual

• Includes written reports, vendor travel, training and consultation of the individual, and additional consultation and technical support, as necessary