Stay-at-Work and Return-to-Work

Develop State Vocational Rehabilitation (VR) Agency Programs

Rehabilitation Act, as amended by Workforce Innovation and Opportunity Act (WIOA), allows VR agencies to provide job retention services to individuals, even if there is priority of service in that state. Services include vocational counseling, specialized assessments, on-site job assessment, identification of accommodations, modifications to work environment, job analysis to identify specific functions of a job (essential ...more »

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Provide Wage Subsidies for Returning Injured or Ill Employees to Transitional or Partial Return-to-Work

Reimburse employers for a percentage of the base wages paid to injured workers for up to a certain amount of days. Pay wage subsidies for percentage of the RTW gross wages for up to a certain amount of work days.

Examples:

Washington - https://www.lni.wa.gov/ClaimsIns/Insurance/Injury/LightDuty/Default.asp

Oregon - https://wcd.oregon.gov/rtw/Pages/eaip.aspx

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Create Incentives for Employers to Offer Injured Workers Return-to-Work Alternatives

For example, if the employer offers the injured worker regular, modified or alternative work for a period of at least 12 months, and regardless of whether or not the injured worker accepts, each permanent partial disability payment “remaining” to be paid to the injured employee “from the date the offer was made” is decreased by 15%.

Example: California - https://www.dir.ca.gov/InjuredWorkerGuidebook/Chapter7.pdf

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Develop Return to Work Programs for State Employees

When creating a RTW program, establish a coordinator who is responsible for working with state agencies, their employees, disability insurance carriers, and treating physicians.

Example:

Delaware - https://ben.omb.delaware.gov/disability/documents/faq-sec-7.pdf?ver=0929

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Implement a Centers of Occupational Health and Education, Coordinated Early Intervention Program (COHE)

Coordination of services, including enhanced stakeholder communication, return to work planning, and identification of potential delays and solutions to keep both plans and treatment on track. Physician training on occupational health best practices. A data management system allowing service coordinators real-time access to relevant information to support case management. Example: Washington - http://www.lni.wa.gov/claimsins/providers/projresearchcomm/ohs/ ...more »

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CORI Laws: Re-entry and Employment

An alarming rate of individuals coming into contact with the criminal justice system qualify as disabled. Many are suffering dual diagnosis and have comorbidity traits that include significant substance abuse and addiction. Whether recently or not recently released from incarceration, paroled, on probation, or simply arrested these individuals are not only dealing with inadequately addressed, nor recognized disabilities, ...more »

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Establish Universal State Disability Insurance for Off-the-Job Injuries

Establish universal state disability insurance for employees who were injured off the job.

Examples:

Rhode Island - http://riilsr.org/wp-content/uploads/2014/10/Guide-to-Employment_COMPLETE.pdf

California - http://www.calhr.ca.gov/state-hr-professionals/Pages/benefits-administration-manual-workers'-compensation.aspx

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Establish State as a Model Employer Policies, Practices and Processes

States can send a clear message that employment and retention of people with disabilities is a high priority first by implementing a comprehensive set of policies, practices and processes, known collectively as State as a Model Employer policies, to increase representation of people with disabilities within their own public-sector workforce. When acting as model employers, the states also have an opportunity to serve ...more »

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Develop Workers Comp Trial Period Return-to-Work Programs

Encourage workers to take advantage of partial return to work opportunities by implementing trial periods to minimize employee risk of losing workers compensation benefits.

Examples:

North Carolina - http://www.ic.nc.gov/ncic/pages/statute/97-321.htm

Massachusetts - https://www.mass.gov/files/documents/2016/08/wn/ee-english.pdf

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SAW RTW Begins and Ends with Medical Providers

Educate and re-educate medical providers on the need for detailed descriptions of abilities to enhance employment. Occupational and non-occupational injuries, illnesses and disability lies in the hands of medical providers. Many providers provide time off of work for minimal conditions and the employment status should not lie with that medical provider. Providers should provide guidance on the health and safety of individuals ...more »

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Federal Disability Benefits and multiple forms of public assistance

Some people with disabilities utilize the SSA disability programs while stabilizing their health to survive. It is not unusual for those individuals qualifying for those programs to be eligible for additional programs such as SNAP, Medicaid, Medicaid Waivers, public housing and other. These programs are necessary for individuals to stabilize their health, living situation and lives to be able to get into the workforce. ...more »

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