The Individual Written Rehabilitation Program (IWRP) Amendment is used to record changes in the IWRP and agreement by all parties with those changes. These changes include: a new vocational goal, or change in employment goal, addition or deletion of IWRP services, a significant change in VR costs, or changes in IWRP dates of service. 

Procedures involving an Amendment are essentially the same as with an IWRP. As with the IWRP, the Amendment should be sent to the Office of Education and Vocational Rehabilitation (OEVR) within ten (10) working days after it has been submitted to the insurer. The name of the employee should be listed on the Amendment. Items one through three should be completed. The Amendment will not be approved unless the employee, provider and insurer have signed it. Regional Review Officer (RRO) disapproval of the Amendment will follow the same procedures as for IWRP disapproval.

Services provided without an amendment being developed, especially if there has not been provider contact with the RRO, will be considered a serious violation of OEVR policy.

At times, provision of vocational rehabilitation services need to be interrupted, usually for medical reasons. Such cases should be discussed with the RRO who may agree to suspend the case for up to ninety (90) days. The provider can continue to provide medical management or other appropriate services during this period.

A report, indicating the cause for suspension should be sent to the RRO, along with the suspension form. The report should indicate the reason for the suspension of services be signed by the provider. Vocational rehabilitation services should be resumed as soon as possible. Case closure may need to be considered if the issues which led to the suspension have not been resolved by the end of the ninety-day period. The provider must contact the RRO for permission to close the case.

SUMMARY

A. The following items must be completed on the IWRP Amendment:

1. Current status of plan

2. Proposed amendment

3. Reason for amendment

4. Specification of any additional vocational rehabilitation services which will be required

5. Amended projected total vocational rehabilitation costs

6. Amended completion date

B. The IWRP Amendment is used to record and justify changes in the IWRP, new issues or setbacks affecting vocational rehabilitation plan completion, change of employment or vocational goal, addition or deletion of one or more vocational rehabilitation services or the extension of the IWRP completion date.

C. A signed IWRP Amendment must be immediately forwarded to OEVR. The same justification required on the IWRP is required on the IWRP Amendment. It must be signed and dated by client, provider, insurer and approved first by OEVR before services start.