This human services contracting case describes an innovative system to run in Oklahoma Department of Rehabilitation Services, when faced with the fact that it is seen as a rapid increase in costs and inefficient care for people with severe disabilities. In fiscal pressure, the Department has decided to sudden change in its historical approach to contracting - reimbursed providers for their man-hours. The new, "milestones" approach would reward producers, not for results on the road to employment for people with disabilities. The case describes the advantages of the milestone, as can be seen from the state, fear of services and advocates that the new incentive system may impair the nature of assistance and therapy, as well as the first results of the program. Supported by a grant from the Innovation in American Government program, written for the Hauser Center for Nonprofit Organizations. HKS Case Number 1477.0 "Hide
by Peter Frumkin, Susan Rosegrant 21 pages. Publication Date: 01 Oct 1998. Prod. #: HKS060-PDF-ENG
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