Psychological Services Vendors
State of Arizona VRS MSP Program
About the Program
The State of Arizona Division of Employment and Rehabilitation Services (DERS), Rehabilitation Services Administration (RSA) has selected Knowledge Services as its Managed Service Provider (MSP) for Vocational Rehab (VR) under contract CTR075483. Knowledge Services MSP will specifically partner with RSA for Psychological Services (Psych Services).
Under this contract, the Knowledge Services MSP program for Vocational Rehab Services will be referred to as AZVRS. To participate as a Vendor, please complete the steps listed on this page, being careful to follow all corresponding instructions.
RSA Psych Services Program Documents
*Note: Vendors are required to have a signed copy of Exhibit C – Code of Conduct in the personnel file of all Personnel prior to being cleared to provide services under the AZVRS MSP Program. Please keep the signed copy in the personnel file to be available upon request by RSA or Knowledge Services.
| RSA Psych Services Exhibits | |
|---|---|
| Exhibit C - Vendor Code of Conduct | Download |
| Exhibit C2 - Sign Language and Foreign Language Service Qualifications | Download |
| Exhibit C3 - Definitions | Download |
| Exhibit N - Psych Services Service Specifications | Download |
| Exhibit N1 - Psych Services Evaluation Report | Download |
| Exhibit N2 - Psych Services Post-Assessment Consultation Report | Download |
| Exhibit N3 - Psych Services Client Service Plan | Download |
| Exhibit N4 - Psych Services Monthly Progress Report | Download |
| Exhibit N5 - Psych Services Client Records Review Report | Download |
| Exhibit N6 - Psych Services Affirmation of Qualifications | Download |
DAAS Psych Services Program Documents
*Note: Vendors are required to have a signed copy of Exhibit C – Code of Conduct in the personnel file of all Personnel prior to being cleared to provide services under the AZVRS MSP Program. Please keep the signed copy in the personnel file to be available upon request by RSA or Knowledge Services.
| DAAS Psych Services Exhibits | |
|---|---|
| Exhibit DAAS N - APS Psychological Services Service Specifications | Download |
| Exhibit DAAS N1 - Psychological Services APS Evaluation Report | Download |
| Exhibit DAAS N2 - Psychological Services Client Records Review Report | Download |
| Exhibit DAAS N3 - Psychological Services APS Affirmation of Qualifications | Download |
| Exhibit DAAS N4 - Psychological Services APS Client No Show Report | Download |
| Exhibit DAAS C - Vendor Code of Conduct | Download |