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Vocational Rehabilitation | Funding & Support for Making Work Accessible

Vocational Rehabilitation | Funding & Support for Making Work Accessible

Vocational Rehabilitation (VR) is a state-supported program designed to help individuals with disabilities move into or stay in meaningful employment. If you have a health condition, injury, or disability that makes it harder to prepare for work, get a job, advance in your career, or return to work, VR is an option worth exploring. It helps with things like career exploration, training or education, assistive tools and technology, job site or home-to-work accommodations, job search and placement support, and job-retention services. If you’re thinking about work but aren’t sure where to start—or if you're already working and want extra supports—VR may open doors that otherwise feel closed.

Why we know this works

From an OT viewpoint, work isn’t just about the job—it’s about meaningful roles, routines, independence, and environment. When VR provides the technology, training, or environmental adjustments (for example, an ergonomic setup, assistive device, or job coaching) it transforms the possibility of work from theoretical to practical.

Many people with disabilities or chronic conditions believe working “isn’t realistic for me.” But the data and practice show that when support is tailored—when the barrier is identified and removed—employment outcomes improve. VR programs are grounded in that reality and we love that they exist because they let us pair our clinical insight (OT evaluation of tasks/environments) with real-world employment supports.

How to access this resource

Here are the essential specs for the state of Missouri (using Missouri Vocational Rehabilitation (VR) as an example). Always speak with a VR counselor for full details.

You must have a disability: A physical, mental, learning, or other condition that limits the ability to prepare for, obtain, or maintain employment.

You must have a substantial impediment to employment: Your condition must make it significantly harder to work (or return to work) unless you receive services.

You must need VR services to achieve your employment goal: Simply having a disability isn’t enough—you need support (training, equipment, accommodations, job coaching, etc.) that will help you succeed in work.

You must have or agree to develop an employment goal: VR is an employment-focused program—not simply a home-modification or general support service program.

Everyone who meets the disability and employment-related eligibility is entitled to employment services, regardless of income. Where income matters is in whether additional supports (equipment, training) can be paid for or subsidized.

If you receive federal disability benefits (such as SSDI/SSI) based on disability, you are presumed eligible for VR services unless there’s clear evidence you wouldn’t benefit.

Application and decision-making must be handled promptly by your local VR office. Processing times vary but you should discuss timing with your counselor.

For supports like home modifications or equipment, VR will require justification tied to employment—“Does the change or device enable the work?” is the test.

Frequently Asked Questions

Q: How does the Vocational Rehabilitation program work?

Vocational Rehabilitation (VR) is a state-supported program that helps individuals with disabilities prepare for, find, or maintain meaningful employment. Each state operates its own VR program, and services are tailored to your specific needs and employment goals. You work with a VR counselor who assesses your situation and develops a personalized plan that may include career exploration, job training, assistive technology, workplace accommodations, and job placement support.

Q: Who is eligible for Vocational Rehabilitation services?

You may be eligible for VR if you have a physical, mental, cognitive, or sensory disability that creates a barrier to employment. This includes health conditions, injuries, or disabilities that make it harder to prepare for work, get a job, advance in your career, or return to work after an injury or illness. Each state VR program determines eligibility based on federal guidelines, and you don't need to be currently unemployed to qualify—VR also helps people who are working but need supports to maintain or advance in their jobs.

Q: What types of services does Vocational Rehabilitation provide?

VR programs offer comprehensive employment support services including career exploration and counseling, vocational training or education assistance, assistive tools and technology, job site accommodations, transportation or home-to-work modifications, job search and placement assistance, and job retention services. The specific services you receive depend on your individual needs and employment goals as outlined in your personalized rehabilitation plan.

Q: How do I apply for Vocational Rehabilitation in my state?

Each state has its own VR office with dedicated contact information and application processes. You can find your state's VR program contact number and website through this comprehensive directory, which includes separate listings for general VR services and specialized services for individuals who are blind or visually impaired. Simply locate your state, call the number provided, or visit the website to begin the application process.

Q: Is Vocational Rehabilitation free, and are there income requirements?

VR services are generally provided at no cost to eligible individuals, though some states may require financial participation for certain services based on your income. There are no income requirements to qualify for VR—eligibility is based on having a disability that impacts employment, not on your financial situation. Your VR counselor will explain any cost-sharing policies that may apply in your state.

Q: Can I use Vocational Rehabilitation if I'm already employed?

Yes, absolutely. VR services aren't just for people seeking employment—they also support individuals who are currently working but need accommodations, assistive technology, or other supports to maintain their job, advance in their career, or transition to a different position. If your disability is affecting your ability to perform your current job or limiting your career growth, VR can help.

Q: What's the difference between general VR and VR services for the blind?

Many states operate separate VR programs: one for individuals with general disabilities and another specifically for people who are blind or visually impaired. The blind/visually impaired programs offer specialized services and expertise in assistive technology, orientation and mobility training, and employment strategies specific to vision loss. This directory includes both program types where applicable, so you can contact the program that best matches your needs.

Q: How long does it take to start receiving Vocational Rehabilitation services?

The timeline varies by state and individual circumstances. After you apply, you'll typically have an initial meeting with a VR counselor to determine eligibility, which can take a few weeks. Once deemed eligible, you'll work together to develop an Individualized Plan for Employment (IPE), and services begin based on that plan. Some states have waiting lists due to high demand, but priority is often given to individuals with the most significant disabilities or those facing immediate employment barriers.

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