Code of Massachusetts Regulations 111 CMR - MASSACHUSETTS COMMISSION FOR THE BLIND

Overview of 111 CMR – Massachusetts Commission for the Blind (MCB)

The Massachusetts Commission for the Blind operates under 111 CMR, which sets administrative rules and regulations governing services, rights, and responsibilities of individuals who are blind or visually impaired.

Key Objectives of 111 CMR

Eligibility and Certification – Rules define who qualifies as legally blind and the documentation required.

Rehabilitation Services – Includes training in daily living, mobility, assistive technology, and vocational skills.

Vocational Services – Job training, placement assistance, and career counseling for blind or visually impaired individuals.

Education Support – Services for children and students, including accessibility support and adaptive technology.

Rights and Appeals – Individuals can appeal denials of services, funding decisions, or program eligibility.

The regulations ensure that services are delivered consistently, fairly, and in accordance with federal and state law, while protecting the rights of individuals with visual impairments.

Detailed Case Examples

Here are more than five illustrative cases that show how 111 CMR might be applied in practice. These are representative examples based on common scenarios under the regulations.

Case 1: Eligibility Certification Denial

Scenario: Jane, a 25-year-old with significant vision loss, applies for MCB services but is initially denied because the documentation submitted did not meet the legal blindness criteria.

Relevant Rule: Eligibility criteria under 111 CMR require a certified eye exam or documentation of vision impairment meeting defined thresholds.

Outcome: Jane provided additional ophthalmologist documentation, met the criteria, and her application was approved. She then received training in assistive technology and mobility.

Case 2: Vocational Training Support

Scenario: Michael, a young adult recently diagnosed with progressive vision loss, wants to enter a technical career but lacks adaptive computer skills.

Relevant Rule: 111 CMR authorizes vocational and rehabilitation services, including computer and job skills training for legally blind individuals.

Outcome: MCB provided adaptive technology training, screen reader software instruction, and job placement counseling. Michael successfully secured employment with a local IT company using assistive technology.

Case 3: Mobility and Orientation Training

Scenario: Sarah, a woman with partial vision, struggles with navigating her neighborhood safely. She requests mobility training through MCB.

Relevant Rule: Orientation and mobility training is provided to help blind or visually impaired individuals travel independently.

Outcome: MCB assigned a certified orientation and mobility specialist, taught cane techniques, street safety, and navigation skills. Sarah gained confidence and independence in daily travel.

Case 4: Adaptive Technology for Education

Scenario: Daniel, a high school student who is legally blind, needs access to digital textbooks and online learning materials.

Relevant Rule: 111 CMR requires MCB to provide adaptive technology and accessible materials to eligible students.

Outcome: MCB supplied a Braille display, screen reader software, and training. Daniel could fully participate in online classes and complete assignments independently.

Case 5: Employment Accommodation Denial Appeal

Scenario: Lisa, employed at a private company, requested adaptive technology at work. The employer denied her request, and she sought MCB assistance.

Relevant Rule: Under 111 CMR, the Commission can advise, advocate, and assist with reasonable workplace accommodations for blind individuals.

Outcome: MCB intervened, explained legal obligations, and provided adaptive technology recommendations. The employer complied, and Lisa continued her employment with proper accommodations.

Case 6: Children’s Early Intervention Services

Scenario: Ethan, a 4-year-old with congenital blindness, needs early intervention services for developmental support.

Relevant Rule: 111 CMR provides early childhood support and educational services for children under 5 who are blind or visually impaired.

Outcome: MCB assigned a specialist, provided vision stimulation exercises, adaptive toys, and parental training. Ethan’s developmental progress improved significantly.

Case 7: Vocational Rehabilitation Closure Appeal

Scenario: Kevin, a young adult, had his vocational rehabilitation program closed because the Commission initially determined he could work without assistance.

Relevant Rule: 111 CMR allows clients to appeal service closure decisions.

Outcome: Kevin appealed, demonstrated he still required training for independent employment, and MCB reinstated his program. He then completed job skills training and secured employment in retail management.

Case 8: Transportation Assistance

Scenario: Maria, a legally blind adult, needed support to attend job interviews and vocational training sessions but lacked accessible transportation.

Relevant Rule: 111 CMR authorizes funding for transportation support for eligible blind individuals to access education or employment programs.

Outcome: MCB provided taxi vouchers and bus fare assistance. Maria was able to attend all training sessions and later found permanent employment.

Summary of Case Types

From these cases, the main services and issues addressed by 111 CMR include:

Eligibility and certification challenges

Vocational training and employment support

Orientation and mobility services

Assistive technology and adaptive educational tools

Appeals and advocacy for denied services or accommodations

Early intervention and developmental services for children

Transportation assistance for accessing programs

Conclusion:

111 CMR ensures that blind or visually impaired individuals in Massachusetts receive training, support, and advocacy to live independently, access education, and achieve employment goals. Cases under 111 CMR typically involve applying for services, disputes over eligibility, requests for adaptive technology or accommodations, and appeals when services are denied or prematurely closed.

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