Section 107 of the Rehabilitation Act of 1973, as amended (Rehabilitation Act), requires the Commissioner of the Rehabilitation Services Administration (RSA) to conduct annual reviews and periodic on-site monitoring of programs authorized under Title I of the Rehabilitation Act to determine whether a vocational rehabilitation (VR) agency is complying substantially with the provisions of its State Plan under Section 101 of the Rehabilitation Act and with the Evaluation Standards and Performance Indicators established under Section 106. To fulfill this requirement, RSA has developed this Monitoring and Technical Assistance Guide (MTAG) through which it will assess the performance of the VR agencies in the operation of the program and their compliance with pertinent federal programmatic and fiscal requirements. Beginning in federal fiscal year (FY) 2012 and ending in federal FY 2016, the State Monitoring and Program Improvement Division (SMPID), within RSA, implemented the MTAG described herein to review the administration and operation of the 70 VR programs not reviewed during the pilot of the process conducted during federal FY 2011. Consequently, SMPID again will review 14 VR agencies during federal FY 2013, and roughly an equal number in each of the subsequent fiscal years during this cycle. The specific programs covered by this MTAG include: (1) the VR program, established under Title I of the Rehabilitation Act; and (2) the supported employment (SE) program, authorized pursuant to Title VI, Part B, of the Rehabilitation Act. SMPID will include in its monitoring of the VR and SE programs three focus areas to be used when reviewing the performance and compliance of each agency. These focus areas cover: (1) organizational structure requirements of the designated state agency (DSA) and designated state unit (DSU); (2) transition services and employment outcomes for youth with disabilities; and (3) the fiscal integrity of the VR and SE programs. The nature and scope of, along with the activities to be conducted under, each focus area is contained in Sections III, IV and V, respectively, of this MTAG.