In this manual, references to DARS now refer to TWC. The manual includes both links to public content and links to content available only to staff.

Rehabilitation Policy Manual
2009 Revision Log

Revision Logs: 2007, 2008, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017

January 2009

Chapter 3: Eligibility

3.8 Required Assessments and Policies for Selected Disabilities, 3.8 2 Policy for Selected Conditions, to

Jan Ch 3 Markup

Chapter 5: Services

5.3.1 Physical Restoration Services, Services Not Authorized, to remove the prohibition against exploratory back surgery.

Jan Ch 5 Markup

5.8.3 Transportation Services, One-Time Transportation, to update the travel payment rate for one-time private or third-party transportation for consumers from $.585 to $.55 per mile.

February 2009

Per HHSC review, the following position titles were changed effective February 1, 2009:

Old Job Title New Job Title
Operations Director for Regional Program Support (ODRPS) Regional Program Support Director (RPSD)
Regional Program Support Manager (RPSM) Regional Program Support Specialist (RPSS)
Regional Program Support Administrator (RPSA) Regional Consumer Contract Specialist (RCCS)

March 2009

Chapter 3: Eligibility

3.8 2 Policy for Selected Conditions, to make minor wording changes.

3.10.3 Illegal Aliens, Immigrant Aliens, and Nonimmigrant Aliens, to revise the documentation requirements for immigrant aliens.

Mar Ch 3 Markup

Chapter 5: Services

5.3.4 Physical Restoration Services or Procedures with Special Requirements/Outpatient Services, to clarify the requirements for the provision of outpatient services.

5.3.6 Mental Restoration Services/Provider Qualifications, to update the list of professionals who may provide mental restoration services.

5.8.3 Transportation Services, to provide the quarterly update to the travel payment rate for one-time and regular weekly transportation for consumers from $.16 to $.14 per mile.

5.8.5 Interpreter Services for the Deaf, to delete policy regarding the use of interpreter agencies and travel reimbursement for independent interpreters, and to clarify procedures and rates for purchasing interpreter services.

Mar Ch 5 Markup

Chapter 7: Purchasing

7.2 Health Care Professionals—Required Qualifications, to add qualifications and job functions for licensed marriage and family therapists, psychiatric mental health clinical nurse specialists and practitioners, and to clarify the job functions and qualifications for physician assistants.

Mar Ch 7 Markup

Chapter 9: Comprehensive Rehabilitation Services (CRS)

9.7.5 Evaluation and Assessments to Determine CRS Eligibility, to clarify that the counselor's eligibility evaluation may include psychological or neuropsychological evaluations, but that these evaluations are not required.

Mar Ch 9 Markup

April 2009

Chapter 3: Eligibility

3.3.2 Time Extension, to add the following statement regarding time extension:

4. Refer to Chapter 1: Foundations, Roles, and Responsibilities, 1.2.8 Reflecting Quality Program Management in Documentation for case note documentation required when more than 60 days are needed to determine eligibility.

Chapter 11: Technical Information and References

11.6.5 List of Type Service Descriptions, to remove a descriptor in the header for a service DRS does not provide, Job Placement for Deaf Consumers—6331.

June 2009

Chapter 2: Initial Contact and Application

2.4.2 Identification and Employment Authorization Verification Documents, to update the table of acceptable documents to coincide with recent changes by the U.S. Citizenship and Immigration Services to the federal form I-9.

Jun Ch 2 Markup

Chapter 5: Services

Jun Ch 5 Markup

Chapter 6: Closure

6.2.1 Requirements for a Successful Closure, to emphasize the counselor's need to closely monitor a consumer's job stability during the initial employment period.

Jun Ch 6 Markup

Chapter 8: Independent Living Services

Jun Ch 8 Markup

Chapter 10: Consumer Rights and Legal Issues

10.7 Civil Rights Compliance, to add links to the HHSC Civil Rights Office and remove client complaint procedures and information on the designated Section 504 coordinator from the RPM that are featured on that Web site.

Jun Ch 10 Markup

Chapter 11: Technical Information and Resources

Jun Ch 11 Markup

June 5, 2009

Chapter 5: Services

5.7.2 Vehicle Modification Services, Completing Inspections of the Modified Vehicle and Procedure for Vehicle Modification, to increase the amount from $2,200 to $2,500 for purchase orders issued to the Texas Transportation Institute (TTI) of Texas A&M University for inspections of vehicle modifications costing more than $9,000. Also, to increase the purchase order amount for TTI reviews of vehicle modification plans from $90 to $175.

Jun 5.7.2 Markup

July 2009

Chapter 5: Services

5.5.4 Supported Employment Services, to provide examples of documentation expected throughout the life of the case (such as notes on provider invoice handling), benchmark statuses affected by consumer job gaps or changes, and to emphasize that the provision of substantial service ends with the payment of Benchmark 5, Job Stability.

Jul Ch 5 Markup

Chapter 11: Technical Information and Resources

11.6.5 List of Type Service Descriptions, to clarify how requests for medical record research or copies are verified by DRS.

Jul Ch 11 Markup

September 2009

Chapter 1: Foundations, Roles, and Responsibilities

1.2.8 Reflecting Quality Program Management in Documentation, to document new case review procedures effective September 1, 2009.

Sept Ch 1 Markup

Chapter 4: Assessing and Planning

4.4.1 Overview, to remove the statement that plans are not valid until signatures are entered.

4.6.1 Determining the Consumer's Requirement and Ability to Pay, to add instructions for consumers who decline to provide financial information.

4.6.3 Basic Living Requirements (BLR), to update financial thresholds.

Sept Ch 4 Markup

Chapter 5: Services

5.3.1 Physical Restoration Services/Physical Restoration Services Procedures, to include information on work capacity changes from the service provider, and to replace reference calling for the placement of DARS3107, Post treatment Assessment in the case file with the DARS3106, Work Capacity Report.

5.3.4 Physical Restoration Services or Procedures with Special Requirements/Orthoses and Prostheses, to update procedures for orthotic and prosthetic components not listed in MAPS; the new procedure includes reviews by the UT Southwestern Medical Center.

5.8.3 Transportation Services, to provide the quarterly update to the travel payment rate for one-time and regular weekly transportation for consumers from $.15 to $.18 per mile.

Sept Ch 5 Markup

Chapter 6: Closure

6.4 Changing an Unsuccessful Closure to a Successful Closure, to substitute "twelve months" for "one year" to avoid confusion between fiscal year and calendar year.

Sept Ch 6 Markup

Chapter 8: Independent Living Services

8.1 Purpose and Scope of the ILS Program, to elaborate on the scope and purpose of the ILS program.

8.3 Initial Contact:

Sept Ch 8 Markup

Chapter 11: Technical Information and References

11.5 Case Reviews, to document a new case review process beginning September 1, 2009.

Sept Ch 11 Markup

September 23, 2009

Chapter 5: Services

5.4.3 Community Rehabilitation Program (CRP) Training/CRP Services, Outcome, and Procedures, to update fees for the following services:

Sept 5.4.3 Markup

October 2009

Chapter 5: Services

5.5.4 Supported Employment Services/Benchmarks of the Supported Employment Outcome System, to remove an outdated reference to job quest training (a service that DRS no longer purchases) from the list of "vocational rehabilitation services that cannot be purchased when a consumer is receiving Supported Employment services."

December 2009

Due to the removal of Chapter 9: Institution to Community Coordination (ICC) from the DRS Standards for Providers manual, and the removal of 5.8.8 Institution to Community Coordination (ICC) from the RPM, references and/or links to the ICC have also been removed.

Chapter 1: Foundations, Roles, and Responsibilities

1.3.4 Responsibilities of the Medical Services Coordinator, to remove references to DARS3514, Permission to Collect Information, and DARS3517, Permission to Disclose Information, forms that are available only through the DRS electronic case management system. These forms are not HIPAA compliant. Because of the ReHabWorks effort, the forms will not be updated. Consumers will be asked to sign the DARS1514, Permission to Collect Information, and DARS 1517, Permission to Disclose Information.

Chapter 2: Initial Contact and Application

2.4.7 Forms to be Signed at Application, to remove references to DARS3514, Permission to Collect Information, and DARS3517, Permission to Disclose Information, forms that are available only through the DRS electronic case management system. These forms are not HIPAA compliant. Because of the ReHabWorks effort, the forms will not be updated. Consumers will be asked to sign the DARS1514, Permission to Collect Information, and DARS 1517, Permission to Disclose Information.

Chapter 4: Assessing and Planning

4.3.2 Criminal Background Checks, to update procedure for requesting a criminal background check.

Dec Ch 4 Markup

Chapter 5: Services

NOTE: DARS3121, Vehicle Selection for DRS Consumers, has been deleted from the Forms Catalog, and references to this form in Chapter 5 have been replaced with links to the guidance document "Vehicle Selection for DRS Consumers."

Dec Ch 5 Markup

Chapter 7: Purchasing

Dec Ch 7 Markup

Chapter 8: Independent Living Services

8.2 Centers for Independent Living (CIL) and CIL Liaison Counselors, to change the section title from 8.2 Sources of Referrals, and to add a new subsection, 8.2.2 Responsibilities of the Center for Independent Living (CIL) Liaison Counselor.

Dec Ch 8 Markup

Chapter 9: Comprehensive Rehabilitation Services (CRS)

9.6 Personal Information, to remove references to DARS3514, Permission to Collect Information, and DARS3517, Permission to Disclose Information, forms that are available only through the DRS electronic case management system. These forms are not HIPAA compliant. Because of the ReHabWorks effort, the forms will not be updated. Consumers will be asked to sign the DARS1514, Permission to Collect Information, and DARS 1517, Permission to Disclose Information.

Chapter 11: Technical Information and References

11.6.5 List of Type Service Descriptions, to change the report receive date for services leading to supported employment from the date the signed narrative report arrived to the date it was approved by the counselor.