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
2010 Revision Log

Revision Logs: 2007, 2008, 2009, 2011, 2012, 2013, 2014, 2015, 2016, 2017

January 2010

Chapter 4: Assessing and Planning

4.10.7 Ticket to Work Program, revised to document application process for a consumer's Ticket to Work and handling ticket assignments made to Employment Network providers.

January Ch 4 Markup

Chapter 5: Services

5.3.3 Hospital and Ambulatory Surgery Center (ASC) Services, to include new payment procedures for ASC services (effective January 1, 2010). ASC services will be purchased following MAPS guidelines; hospital services will continue to be paid based on the hospital contract.

5.3.4 Physical Restoration Services or Procedures with Special Requirements/Approval Procedure for Purchasing a Prosthesis Costing $12,500 or More without Unlisted MAPS Codes, to correct the vendor ID number (use VID#3-729729729-5-008, not VID#3-729729729-5-010) for payments to the University of Texas Southwestern Medical Center (UTSW) Prosthetics–Orthotics Program.

5.5.5 EN Employment Advancement Payments, new section added to document incentive payment program for DARS CRP providers of supported employment and job placement services who are also under contract with the Social Security Administration as an Employment Network. Incentives are awarded to providers for partnering with DARS to provide long-term support for Ticket to Work consumers after VR case closure.

5.8.3 Transportation Services, One-Time Transportation, to decrease the travel payment rate for one-time private or third-party transportation for consumers from $.55 to $.50 per mile.

January Ch 5 Markup

Chapter 7: Purchasing

Health Care Facilities—Required Qualifications, to remove the requirement that ambulatory surgical centers have a contract with DRS.

February 2010

Chapter 5: Services

5.5.4 Supported Employment Services/Benchmarks of the Supported Employment Outcome System, to include the word "social" in "personal social adjustment training."

5.8.5 Interpreter Services for the Deaf/Using Noncertified Interpreters, to remove the maximum payment amount of $11 per hour for noncertified interpreters; DRS no longer establishes the rate independently, but aligns payments with rates established by DHHS.

February Ch 5 Markup

March 2010

Chapter 1: Assessing and Planning

1.2.8 Reflecting Quality Program Management in Documentation, update to the determination of eligibility.

March Ch 1 Markup

Chapter 4: Assessing and Planning

4.3.2 Criminal Background Checks, update to clarify the requirement that Criminal Background Check reports on consumers must be retained in a confidential file separate from the consumer's file.

4.10.7 Ticket to Work Program, update to accurately reflect the purpose of the application steps.

March Ch 4 Markup

Chapter 9: Comprehensive Rehabilitation Services (CRS)

9.6 Personal Information, update information regarding the purpose and locations of forms which are used in the collection of personal information.

March Ch 9 Markup

April 2010

Chapter 5: Services

5.3.4 Physical Restoration Services or Procedures with Special Requirements, revised to clarify procedures for submitting prosthesis plans for review or approval.

5.4.1 Academic and Vocational-Technical Training, revised to reflect new on-the-job (OTJ) training policy language.

April Ch 5 Markup

May 2010

Chapter 2: Initial Contact and Application

2.4.5 Application Statements, revised to add new language indicating that DRS does not purchase goods or services from a provider who is serving as the consumer's representative. Clarification is provided to ensure that consumers are aware that their representatives may have access to the contents of their case file.

May Ch 2 Markup

Chapter 7: Purchasing

7.5.18 Identifying the Provider and the Payee, revised to clarify that DRS may not purchase goods or services for a consumer from a provider who is serving as the consumer's representative. However, purchases may be made before the provider is designated as the consumer's representative or after the provider is no longer acting as the representative. The area manager may not make an exception to this policy.

May Ch 7.5.18 Markup

7.7.5 Planning and Processing Central Billing for Consumer Airfare, revised to contain identification information for airline travel as required by the Transporation Security Administration (TSA). This change requires updates to consumer manuals that reference the form. [see DARS1762]

May Ch 7.7.5 Markup

June 2010

Chapter 1: Foundations, Roles, and Responsibilities

1.2.5 Building Ethical Relationships, revised to add a sixth principle of ethical behavior and link to the CRCC Code of Ethics.

Jun Ch 1 Markup

Chapter 2: Initial Contact and Application

2.3 Initial Contact, revised to emphasize that the VRC must communicate information to the consumer in a way the consumer can understand.

2.4.4 Completing the Application, revised to clarify that the VRC must inform consumers when their personal information will not be kept private. A guidance piece describing those circumstances in detail will be linked from that discussion.

Jun Ch 2 Markup

Chapter 3: Eligibility

3.1. Overview, revised to add information about reviewing the disability classification and determining the significance of the disability at the time of eligibility.

Jun Ch 3 Markup

Chapter 4: Assessing and Planning

4.2.1 Assessing Existing Information, revised to add a step to explain that the disability classification should be reviewed and updated, if necessary, when all relevant records have been obtained.

4.4.3 Planning Services in the IPE, revised to add steps the counselor should follow to verify that a significance designation is accurate.

Jun Ch 4 Markup

Chapter 5: Services

5.3.1 Physical Restoration Services, revised to clarify how DRS may participate in payment of a consumer's co-payment, deductible, or coinsurance for planned physical restoration services.

Jun Ch 5 Markup

5.6 Transition Planning Services (School Program), revised to emphasize the need for high school students to have a variety of preparatory work experiences before choosing a vocational goal and completing their Individualized Plan for Employment (IPE). The list of examples of preparatory experiences is expanded. Language is added to include students receiving 504 services to transition to VR services. These revisions highlight the need for students to have work experience (summer, on-the-job training or job coach) prior to completing the IPE.

5.6.1 Overview, revised, see above, 5.6 Transition Planning Services (School Program) (June 2010).

5.6.2 Description of Transition Services, revised, see above, 5.6 Transition Planning Services (School Program) (June 2010).

5.6.4 Planning for the IPE, revised, see above, 5.6 Transition Planning Services (School Program) (June 2010).

5.8.3 Transportation Services, Helping the Consumer Purchase a Vehicle for Modification, revised to emphasize that counselors can help purchase either a vehicle for modification or an already modified vehicle. Content is repositioned to emphasize that the counselor and consumer must consider purchasing a used vehicle before purchasing a new vehicle.

Jun Ch 5.8.3 Markup

5.8.3 Transportation Services, One-Time Transportation, quarterly update to revise the consumer one-time transportation payment rate from $0.18 to $0.20 per mile.

Chapter 7: Purchasing

7.4.3 Medical Assistive Devices and Supplies—Contract, revised to clarify which forms are acceptable for hearing aid letters of specification and postfitting evaluations. Providers' forms may be used as an alternative to the equivalent sections of the DARS3105 Hearing Evaluation Report.

Jun Ch 7 Markup

7.6.10 Goods and Services DRS Does Not Provide, revised to clarify when it is appropriate to pay for a consumer's dues to a professional organization or trade union.

Jun Ch 7.6.10 Markup

Chapter 8: Independent Living Services

8.8 IL Services, revised to clarify that the intent of physical restoration services is not to restore a consumer's functioning to his or her pre-illness or preinjury levels, but to provide a level of restoration that allows the consumer to participate in independent living activities.

Jun Ch 8 Markup

Chapter 11: Technical Information and References

11.4.2 How to Transfer an Active Case to a Different Supervisory Unit, revised to provide new language on how to transfer an active case and a process to be followed by the sending counselor and transferring area manager.

Jun Ch 11 Markup

July 2010

Chapter 5: Services

5.8.2 Maintenance Services, revised to clarify that state law prohibits the state comptroller from issuing warrants to consumers who have either state or federal delinquent taxes or defaulted debt. Revised the threshold amount before a consumer must be established as a provider from $200 to $400.

5.8.3 Transportation Services, see above, revision log RPM 5.8.2 July 2010.

Jul Ch 5.8.3 Markup

5.8.10 Occupational Licenses, revised to discuss when union dues or dues for professional organizations may be purchased.

Jul Ch 5.8.10 Markup

Chapter 7: Purchasing

7.7.3 Purchasing One-Time Maintenance Paid Directly to a Consumer, Revised the threshold amount before a consumer must be established as a provider from $200 to $400.

7.7.4 Purchasing One-Time Transportation Paid Directly to a Consumer, Revised the threshold amount before a consumer must be established as a provider from $200 to $400.

Jul Ch 7 Markup

Chapter 11: Technical Information and References

11.1 Required Approvals and/or Consultations, revised to provide guidance on how area manager approvals may be entered in the consumer case file.

Jul Ch 11 Markup

August 2010

Chapter 1: Foundations, Roles, and Responsibilities

1.3.4 Responsibilities of the Medical Services Coordinator (MSC), revised to align the description of MSC responsibilities in policy with the MSC responsibilities specified in the Medical Services Best Practice Guide. Other revisions include adding a procedure for requesting out-of-region medical services, and identifying essential elements to be included in courtesy packets that counselors submit to the MSCs to request coordination of medical services.

Aug Ch 1 Markup

Chapter 5: Services

5.3.3 Hospital and Ambulatory Surgery Center (ASC) Services, revised to address the importance of considering best value when selecting a hospital or ambulatory surgical center for purchased medical services.

Aug Ch 5.3.3 Markup

5.3.4 Physical Restoration Services or Procedures with Special Requirements, revised to clarify that DRS does not purchase gym memberships. The section on Surgery for Obesity is revised to change references to "morbid" obesity to "severe" obesity. This change aligns our policy terminology with current medical terminology. The policy has also been restructured to emphasize the need for counselors to verify that the consumer has an obesity-related impediment to employment prior to obtaining medical and psychological evaluations required for bariatric surgery. Additional language advises counselors that they must consider all relevant nonsurgical options to remove the impediment to employment before considering bariatric surgery.

Aug Ch 5.3.4 Markup

Chapter 7: Purchasing

7.2 Health Care Professionals–Required Qualifications, revised to add two health care groups of professionals qualified to provide surgical assistant services, Licensed Surgical Assistants (LSA) and Registered Nurse First Assistants (RNFA).

Aug Ch 7 Markup

September 2010

Chapter 3: Eligibility

3.1. Overview, revised to include information about providing services before an eligibility decision is made.

Sept Ch 3.1 Markup

3.8 Required Assessments and Policies for Selected Disabilities, revised to include only information related to eligibility, the subject of this chapter.

Sept Ch 3.8 Markup

Chapter 4: Assessing and Planning

4.6.1 Determining the Consumer's Requirement and Ability to Participate , revised to remove language about documenting receipt of consumer's proof of income in a case note. Since documents proving income will be in the paper case file, it is unnecessary to enter a case note in the electronic case management system.

Sept Ch 4 Markup

Chapter 5: Services

5.3.4 Physical Restoration Services or Procedures with Special Requirements, revised to reflect the eligibility changes listed in 3.8.2 Table of Required Assessments and Policy for Selected Conditions, and to add new information about functional electrical stimulation (FES) devices.

Sept Ch 5.3.4 Markup

5.3.6 Mental Restoration Services, revised to add a note clarifying that mental restoration services provided by an intern who is working under the supervision of a licensed provider are purchased at the supervising licensed provider's payment rate.

Sept Ch 5.3.6 Markup

5.6.4 Planning for the IPE, revised to remove the exception stating that the counselor may document "good faith" efforts to complete the IPE if one has not been completed before a student leaves high school. Since federal regulations sate that a student must have a plan in place when he or she exits high school, removing the exception brings policy into alignment with the regulations.

Sept Ch 5.6.4 Markup

Chapter 7: Purchasing

7.2 Health Care Professionals–Required Qualifications, revised to add a note clarifying that counseling services provided by an intern working under the supervision of a licensed provider are purchased at the supervising licensed provider's payment rate.

Sept Ch 7 Markup

Chapter 8: Independent Living Services

8.9 ILS Budget, revised to add links to guidance pieces describing the appropriate use of case service funds. A sentence stating that case service funds must be encumbered by August 31 each year is removed.

Sept Ch 8 Markup

Chapter 11: Technical Information and References

11.2.1 Selecting a Disability Classification, revised to update the language used to describe the link to RPM 3.8 Required Assessments and Policies for Selected Disabilities.

Sept Ch 11 Markup

October 2010

Note: Global changes made to this manual include

Chapter 4: Assessing and Planning

4.4 Developing the IPE, revised to emphasize the importance of amending the Individualized Plan for Employment (IPE) whenever the counselor and consumer agree to a substantial change in services, responsibilities, or other aspect of the plan.

4.8 Amending the IPE, revised and expanded to include information about the joint annual review and amending the IPE when the consumer is unable to electronically sign the amendment.

Oct Ch 4 Markup

Chapter 5: Services

5.3.5 Specialized Physical Restoration Program, revised to reflect the current definition for obesity.

Oct Ch 5.3.5 Markup

5.7.1 Rehabilitation and Technology Devices and Services, revised to include references to Texas AgrAbility Project, an organization that provides disability-related services for farmers and ranchers. Guidance about referring consumers to Texas AgrAbility Project and procedures for purchasing their services will be linked to the new policy.

5.7.3 Job-Site and Home Modification Services, revised to include references to Texas AgrAbility Project, an organization that provides disability-related services for farmers and ranchers. Guidance about referring consumers to Texas AgrAbility Project and procedures for purchasing their services will be linked to the new policy.

Oct Ch 5.7.3 Markup

5.7.2 Vehicle Modification Services, revised to require that counselors seek review by the Program Specialist for Rehabilitation Technology (PSRT) and the Texas Transportation Institute (TTI) when a consumer is purchasing a vehicle that DRS will modify and the plan of modifications exceeds $1,000. The new language describes the content of the TTI review report and how counselors may use this information to support their best value purchasing decisions. Also revised to require that DRS staff give completed copies of forms to the consumer: DARS3409, Consumer Vehicle Modification Agreement; DARS3419, Vehicle Modification Mutual Agreement; and DARS3474, Vehicle Modification Acceptance.

Oct 5.7.2 Markup

Chapter 11: Technical Information and References

11.1 Required Approvals and/or Consultations, revised to include the direction that all approvals granting exceptions to policy must include a clear description of the basis for the approval.

Oct Ch 11 Markup

November 2010

Chapter 1: Foundations, Roles, and Responsibilities

1.2.8 Reflecting Quality Program Management, revised to add information to the documentation table. The new information discusses content that may be covered in Joint Annual Review (JAR) case notes. An example of a JAR case note will be linked to this policy.

Nov Ch 1 Markup

Chapter 7: Purchasing

7.6.10 Goods and Services DRS Does Not Provide, revised to specify that DRS does not pay for a consumer's traffic ticket fines.

Nov Ch 7 Markup

December 2010

Note: The names of several forms were changed. Global changes were made to update manual references to these forms.


Manuals affected:

PREVIOUS FORM NAME NEW FORM NAME
DARS1106.doc DARS1106-1.doc
DARS1106A.doc DARS1106-2.doc
DARS1106A.pdf DARS1106-2.pdf
DARS1107.doc DARS1107-1.doc
DARS1107A.doc DARS1107-2.doc
DARS1107A.pdf DARS1107-2.pdf
DARS1207.doc DARS1207-1.doc
DARS1207.pdf DARS1207-1.pdf
DARS1207INST.doc DARS1207-1INST.doc
DARS1207MGRLVTOOL.xls DARS1207-2.xls
DARS1233.doc DARS1233-1.doc
DARS1233.pdf DARS1233-1.pdf
DARS1233A.doc DARS1233-2.doc
DARS1233A.pdf DARS1233-2.pdf
DARS1517.doc DARS1517-1.doc
DARS1517-S.doc DARS1517-1-S.doc
DARS1517A.doc DARS1517-2.doc
DARS1517A.pdf DARS1517-2.pdf
DARS1517AINST.doc DARS1517-2INST.doc
DARS1517AINST-S.doc DARS1517-2INST-S.doc
DARS1517A-S.doc DARS1517-2-S.doc
DARS2164.doc DARS2164-1.doc
DARS2164.pdf DARS2164-1.pdf
DARS2164A.doc DARS2164-2.doc
DARS2164A.pdf DARS2164-2.pdf
DARS2188-A.doc DARS2188-1.doc
DARS2188-A.pdf DARS2188-1.pdf
DARS2188-B.doc DARS2188-2.doc
DARS2188-B.pdf DARS2188-2.pdf
DARS2490A.doc DARS2490-1.doc
DARS2490A.pdf DARS2490-1.pdf
DARS2490A-S.doc DARS2490-1-S.doc
DARS2490B.doc DARS2490-2.doc
DARS2490B.pdf DARS2490-2.pdf
DARS2490B-S.doc DARS2490-2-S.doc
DARS2490C.doc DARS2490-3.doc
DARS2490C.pdf DARS2490-3.pdf
DARS2490C-S.doc DARS2490-3-S.doc
DARS2954SAMPLE.doc DARS2954SAMP.doc
DARS3901A.doc DARS3901-1.doc
DARS3901A.pdf DARS3901-1.pdf
DARS3901B.doc DARS3901-2.doc
DARS3901B.pdf DARS3901-2.pdf
DARS3432A.doc DARS3432-1.doc
DARS3432A.pdf DARS3432-1.pdf
DARS3432B.doc DARS3432-2.doc
DARS3432B.pdf DARS3432-2.pdf
DARS3432C.doc DARS3432-3.doc
DARS3432C.pdf DARS3432-3.pdf

Chapter 5: Services

5.5.1 Overview, revised to include supported self-employment in the list of possible consumer employment outcomes.

5.5.7 Supported Self-Employment Services, new section added to provide an in-depth description of, and procedures related to, supported self-employment consumer services.

Dec Ch 5 Markup

Chapter 11: Technical Information and References

11.6.5 List of Type Service Descriptions, revised the Psychological Counseling section of the table to include the completed DARS3406, Counseling Progress Report as an acceptable document to verify receipt of services for a consumer.

Dec Ch 11 Markup