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
2012 Revision Log

Revision Logs: 2007, 2008, 2009, 2010, 2011, 2013, 2014, 2015, 2016, 2017

January 2012

Chapter 5: Services

5.3.4 Physical Restoration Services or Procedures with Special Requirements, revised to clarify that earmolds and canal impressions may be necessary under a variety of circumstances.

Chapter 5 Markup

5.8.3 Transportation Services, revised to update the rate at which consumers are paid for mileage expenses from $0.21 to $0.17. Mileage is updated quarterly, based on current economic conditions.

Chapter 7: Purchasing

7.5.4 Service Records, revised to clarify that records may not be saved without service category information.

Chapter 7.5.4 Markup

7.5.28 Temporary Waiver of CRP Credentials, revised New section added to address the policy and procedures for allowing an uncredentialed CRP employee to provide services.

January Chapter 7.5.28 Markup

7.8.2 Verifying Receipt and Accuracy of the Good or Service and Acknowledging Receipt, revised to emphasize that after verifying the invoice for the good or service, payment must be authorized within three working days.

January Chapter 7.8.2 Markup

Chapter 11: Technical Information and References

11.6.5 List of Service Category Descriptions, expanded to provide direction for handling services provided by uncredentialed CRP employees.

January Chapter 11.6.5 Markup

February 2012

Chapter 5: Services

5.3.4 Physical Restoration Services or Procedures with Special Requirements, revised to include conditions under which discograms may be purchased.

February Chapter 5 Markup

Chapter 7: Purchasing

7.7.5 Planning and Processing Central Billing for Consumer Airfare, revised to update contact information for the Consumer Airfare Team.

Chapter 7 Markup

March 2012

Chapter 11: Technical Information and References

11.6.5 List of Service Category Descriptions, Training Job Readiness and Augmentative Services was revised to specify that receipt of services must be verified with the consumer and the verification documented in the consumer's file. Supported Employment Services is revised so that the language and format parallels the Job Placement section.

Chapter 11 Markup

April 2012

Chapter 2: Initial Contact and Application

2.7.3 Reopening a Closed Case, revised to align the RPM with actions generated by RHW and with current DBS policy and to clarify that area manager consultation is necessary before a new case is opened for a consumer who has had two or more cases closed unsuccessful after eligibility.

Chapter 2.7.3 Markup

Chapter 4: Assessing and Planning

4.8.1 Amending the IPE for Post-Employment Services, revised to remove the link, but not the text, to the DARS5209. This form has been replaced by ReHabWorks.

Chapter 5: Services

5.3.5 Specialized Physical Restoration Programs/Weight-Loss Programs, revised to shorten the time frame for sponsoring a weight-loss program to a maximum of 6 months for an expected weight loss of up to 60 pounds; to make the period of time consistent with bariatric best practice that shows that most people make progress with weight loss for up to 6 months before compliance begins to fade; to make the policy more goal oriented, identifying specific reasons for a counselor to consider before providing weight-loss program services; to emphasize consumer responsibility for attendance, participation, and weight-loss progress, as well as the counselor's responsibility to closely monitor progress, using a new Weight-Loss Program Progress Report form; and to provide a guidance document for use in areas that have limited weight-loss resources, to help counselors create a multidisciplinary weight-loss program using independent providers.

April Chapter 5.3.5 Markup

5.3.6 Mental Restoration Services, revised to clarify that mental restoration services may be provided as a primary service, instead of only in support of other planned vocational services.

Chapter 5.3.6 Markup

5.8.3 Transportation Services, revised to update the rate at which consumers are paid for mileage expenses from $0.17 to $0.23. Mileage is updated quarterly, based on current economic conditions.

April Chapter 5.8.3 Markup

5.8.5 Interpreter Services for the Deaf, revised to remove the ID and password for the interpreter listing site, which is for internal use only, and to replace it with a link to the DRS Intranet so counselors can access necessary information.

Chapter 5.8.5 Markup

Chapter 7: Purchasing

7.5.28 Temporary Waiver of CRP Credentials, revised dates to reflect the correct transition period for credentialing.

Chapter 7.5.28 Markup

7.8.2 Verifying Receipt and Accuracy of the Good or Service and Acknowledging Receipt, revised to clarify policy to ensure that receipt of goods and services is documented only after verification that the goods or services satisfactorily met the conditions in policy.

Chapter 7.8.2 Markup

Chapter 11: Technical Information and References

11.6.5 List of Service Category Descriptions, revised to clarify the procedure to verify receipt of services.

Chapter 11.6.5 Markup

May 2012

Multiple Chapters and Sections

Multiple chapter and section revisions to add a link to the Medical Disabilities Guidelines to facilitate the use of this resource.

May Multiple Chapters Markup

Chapter 4: Assessing and Planning

4.6.3 Basic Living Requirements (BLR), revised monthly net income and liquid assets to reflect updated Federal Poverty Guidelines.

Chapter 4.6.3 Markup

Chapter 5: Services

5.3.4 Physical Restoration Services or Procedures with Special Requirements, revised to help the counselor determine if the consumer has an impediment to employment directly related to severe obesity; to discuss nonsurgery alternatives; to expand requirements before surgery to include the MMPI and Millon Behavioral Health Inventory and assessment of the consumer's family dynamics, stressors, and coping skills; to direct counselors to address any underlying anxiety and depression to improve compliance with program; and to encourage counselors to use surgeons affiliated with Bariatric Surgery Centers of Excellence; a new form, DARS3515 Prebariatric Program Progress Report, is related to the revised policy.

Chapter 5.3.4 Markup

Chapter 7: Purchasing

7.8.1 Verifying Invoice Accuracy and Acknowledging Receipt, revised to show that the procedure for verifying invoice accuracy no longer requires either a vendor's signature or the vendor's printed name; the vendor's printed name is sufficient to verify the accuracy of an invoice.

Chapter 7.8.1 Markup

June 2012

Multiple Chapters and Sections

Multiple chapter and section revisions to include the procedure to follow when a consumer needs medical services at a hospital that does not have a DARS contract. A new form will be used to facilitate provision of the services.

June Multiple Chapter Markup

Multiple Chapters and Sections

Multiple chapter and section revisions to add that DRS may purchase a functional capacity assessment from a chiropractor, and to ensure that these sections are consistent with policy noted in 5.3.4 Physical Restoration Services or Procedures with Special Requirements/Functional Capacity Assessment (FCA).

Second June Multiple Chapter Markup

Chapter 5: Services

5.3.7 Applied Behavior Analysis, new policy describing Applied Behavioral Analysis (ABA) as a service for consumers who have problem behaviors that cause impediments to employment. Consumers who may benefit from this service typically have autism spectrum disorder, or cognitive or developmental disorders.

Chapter 5.3.7 Markup

5.4.4 Nontraditional Providers for Job Coaching Services, new subsection added to direct VRCs on how to purchase nontraditional Job Coaching.

Chapter 5.4.4 Markup

July 2012

Chapter 3: Eligibility

Chapter 3 Eligibility, revised to include Unfavorable Medical Prognosis as a reason a case may be closed before determining eligibility. This revision aligns policy with ReHabWorks.

Chapter 3 Markup

Chapter 5: Services

5.8.3 Transportation Services, revised to update the rate at which consumers are paid for mileage expenses from $0.23 to $0.21. Mileage is updated quarterly, based on current economic conditions.

Chapter 5.8.3 Markup

August 2012

Chapter 4: Assessing and Planning

4.2.2 Selecting the Employment Goal, revised to include examples of special life circumstances that must be considered before the consumer and counselor select an employment goal; special emphasis is placed on planning for consumers who have a criminal history.

Chapter 4.2.2 Markup

4.3.2 Criminal Background Checks, revised to emphasize that consumers who have criminal backgrounds may be barred from obtaining a license or other credential in some occupations; information about licensing entities is included.

Chapter 4.3.2 Markup

Chapter 5: Services

5.3.5 Specialized Physical Restoration Programs/Back Schools and /Cardiac Rehabilitation Facilities, the Back Schools section was deleted because DRS no longer purchases stand-alone services for managing back disabilities. These services are now purchased as part of a comprehensive physical or occupational therapy program. Information for Cardiac Rehabilitation Facilities was revised because specific required cardiac tests have been deleted and left to the discretion of the cardiologist. The reference to 45 sessions has also been deleted to align the cardiac rehabilitation policy with other PT and OT policy requiring Area Manager approval for more than 30 visits.

Chapter 5.3.5 Markup

5.5.8 Embedded Training and Job Placement, new policy to describe DRS' new Embedded Training services that provide opportunities for consumers to learn occupational skills at real-life business sites.

Chapter 5.5.8 Markup

Chapter 9: Comprehensive Rehabilitation Services (CRS)

9.7.1 Eligibility Requirements, revised to lower the eligibility age requirement for Comprehensive Rehabilitation Services to 15, and to delete the age requirement linked to completion of services on the IWRP.

Chapter 9.7.1 Markup

September 2012

Multiple Chapters and Sections

Multiple chapters and sections revised to make the wording of reasons for closure and the order in which they are listed in each section alphabetized to be consistent with the wording and order used in ReHabWorks.

September Multiple Chapter Markup

December 2012

Chapter 5: Services

5.3.8 Wellness Recovery Action Plan (WRAP), new policy for Wellness Recovery Action Plan, a new service for consumers who have a mental illness that results in functional limitations that substantially interfere with two or more life activities. In addition, these consumers require crisis resolution and long-term support and treatment to manage the mental illness.

Chapter 5.3.8 Markup