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
2015 Revision Log

Revision Logs: 2007, 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2016, 2017

February 2015

Chapter 6: Physical Restoration Services

6.4.14 Functional Electrical Stimulation (FES) Devices, revised to update the criteria and the process required for the purchase of FES Devices for DRS consumers.

Feb Ch 6 Markup

April 2015

Chapter 4: Assessing and Planning

4.3.2 Assessing and Planning, revised to clarify policy and forms related to obtaining and using a criminal background check on a consumer to ensure compliance with Texas Government Code, Section 411.117 and Texas Human Resources Code, Section 111.058

Apr Ch 4 Markup

May 2015

Chapter 8: Training Services

8.3 Community Rehabilitation Program (CRP) Training; 8.3.3 CRP Services, Outcome, and Procedures, Updates to multiple sections of policy and standards that were published as part of the Employment Services bundle of forms, policies, and standards in Dec. 2014. The revisions ensure alignment between both policies and standards, clarify both documentation and service expectations, and update references to revised policies and purchasing procedures in other sections of the RPM.

May Ch 8.3 Markup

8.4 Work Experience. New policy is added to meet the Pre-ETS VAT requirements of the Workforce Innovation and Opportunities Act (WIOA), Title IV enacted July 22, 2014. New policy is added to allow staff to purchase Pre-ETS VAT services from providers.

May Ch 8.4 Markup

8.5 Vocational Adjustment Trainings (VAT) for Work Readiness. Pre-Employment Training Services (Pre-ETS) - Vocational Adjustment Training (VAT): New policy is added to meet the Pre-ETS VAT requirements of the Workforce Innovation and Opportunities Act (WIOA), Title IV enacted July 22, 2014. New policy is added to allow staff to purchase Pre-ETS VAT services from providers.

May Ch 8.5 Markup

Chapter 9: Employment Services

9.3 Employment Premium Services. Updates to multiple sections of policy and standards that were published as part of the Employment Services bundle of forms, policies, and standards in Dec. 2014. The revisions ensure alignment between both policies and standards, clarify both documentation and service expectations, and update references to revised policies and purchasing procedures in other sections of the RPM.

May Ch 9.3 Markup

9.9 Bundled Job Placement Services; 9.9.1 Overview. Updates to multiple sections of policy and standards that were published as part of the Employment Services bundle of forms, policies, and standards in Dec. 2014. The revisions ensure alignment between both policies and standards, clarify both documentation and service expectations, and update references to revised policies and purchasing procedures in other sections of the RPM.

May Ch 9.9 Markup

9.10 Supported Employment. Updates to multiple sections of policy and standards that were published as part of the Employment Services bundle of forms, policies, and standards in Dec. 2014. The revisions ensure alignment between both policies and standards, clarify both documentation and service expectations, and update references to revised policies and purchasing procedures in other sections of the RPM.

May Ch 9.10 Markup

9.11 Job Skills Training and Job Coaching. Updates to multiple sections of policy and standards that were published as part of the Employment Services bundle of forms, policies, and standards in Dec. 2014. The revisions ensure alignment between both policies and standards, clarify both documentation and service expectations, and update references to revised policies and purchasing procedures in other sections of the RPM.

May Ch 9.11 Markup

Chapter 19: Technical Information and References

19.5 Case Reviews, revised to align with the current vocational rehabilitation case review process. Revisions to the process were a direct result of audit findings and Sunset Commission recommendations.

May Ch 19.5 Markup

19.6 Reference Tools; 19.6.5 List of Service Category Descriptions, revisions ensure alignment between both policies and standards, clarify both documentation and service expectations, and update references to revised policies and purchasing procedures in other sections of the RPM.

May Ch 19.6 Markup

June 2015

Chapter 1: Foundations, Roles, and Responsibilities

1.2 Cornerstones of Quality Vocational Rehabilitation; 1.2.6 Applying Principles of Informed Choice, revised to remove reference and link for guidance document that is no longer in use.

Jun Ch 1 Markup

Chapter 3: Eligibility

3.2 Presumption of Eligibility for Social Security Recipients, revised to remove reference and link for guidance document that is no longer in use.

Jun Ch 3 Markup

Chapter 4: Assessing and Planning

4.2 Assessing Consumer Information and Selecting an Employment Goal; 4.2.4 Providing Services before IPE Development, revised to remove reference and link for guidance document that is no longer in use.

Jun Ch 4 Markup

Chapter 17: Purchasing

17.7.1 Verifying, Receiving, and Authorizing Payment for Consumer Purchases, and Other Financial Policies. This revision will align the listed invoice elements in the RPM with State Comptroller requirements and current Standards manual content.

Jun Ch 17 Markup

August 2015

Chapter 2: Initial Contact and Application

2.3.2 Consumer Has an Open DRS Case. Update policy to clarify business process for opening, reopening, and phase adjusting a consumer's previously closed DRS case. Failure to process a case correctly in the ReHabWorks electronic case management system results in inaccurate reporting to RSA, state legislature, and DARS stakeholders.

Aug Ch 2.3.2 Markup

2.6 When a Consumer Requires Special Attention. Update policy to align with RHW functionality related to consumers that "require special attention".

Aug Ch 2.6 Markup

2.7 Opening a New Case or Adjusting the Phase of a Previously Closed Case. Update policy to clarify business process for opening, reopening, and phase adjusting a consumer's previously closed DRS case. Failure to process a case correctly in the ReHabWorks electronic case management system results in inaccurate reporting to RSA, state legislature, and DARS stakeholders.

Aug Ch 2.7 Markup

Chapter 7: Mental Restoration Services

7.4 Autism Spectrum Disorders (ASD) Supports, new section added to document customized employment services and related supports to meet the needs of consumers with autism spectrum disorders.

Aug Ch 7 Markup

Chapter 8: Training Services

8.6 Environmental Work Assessment (EWA), new section added to document customized employment services and related supports to meet the needs of consumers with autism spectrum disorders.

Aug Ch 8 Markup

Chapter 9: Employment Services

9.3.3 Employment Premium Services, revised to note that the VR counselor must complete a case note to justify the purchase of Employment Premium Services, and provide additional justification if requesting Autism Premium Service if the consumer does not have a diagnosis of autism spectrum disorder.

Aug Ch 9 Markup

Chapter 19: Technical Information and References

19.4 Transfer of Cases and Caseloads. Update policy to clarify business process for transferring a case from one case load to another case load, including the required time lines, case updates, and review processes required prior to transferring the case.

Aug Ch 19 Markup

September 2015

Chapter 4: Assessing and Planning

4.1 Overview, revised to make grammatical corrections and clarifications.

4.5.1 Requirement for Using Comparable Services and Benefits, revised to add a section on comparable services and benefits for veterans.

4.10 Social Security Recipients and Beneficiaries, revised to align policy with benefits planning processes, Ticket to Work, SSI/SSDI benefit verification, and other processes unique to individuals who qualify for SSI/SSDI.

Sept Ch 4 Markup

Chapter 6: Physical Restoration Services

6.4 Physical Restoration Services or Procedures with Special Requirements, revised to clarify special procedures for osteomyelitis, pain treatment (rather than pain management), and wound care.

6.5.4 Rehabilitation Hospital Programs, revised to distinguish between CRS-PABI services purchased for VR consumers and rehabilitation hospital services purchased for VR consumers.

6.5.7 Post-Acute Brain Injury (PABI) Services, revised to reflect changes made during a two year CRS redesign project to align purchase of PABI services for VR consumers with PABI services purchased for CRS consumers.

Sept Ch 6 Markup

Chapter 9: Employment Services

9.2 Business Relationships, section deleted; reference added to new Chapter 12: DARS Business Services.

Sept Ch 9 Markup

Chapter 12: DARS Business Services

New chapter added to reflect the new combined business service offerings for DARS.

Sept Ch 12 Markup

Chapter 15: Comprehensive Rehabilitation Services (CRS)

Entire chapter revised and replaced to reflect changes to the CRS program, including a revised service array, eligibility criteria, a family cost share component, a billing process, and an exception process for requested services that are not in the service array. In addition, policy and procedure information from other chapters in the RPM have been included in this chapter.

Sept Ch 15 Markup

Chapter 17: Purchasing

17.4.16 Referrals to Texas Workforce Commission, section renamed to "Referrals to Texas Workforce Solutions Office" and content deleted; reference added to new Chapter 12: DARS Business Services.

Sept Ch 17 Markup

October 2015

Chapter 6: Physical Restoration Services

6.4.6 Cochlear Implant; and 6.4.16 Hearing Aids, revised to clarify special procedures for Cochlear Implants, Hearing Aides, and related services.

Oct Ch 6 Markup

Chapter 10: Transition Services

Transition Services, revised to align with the federal Workforce Investment Opportunity Act (WIOA).

Oct Ch 10 Markup

Chapter 19: Technical Information and References

19.2.4 The Significance of the Disability for CRS and ILS Cases, revised to remove references to level of significance for CRS and ILS cases to align with program requirements and RHW functionality.

Oct Ch 19 Markup

November 2015

Chapter 2: Initial Contact and Application

The following sections were revised to meet No Wrong Door guidelines (GM15-06) and to clarify how to enter a consumer's PIN in ReHabWorks and explain the reason for entering the PIN.

Nov Ch 2 Markup

Chapter 4: Assessing and Planning

4.4 Developing the Individualized Plan for Employment (IPE), revised to require that a consumer's IPE be completed within 90 days after determining eligibility, as called for by WIOA, and to explain how to document an extension of time for developing an IPE.

Nov Ch 4 Markup

Chapter 6: Physical Restoration Services

6.4.23 Osteomyelitis of the Extremities, revised to clarify that amputation as a curative treatment for osteomyelitis does not require review by a DARS medical director and to clarify how exceptions are reviewed and approved.

Nov Ch 6 Markup

Chapter 7: Mental Restoration Services

7.1.5 No-Show Payments, revised to clarify how to calculate a no-show payment, in compliance with state comptroller requirements.

Nov Ch 7 Markup

Chapter 19: Technical Information and References

19.2.3 The Significance of the Disability in SSDI and SSI Cases, revised to delete an outdated reference to ReHabWorks procedures.

Nov Ch 19 Markup

December 2015

Chapter 1: Foundations, Roles, and Responsibilities

1.2.8 Reflecting Quality Program Management in Documentation, revised to add information on documenting the Level of Significance in case notes and to delete an example of case note documentation related to homemaker closure.

Dec Ch 1 Markup

Chapter 2: Initial Contact and Application

2.7.4 Adjusting the Phase of a Previously Closed Case, revised to clarify when and how to phase adjust a closed case in ReHabWorks.

Dec Ch 2 Markup

Chapter 3: Eligibility

This chapter is revised to replace references to "extended evaluation" with policies and language for Pre-eligibility Trial Work, which has been relocated from RPM Chapter 4: Assessing and Planning as part of the WIOA implementation.

Dec Ch 3 Markup

Chapter 4: Assessing and Planning

4.4.2 Describing the Employment Goal, revised to remove references to homemakers and other unpaid employment outcomes for VR services as a part of the implementation of WIOA requirements.

4.9, Developing an IPE for Extended Evaluation entire section deleted and readers referred to updated policies and language for Pre-eligibility Trial Work Plans in RPM Chapter 3: Eligibility; this change is part of WIOA implementation.

4.10.3 Presumptive Eligibility, revised to replace references to "extended evaluation" with updated language and policies related to "pre-eligibility trial work" as part of WIOA implementation.

Dec Ch 4 Markup

Chapter 8: Training Services

8.3.1 Overview of Community Rehabilitation Program (CRP) Training, revised to add a list of key terms and to replace references to "extended evaluation" with updated language and policies related to "pre-eligibility trial work" as part of WIOA implementation.

8.4 Work Experience, revised to replace references to "extended evaluation" with updated language and policies related to "pre-eligibility trial work" as part of WIOA implementation.

8.7 Project SEARCH, new policy added specific to the use of Project SEARCH services.

Dec Ch 8 Markup

Chapter 11: Technology Services

The following sections were revised to replace references to "extended evaluation" with updated language and policies related to "pre-eligibility trial work" as part of WIOA implementation.

Dec Ch 11 Markup

Chapter 14: Independent Living Services

14.8 IL Services, revised to replace references to "extended evaluation" with updated language and policies related to "pre-eligibility trial work" as part of WIOA implementation.

Dec Ch 14 Markup

Chapter 16: Closure

16.2.8 Special Types of Employment, revised to remove references to unpaid employment outcomes, which are no longer allowed as part of WIOA implementation.

16.4 How to Change an Unsuccessful Closure to a Successful Closure, revised to delete the contents of this section and to refer the reader to updated content in RPM 2.7.4 Adjusting the Phase of a Previously Closed Case.

Dec Ch 16 Markup

Chapter 19: Technical Information and References

19.2.5 Designating the Level of Significance in Cases that Require Pre-Eligibility Trial Work, revised to replace reference to "extended evaluation" with "pre-eligibility trial work" as part of WIOA implementation.

Dec Ch 19 Markup