Revisions
20-1, Chapter 13 Changes
Revision 20-1; Effective Feb. 25, 2020
The following changes were made:
Chapter | Title | Change |
---|---|---|
13.1 | Overview | Adds for outpatient therapy services, the participant must have a traumatic brain injury (TBI) or a traumatic spinal cord injury (TSCI). |
13.5 | Customer Satisfaction | Corrects the word “Neither” in the Likert Scale. |
13.6.1 | Licensure and Accreditation | Updates required licensure for post-acute rehabilitation services (PARS) residential. |
13.7.1 | Licensure and Accreditation | Deletes “registered with the Executive Council of Physical Therapy and Occupational Therapy Examiners” and adds “licensed by HHS as a home and community support services agency.” |
13.8 | Outpatient Therapy | Adds Chapters 13.8, 13.8.1, 13.8.2 and 18.8.3 regarding outpatient therapy, including licensure and accreditation, billing guidelines, and exceptions and limitations. |
19-2, Miscellaneous Changes
Revision 19-2; Effective June 1, 2019
The following changes were made:
Chapter | Title | Change |
---|---|---|
10.4 | Interdisciplinary Team Meetings | Adds that Interdisciplinary Team Meeting is the same as Medical Team Conference. |
Appendix A | Definitions | Adds Medical Team Conference. |
Appendix B | Post-Acute Rehabilitation Core Services Modality and Staff Qualifications | Adds Certified Music Therapist to Music Therapy under Core Services. Adds Case Management to Modality and Staff Qualifications for PARS Non-Residential. |
19-1, Miscellaneous Changes
Revision 19-1; Effective May 1, 2019
The following changes were made:
Chapter | Title | Change |
---|---|---|
1 | CRS Program Overview | Updates CRS contact information. |
1.2 | Referrals to CRS | Adds the referral form, process and contact information. |
3.2 | Language Services | Adds Language Services Standard for providers. |
3.4 | Facility Safety Protocol |
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4.5 | Staff Training | Adds Cardiopulmonary arrest (CPR), Basic Life Support (BLS) training and Fall Prevention. |
4.6 | Staff Qualifications | Adds qualification of Community Independence Supports (CIS). |
5.1 | Overview | Updates when and where to report incidents to CRS. |
5.3 | CRS Service Number | Adds ombudsman’s number and CRS email because CRS does not have a direct phone line. |
5.4 | Grievance Procedure | Updates ombudsman’s contact information. |
6.4 | Invoices |
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6.5 | Use of Comparable Benefits or Third Party Billing | Adds amount CRS pays if a participant is using their insurance's out of network provider. |
7.2 | Quality Reviews | Adds services that are billed and paid based on services and contracted rate. |
8 | Compliance and Quality Review for Traumatic Brain Injury | Changes Utilization Review to Compliance and Quality Review. |
8.2 | Review Types |
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8.4 | Prospective Reviews | Changes title to Clinical Reviews and adds detail of what a clinical review covers. |
8.5 | Concurrent and/or Retrospective Reviews | Changes title to Purchasing Reviews and adds detail of what a clinical review covers. |
9.1 | Overview |
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9.2 | Intake Process | Adds information that providers must have participants sign an intake acknowledgement form and must place the form in the participant’s file. |
10.2 | Assessment |
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10.3 | Development of Individualized Service Plan | Adds this section. |
10.4 | Interdisciplinary Team Meetings |
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10.5 | Behavior Management Plans |
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10.6 | Emergency Restrictive Procedures | Adds procedure for minors who receive chemical or physical restraints more than once within 30 days. |
11.2 | Required Documentation | Adds that PM&R physician overseeing the participant’s care while in ICMRS is a separate service requiring pre-authorization. |
11.3 | Assessment, Planning and Interdisciplinary Meetings | Adds Assessment, Planning and Interdisciplinary Meetings section. |
11.4 | Billing Guidelines | Updates billing guidelines and when invoices must be submitted. |
12.1 | Overview | Clarifies what outpatient therapy services refer to and where they are referenced. |
12.3 | Assessment, Planning and Interdisciplinary Meetings |
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12.4 | Billing Guidelines | Updates billing guidelines and when invoices must be submitted. |
13.1 | Overview | Adds link for updated rates. |
13.2 | Required Documentation | Adds information for providers about required documentation. |
13.3 | Assessment and Planning |
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13.6.1 | Licensure and Accreditation | Changes Department of Aging and Disability Services to Texas Health and Human Services. |
13.6.7 | Utilization Review | Removes this section. |
13.6.7 | Exceptions and Limitations | Updates therapeutic passes. |
13.7 | Non-Residential | Adds post-acute rehabilitation non-residential services to also include case management, community independence supports, medical team conferences. |
13.7.1 | Licensure and Accreditation | Changes Department of Aging and Disability Services to Texas Health and Human Services. |
13.7.3 | Billing Guidelines | Adds uploading into CRS Data Reporting System. |
14.1 | Overview | Adds information about meeting treatment goals. |
14.2 | Durable Medical Equipment | Adds this section. |
14.3 | Home Modification | Adds this section. |
14.4 | Required Documentation | Adds requirements for receiving durable medical equipment. |
14.5 | Billing Guidelines | Updates billing guideline requirements for providers for ancillary goods and services and DME. |
14.6 | Exceptions and Limitations | Updates this section with what is covered under the CRS program as well as when competitive bids are required. |
15.1 | Overview | Adds information about discharge planning. |
15.3 | Termination from Program | Adds information about providers documenting attempted interventions. |
Appendix A | Definitions | Adds the following terms:
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Appendix B | Post-Acute Rehabilitation Core Services Modality and Staff Qualifications |
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Appendix C | Base Services and Tier Structure | Changes title to PARS Residential Base Services and Tier Structure |
Appendix D | Service Record for CRS Data Reporting System | Adds clarification text. |
17-1, Chapter 13.6.2, Billing Guidelines - Tiers
Revision 17-1; Effective Sept. 1, 2017
The following changes were made:
Chapter | Title | Change |
---|---|---|
13.6.2 | Billing Guidelines - Tiers | Adds based on the consumer’s need, which will be determined during the initial pre-admission assessment, the provider may request an admission tier of level 2 through level 8. This request is to be submitted in writing using Form 3149, Comprehensive Rehabilitation Services Request for Tier Change, or included in the pre-admission evaluation, which identifies services needed, frequency, duration and requested tier. Explains when submitting an invoice, Post-Acute Rehabilitation providers are required to submit a monthly summary that includes a descriptive breakdown of services provided; frequency, duration, progress, or lack of progress made towards the consumer's goals; actions to be taken; and preliminary discharge information. Providers are also required to upload service record details of daily services provided in the CRS Data Reporting System, per Chapter 13.2, Required Documentation. Providers will only be required to submit daily therapy documentation if a consumer's file is randomly selected for utilization review. The provider will receive a written request with a time frame outlining when documentation is to be returned to the CRS requestor. |