8.5 Documenting the Use of Comparable Services and Benefits

The exploration of and use of comparable services and benefits should be thoroughly documented throughout the case file. This includes documentation in ReHabWorks (RHW), in the form of case notes, service records, the consumer’s Individualized Written Rehabilitation Plan (IWRP), and the Closure Services page.

You must also keep in the consumer's paper case file copies of documents related to approval or denial of comparable services and benefits.

The following comparable benefits can be selected to document the use of comparable benefits when you develop service records, develop IWRPs, and complete the Closure Services pages in RHW:

  • Medicaid
  • Medicare
  • Worker's compensation medical benefits
  • Indigent health care services through the county
  • Private insurance
  • Veterans Administration hospitals or clinics
  • Scholarships
  • Other sources

Determine the consumer's responsibility for the cost of services. A consumer's eligibility for the CRS program does not depend on the consumer's income or liquid assets. However, if the consumer's net income or liquid assets exceed the basic living requirements, the consumer must participate in the cost of services, unless the:

  1. consumer receives Social Security disability benefits (Supplemental Security Income or Social Security Disability Income); or
  2. your manager grants an exception when the consumer's participation would prevent the consumer from receiving a necessary service.