Effective Date: 
3/2018

Documents

Updated: 3/2018

Instructions

Purpose

The Comprehensive Rehabilitation Services (CRS) program assists individuals who have sustained a traumatic brain injury (TBI), a traumatic spinal cord injury (TSCI), or both, with rehabilitation and recovery, helping them to live more independently in their home and community by improving their mobility, self-care and communication skills. CRS provides personalized treatment plans based on an individual’s specific needs and can pay for rehabilitation services, within certain limitations. Individuals must first use all available comparable medical benefits, such as medical insurance, Medicare or Medicaid, before they may use CRS program funding to pay for services.

CRS participants must meet all of the following criteria to be eligible for the program:

  • Have a TBI and/or a TSCI, caused by an external physical force. The TBI/TSCI significantly affects the person’s ability to perform daily activities;
  • Be at least 15 years of age;
  • Be a U.S. citizen or lawful permanent resident and a Texas resident;
  • Be willing to participate in services; and
  • Be medically stable enough to participate in rehabilitation activities.

Procedure

When completing Form 3106, attach all necessary supporting documentation.  This will expedite the application process for individuals applying to the program. If you do not have access to one or more of the necessary documents, make note that these documents will need to be received before the program application can be considered complete.

Items that will assist in expediting the referral process include the following unexpired documents.  Some original documents will need to be seen at the initial appointment; however, a copy will suffice for obtaining the initial referral.

  • Texas driver's license or photo identification card issued by a governmental entity;
  • Document to prove Texas residency, such as a residential lease agreement, unexpired Texas voter registration card, Texas motor vehicle registration, or utility bill with a Texas address;
  • Document to prove U.S. citizenship, such as a birth certificate, U.S. passport, certificate of citizenship or naturalization certificate;
  • Copy of insurance card (private insurance, Medicaid, Medicare, other charity, etc.);
  • Social Security card;
  • Financial documents (pay stub, bank statement, Supplemental Security Income (SSI)/Social Security Disability Income (SSDI), tax return, etc.);
  • Facility face sheet/admissions page;
  • Medical documentation of TBI/TSCI; or
  • Copy of Rancho Los Amigos or Glasgow Coma scores.

Transmittal

After completing Form 3106, submit it to CRS_Program@hhsc.state.tx.us with Referral in the subject line.

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