Inpatient Comprehensive Medical Rehabilitation Services for Traumatic Brain Injury (TBI) and Spinal Cord Injury (TSCI) are specialized services recommended by an interdisciplinary team in a hospital setting to address medical and rehabilitation issues that require 24-hour-a-day nursing services. An interdisciplinary team of professionals closely coordinates services to achieve team treatment goals in order to minimize a person's physical or cognitive disabilities, and maximize a person's functional capacity. The Texas Department of Assistive and Rehabilitative Services (DARS), or its successor agency, negotiates contracts with inpatient facilities to provide services based on data from the Centers for Medicare & Medicaid Services (CMS) Healthcare Cost Report Information System (HCRIS). Any goods or services approved by CRS that are not part of the contracted rate for inpatient comprehensive medical rehabilitation are considered “ancillary.” Ancillary goods and services must be pre-authorized by CRS staff and are reimbursed based on fee for service in accordance with 1 TAC §355.9040.
Prior to a service authorization being issued, the counselor will need to obtain a written prescription or physician’s recommendation for Inpatient Comprehensive Medical Rehabilitation Services.