Only items and services listed in this section may be purchased while a consumer is on the Interest and Waiting Lists.
You may purchase medical records and assessments for all consumers on the Interest and Waiting Lists.
You may purchase services in this section for consumers who have been determined eligible but have one or more of the conditions listed:
If a consumer experiences contractures that are expected to cause permanent damage if not treated in a timely manner (as documented in a case note), CRS may sponsor services to address this issue only. The consumer remains on the Interest and Waiting Lists for all other purchased services, and the services provided under this exception:
- are included in the total limit of 120 hours of outpatient therapy; and
- may be provided without an Individualized Written Rehabilitation Plan (IWRP).
If a consumer experiences violent behavioral dyscontrol to the extent that the consumer risks significant bodily harm, incarceration, or psychiatric commitment (as documented in a case note) CRS may sponsor up to 14 days of inpatient medical behavior management at:
- a comprehensive medical rehabilitation hospital specializing in brain injury; or
- a residential post-acute brain injury rehabilitation facility.
If necessary, the service:
- may be extended for an additional seven days; and
- may include medication, and as needed, medical follow-up appointments;
The consumer remains on the Interest and Waiting Lists for all other purchased services, and services provided under this exception:
- are included in the total limit of 90 days of inpatient rehabilitation or six months of post-acute brain injury rehabilitation; and
- may be provided without an IWRP.
When funds become available and a consumer can be removed from the CRS Waiting List, the CRS central office staff member or a designee must allocate funds for any services other than those referred to in this section.