To meet the basic eligibility criteria for the CRS program, there must a reasonable expectation that services will benefit the person by improving his or her ability to function within the home or community, and the person must:

  • have a traumatic brain injury (TBI) or traumatic spinal cord injury (TSCI) that constitutes or results in a substantial impediment to the person's ability to function within the home environment or the community;
  • be at least 15 years of age;
  • be a U.S. citizen or lawful permanent resident, and a Texas resident as evidenced by a Texas driver's license, an identification card with an address issued by a governmental entity, a utility bill with an address, a voter registration card, a vehicle registration receipt, or other document approved by CRS; as defined in 1.2 Key Terms; 
  • not be participating in, or be eligible for and able to access, another rehabilitation program offering similar rehabilitation treatment or therapy services; however the person may participate in rehabilitation programs that offer complementary rehabilitation services;
  • be willing to participate in services; and
  • be medically stable, including no progression of deficits, no deterioration of physical and cognitive status, or both; not be in imminent need of any acute care; and be functioning at a Level IV of the Rancho Los Amigos Levels of Cognitive Functioning Scale or equivalent.

The person's continued eligibility for the CRS program will be reviewed and, if he or she no longer meets all criteria explained in this section, program services may be discontinued.

NOTE: Equivalent to Rancho Level IV

When medical service providers do not clearly indicate the Rancho level, you may:

  • review the medical records with medical professionals and determine the level of functioning;
  • use the documented Glasgow Coma Scale score (a score of 9-15 is equivalent to a Level IV on the Rancho Los Amigos Levels of Cognitive Functioning Scale; or
  • document the level of functioning in a case note.

If the Rancho Los Amigos level or Glasgow Coma Scale score cannot be found, consult with the consumer’s treating medical professional to get the necessary information.

If you must use alternative documentation, clearly document what was used, how you made your determination, and what medical professional supports your determination.