If a participant requires medical treatment for an injury sustained while receiving rehabilitation services or requires treatment for an illness that is not related to the participant’s TBI or TSCI, the participant is considered medically unstable and the services are not covered by the CRS program.

If products or services are not under contract or a Maximum Affordable Payment Schedule purchase and the cost is less than $5,000.00, the purchase should be completed using a commercial source. Purchases of goods and services in the amount of $5,000 or less from a single vendor are not required to have competitive bids, but must conform to the purchasing guidelines. All purchases, except contracted services, costing more than $5,000, must be competitively bid or approved as a Proprietary or Sole Source Purchase. The following approvals are required for ancillary goods and services:

Purchase costs per item Approval needed from Competitive bids required
$2,000 or less Counselor No
$2,000 to $5,000 Supervisor No
$5,000 -$25,000 Supervisor

Required for goods or services greater than $5,000 if the purchase is:

  • Not a contracted item
  • Not using the Maximum Affordable Payment Schedule fee schedule
$25,000 and more Manager

Required for goods or services greater than $5,000 if the purchase is:

  • Not a contracted item
  • Not using the Maximum Affordable Payment Schedule fee schedule