Services are provided by qualified staff members who are licensed in accordance with Texas state law and applicable licensing boards, or as specified in the standards explained in this chapter.

 

Aquatic Therapy

Aquatic therapy services must be delivered by a licensed physical or occupational therapist, or licensed physical or occupational therapist assistant.

 

Art Therapy

Art therapy services must be provided in accordance with state law by a licensed professional counselor art therapist (LPC-AT) or licensed clinical social worker - art therapist (LCSW-AT).

 

Behavior Management Plans

Behavior management plans must be developed by a board-certified behavior analyst (BCBA), licensed clinical social worker (LCSW), licensed professional counselor (LPC), licensed psychiatrist or licensed psychologist. The licensed professional responsible for developing the interventions must train staff members who implement behavior management interventions.

 

Chemical Dependency Services

Chemical dependency services must be provided by a licensed professional with experience delivering services to participants who have a brain or spinal cord injury or both, such as a licensed chemical dependency counselor (LCDC), licensed professional counselor (LPC), licensed clinical social worker (LCSW), licensed masters social worker (LMSW), licensed psychologist or licensed psychiatrist.

 

Cognitive Rehabilitation Therapy

Cognitive rehabilitation therapy services must be provided directly by or supervised in accordance with licensing requirements by a licensed occupational therapist, licensed speech and language pathologist, licensed psychologist or licensed psychiatrist.

 

Community Independence Supports (CIS)

Community independence supports must be provided by a certified brain injury specialist (CBIS) or a paraprofessional with at least one year of documented experience working with people with traumatic brain injury (TBI), traumatic spinal cord injury (TSCI) or both, but do not have a professional license themselves.

 

Dietary Services

Dietary services must be provided by a professional who applies and integrates scientific principles of nutrition in social, cultural, psychological, and physical conditions and is licensed by the Texas State Board of Examiners of Dieticians.

 

Drivers

Prior to transporting a participant, the provider must ensure that employees who transport them have the type of driver's license that is appropriate for the type of vehicle used (Class B or C). Prior to transporting a participant, a driver who transports CRS participants in motorized vehicles must prove that they have an acceptable driving record by providing an official document from the Texas Department of Public Safety showing that the driver has:

  • a valid driver's license;
  • no more than one at-fault accident within the past three years;
  • no more than three moving violation convictions within the past three years; and
  • vehicle liability insurance that meets or exceeds the minimum coverage required by state law.

 

Family Therapy

Family therapy services must be provided by a licensed or certified professional, such as a psychologist, licensed marriage and family therapist (LMFT), licensed professional counselor (LPC), licensed master’s social worker (LMSW), or licensed clinical social worker (LCSW).

 

Massage Therapy

Massage therapy services must be provided by a licensed physical therapist (PT), licensed physical therapy assistant (PTA), licensed occupational therapist (OT), or licensed occupational therapy assistant (OTA), as specified in the guidelines of the Executive Council of Physical and Occupational Therapy Examiners.

 

Music Therapy

Music therapy services must be provided by a person who is certified by the Certification Board for Music Therapists or listed with the National Music Therapy Registry and is a licensed professional, such as a licensed clinical social worker (LCSW), licensed masters social worker (LMSW), licensed professional counselor (LPC), or licensed marriage and family therapist (LMFT).

 

Neuropsychiatry

Neuropsychiatric services must be provided by a person who is licensed by the Texas Medical Board. This category of licensed professional includes neurologists, psychiatrists, and others who are permitted to provide neuropsychiatric services in their scope of professional practice, as designated by the appropriate licensing board.

 

Neuropsychology

Neuropsychological services must be provided by a person who is licensed by the Texas State Board of Examiners of Psychologists. This category of licensed professional includes psychologists whose professional experience, education, and background permit neuropsychological services in the scope of their professional practice, as designated by the appropriate licensing board.

 

Occupational Therapy

Occupational therapy services must be provided by a person who is licensed by the Executive Council of Physical and Occupational Therapy Examiners. This category of licensed professional includes licensed occupational therapists and licensed occupational therapy assistants. The appropriate licensing board designates the practice of occupational therapy.

 

Paraprofessional Services

Paraprofessional services must be provided by a person who is qualified by their experience, training, or both, and has at least a high school diploma or its equivalent.

 

Physical Therapy

Physical therapy services must be provided by a person who is licensed by the Executive Council of Physical Therapy and Occupational Therapy Examiners. This category of licensed professional includes licensed physical therapists and licensed occupational therapy assistants. The appropriate licensing board designates the practice of physical therapy.

 

Recreational Therapy

Recreational therapy services must be provided by a person who has a current certification from the National Council for Therapeutic Recreation Certification.

 

Speech-Language Pathology

Speech-language pathology (speech therapy) services must be provided by a licensed speech language pathologist (SLP) or a licensed speech language pathologist assistant (SLPA), under the supervision of an SLP who is licensed by the State Board of Examiners for Speech-Language Pathology and Audiology.