The following words and terms, when used in this subchapter,
have the following meanings for the Comprehensive Rehabilitation Services
(CRS) Program unless the context clearly indicates otherwise:
(1) Ancillary services--Goods and services that support
core CRS services but are not primary interventions. Examples of ancillary
services include supplies, medications, and transportation.
(2) Aquatic therapy--A type of therapy that involves
an exercise method in water to improve a person's range of motion,
flexibility, muscular strength and toning, cardiovascular endurance,
fitness, and/or mobility.
(3) Art therapy--A type of therapy in which persons
use art media, the creative process, and the resulting artwork to
explore their feelings, reconcile emotional conflicts, foster self-awareness,
manage behavior, develop social skills, improve reality orientation,
reduce anxiety, and/or increase self-esteem.
(4) Audiological services--Evaluation and treatment
of hearing, balance, or related disorders.
(5) Basic Living Requirements (BLR)--A framework for
determining whether the consumer should pay any of the cost of services
which considers the family's net monthly income, liquid assets, and
expenses an eligible consumer can reasonably be expected to incur
including but not limited to home mortgage or rent payments, prescribed
diet or medicine expenses, and other medical or disability related
expenses.
(6) Behavior management--A set of coordinated services
that provide a person with specialized interventions designed to increase
adaptive behaviors and to reduce maladaptive or socially unacceptable
behaviors, up to and including violent dyscontrol, that prevent or
interfere with the person's inclusion within the home environment
and the community.
(7) Case management--Services that assist consumers
in the planning, coordination, monitoring, and evaluation of services
with emphasis on quality of care, continuity of services, and cost-effectiveness.
(8) Certified professional--A person with the knowledge,
experience, and skills to perform a specific job who is paid for performing
that job. The person's expertise is verified by a certificate earned
by passing an exam that is accredited by an organization or association
that monitors and upholds prescribed standards for the profession
involved. Examples of certified professionals include a certified
brain injury specialist, certified nursing assistant, certified medical
assistant, certified medication aide, and certified nurse aide.
(9) Chemical dependency services--Planned services
that are structured to help a person abstain from using drugs and/or
alcohol. Services include identifying and changing behavior patterns
that are maladaptive, destructive, or injurious to health and which
are related to or result from substance-related disorders, and identifying
and changing behavior patterns to restore appropriate levels of physical,
psychological, and social functioning.
(10) Cognitive rehabilitation therapy (CRT)--A type
of therapy that helps a person to learn or relearn cognitive skills
that have been lost or altered due to a traumatic brain injury. Services
will enable the person to compensate for lost cognitive functions
and include reinforcing, strengthening, or reestablishing previously
learned patterns of behavior, or establishing new patterns of cognitive
activity or compensatory mechanisms for impaired neurological systems.
(11) Consumer participation--A monthly contribution
the consumer (client) may be required to pay for participation in
the Comprehensive Rehabilitation Services (CRS) Program.
(12) Core services--A set of fundamental services
that are essential to rehabilitation of persons who have a traumatic
brain injury or traumatic spinal cord injury or both. Specific core
services are based on assessed individualized needs.
(13) CRS Program--Comprehensive Rehabilitation Services
Program.
(14) Dietary and nutritional services--Services that
develop a prescribed diet to meet basic or special therapeutic nutritional
needs.
(15) Durable medical equipment and supplies--Equipment
that provides therapeutic benefits to a person whose medical conditions
require the equipment and supplies.
(16) Family and caregiver education and training services--Information
that provides a foundation for relationships with a person who has
a traumatic brain injury or traumatic spinal cord injury, or both.
(17) Family therapy--A specialized type of psychotherapy
that helps families and caregivers in intimate relationships to nurture
healing and development.
(18) Group therapy--A type of therapy with two or more
persons in addition to a therapist who have a common therapeutic purpose
or to achieve a common goal.
(19) Home modification--The use of assistive or adaptive
equipment or devices that may be installed in a person's home to enable
the person to perform household tasks. This equipment must be removable
from the residence without causing permanent damage to the property.
Examples include grab bars in bathrooms or portable ramps for persons
who use wheelchairs or who have other mobility impairments.
(20) Interdisciplinary team (IDT)--A team of professionals
that closely coordinates services to achieve treatment goals in order
to minimize a consumer's physical or cognitive disabilities and to
maximize functional capacity.
(21) Individual therapy--A collaborative process between
a therapist and person that is intended to facilitate change and improve
quality of life.
(22) Inpatient comprehensive medical rehabilitation--Services
provided, as recommended by an interdisciplinary team in a hospital
setting, to address medical and rehabilitation issues that require
24-hour-a-day nursing services. These services are available to people
who have a traumatic brain injury or traumatic spinal cord injury,
or both.
(23) Individualized written rehabilitation plan (IWRP)--A
plan developed by CRS staff, which outlines the goals, services, and
other aspects of service provision in the CRS Program. It may include
elements of the individualized program plan developed by the provider
and other members of the interdisciplinary team.
(24) Lawful permanent resident--Any person not a citizen
of the United States who is residing in the United States per legally
recognized and lawfully recorded documentation identifying them as
such. A lawful permanent resident is also known as a "Permanent Resident
Alien," "Resident Alien Permit Holder," and "Green Card Holder."
(25) Licensed professional--A person who has completed
a prescribed program of study in a health field, and who has obtained
a license indicating his or her competence to practice in that field.
Examples of licensed professionals include a registered nurse, physician,
and social worker.
(26) Limited skilled-nursing--Skilled-nursing for a
limited time. This service involves providing or delegating personal
care services and medication administration consistent with rules
established by the Texas Board of Nursing; assessing a patient to
determine the care required; and delivering temporary skilled nursing
services for minor illness, injury, or emergency for a period not
to exceed 30 days.
(27) Liquid assets--Cash and assets from savings or
other accounts.
(28) Massage therapy--A type of therapy involving the
manipulation of soft tissue by hand or through a mechanical or electrical
apparatus for therapeutic purposes. Massage therapy constitutes a
health care service if the massage therapy is for therapeutic purposes.
(29) Medical services--Services or supplies that are
needed for the diagnosis or treatment of medical conditions.
(30) Mental restoration services--Limited or short
term psychiatric services, including treatment and psychotherapy,
for mental conditions that are stable or slowly progressive.
(31) Music therapy--A type of therapy using musical
or rhythmic interventions to restore, maintain, or improve a person's
social or emotional functioning, mental processing, or physical health.
(32) Net Monthly Income--Monthly take-home pay after
taxes and other payroll deductions.
(33) Neuropsychological and neuropsychiatric services--A
comprehensive battery of tests to evaluate neurocognitive, behavioral,
and emotional strengths and weaknesses and their relationship to normal
and abnormal central nervous system functioning.
(34) Occupational therapy--A type of therapy using
evaluation and treatment to develop, recover, or maintain the daily
living skills of persons who have a physical, mental, and/or cognitive
disorder consistent with Occupational Therapy Practice Act, Occupations
Code.
(35) Orthosis--A custom-fabricated or custom-fitted
medical device designed to provide for the support, alignment, prevention,
or correction of a neuromuscular or musculoskeletal disease, injury,
or deformity, consistent with the Orthotics and Prosthetics Act, Occupations
Code.
Cont'd... |
