| (36) Outpatient services--Medical treatment, without
admittance to a hospital that corrects or modifies a stable or slowly
progressive physical or mental impairment that constitutes a substantial
impediment to independence. These services are available to people
who have a traumatic brain injury or traumatic spinal cord injury,
or both.
(37) Over-the-counter medication--Medication that
can be obtained without a prescription.
(38) PABI--Post-acute brain injury--A brain injury
at the post-acute stage, which is when the patient is medically stable
and deemed ready to engage in intensive rehabilitation.
(39) Paraprofessional--A person to whom a particular
aspect of a professional task is delegated, but who is not licensed
as a fully qualified professional. A paraprofessional is qualified,
through experience, training, or a combination thereof, to provide
services. Paraprofessionals must have, at a minimum, a high school
diploma or its equivalent.
(40) Personal assistance services--Services provided
in a residential setting to a person who needs prompts and hands-on
supports to participate in services. Services may include, but are
not limited to, providing order, safety, and cleanliness assistance;
assisting with medication or therapeutic regimens; preparing and serving
meals; assisting with laundry; providing supervision and care to meet
basic needs; and ensuring evacuation in case of an emergency.
(41) Personal attendant care services--Services provided
in a home setting to persons with approved medical needs only, and
only when provision of services in the home setting is necessary to
enable the person to participate in CRS service arrays, which may
include assistance with toileting routines, transferring, bathing,
dressing, medications, meals, and activities of daily living.
(42) Physical restoration services--Services that
correct or substantially modify, within a reasonable period of time,
a physical condition that is stable or slowly progressive.
(43) Physical therapy--A type of therapy that prevents,
identifies, corrects, or alleviates acute or prolonged movement dysfunction
or pain of anatomical or physiological origin.
(44) Post-acute brain injury services--Services provided
as recommended by an interdisciplinary team to address deficits in
functional and cognitive skills based on individualized assessed needs.
Services may include behavior management, the development of coping
skills, and compensatory strategies. These services may be provided
on a residential or non-residential basis.
(45) Post-acute rehabilitation services--Post-acute
brain injury services and post-acute spinal cord injury services.
(46) Post-acute spinal cord injury services--Services
provided as recommended by an interdisciplinary team to address deficits
in functional skills based on individualized assessed needs. These
services are provided in the home and in the community (non-residential
settings).
(47) Prescription medication--A medicine that legally
requires a medical prescription to be dispensed.
(48) Prosthesis--A custom-fabricated or custom-fitted
medical device used to replace a missing limb, appendage, or other
external human body part but that is not surgically implanted, consistent
with the Orthotics and Prosthetics Act, Occupations Code. Accordingly,
the term includes an artificial limb, hand, or foot.
(49) Provider--An entity under contract with DARS to
provide Comprehensive Rehabilitation Services.
(50) Provider type--A term that refers to the types
of service providers within the CRS Program, consisting of certified
professionals, licensed professionals, and paraprofessionals.
(51) Rancho Los Amigos Levels of Cognitive Functioning
Scale--A scale developed at the Rancho Los Amigos Hospital in Downey,
California, that describes eight levels of post-brain injury cognitive
function. At "Level IV - Confused/Agitated," the patient is in a heightened
state of activity with severely decreased ability to process information.
The patient is detached from the present and responds primarily to
his or her own internal confusion and behavior is frequently bizarre
and non-purposeful relative to the patient's immediate environment.
(52) Recreational therapy--A type of therapy involving
recreational or leisure activities that assist in the restoration,
remediation, or rehabilitation of a person's level of functioning
and independence in life activities, and that promote health and wellness
and reduce or eliminate the activity limitations associated with traumatic
brain injury, traumatic spinal cord injury, or both.
(53) Rehabilitation technology--Equipment or technology
designed to help persons with disabilities perform tasks that would
otherwise require assistance.
(54) Room and board--Shelter, facilities and food,
including the customary and usual diets in residential settings and
prescribed nutritional meals or supplements.
(55) Service arrays--A set of services provided to
eligible persons who have a traumatic brain injury, traumatic spinal
cord injury, or both; services are based on assessed individualized
rehabilitation needs that consist of outpatient services, inpatient
comprehensive medical rehabilitation services, post-acute brain injury
services, and post-acute spinal cord injury services.
(56) Speech-language pathology--The application of
nonmedical principles, methods, and procedures for measurement, testing,
evaluation, prediction, counseling, habilitation, rehabilitation,
or instruction related to the development and disorders of communication,
including speech, voice, language, oral pharyngeal function, or cognitive
processes, for the purpose of evaluating, preventing, or modifying
or offering to evaluate, prevent, or modify those disorders and conditions
in an individual or a group, consistent with the Occupations Code.
(57) Texas resident--A person who lives in Texas as
evidenced by one of the following unexpired documents: 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 the
Department of Assistive and Rehabilitative Services.
(58) Third-party payer--A company, organization, insurer,
or government agency other than DARS that makes payment for goods
and services provided to a consumer.
(59) Transportation--Travel and related expenses.
(60) Traumatic brain injury (TBI)--An injury to the
brain that is not degenerative or congenital; and caused by an external
physical force, which may produce a diminished or altered state of
consciousness, resulting in temporary or permanent impairment of cognitive
abilities and/or physical functioning, and partial or total functional
disability and/or psychosocial maladjustment.
(61) Traumatic spinal cord injury (SCI)--An acute,
traumatic lesion of neural elements in the spinal canal resulting
in any degree of temporary or permanent sensory or motor deficit,
and/or bladder or bowel dysfunction.
(62) Vision services--A sequence of neurosensory and
neuromuscular activities individually prescribed and monitored by
the doctor to develop, rehabilitate, and enhance visual skills.
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