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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 352COMPREHENSIVE REHABILITATION SERVICES
RULE §352.13Limitations of Services

The following limitations apply to the Comprehensive Rehabilitation Services (CRS) program service arrays.

  (1) Inpatient comprehensive medical rehabilitation hospitalization services are subject to the following limitations:

    (A) No more than one year may have elapsed between the onset of injury and the time the person initiates contact with the agency in order for a person to receive these services.

    (B) No acute medical procedures are permitted.

    (C) Only inpatient facilities located within the state of Texas may be used.

    (D) Services are limited to a maximum of 90 days.

  (2) Post-acute rehabilitation services for persons who have a traumatic brain injury (TBI), traumatic spinal cord injury (SCI), or both, are subject to the following limitations:

    (A) Residential services are limited to persons who have a TBI, or a TBI and SCI.

    (B) Persons with an SCI are limited to receiving non-residential services.

    (C) Services are limited to a maximum of 180 days.

  (3) Outpatient services are subject to the following limitations:

    (A) No more than two years may have elapsed between the onset of injury and the time the person initiates contact with the agency in order for the person to receive these services.

    (B) Services are limited to a maximum of 120 hours.

  (4) At the time the person is discharged from post-acute rehabilitation services or inpatient comprehensive medical rehabilitation hospitalization services, prescribed drugs and medical supplies may not exceed a 30-day supply.

  (5) The purchase of CRS program services for eligible persons depends on the availability of CRS funds.


Source Note: The provisions of this §352.13 adopted to be effective September 1, 2015, 40 TexReg 5346; transferred effective January 15, 2022, as published in the December 31, 2021 issue of the Texas Register, 46 TexReg 9422

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