DRS Standards for Providers Chapter 5: Standards for Post- Acute Brain Injury Service Providers

Revised 08/2011

5.4 Assessment and Planning

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Reports

5-0170

A copy of the assessment report and the Individualized Treatment Plan are provided to the DARS DRS representative within 10 working days after this ITT meeting. A copy is available to the consumer and/or the consumer's representative. Results of the assessment and the Individualized Treatment Plan may be combined into a single report. This report is signed, at a minimum, by the case manager and, the consumer and/or the consumer's representative., and the DARS DRS counselor. The signature of the DARS DRS counselor may be faxed.

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5.8 Residential Services

When residential services are provided, the CRP also must meet the following standards.

Licensure

5-0250

All residential post-acute brain injury CRPs that do business with DARS DRS must be licensed by at least one of the following regulatory agencies, as appropriate:

  • Texas Department of Aging and Disability Services (DADS) as an Assisted Living Facility;
  • Texas Department of State Health Services (DSHS) as a hospital; or
  • Texas Department of State Health Services (DSHS) Substance Abuse Services as a Chemical Dependency Treatment Center.

The license requirement may be waived for a residential chemical dependency treatment facility that has documentation from TCADA the former Texas Commission on Alcohol and Drug Abuse, now the Texas Department of State Health Services, Mental Health and Substance Abuse Division, of exemption as a state agency from its licensure requirements.

Reporting Requirements of Residential Programs

5-0255

All residential post-acute brain injury CRPs that do business with DARS DRS must administer Mayo-Portland Adaptability Inventory (MPAI-4) surveys on all DARS consumers at referral, at admission, at discharge, and when possible, at six months after discharge. The CRP must report the survey results quarterly to the CRS program specialist.

Accreditation

5-0258

All residential post-acute brain injury CRPs that do business with DARS DRS must maintain accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF), or Disease-Specific Care Certification in Brain Injury Rehabilitation from The Joint Commission (TJC). CRPs doing business with DARS that do not already meet this requirement are granted until August 2013 to obtain the accreditation or certification.

New CRPs doing business with DARS that do not already meet this requirement are granted up to two years from the date of their DARS contract for post-acute brain injury services to obtain the accreditation.

On- Duty Staff

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During evenings, nights, and weekends, at least two staff members - —awake, on duty, and on- site— - must be available for every 20 or fewer consumers.

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5.10 Home- and Community-Based Services

Home- and community-based service providers must meet the following standards.

Licensure

5-0450

All home- and community-based CRPs that do business with DARS DRS and are not licensed for residential services must be licensed by the Texas Department of Aging and Disability Services (DADS) as a home and community support services agency.

Reporting

5-0500

All home-and community-based CRPs that do business with DARS DRS must administer Mayo-Portland Adaptability Inventory (MPAI-4) surveys on all DARS consumers at referral, at admission, at discharge, and when possible, at six months after discharge. The CRP must report the survey results quarterly to the CRS program specialist. An MPAI-4 is not required at referral when the consumer has participated in another residential post-acute brain injury program sponsored by DARS within the previous 90 days.