|Rehabilitative Services – Physical Therapy
|Rehabilitative Services – Occupational Therapy
|Rehabilitative Services – Speech Therapy
|Rehabilitative Services – Low vision training services
Health Resources and Services Administration (HRSA) Description
Rehabilitation Services provide HIV-related therapies to improve or maintain a client’s quality of life and optimal capacity for self-care on an outpatient basis, and in accordance with an individualized plan of HIV care.
Rehabilitation services provided as part of inpatient hospital services, nursing homes, and other long-term care facilities are not allowable.
Services are intended to improve or maintain a client’s quality of life and optimal capacity for self-care, provided by a licensed or authorized professional in an outpatient setting in accordance with an individualized plan of care established by a medical care team under the direction of a licensed clinical provider. Services include but are not limited to:
- Physical and occupational therapy
- Speech pathology services
- Low-vision training
Services providers for Rehabilitation Services must follow HRSA/DSHS Universal Standards 1-46 and 181-184.
Service Standards and Measures
The following standards and measures are guides to improving healthcare outcomes for people living with HIV throughout the State of Texas within the Ryan White Part B and State Services Program.
Initiation of Care Orders: The rehab agency must receive written orders from the clients’ primary HIV medical provider before initiation of care by the agency. The provider must be a licensed practitioner to include the following:
Comprehensive Assessment: The rehab agency staff will complete a comprehensive assessment within 5 business days of the referral to include:
Plan of Care: In collaboration with the client a plan of care will be developed within 10 business days of the completed comprehensive assessment.
The plan of care should be signed and dated by the client and located in the client’s primary record. A copy of the plan will be offered to the client and documented in the client’s record.
The plan of care should include:
Documentation that the plan of care is being followed will include the date therapy was received, therapy performed, and progress toward meeting objectives in the client’s primary record.
The plan of care must be reviewed every 6 months at minimum with updates as needed.
Referrals: If the needs of the client are beyond the scope of the services provided by the agency/provider, an appropriate referral to another level of care is made.
Documentation of referral and outcome of the referral is present in the client’s primary record as applicable.
Transfer/Discharge: Transfer and discharge of clients from rehab services should result from a planned and progressive process that considers the needs and desires of the client and the caregiver(s), family, and support network.
A transfer plan must be developed when one or more of the following criteria are met:
Notification of Transfer/Discharge: The following criteria must be followed when a client is transferred or discharged from services:
Note: Staff should not inactivate clients in Take Charge Texas (TCT) at the time of discharge, unless the case is being closed due to a deceased client.
Division of Metropolitan HIV/AIDS Programs, HIV/AIDS Bureau (HAB). Ryan White HIV/AIDS Program (RWHAP) National Monitoring Standards for RWHAP Part A Recipients. Health Resources and Services Administration, June 2022.
Division of State HIV/AIDS Programs, HIV/AIDS Bureau (HAB). Ryan White HIV/AIDS Program (RWHAP) National Monitoring Standards for RWHAP Part B Recipients. Health Resources and Services Administration, June 2022.
Ryan White HIV/AIDS Program. Policy Notice 16-02: Eligible Individuals & Allowable Uses of Funds. Health Resources & Services Administration, October 2018.
Texas Administrative Code, Title 22, Part 16, Chapter 322, Rule 322.1 Provision of Services, Physical Therapy, February 2023.