Rehabilitation Services
Service Standard
Rehabilitation Services Service Standard print version
Texas Department of State Health Services, HIV Care Services Group – HIV/STD Program
Subcategories | Service Units |
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Low-vision Training Services | Per visit |
Occupational Therapy | Per visit |
Physical Therapy | Per visit |
Rehabilitation Services | Per visit |
Speech Therapy | Per visit |
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.
Limitations
Agencies may not provide Rehabilitation Services in inpatient hospital settings, nursing homes, or other long-term care facilities.
Services
A licensed or authorized professional must provide services 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
Universal Standards
Services providers for Rehabilitation Services must follow HRSA and DSHS Universal Standards 1-63 and 197-201.
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.
Standard | Measure |
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Initiation of Care Orders: The rehabilitation agency must receive a written referral from the client’s primary HIV medical provider or dental provider before the initiation of care. The provider must be a licensed practitioner to include the following:
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Comprehensive Assessment: The rehabilitation agency staff will complete a comprehensive assessment within five business days of the initiation of services to include the following:
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Plan of Care: Staff will develop a plan of care in collaboration with the client within 10 business days of completing the comprehensive assessment. The agency must maintain the plan in the client’s primary record. The agency must offer a copy of the plan of care to the client and document this in the client’s record. The plan of care must include:
Staff must review the plan of care every six months at a minimum and update it as needed. |
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Provision of Services: Professionals must document all services provided to clients, including:
If the agency cannot meet the client’s needs, it must refer the client to an appropriate care provider. The agency or provider must document any referral and its outcome in the client’s primary record. |
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Transfer and Discharge: The agency must develop a planned and progressive process for transferring and discharging clients from rehabilitation services. The transfer and discharge processes must consider the needs and desires of the client, caregiver(s), family, and support network. Agencies must develop a transfer or discharge plan when one or more of the following occur:
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Notification of Transfer or Discharge: When an agency transfers or discharges a client from services, they must:
Agencies must deliver the written notification no later than five days before the date on which the agency will transfer or discharge the client. |
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References
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, March 2025.
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, March 2025.
Ryan White HIV/AIDS Program. Policy Notice 16-02: Eligible Individuals & Allowable Uses of Funds. Health Resources & Services Administration, October 22, 2018.
Texas Administrative Code, Title 22, Part 16, Chapter 322, Rule 322.1 Provision of Services, Physical Therapy, March 2025.