Chapter 5: Services
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5.3.4 Physical Restoration Services or Procedures with Special Requirements
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Orthoses and Prostheses
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Approval Procedure for Purchasing a Prosthesis Costing $12,500 or More without Unlisted MAPS Codes
(Revised 01/10, 04/10)
If DRS' cost for the prosthesis is $12,500 or more and there are no unlisted MAPS codes, the case will be reviewed by the University of Texas Southwestern (UTSW) Medical Center Prosthetics–Orthotics Program. Follow the procedures below.
Counselor
1. prepares a packet containing the following required information:
o a Prosthetic Review Cover Sheet;,
o the prescription for the prosthesis;,
o the Letter of Specification for the prosthesis;,
o prosthetist notes;
o a DARS3602, Lower Extremity Amputation Checklist or DARS3601, Upper Extremity Amputation Checklist;, and
o additional pertinent medical or vocational records;
2. issues a purchase order (PO) for $375.00 to
University of Texas Southwestern Medical Center (UTSW)
Prosthetics–Orthotics Program
3323 Harry Hines Blvd.
Dallas, TX 75390-9091
VID# 3-729729729-5-008
Use Type Service Category: Other Rehab Tech Services6457
Level 1: Vehicle Modifications, (963): Rehabilitation Technology Services; Residential and Job Site Modifications;
Level 2 (88): Prosthetic Prosthesis Sspecification Rreviewby UTSW—Contract Rrequiredd VID# 37297297295010 Only;;
Level 3 (10): Prostheticsis Specification Review—Contract Required;
Level 4: (1001): Prosthesis or /Orthosistic Initial Specification Review; rate set @ $375.00; or
Level 4 (1002): Prosthesis or /Orthosistic Follow-Up Specification Review;
; rate set @ $375.00;
3. faxes the packet to the Central Office as directed by the DARS Prosthetic Review Cover Sheet; and
4. makes note of the required review and the submitted packet in the electronic case management system.
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5.7.1 Rehabilitation Technology Devices and Services
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Rehabilitation Engineering Services
Only licensed professional engineers may provide rehabilitation engineering services. Consider using an engineer's services when the service includes design or modification of a product.
Before you commit DRS funds, it is important to reach an understanding with the provider about price and delivery. See Type Services for Rehabilitation Engineeringfor guidance on what type services to use.
For rehabilitation engineering services provided before plan development, use the following specification levels:
Level 1—Evaluation Services
Level 2—Other Evaluation Services
Level 3—Other Evaluation Services
Level 4—Other Evaluation Services.
Consult with the PSRT for
· information about providers from whom DRS has purchased services, and
· help when you encounter problems.
Assistive Technology Services
Professionals other than rehabilitation engineers may provide assistive technology services.
See Rehabilitation Engineering Services Service Category Type Services for Rehabilitation Technologyfor guidance on what type service categorys to use.
The Consumer's Participation in the Cost of Services
Rehabilitation technology services are subject to the policies in Chapter 4: Assessing and Planning, 4.6 Consumer Participation in Cost of Services.
Using Comparable Services and Benefits
*Although not mandated by law, use readily available comparable services and benefits before you use DRS funds, unless doing so would delay needed services.*
*Based on 34 CFR Section 361.53(b)(5)
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5.7.2 Vehicle Modification Services
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Completing Inspections of the Modified Vehicle
(Revised 06/09 , 10/10)
The MSS must inspect all vehicle modifications
· after the work has been completed, and
· before the vehicle is released to the consumer.
Place a completed copy of DARS3474, Vehicle Modification Acceptance, in the case file and give a copy to the consumer.
The Texas Transportation Institute (TTI) of Texas A&M University must inspect all modifications that cost more than $9,000. TTI may inspect a modification that costs less than $9,000 at the counselor's request.
Exception: Minivan conversions modified to lower the floor for passenger use, only, do not require TTI inspection.
For each modification inspection,
· issue a purchase order for $2,500 to
Texas Transportation Institute
Texas A&M University
College Station, Texas 77843
service provider I.D. No. 3-727727727-5-999
· use Type Service service category: Rehabilitation Engineering Services
For more information, see Procedure for Vehicle Modification.
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