Chapter 1, CRS Program Overview

The Comprehensive Rehabilitation Services (CRS) Standards for Providers manual is the official reference document of provider requirements for contracted goods and services for the CRS program.

The CRS program service arrays may be provided to eligible persons who have a traumatic brain injury (TBI), traumatic spinal cord injury (TSCI), or both.

The CRS program offers the following service arrays for TBI and TSCI:

  1. Inpatient Comprehensive Medical Rehabilitation Services
  2. Outpatient Therapy Services
  3. Post-Acute Rehabilitation Services
  4. Ancillary Goods and Services

The specific services provided to a participant are based on the participant’s rehabilitation needs. The services are available based on service setting and services governed by the contract’s terms and conditions and by contract standards.

This CRS standards manual is available online. This is CRS's preferred method of providing access to the CRS standards and all revisions. Revisions to these CRS standards are made periodically, and a log noting all revisions is also available online. Changes to the CRS standards are published on the website at least 30 days in advance of the effective date of the changes. Each provider is contractually responsible for maintaining compliance with the most recent CRS standards.

Any questions about the CRS Standards for Providers, please contact a standards specialist by emailing

If a printed copy is needed of the CRS Standards for Providers, contact the CRS Inquiries Unit at:

Phone: 512-438-4718 
Fax: 512-206-3981 
Mail: CRS Program, 701 W. 51st Street, MC 3084 Austin, TX 78751

1.1 Referrals to CRS

Referrals for the CRS program come from a variety of sources, such as hospitals, therapists and other community providers. The source must inform the participant being referred that the CRS counselor determines eligibility. The CRS Referral Form (Form 3106), must be sent to via email ( or eFax (512-206-3981). The referral source is not required to submit all the information requested however will assist in expediting the application process. The referral source may attach all necessary supporting documentation with the referral. If the referral source does not have access to one or more of the necessary documents, these documents will need to be received before the program application can be considered complete. Items that will assist in expediting the referral process are included in the instructions on the HHSC Forms website link above.

Upon receipt of the referral, a CRS coordinator will respond within two business days. CRS recommends the referral source provide the participant with a copy of the CRS brochure that outlines CRS services. Please refer to the CRS website and our brochures for more information on the program. All referrals will be added to the CRS interest list.

The CRS counselor and the participant, having informed choices, jointly:

  • complete the application process including obtaining releases and applicable CRS forms;
  • review disability information and CRS counselor will determine eligibility;
  • if determined eligible, develop an Individualized Written Rehabilitation Plan (IWRP) including determining necessary services to meet the participant's goals and objectives, and if determined, select a provider of the planned services. Completion of the IWRP will place the participant on the waiting list which is first come first serve.