State DVR-specific · State DVR agencies
Written plan outlining the vocational goal, services needed, service providers, and timeline. Must be agreed upon by the client and VR counselor.
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Developed collaboratively with your DVR counselor
The IPE is created together with your vocational rehabilitation counselor at an in-person or virtual meeting.
Filing Deadline
Must be developed within 90 days of eligibility determination. The plan is reviewed and updated at least annually.
The IPE is developed during one or more meetings with your DVR counselor. Services can begin once the IPE is signed by both you and the counselor.
The DVR counselor will arrange for the services listed in the IPE. Services may include job training, education, assistive technology, job placement, and ongoing support services. Progress is reviewed regularly.
IRF-PAI · CMS
Assessment instrument determining Medicare Part A FFS payment for IRF stays. Must be in the patient's medical record, dated, timed, and authenticated.
CMS-437A · CMS
Documents that a rehabilitation unit is fully equipped and staffed for hospital inpatient rehabilitation care.
CMS-437B · CMS
Submitted to maintain IPPS-excluded status for inpatient rehabilitation facilities.
Insurer-specific · Health insurance plans / UM organizations
Pre-certification for inpatient rehab admission. Must document patient can participate in 3 hours of therapy, 5 days per week (15 hours per week).
Insurer/state-specific · Health insurance plans / State Medicaid
Prior authorization for outpatient physical therapy, occupational therapy, or speech therapy. Must specify frequency, duration, and medical necessity.
Insurer-specific · Health insurance plans
Request for continued therapy beyond initial authorization period. Must document progress toward goals and continued medical necessity.
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