Funding for Specialized TBI/SCI Post-Acute Rehabilitation (PARI)
What
SCDDSN has limited state funding to pay for medical rehabilitation for uninsured or underinsured people with traumatic brain injury (TBI) and/or spinal cord injury (SCI) in CARF accredited inpatient/outpatient TBI/SCI Rehabilitation Programs. These funds may be used subsequent to, but cannot supplant or subsidize, any other funding.
Who
Applicants must be legal residents of South Carolina and must be uninsured or unable to access sufficient post-acute rehabilitation through private health insurance, Medicare, Medicaid, Worker’s Compensation, Veterans Administration or any other payers. If receiving or eligible for Medicaid, applicants must be 21 years of age or older.
Applicants must have traumatic brain injury and/or spinal cord injury caused by external physical trauma and resulting in hospitalization or treatment in an emergency department or by a physician and not congenital or due to a chronic, degenerative or progressive medical condition. (TBI does not include anoxic or hypoxic brain damage, aneurysm, stroke or dementia. Traumatic SCI does not include spinal column fracture, disc injury, spinal stenosis or demyelinating disease.)
Applicants must meet medical necessity and clinical level of care criteria. Applicants must no longer require acute care, be able to actively participate in and benefit from intensive rehabilitation and be reasonably expected to achieve neurological recovery and/or improved functioning. Patients in coma, persistive vegetative state or minimally responsive state are not eligible. Applicants must have viable and productive post-rehabilitation options.
When
The intent is for specialized TBI/SCI post-acute rehabilitation to begin when acute care is no longer needed and upon discharge from a hospital or after diagnosis by a physician.
Where
SCDDSN currently contracts with four entities to provide specialized rehabilitation:
- Roger C. Peace Rehabilitation Hospital (Greenville, South Carolina)
- Telephone: 1-800-868-8871
- TBI and SCI, Inpatient and Outpatient
- Roper Rehabilitation Hospital (Charleston, South Carolina)
- Telephone: 1-843-724-2842
- TBI and SCI, Inpatient and Outpatient
- Carolinas Rehabilitation (Charlotte, North Carolina)
- Telephone: 1-704-355-3558
- TBI and SCI, Inpatient and Outpatient
- Rehab Without Walls (Augusta, Georgia)
- Telephone: 1-866-734-2296
- Treatment teams in most of SC
- TBI and SCI Home-based Outpatient
- Collage Home & Community Rehab (Lawrenceville, GA)
- Telephone: 1-706-524-6375
- Treatment teams in most of SC
- TBI and SCI Home-based Outpatient
How
Trauma centers, acute care hospitals and physicians may refer patients to the entities above. Potential applicants or their representatives may also contact these entities for information.
If interested in contracting with SCDDSN as a provider for this funding, other entities with CARF-accredited TBI/SCI Rehabilitation Programs may contact the Head and Spinal Cord Injury Division at 803-898-9789.