CLASS Cognitive Rehabilitation Therapy (CRT)

Effective December 1, 2014, CRT will be an available service in the CLASS program. The 2014- 15 General Appropriations Act, 83rd Legislature, Regular Session, 2013, specifically appropriated funds for the provision of CRT in the CLASS program.

DADS Information Letter No. 14-75: Cognitive Rehabilitation Therapy, Employment Assistance and Revisions of Qualifications for Habilitation and Respite Providers

7234 Cognitive Rehabilitation Therapy

Cognitive Rehabilitation Therapy (CRT) assists an individual in learning or relearning cognitive skills that have been lost or altered, as a result of damage to brain cells or brain chemistry, in order to enable the individual to compensate for lost cognitive functions. CRT includes reinforcing, strengthening or reestablishing previously learned patterns of behavior, or establishing new patterns of cognitive activity or compensatory mechanisms for impaired neurological systems.

If an individual might need CRT, the assigned case manager must assist the individual in obtaining, in accordance with the Medicaid State Plan, a neurobehavioral or neuropsychological assessment and plan of care from a qualified professional as a non-CLASS program service.

A program provider must ensure a CRT service provider provides and monitors the provision of CRT to the individual in accordance with the plan of care and is a:

  • licensed psychologist;
  • licensed speech-language pathologist; or
  • licensed occupational therapist.

The plan of care for CRT is developed based on a neurobehavioral or neuropsychological assessment and plan of care from a qualified professional.

An acquired brain injury (ABI) is an injury to the brain that occurs after birth, is non-congenital and non-degenerative, and that disrupts the normal function of the brain. The definition of ABI also includes traumatic brain injury (TBI) and other brain injuries resulting from any anoxic condition. Additional information on acquired brain injuries is located on the website for the Texas Health and Human Services Commission office on Acquired Brain Injuries at