Admissions information for clinicians, insurers, individuals, family members, and referral sources
At Success Rehabilitation, individuals accepted into our brain injury programs are referred to as our clients. Referrals for our residential or outpatient programs can be accepted from many sources - from a physician, hospital/inpatient discharge planner or social worker, insurance company case manager, from a client’s family member, friend, advocate or an individual can self-refer as well.
Our admissions team can begin our admission process anywhere in the United States within 24 hours of the referral call. We offer this service free of charge and often serve as the referral’s primary educator and resource for family members.
Read: Success Rehabilitation's Admissions Criteria.
Who We Help
Clients who have the primary diagnosis of a brain injury or neurological impairment can be referred and admitted from various places including acute-care hospitals, subacute care locations, long-term acute care hospitals (LTACH) facilities, Skilled Nursing Facilities (SNF), correctional or mental health facilities. While we can support many medically complex clients, we are not able to support those who need life-sustaining measures such as traches, PEG tubes, or full-time oxygen.
We will gladly help families through our admissions process with an action plan that identifies important next steps for families to take to determine their loved ones' eligibility for Success Rehabilitation’s programming.
Admissions Process
The admissions process includes an assessment of the medical, clinical, and psychosocial needs of each patient and family to ensure the most appropriate level of care.
Immediately upon receipt of a referral, we begin to gather important information about the individual which will include information from conversations with the referral source as well as past and current medical records.
The initial assessment process may be completed by phone or on-site visit by a Success Rehabilitation clinical evaluator. Admissions will assist in exploring funding options with the client and their support persons. The next steps include the scheduling of a clinical assessment with the potential client, their support persons, treating professionals, and involved case managers which is scheduled as soon as possible for all assessment attendees
Following the clinical meeting and tours of program/residence and acceptance to the program, a proposed plan of care is submitted to the funding source for review and approval. It is the pleasure of one of our referral coordinators to work to determine and secure funding qualification, arrange family tours, and facilitate communication for the pre-admission process.
Upon final funding approval, our referral coordinator and helpful program representatives will assist with arrangements to transfer and admit the individual.
Networks
Success Rehabilitation contracts on single case agreements in addition to being
in-network with the following organizations:
Aetna
CareWorks
Commonwealth of Pennsylvania, Department of Health, Head Injury Program
Coventry WC & Auto Networks
Paradigm Speciality Network (PSN)
Ohio Bureau of Workers Compensation (OBWC)
Prime Health Services
Procura Management, Inc.
UPMC Work Partners
Insurance Accepted
Success Rehabilitation is pleased to partner with commercial insurance providers, workers compensation programs, public funding sources–including Medicare and Medicaid Waiver programs–Workers’ Compensation, and private funding to ensure access to rehabilitative services for individuals with brain injury and other neurological impairment. Our cost-effective solutions are designed to help an individual regain maximum independence.
Workers Compensation
Private Pay, Personal Liability & Liens
Automobile Insurance
Commercial Health Insurance
Most State Insurance Funds
Community HealthChoices (CHC) - Medical Assistance Waiver Program
As part of our service offering, Success Rehabilitation provides worker’s compensation adjusters with:
Dedicated account supervisor for your potential admission
Dedicated internal case manager for each client
An interdisciplinary team is inclusive of all required treatment modalities
Vocational services plan
Cost management designed to triage down the level of care as the acuity improves
Detailed progress reports through a tailored communications plan
Evidence-based treatment
Effectively Efficient:
Cost Saving of $12,000 per month in service fees for our funding payers.
22% gain in functional and cognitive improvement that enabled patients to return to work in the community.
87% of eligible clients are employed/volunteering in the community.
