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Traumatic Head & Spinal Cord Injury (THSCI)

The Louisiana Legislature established the Traumatic Head and Spinal Cord Injury Trust Fund (THSCI) in 1993 through Act 654. This legislation imposes supplementary fees on motor vehicle violations such as driving under the influence, reckless operation, and speeding. The collected fees serve as the funding source for the THSCI program.

The Traumatic Head and Spinal Cord Injury Trust Fund Program in Louisiana is dedicated to providing flexible and personalized services to citizens of the state who have experienced traumatic head or spinal cord injuries. The program's goal is to support these individuals in regaining a reasonable level of functioning and promoting independent living within their communities. Through the THSCI program, individuals are provided with the necessary resources and support to help them reintegrate into society and live fulfilling lives.

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THSCI services are provided for eligible participants in accordance with each person’s Participant Service Plan (PSP) which results in improvements in each participant’s functioning in their homes and communities related to their injuries.

Services may include, but are not limited to:

  • Medical evaluations;

  • Post-acute medical care rehabilitation;

  • Rehabilitative therapies;

  • Medications/medical supplies;

  • Personal Care Attendant (PCA) services;

  • Assistive technology and equipment necessary for activities of daily living;

  • Durable medical equipment (DME);

  • Environmental accessibility modifications and repairs to these modifications;

  • Vehicle accessibility modifications and repairs to these modifications;

  • Transportation for non-emergency medical appointments.


To be determined eligible for services, an individual must:

  • Meet the definition of traumatic head/spinal cord injury as defined (per their treating physician):

    • Traumatic Spinal Cord Injury - an insult to the spinal cord; not of a degenerative or congenital nature, but caused by an external physical force resulting in paraplegia or quadriplegia.

    • Traumatic Head Injury - an insult to the head, affecting the brain, not of a degenerative or congenital nature, but caused by an external physical force that may produce a diminished or altered state of consciousness, which results in an impairment of cognitive abilities or physical functioning.

  • Be a resident of Louisiana an officially domiciled in the state at the time of injury and during the provision of services;

  • Have a reasonable expectation to achieve improvement in functional outcome with assistance (per their treating physician);

  • Have exhausted all other Medicare and Medicaid sources (as attested to by the applicant);

  • Provide proof of denial from other sources (if requested);

  • Be willing to accept services from an approved facility/program;

  • Complete and submit the appropriate application for services.

Support Coordination utilizes the components of intake, assessment, service planning, linkage, monitoring / follow-up, reassessment and transition/closure. Eligibility is determined by requirements specific to each population.

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