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Medicare Funding of AAC Devices - Medicare Checklist


 

Speech-Language Pathologist Role

When recommending an SGD, SGD software and/or accessories, the SLP's role on behalf of a Medicare beneficiary consists of the following tasks, which can be checked off when completed:

1. Has SGD assessment been completed pursuant to the DMERC RMRP outline?
Yes          No
2. Have appropriate device or SGD software to meet the individual's daily functional communication needs been identified and specified?
Yes          No
3. Have necessary SGD accessories been identified and specified?
Yes          No
4. Are recommended device and accessories covered by Medicare?
Yes          No
5. Does manufacturer/supplier of the recommended device and accessories accept Medicare assignment?
Yes          No
6. Has clinician discussed equipment costs, co-payment obligations, and possible sources of additional funding with client and/or family? (Particularly important if the device is not covered, or no assignment will be taken.)
Yes          No
7. Has an alternative device been identified if the recommended device is not affordable?
Yes          No
8. Has the written report been completed pursuant to the DMERC RMRP outline that:

a) supports recommendation of the SGD, SGD software, and each AAC accessory;
b) identifies the SLP who will provide setup and training services (if different from SLP conducting assessment); and
c) describes treatment plan for training and services needed to achieve listed functional goals:
Yes          No
9. Has the written report been forwarded to individual's treating doctor for review so physician can prescribe all recommended items?
Yes          No
10. Has the beneficiary and family been informed how to contact manufacturer/supplier of the SGD to obtain the device and process the Medicare claim?
Yes          No
11. Has the beneficiary and family been informed to contact SLP who will provide set up and training services after delivery of SGD, SGD software and/or accessories?
Yes          No



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