By Tammy's Treasures | September 18, 2012 at 08:04 PM EDT |
No Comments
As I have mentioned before, I do contact each funding source before posting them as a Tuesday Treasure. That being said, I haven't been getting as quick of responses as I had earlier in the year. I like to try and get specifics on services and equipment they do fund. Also any restrictions or suggestions they can give in applying. Anything to make it easier for our families!!!
One step that a lot of funding organizations are requiring families to do BEFORE applying for a grant is submitting a claim through insurance for the therapy, item or service they are looking to get funded. THEN if not covered by insurance you apply for a grant. The hope is that insurance will cover it. Right?
Having an EOB (Explanation of Benefits) or a copy of your benefit coverage showing that the service/item is not covered then allows you to apply for grants. I always suggest appealing though. So that is why I have taken this week to share a couple helpful suggestions for Billing and Coding when trying to get an iPad and/or APPs covered by insurance. (Thank you Tony Gentry, PhD OTR/L for sharing your vast knowledge in Assistive Technology!)
97755- Assistive Technology Assessment
*To restore, augment or compensate for existing function, optimize functional tasks and/or environmental accessibility (for assessment and reassessment only)
E2511- Speech Generating Software (TapToTalk, Proloquo2go, & other AAC apps)
97532- Cognition skill Development
*Development of cognitive skills to improve attention, memory, problem solving, (includes compensatory training)
97535- ADL/Home Management
*Activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment (including home environment/modif analysis)
97537-Community/work reintegration training
*eg. shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive technology device/adaptive equipment.
Please note that Medicare does not consider "consumer products" as assistive technology. State Rehab Services: Typically, yes, if vocationally relevant.