AAC AAC Funding, Insurance & Advocacy

Question 1

Which federal program is the primary payer for AAC devices for eligible adults over age 65 in the United States?

Accepted Answer

Medicare Part B

Answer

Medicaid

Answer

CHIP

Answer

TRICARE

Question 2

What documentation is typically required by Medicare to justify funding for a speech-generating device (SGD)?

Accepted Answer

A physician's order and a comprehensive AAC evaluation by an SLP

Answer

A written request from the caregiver only

Answer

A school IEP and teacher recommendation

Answer

A letter from the device manufacturer

Question 3

Under IDEA, which document legally mandates the provision of AAC devices and services for eligible students with disabilities?

Accepted Answer

Individualized Education Program (IEP)

Answer

504 Plan

Answer

Behavior Intervention Plan (BIP)

Answer

Transition Plan only

Question 4

Which advocacy principle asserts that all individuals, regardless of disability severity, have the right to use AAC?

Accepted Answer

Presumption of competence

Answer

Candidacy model

Answer

Facilitated communication standard

Answer

Communication hierarchy

Question 5

When an insurance company denies coverage for an AAC device, what is the recommended next step for the AAC team?

Accepted Answer

File a formal appeal with additional medical necessity documentation

Answer

Accept the denial and seek a lower-cost alternative

Answer

Wait six months and reapply

Answer

Purchase the device out of pocket without appealing

Question 6

What is the primary role of an SLP in the AAC funding process?

Accepted Answer

Complete the evaluation report demonstrating medical necessity

Answer

Negotiate pricing directly with manufacturers

Answer

Submit billing claims on behalf of the insurance company

Answer

Approve or deny funding requests