AAC Funding, Insurance & Advocacy Flashcards
6 cards from real AAC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 AAC Funding, Insurance & Advocacy flashcards as text
Which federal program is the primary payer for AAC devices for eligible adults over age 65 in the United States?
Answer: Medicare Part B
Medicare Part B covers SGDs (speech-generating devices) as durable medical equipment for eligible beneficiaries aged 65 and older.
What documentation is typically required by Medicare to justify funding for a speech-generating device (SGD)?
Answer: A physician's order and a comprehensive AAC evaluation by an SLP
Medicare requires a physician's order combined with a comprehensive AAC evaluation completed by a qualified SLP to justify medical necessity for an SGD.
Under IDEA, which document legally mandates the provision of AAC devices and services for eligible students with disabilities?
Answer: Individualized Education Program (IEP)
The IEP legally specifies all special education services, including AAC devices and related supports, required for eligible students under IDEA.
Which advocacy principle asserts that all individuals, regardless of disability severity, have the right to use AAC?
Answer: Presumption of competence
The presumption of competence assumes that every individual has the capacity to communicate and learn, supporting unconditional access to AAC.
When an insurance company denies coverage for an AAC device, what is the recommended next step for the AAC team?
Answer: File a formal appeal with additional medical necessity documentation
Filing a formal appeal with thorough medical necessity evidence is the standard recommended course of action when an initial insurance claim is denied.
What is the primary role of an SLP in the AAC funding process?
Answer: Complete the evaluation report demonstrating medical necessity
The SLP's key funding role is to conduct and document a thorough AAC evaluation that establishes medical necessity for the requested device or system.