TMPPM 2008 > Texas Medicaid Services > Texas Medicaid (Title XIX) Home Health Services > Benefits

   
 

24.5.16.6 Prior Authorization

All of the following criteria must be met in order to consider prior authorization of an ACD system. These criteria must be addressed in the written evaluation. The client must have:

A severe communication disorder with no functional means/intelligible sound to communicate basic needs or thoughts.

A minimum mental or developmental age of 24 months.

The ability to see, hear, and feel sensation.

The ability to follow two-step commands, take turns, and initiate an interaction.

The ability to demonstrate performance, attention, desire, interest, flexibility, and independence.

An understanding of cause and effect and object permanence.

Someone available to communicate with or a situation to communicate in.

A family/caregiver(s) willing to support the client in the use of the ACD system.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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