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24.5.16.1 ACD Systems
An ACD system, also known as an augmentative and alternative communication (AAC) device system, allows a client to overcome the disabling effects of severe communication impairment by representation of vocabulary or ideas and expression of messages and enables the client to meet their functional speaking needs. For the purpose of this policy, the term "ACD system" refers to the ACD and all medically necessary components and accessories. Permanent loss of speech is defined as a severe communication disorder with no functional means/intelligible sound to communicate basic needs or thoughts.
An ACD system is a benefit of the Texas Medicaid Program and may be considered for prior authorization as a Home Health Services benefit when the following home health services eligibility criteria are met:
• The client must be eligible for home health benefits.
•The criteria in this section must be met.
•The equipment requested must be medically necessary.
•The client's status would be compromised without the requested equipment.
•Federal financial participation must be available.
•The requested equipment or supplies must be safe for use in the home.
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