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

24.5.16.7 Trial Period/Rental/Purchase

In order to ensure and ascertain that the client's needs are met in the most cost effective manner, an ACD system will not routinely be prior authorized for purchase until the client has completed a 6-month trial period that included experience with the requested system. Prior authorization may be provided for rental during this trial period. All components, such as access devices, mounting devices and lap trays necessary for use, must be evaluated during this trial period.

In the situation where an ACD system is not available for rental, purchase can be considered with documentation that the client has had experience with the requested system at school or in another setting.

A trial period is not required when replacing an existing ACD system unless the client's needs have changed and another ACD system or access device is being considered.

To obtain prior authorization for ACD system rental, all of the following documentation must be submitted:

•A formal written evaluation completed by an SLP before requesting an ACD system rental.

•A Home Health Services (Title XIX) Durable Medical Equipment (DME)/Medical Supplies Physician Order Form listing the prescribed ACD system, access device and accessories such as a mounting device, must be completed, signed, and dated by the physician.

Purchase

Purchase of an ACD system may be considered for prior authorization when all of the following ACD system criteria are met:

•A formal written evaluation/re-evaluation must be completed by an SLP before requesting an ACD system purchase. The evaluation/re-evaluation must include documentation that the client has had sufficient experience with the requested ACD system through trial/rental, school, or another setting.

•A Home Health Services (Title XIX) Durable Medical Equipment (DME)/Medical Supplies Physician Order Form listing the prescribed ACD system, access device and accessories such as a mounting device, must be completed, signed and dated by the physician.