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24.5.16.11 Replacement
An ACD system is anticipated to last a minimum of five years. Documentation must be submitted for the following situations:
• If requesting a replacement with the same ACD system or repair of the present ACD system, a statement must be submitted indicating that the client's abilities and/or communication needs are unchanged and/or no other currently available ACD system is better able to meet the client's needs.
•If requesting a different ACD system from the one lost or damaged, a new evaluation/assessment is required.
•When appropriate, a copy of the police or fire report listing the cause of the loss or damage, as well as, what measures will be taken to prevent reoccurrence.
•In situations where the equipment has been abused or neglected by the client, the client's family, or the caregivers, the Home Health Services Prior Authorization Department will make a referral to the DSHS THSteps Case Management Program for clients under 21 years of age. The provider will be notified that the state will be monitoring this client's services to evaluate the safety of the environment for both the client and equipment.
Prior authorization for replacement may be considered within five years or more from the purchase date or when the ACD system is no longer functional, and either cannot be repaired or it is not cost effective to repair.
Note: ACD system replacements for clients under 21 years of age that do not meet the criteria in this section may be considered through THSteps-CCP.
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