CSHCN 2009 > Augmentative Communication Devices (ACDs) > Benefits, Limitations, and Authorization Requirements

10.2.2 Purchases or Rentals

Requests for ACD purchases should take into account all projected changes in the client's communication abilities for a minimum of 2 years. An ACD is not approved for purchase unless the client has used the requested ACD for a trial period of at least 30 days but not more than 60 days. Prior authorization may be obtained for rental (if feasible) during the trial period. If an ACD is unavailable for rental, a waiver may be granted with supporting documentation. All components, accessories, and switches, including mounting devices and lap trays necessary for use, must be used during the trial period before a decision to purchase can be approved.

Refer to: Chapter 33, "Speech-Language Pathology (SLP) Services" for procedure codes related to therapy or training for use of an ACD during the trial period.

Requests for accessories that were unavailable at the time of the initial prescription may be considered once every 2 years with adequate supporting documentation. ACDs may be replaced every 5 years if documentation supports medical necessity or appropriateness of replacing the current ACD.