Tele-Collaboration in Speech and Hearing Sciences: Augmentative and Alternative Communication


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NEWS FLASH

Update on DSHS funding for AAC Devices:
Patricia Dowden, Ph.D., CCC-Sp


*Since last fall, there have been some interesting developments regarding funding for AAC devices by the Department of Social and Health Services (DSHS) in Washington State.

DSHS (link) has proposed changes to the Washington Administrative Codes (WAC) regarding Medicaid funding for AAC devices. Stakeholders (AAC users, vendors and professionals) reviewed and commented on these changes through public meetings and subsequent e-mail exchanges with DSHS staff. It was clear that the stakeholders unanimously objected to the proposed changes in the regulations as they stood in November 2001. Some initial concerns have been addressed by re-wording sections of the proposed WAC, but concerns still remain about the following:

•  The proposed changes by DSHS attempt to exclude communication devices based on personal computer and other consumer electronic products, thereby preventing many individuals from obtaining the equipment they need and keeping prices artificially high.

•  It is inappropriate for DSHS to limit funding to ACDs (Augmentative Communication Device) that are to be used for communicating medical information. According to the WACs themselves, ACDs are intended to "compensate" for communication impairment regardless of what the individual is communicating about or to whom. Applicants for funding should not have to demonstrate that the device would be used primarily for communicating medical information.

This is still an on-going process. We hope that we can effect changes that resolve these remaining issues during this next set of negotiations. If so, this is an excellent example of how consumers and professionals can have a voice in shaping policy when we work together for positive change.

In the meantime, we encourage you to use the "features-based" documentation described on this website. When appropriate, do not hesitate to recommend a computer-based communication device. If you do so, be sure to make a strong case for why the features of this system are medically necessary for the AAC user under consideration.

 

Continue to LOJ Guidelines for WA State

 

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University of Washington, Dept. of Speech & Hearing Sciences, Tele-Collaboration Project. © 1999-2002, UW-SPHSC, including all photographs and images unless otherwise noted. Comments: tcollab@u.washington.edu. URL: http://depts.washington.edu/augcomm