Current through Register No. 50, December 12, 2024
Section He-W 575.04 - Covered ServicesThe following AAC aids, accessories, and services shall be covered:
(a) The purchase, repair, and modifications of AAC aids and accessories when they: (1) Meet the definition of durable medical equipment (DME) per He-W 571.01;(2) Are medically necessary;(3) Are the most clinically appropriate and least costly alternative;(4) Are a dedicated communication device used only for communication purposes;(5) Are to be used solely by the recipient; and(6) Have been prior authorized in accordance with He-W 575.06 below;(b) Rental of AAC aids for up to 2 months when prior authorized in accordance with He-W 575.06 below, and at least one of the following is true: (1) Time is needed to assess the appropriateness of the AAC aid, and whether it will meet the person's current needs and accommodate reasonable anticipated future needs;(2) Rental is needed because the recipient's AAC aid is out for authorized repair and no loaner equipment is available from the AAC provider or manufacturer; or(3) Rental is needed during the time period between order and delivery of the aid approved for purchase, and no loaner equipment is available from the AAC provider or manufacturer; and(c) Computer equipment and accessories when such items are:(1) Identified in the AAC evaluation, conducted in accordance with He-W 575.07 below, as the recipient's only AAC aid allowing for functional communication;(2) Are medically necessary;(3) Are the most clinically appropriate and least costly alternative;(4) Are a dedicated communication device used only for communication purposes;(5) Are to be used solely by the recipient; and(6) Have been prior authorized in accordance with He-W 575.06 below.N.H. Admin. Code § He-W 575.04