N.H. Admin. Code § He-W 575.04

Current through Register No. 50, December 12, 2024
Section He-W 575.04 - Covered Services

The 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

#10636, eff 7-12-14