Services Delivery AT

What is the rehabilitation act of 1973?

prohibits discrimination of the basis of disability by any federal agency or in a federal building

What does IDEA stand for?

Individuals with Disabilities Education Act

What is IDEA?

all children have a right to "free and appropriate education"

least restrictive environment

individual education plan (IEP)

individual family services plan (ISFP) for birth-3 years old

What is the americans with disabilities act 1990?

civil rights law for people with disabilities

prohibits discrimination based on disability in employment, public service, public accomodations, and telecommunications

What is title I of americans with disability act?

Employment

employers with 15 or more employees must provide "equal opportunity"

must provide "reasonable accomodations"

What is title II of americans with disability act?

public transportation

paratransit: service for individuals unable to use regular transit system picked up and dropped off at destinations

What is title III of americans with disability act?

public accomodations

-ADA architectural standards

-"reasonable modifications"

What is the assistive technology act of 1988?

federal funding from the US dept of ed to support state efforts to improve the provision of assistive technology to individuals with disabilities

What does the assistive technology act of 1988 rarely do and do instead?

rarely providing direct services or devices instead coordination of services programs may include:

-reutilization, demonstration, financing, device loan

What is the largest single funding source for AT devices in most states?

Medicaid

-state administered (Each state is different)

What is the medicaid eligibility criteria?

individual must be eligible for medicaid-medically needy

AT must fit within a required services category

item must be medically neccesary-letter of justification is needed

What is DME and what is it defined for?

medicaid: durable medical equipment

What is DME defined by?

equipment that:

-can withstand repeated use

-is primarily and customarily used to serve a medical purpose

-generally, not useful to person in absence of illness or injury

-is appropriate for use in the home

What sucks about DME?

it doesn't include work, school, in community etc.

key word is appropriate use in the home

What is medicare?

federally administered, may fund assistive technology

Who qualifies for medicare?

US citizens or permanent legal resident for 5 continuous years and

>65 regardless of income (older than 65)

or under 65 and disabled on SSDI

or on dialysis

or ALS

What is important to remember with medicare and AT?

limitations on items covered "reasonable and necessary"

How does medicare define DME?

equipment that:

-can withstand repeated use

-is primarily and customarily used to serve a medical purpose

-generally, not useful to person in absence of illness or injury

-is appropriate for use in the home

What are some categories of DME covered by medicare?

routinely purchased equipment

prosthetics and orthotics

capped rental items

oxygen and oxygen equipment

*very specific and set rules on what's covered

What is vocational rehabilitation?

device and training needed to prepare for and return to work

*must be disabled

What is workers compensation?

employers' insurance covers injuries that happened at work

What does AT funding look like for veterans administration (VA)?

covers AT in service-related injuries

must work through the VA system for equipment

What does AT funding look like with educational systems?

AT that can assist students to remain in the least restrictive environment

school owns the AT, VR may purchase AT when transitioning from school to work

What does AT funding look like with private health insurance?

access to AT varies by policy benefits, each policy within insurance differs for each person and what they cover

*employees and dependents

What does documentation for justification letter or letter of medical necessity look like?

-summarize problems (client specific)

-provide rationale for equipment

-not a stand-alone document and often needs to be accompanied by the documented evaluation results

What are some parts of a justification statement?

improve safety

-improve independence with specific task

-decrease need for caregiver assistance

-decrease risk of complications