ASSISTIVE TECHNOLOGY

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					                                                                       CHAPTER 16 – ASSISTIVE TECHNOLOGY



                                       CHAPTER 16
                                            ASSISTIVE TECHNOLOGY

ASSISTIVE TECHNOLOGY ..................................................................................................... 2
   A.     PURPOSE .............................................................................................................................. 2
   B.     POLICY ................................................................................................................................. 2
   C.     DEFINITIONS ........................................................................................................................ 2
PROCEDURES ............................................................................................................................. 4
   A.     DETERMINING NEED AND ELIGIBILITY ................................................................................ 4
   B.     SERVICE AUTHORIZATION AND APPROVAL REQUIREMENTS ................................................ 4
   C.     SUMMARY ............................................................................................................................ 5




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                                                 CHAPTER 16 – ASSISTIVE TECHNOLOGY


ASSISTIVE TECHNOLOGY

A. Purpose
The Assistive Technology (AT) Project provides financial assistance for assistive technology
services and devices for adults who are eligible for:
     Core long-term care services (Medicaid-funded);
     Adult Protective Services;
     Division of Developmental Disabilities (DDD) services; or
     Older American’s Act programs.
These adults live at home, in community residential programs, in nursing homes or in other
settings.

Project funds may be used to purchase assistive devices and services, which have no other
funding source. The project is designed to:
   1. Increase the person’s functional independence;
   2. Maximize the person’s health and safety;
   3. Emphasize the central role of the individual in planning for and using the service or
      device;
   4. Increase the awareness of assistive technology among staff;
   5. Increase the availability of assistive technology in rural areas and to individuals with
      limited English speaking abilities;
   6. Increase the likelihood that adults in institutional settings will transition to their own
      homes and communities.

B. Policy
It is the Aging and Disability Services Administration’s (ADSA) policy that the services funded
under this project be consumer-driven and demonstrate respect for the rights of persons with
disabilities to live as safely and independently as possible in their own community. Funds for
this project are limited.


C. Definitions
   1. Assistive Technology – devises and services that facilitates the ability of people by
      making the most of functional opportunities in all environments.
   2. Assistive Technology Devices - any item, piece of equipment, or product system,
      whether acquired commercially off-the-shelf, modified or customized, that is used to
      increase, maintain, or improve the functional capabilities of individuals with disabilities.
      AT devices include, but are not limited to: environmental control devices,
      communication devices and DME equipment.
   3. Assistive Technology Services - services that assist persons with disabilities to select,
      acquire, or use assistive technology devices. AT services include, but are not limited to:
      OT and PT evaluations, short-term training and eye examinations.
   4. Durable Medical Equipment (DME) - equipment which can withstand repeated use and
      which is used to serve a medical purpose when supplied to individuals with an illness,
      injury or disability. DME includes, but is not limited to: wheelchairs, walkers, specialty
      beds, and mattresses.
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                                           CHAPTER 16 – ASSISTIVE TECHNOLOGY

  5. Non-Durable Medical Equipment - supplies that are used once, or more than once, but
     are time-limited, such as diapers or catheter bags.




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                                               CHAPTER 16 – ASSISTIVE TECHNOLOGY


PROCEDURES
The Assistive Technology Fund may be used to purchase equipment and services when there is
no other funding source available.

A. Determining Need and Eligibility
When determining need and eligibility for the Assistive Technology program, staff must:

       1. Provide case management services according to established procedures (See Long-
          Term Care Manual Chapters 3, 5, 7, and 20);
       2. Document the need based on input from the person with the disability, for specific
          assistive devices and services in CARE;
       3. Document the assistive technology device in the appropriate equipment tables of the
          CARE tool;
       4. Use the appropriate comment box in CARE to document specific information
          pertaining to the device or service, i.e. communication screen, environment screen, or
          equipment table within the ADL screen. The documentation in the comment box will
          automatically roll into the Assessment Details. If needed, obtain information from
          collateral contacts such as therapists, doctors, or nurses. CARE documentation must
          include how the service/device will add to the client’s health, safety, and increase
          functional independence so that they can live in his/her own home or the least
          restrictive environment;
       5. Explore all other funding sources before submitting the final request to the AT
          Project. Possible funding sources include:
                   a. Durable Medical Equipment (DME) – administered through the Medical
                       Assistance Administration;
                   b. COPES Waiver services such as Specialized Medical Equipment and
                       Supplies, Environmental Modifications and Client Training;
                   c. DDD’s HCBS Waiver services such as Environmental Adaptations and
                       Specialized Medical Equipment and Supplies;
                   d. Residential Discharge Allowance.
                   e. Client Intervention Services – Independent Living Contractors

Please refer to Management Bulletin 00-49 for further clarification regarding approved DME for
COPES, MPC, and Chore clients.

The AT Project can purchase specialized medical equipment and supplies if the equipment is
denied by the funding source or not a covered service under the state plan (see LTC Manual
Chapter 7). The AT Project can supplement COPES and DDD’s HCBS Waiver services such as
Specialized Medical Equipment and Supplies and Environmental Modification if the COPES
fund is insufficient. The discharge allowance should be used first if an individual is leaving a
nursing facility. Other possible funding sources include: Medicare, Division of Vocational
Rehabilitation, Veterans Administration, Labor and Industries and private insurance.

B. Service Authorization and Approval Requirements
      1. Consult the Assistive Technology Project Program Manager, Patty McDonald, at
         (360) 493-2549, or email at mcdonpm@dshs.wa.gov to see if there are available

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                                                CHAPTER 16 – ASSISTIVE TECHNOLOGY

          funds in the AT Project or to discuss the client’s disability issues, resources and other
          potential funding sources.
       2. Clients may contact AT Project Program Manager directly by email or by calling 1-
          800-422-3263 to discuss AT needs and resources.

To request approval for AT project services, staff must:
       1. Complete an ETR request (DSHS 05-010 ETR Request Form) including the
           following information:
                  The costs of the service/device;
                  The name of the service or device;
                  The provider, including the provider’s mailing address, telephone/fax
                    numbers, contact person and federal tax ID number;
                  The specific nature of the request, which should read, “Assistive
                    Technology Request”.
       2. Leave the WAC reference on the form blank.
       3. Fax, mail or email the ETR request to: Patty McDonald at ADSA headquarters.
           When submitting the form, staff must:
                  Submit the form electronically to etr@dshs.wa.gov. The electronic form
                    should read “Assistive Technology request,” on the subject line; or
                  Submit the form by fax to (360) 438-8633. The fax coversheet should read:
                    “Attention AT Program Manager”; or
                  Mail the form to DSHS/ADSA, Attn: Patty McDonald, P.O. Box 45600,
                    Olympia, WA 98504-5600.

Upon Headquarters approval, ordering and payment will be authorized through an A-19 Invoice
Voucher form and will be processed by the fiscal staff at Headquarters.


C. Summary
   The Case Manager/social worker must supply the following information to the AT Project
   Program Manager:
         a. The ETR form; and
         b. The vendor identification and cost information.

   Upon depletion of project funds, subsequent requests may be denied.




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