Community-Based Services Manual (CBSM)

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Community-Based Services Manual (CBSM)

CBSM Waiver programs

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Assistive technology

Page posted: 10/1/03		Page reviewed: 12/26/13	Page updated: 2/6/19
Legal authority	Federally approved DD Waiver Plan
Definition	Assistive technology: Devices, equipment or a combination of both that improve the person’s ability to: · Communicate in the community · Control or access their environment · Perform activities of daily living.
Covered services	Assessment Assistive technology – assessment covers assessment of the person’s need for assistive devices, including software. Equipment Assistive technology – equipment covers: · Equipment rental during a trial period, customization, training and technical assistance · Maintenance, repair of devices and rental of equipment during periods of equipment repair · Most appropriate selection of a product from the available options · Ongoing training and evaluation for the person and caregiver about the product.
Electronic tablet	If the person uses an electronic tablet only for purposes of augmentative communication, the device is funded through the state plan as durable medical equipment. If the person uses an electronic tablet as part of a system of environmental controls and as an augmentative communication device, the device is funded through the assistive technology waiver service.
Remote support	Assistive technology – assessment can be delivered through remote support. Services delivered through remote support must meet all the requirements listed on CBSM – Remote support.
Provider standards and qualifications	Assessment Assistive technology – assessment is a DHS enrollment-required service. For more information, refer to CBSM – Waiver/AC service provider overview. The provider who assesses the person’s assistive technology needs must be one of the following professionals: · Physician licensed under Minn. Stat. Ch. 147 · Certified through the Rehabilitation Engineering and Assistive Technology Society · Certified through California State University Northridge's Assistive Technology Program · Occupational therapist currently registered by the American Occupational Therapy Association as an occupational therapist · Physical therapist who is a graduate of a program of physical therapy approved by both the Council on Medical Education of the American Medical Association and the American Physical Therapy Association or its equivalent, and registered under Minn. Stat. §148.70 · Speech-language pathologist who has a certificate of clinical competence in speech-language pathologies from the American Speech-Language-Hearing Association. Background study To provide assistive technology – assessment, providers must have a background study. For more information, refer to CBSM – Waiver/AC service provider overview – Required DHS background studies for direct-contact services. Equipment Assistive technology – equipment is an approval-option: purchased-item service. For more information, refer to CBSM – Waiver/AC service provider overview.
Authorization, rates and billing	The lead agency authorizes assistive technology at the market rate. For more information, see CBSM – Market rate services and Long-Term Services and Supports Service Rate Limits, DHS-3945 (PDF). Timeline The lead agency may authorize and provide assistive technology before a person’s discharge from an institution if the person is expected to be discharged and enrolled on the DD Waiver. The lead agency can only bill for assistive technology services after the date the person is discharged from the institution and enrolled on the DD Waiver. Unforeseen circumstances If the person does not enroll on the DD Waiver for an unforeseen reason (i.e., death or a significant change in condition) and meets certain criteria, the lead agency may request reimbursement for expense(s) it incurred in anticipation of the person enrolling. For more information, refer to CBSM – Waiver/AC reimbursement for unforeseen circumstances. MCOs If the person receives or was receiving services through a managed care organization (MCO), the lead agency contacts the specific MCO about procedures it needs to follow for reimbursement. An MCO may not request reimbursement from DHS under unforeseen circumstances.
Additional resources	CBSM – Market rate services CBSM – Remote support CBSM – Resource: Overnight support for people in their own home CBSM – Technology for HOME (T4H) grant CBSM – Waiver, AC and ECS general processes and procedures CBSM – Waiver/AC reimbursement for unforeseen circumstances CBSM – Resource: Guidance on support technology and service planning Long-Term Services and Supports Service Rate Limits, DHS-3945 (PDF)

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