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Your UCP: National October 13, 2003
Products & Services

Assistive Technology

Medicare, Managed Care and AAC Devices

Funding Augmentative and Alternative Communication (AAC) Devices Through Medicare

The Decision Making and Appeals Process for HMO and Other Medicare+Choice Participants

This booklet describes the managed care program. It provides answers to the most common questions a Medicare beneficiary, family member, service provider or advocate may have regarding the Medicare decision making and appeals steps that apply to AAC device payment claims:

    • What documentation or proof has to be submitted?
    • Where should information be sent and who reviews it?
    • How is the review conducted (on the record; by telephone; in person)?
    • How long will the review take to decide?
    • Can I win at this at this decision making or appeal level?
    • What do I do next and how long do I have to do it?
    • What help is available?
    • What can I do if the process does not follow the outline provided here?
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