What is Assistive Technology?
Assistive technology (AT) is any device, technology, or equipment that is used to improve or keep your functional capabilities. AT is sometimes called Durable Medical Equipment (DME).
How can I get assistive technology from Medicare or Medicaid?
You can start by talking to your doctor about what AT you need.
- You may need an evaluation to help choose the right device.
- Your doctor will write a Letter of Medical Necessity. A Letter of Medical Necessity explains why you need that AT device.
You will need to contact a vendor. The vendor provides the AT.
- Contact Medicaid, Medicare, or your managed care plan to find a vendor who accepts your medical coverage plan.
- You will give the vendor the Letter of Medical Necessity. The vendor will then complete the necessary authorization form.
Both the Letter of Medical Necessity and the authorization form are sent to Medicaid or Medicare for approval.
- Medicaid or Medicare will review the information. If Medicaid or Medicare approve the AT, they will notify your vendor. The vendor will order the AT.
- If Medicaid or Medicare does not approve, you will receive a notice. The notice must be in writing and include the reason your request was denied.
Can I appeal a denial of AT by Medicaid or Medicare?
Your denial letter should explain the appeals process. There may be important timelines for appeal. If the appeal process is not in your denial letter, call your medical coverage provider.
You can request assistance from your vendor with the appeals process. You may also want to talk to your doctor. Your doctor may submit more information about your needs with your appeal.
You can also contact Disability Rights Rhode Island at info@drri.org or 401-831-3150.
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