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Repair to Adaptive Equipment - Medicare Process Flow


Monday, March 11, 2013

Need identified by Observation: Issue Arise; Clinical Recommends; Doctor Orders Adaptive Equipment need is reported by the Residential provider or family to the SC, person, family/guardian within 1 business day of identifying the need.

  • DDS clinician will visit to assess the adaptive equipment to determine if the person’s health and safety is at risk immediately or within 6 business days of identifying the need.
  • The team will consult with the person to discuss the adaptive equipment need within 1 business day of identifying the need.
  • Identify the type of insurance Medicare (Part B) or Medicaid within 2 business days of identifying the need.
  • Identify the type of residential setting ICF or Waiver within 1 business day of identifying the need.