American Speech-Language-Hearing Association

Medicare Speech-Generating Devices Information Packet: SGD Recommendations

Medicare Speech-Generating Devices Information Packet

  1. Recommendations for a variety of educational opportunities focusing on SGD coverage and documentation.
    1. Develop ASHA-sponsored educational opportunities that might include the following:
      1. Offer ASHA convention presentations that focus on funding and documentation.
      2. Consult with the AAC convention program committee and SIG 12 regarding invited session(s) for the 2004 ASHA convention
      3. Conduct the scheduled ASHA telephone seminar scheduled for March 2004 and develop additional telephone seminars on the topic in future years.
      4. Consult with ASHA's Professional Development Team regarding putting together ("bundling") a package of existing ASHA products related to AAC/SGD funding for adults.
      5. Consult with SIG 12 to suggest that topics such as Medicare funding be the focus for a future SIG 12 leadership conference.
    2. Develop other continuing education opportunities on Medicare funding of SGD's.
    3. Develop distance learning programs/telemedicine that include funding of SGDs.
    4. Conduct a search and appraisal of organizations with similar missions and approved funding streams to support the development of educational resources and tools (e.g., RESNA, ALSA, MDA, AAC Institute). Reciprocal Web site links can be requested to these resources.
    5. Collaborate with other agencies and existing committees and groups focusing on SGD funding.
    6. Develop materials for course syllabi/curricula that include funding of SGDs.
    7. Create scenarios (e.g., written vignettes, videos, flash presentations) so that SLP's can practice SGD funding procedures for continuing education.
    8. Write a resolution to update the ASHA family of documents on AAC so that they include information about Medicare funding procedures.
    9. Create online resources that offer more extensive information about AAC assessment. For example, consider the document(s) created by this committee (Appendix #).
    10. Develop materials based on the variety of Medicare eligible populations; consider variety of ages, diagnoses, environments, and cultures for customizing this information.
    11. Create consumer-ready, consumer-focused information (e.g., a Public Service Announcement) to educate families and consumers regarding Medicare funding.
  1. Develop a proposal for an ASHA mentoring program for SLPs who wish to become proficient in SGD assessment and treatment.
    1. Develop a mentoring program for SLPs who wish to become proficient in SGD assessment and treatment, as well as funding. Consider as potential partners, the ASHA MR/DD committee, Gerontology (SIG 15), Administration and Supervision (SIG 11), Neurophysiology & Neurogenic Speech & Language Disorders (SIG 2), National Joint Committee for the Communication Needs of Persons With Severe Disabilities, and Augmentative and Alternative Communication (SIG 12).
    2. Develop criteria for mentors based on demonstrated performance- related AAC clinical practice and SGD funding.
    3. Explore alternative funding options for the mentor. (e.g., NIDRR funding opportunities, ED grants/personnel preparation grants, private foundations). Consider honoraria for mentors.
    4. Develop preservice and inservice educational tracks for the mentoring program.
    5. Pair AAC mentors with university programs, perhaps via distance learning techniques.
      1. Develop a curriculum/script for mentoring program. See student minority leadership program and AAC competencies for models of mentoring programs.
      2. Provide ASHA continuing education units and/or financial compensation for mentors participating in mentorship programs.
  1. Make recommendations for articles to be published in The ASHA Leader and Special Interest Group newsletters that highlight issues such as documentation with SGD assessment.
    1. Solicit articles highlighting SGD funding and documentation.
    2. Expand the list of resources cited above to include: NSSLHA journal, NBASLH publications.
    3. Identify ASHA members to write articles highlighting SGD funding and documentation for non-ASHA publications (e.g., state associations, RESNA, Closing the Gap, Advance).
    4. Solicit articles focusing on the following topics:
      1. AAC assessments: Beyond the funding request.
      2. SLP's responsibilities in SGD funding requests.
      3. Resources to support meeting Medicare requirements.
      4. Comparison of funding request section requirements and AAC assessment procedures.
      5. Integration of RMRP requirements into an AAC assessment report.
      6. Case studies involving Medicare funding.
      7. Retrospective analysis of funding process and timeliness.
      8. Medicare coding for services and SGDs
      9. Ethical responsibilities when completing AAC assessment/interventions and funding requests.
      10. Acceptance rates with SGDs.
  2. Implementation
    1. Complete a cost benefit analysis for all suggested programs.
    2. Appoint a person or persons to be responsible for implementation of these recommendations.

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