We have had these types of requests in the past (not necessarily for this product).  I assume the PALS is using the equipment & its meeting his needs.  I empathize with the PALS and the family about wanting to get reimbursed but our center does not evaluate a person for a specific product particularly after that product has been received.  We follow the steps outlined by Lew.

Molly Doyle MS CCC
CART-Rancho Los Amigos National Rehabilitation Center
Downey CA 90242
www.rancho.org/cart

Please be advised that we cannot guarantee confidentiality of email communications.

>>> Alisa Brownlee <xxxxxx@xxxxxxxxx> 12/10/07 1:06 PM >>>
  A question for the AAC specialists of the group....

  We have a patient in NJ that paid out of pocket (and without an SLP evaluation) for a My Tobii System from a local vendor.  Now, the family wants to apply to Medicare for partial reimbursement. (the 80% that Medicare would pay for this device)  The vendor is now asking one of the SLP's that work with my Chapter to perform an AAC assessment based on this system then submit the claim to Medicare.  Has anyone on this list had this type of request?  Can a beneficiary request reimbursement for Medicare after the fact?? (the patient has had the device for a few months)

  I asked Lew Golinker for advice (he is an attorney with the AT Law Center) and he states the process of getting an eval, then script, then submission of device has not been followed.  However, I am wondering if anyone else have faced this problem?  I can't believe this is an isolated incident and I was curious if anyone has any input to this or a similar situation?  (or has someone successfully done this type of "back ordering" before?)

  Thanks
  Alisa

  Alisa Brownlee, ATP
Assistive Technology Specialist
ALS (Lou Gehrig's Disease) Association, Greater Philadelphia Chapter

  Assistive Technology Consultant, ALS Association, National Office

Direct Phone Number: 215-631-1877

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Alisa Brownlee, ATP
Assistive Technology Specialist
ALS (Lou Gehrig&#39;s Disease) Association, Greater Philadelphia Chapter

Assistive Technology Consultant, ALS Association, National Office

Direct Phone Number: 215-631-1877

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