Assistive Communication Device

(TX.CP.MP.551)

Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS), and CHIP

Policy updates include:

• Added to section I.B. regarding the evaluation be signed by practitioner
• Clarifying language added to Section I.B.
  • 1 “or condition causing the impairment of speech”
  • 3.b “and receptive language skills”
  • 3.d "if non-reader, include description of emergent literacy or pre-literacy skills”
• Removed from section I.B.10 regarding least costly device and added new I.B.12 “Documentation must support the recommended device is the least costly and most appropriate method of communication for the member”
• Added Section II.A.1 “A current signature and date is valid for no more than 90 days prior to the date of the requested prior authorization or the initiation of service”
• Clarified Section II.B regarding date last seen by practitioner must be within last 6 months
• Added XI.B per TMPPM “A trial period is not required when replacing an existing ACD system”
• Added IX.C. “When the members’ needs have changed and alternate ACD system or access method is being considered, a trial of the requested device with supporting objective documentation must be included”

Non-Emergent Ambulance Transportation

(TX.CP.MP.507)

Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS), and CHIP

Policy updates include:

• Added IV.B documentation for over-the-limit requests