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Funding Services

Funding Services


Funding Package Checklist


A Guide That Outlines the Forms Necessary to Start the Process of Obtaining a Device For Your Clients

Tips for AAC Evaluations


Support information for Evaluations 

Required Funding Documents 

Forms: (Certificate of Medical Necessity (CMN), Client Information & Assignment of Benefits Form) to be completed and returned to ACCI.  Augmentative Communication Consultants, Inc.

Supporting Documents  

 Forms for Client to read

ACCI Funding Terminology

List of Funding Definitions 

Sample AAC Speech Language Evaluation

Speech Language AAC Evaluation (Completed by the Speech Language Pathologist before Script is written). 


Locating a Speech Language Pathologist, Selecting a Speech Language Pathologist

Sample Format for Out of Network Provider 

(Click on links to the right)


Sample Format for Out of Network Provider-Educational Purposes Only 

Sample Format for Sole Manufacturer - Dedicated ACCI Choice

Request to Use Non-Participating Provider

Sample Format for Out of Network Provider 10-19

Sample for Proloquo2Go Denial non-participation provider


Reaching Out to Families (Funding Resources)




Ready to submit your paperwork? 

P. O. Box 731  Get social-Stay in touch for the latest news and information!
Moon Township, PA  15108                                           facebookiconlittle.jpg     twitter-small.jpg    youtube2.jpg
 Fax:      412-269-0923  
 Phone:  800-982-2248  


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