Funding Services

Funding Package Checklist

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                                        

Sample AAC Speech Language Evaluation

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

Tools

Locating a Speech Language Pathologist, Selecting a Speech Language Pathologist

Sample Addendums for Clarification or Support of Device

Addendum to Evaluation Report Denial
Request to Allow Exception for Out of Network Provider Addendum
Discontinued Model Addendum
Client Medical Appeal Addendum

Sample of Non-Medical Appeals for SGD

Sample Format for Out of Network Provider

Resources 

Reaching Out to Families (Funding Resources)

ACCI Lending Agreement

 Forms for Conditions and Terms for Lending Equipment

"Basic Funding 101" - a short video on the funding process                                              

Copy and paste our email address

to your contact list

  acci1@earthlink.net