CMS Capped Rental Rule
The AAC Institute along with other professional and consumer organizations and AAC companies are requesting that the White House, Congress and the Centers for Medicare and Medicaid Services (CMS) exempt Speech Generating Devices (SGDs) from ALL rental requirements and remove SGDs from the capped rental rule that takes effect April 1, 2014.
How you can help support the effort to change the capped rental rule and other AAC issues that will have a negative impact on access to SGDs.
- Please, sign the petition at Change.Org by going to http://chn.ge/1pfl67f.
- Participate in the “Ask me why I’m not talking” day on April 1, 2014 and continuing the first day of every month until CMS removes SGDs from the capped rental rule. Simply wear an “Ask me why I’m not talking” button and download the message about the CMS capped rental rule to share with others.
- Donate to the AAC Institute’s lobbying and advocacy efforts to help support David Chapple, AAC speaker spearheading our campaign and coordination with other organizations. (Donors of $25 and more will receive the “Ask Me Why …” button above.)
- Like AAC Institute on Facebook and share the postings on the CMS rule and other posts related to AAC funding issues.
- Read more about the CMS capped rental rule below.
Ask me why I’m not talking
I’m not talking as a show of solidarity for seniors and Medicare beneficiaries affected by the CMS capped rental rule that unfairly included speech generating devices (SGDs). SGDs are complex rehabilitation technology that are highly customized for an individual and cannot be substituted or borrowed in cases of illness or long-term care. The CMS capped rental rule significantly changes the funding of personal SGDs and will disrupt access to SGDs, services and supports for more than 7 million beneficiaries who have a risk for a disabling condition that results in loss of speech.
Why is this important?
The Centers for Medicare and Medicaid Services (CMS) will be enacting the capped rental rule for durable medical equipment to take effect on April 1, 2014. Speech Generating Devices (SGDs), in other words, voice-output computer-based technology are considered durable medical equipment by CMS just like hospital beds, pressure cuffs, walkers, bi-pap machines to support breathing as well as hundreds of other items.
However, SGDs or high performance augmentative and alternative communication systems are complex rehabilitation technology. An SGD is matched and customized specific to an individual’s abilities, needs, activities, daily environments and personal preferences. Borrowing a substitute SGD when someone is hospitalized or needs to be in a rehabilitation or skilled nursing facility because of an illness is not realistic.
The capped rental rule takes away the guarantee that a Medicare beneficiary will own their SGD that has been personalized to meet their unique communication when they are the most vulnerable and should be able to “say what they want to say using their own SGD” when major life decisions or medical directives are being made.
An SGD must be prescribed by a physician after a comprehensive evaluation from an experienced, qualified speech language pathologist. The capped rental rule disregards the established standard of care of augmentative and alternative communication, the principles of the Americans with Disabilities Act and the ethics of a fair and just society’s treatment for a quality life for all its citizens. The capped rental rule significantly changes the funding of personal SGDs and will disrupt access to SGDs, services and supports for more than 7 million beneficiaries who have a risk for a disabling condition that results in loss of speech such as Lou Gehrig’s disease (ALS), aphasia, cerebral palsy, TBI and other severe communication disorders.