Categorically needy persons who are eligible for AFDC or Supplemental Security Income programs. Some states cover medically needy whose incomes, after deducting medical expenses, fall below income threshold. Varies from state to state. Generally follows Medicare policies. Augmentative communication paid for by growing number of states.
Medical necessity is critical factor for payment.
Medicare, Part B Title XVII of the Social Security Act. Equipment is paid for when deemed part of overall medical or rehabilitation intervention, which is dependent upon eligibility status. VA pays for such equipment as sensory aids, prosthetics and orthotics, mobility and transportation equipment, etc. when deemed necessary. Children must meet medical necessity requirements for institutional care. The intent is to provide the necessary services, including equipment for the child, to remain in the home versus institution.