Appeals & Legal Services

While the benefits of standing are numerous, occasionally, funding sources do not agree with consumer needs. Many standing devices have been paid for after an appeal. EasyStand is here to help you understand and navigate the appeals process for standing devices.

Purchasing Durable Medical Equipment
  1. Don’t take “No” for an answer.
    Appeal if denied! The consumer must start the appeals process.
  2. Review the submitted documentation.
    Was it complete? Does it include the equipment trial process and the individual’s specific medical needs? If you are not comfortable reviewing the letter of medical necessity fax it to 952-937-0821or email nancy@easystand.com and we will be happy to assist with the review.
  3. Request an appeal in writing.
    This written request must be received by the funding source within a specified time frame, usually within 90 days. Send a copy of the notice of denial with the funding appeal letter and keep the originals. The notice includes necessary information such as recipient’s name, address, and ID number.
  4. Referee will be assigned to hear the appeal.
    The referee may schedule a telephone hearing. Although, you have the right to an in-person hearing which is usually preferable. You can, in fact, state in the letter that the hearing be held in-person.
  5. Identify potential expert witnesses.
    Such as a Physical Therapist, Occupational Therapist or Physiatrist. In-person testimony is desirable; however, it is acceptable to have testimony by phone or in a written letter of medical necessity.
  6. Assistance from an advocate or attorney.
    PAAT (Protection Advocacy for Assistive Technology) attorneys are a free resource available to assist clients with disabilities and their families as they seek funding for Assistive Technology.

Funding & Legal Services

Two funding resources we feel are particularly helpful for standing devices and other complex rehab technology are the Protection Advocacy for Assistive Technology (PAAT) attorneys and the Assistive Technology (AT) Project in each state.

PAAT (Protection Advocacy for Assistive Technology) Attorneys

PAAT attorneys and advocates are a free resource available to assist people with disabilities and their families as they seek funding for AT. PAAT locations throughout the U.S. offer support, resources and guidance through the appeals process.

AT Projects

Each state has an AT Project that has information about assistive technology resources for that state. The goal of AT Projects is to increase access to assistive technology for all people. Services that may be provided include:

  • Awareness activities about AT and its uses
  • Advocacy for individuals and their families on their rights to AT services
  • Funding resource information based on the person’s needs
  • Technical assistance selecting the appropriate AT devices
  • Short term loan of AT equipment to try out at work, home, school, etc.
  • AT resource information and referral to other programs

To find the AT Projects or PAAT Attorneys in your state, visit the RESNA website.

Links
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