Alabama

• Read Me First - Alabama Medicaid
• Alabama AAC Evaluation Report
• Alabama Medicaid Tips & Tricks

Alaska

• Read Me First - Alaska Medicaid
• Alaska Certificate of Medical Necessity

Arkansas

• Read Me First - Arkansas Medicaid
• Arkansas Prior Authorization Request Form

California

• Read Me First - California Medicaid
• California Capped Rental FAQ
• California Children Services FAQ

Colorado

• Read Me First - Colorado Medicaid

Connecticut

• Read Me First - Connecticut Medicaid

Delaware

• Read Me First - Delaware Medicaid
• Delaware Certificate of Medical Necessity
• Delaware Practitioner’s Medical Necessity Letter

District of Columbia

• Read Me First - D.C. Medicaid
• D.C. Prior Authorization Request Form

Florida

• Read Me First - Florida Medicaid
• Florida Statement of Non-Conflict
• Florida School Concurrence

Georgia

• Read Me First - Georgia Medicaid
• Georgia Certificate of Medical Necessity
• Georgia Medical Evaluation Guide

NOTE: A copy of the most current Individualized Education Plan (IEP) must be submitted with the funding packet for a student under the age of twenty-one (21), if applicable.

Hawaii

• Hawaii Medicaid Information

Idaho

• Read Me First - Idaho Medicaid
• Idaho Medicaid SGD Supplemental Form

Illinois

• Illinois AAC Device Trial Form

Indiana

• Read Me First - Indiana Medicaid
• Indiana Augmentative Communications System Selection
• Indiana Prior Authorization Request Form

Iowa

• Read Me First - Iowa Medicaid
• Iowa Augmentative Communications System Selection

Kansas

• Kansas Letter of Medical Necessity
• Kansas Letter of Medical Necessity Example

Kentucky

• Read Me First - Kentucky Medicaid
• Kentucky Certificate of Medical Necessity

Maine

• Read Me First - Maine Medicaid
• Maine 2018 Durable Medical Equipment Criteria

Maryland

• Read Me First - Maryland Medicaid
• Maryland Certificate of Medical Necessity

Massachusetts

• Massachusetts Prescription and Medical Necessity Review Form
• Massachusetts Medicaid Evaluation Checklist

Minnesota

• Read Me First - Minnesota Medicaid

Mississippi

• Read Me First - Mississippi Medicaid

Missouri

• Read Me First - Missouri Medicaid

Montana

• Montana Certificate of Medical Necessity

Nebraska

• Nebraska AAC Device Selection Report

Nevada

• Read Me First - Nevada Medicaid
• Nevada Medicaid Information

New Hampshire

• New Hampshire AAC Application
• New Hampshire AAC Safe Guarding Plan
• New Hampshire Trial Summary
• New Hampshire AAC Replacement Request

North Carolina

• Read Me First - North Carolina Medicaid
• North Carolina Prior Authorization Request Form

North Dakota

• Read Me First - North Dakota Medicaid
• North Dakota Certificate of Medical Necessity

Ohio

• Read Me First - Ohio Medicaid
• Ohio Certificate of Medical Necessity
• Ohio Certification of Medical Necessity-Repairs

Oregon

• Read Me First - Oregon Medicaid
• Oregon AAC Selection Report
• Oregon Letter of Medical Necessity
• Oregon Letter of Medical Necessity Example

Pennsylvania

• Read Me First - Pennsylvania Medicaid
• Pennsylvania Outpatient Services Authorization Request

Rhode Island

• Read Me First - Rhode Island Medicaid
• Rhode Island Certificate of Medical Necessity
• Rhode Island Prior Authorization Request Form
• Rhode Island Medicaid Documentation of Face-to-Face Encounter

South Carolina

• Read Me First - South Carolina Medicaid
• South Carolina Certificate of Medical Necessity

South Dakota

• South Dakota Certificate of Medical Necessity

Texas

• Read Me First - Texas Medicaid
• Texas Certificate of Medical Necessity
• Texas Prior Authorization Request Form

Vermont

• Vermont Certificate of Medical Necessity
• Vermont SGD/AAC Prescription for E2510-12
• Vermont Speech Language Pathologist Evaluation

Virginia

• Read Me First - Virginia Medicaid
• Virginia Certificate of Medical Necessity

Washington

• Read Me First - Washington Medicaid
• Washington Speech Language Pathologist Evaluation
• Washington Prescription Form

West Virginia

• Read Me First - West Virginia Medicaid
• West Virginia Certificate of Medical Necessity
• West Virginia Cost Calculation Form

Wisconsin

• Read Me First - Wisconsin Medicaid