Assistive Care Services and Assisted Living for the Elderly Waiver

Assistive Care Services and Assisted Living for the Elderly Wavier Services
Coverage and Limitations Handbook
ALE Waiver and Assistive Care Covered Services, continued
Physical Therapy
Component
The physical therapy component is directed toward the development,
improvement, or restoration of neuromuscular or sensory motor function,
relief of pain, or control of postural deviation to attain maximum
performance. Physical therapy must be provided by licensed physical
therapists, physical therapy assistants, or physical therapy aides under the
supervision and direction of a licensed physical therapist.
Specialized Medical
Equipment and
Supplies
Component
The specialized medical equipment and supplies component includes devices,
controls, or appliances that are of direct medical or remedial benefit to the
recipient. Such items must be specified in the plan of care and enable a
recipient to increase his or her ability to perform activities of daily living, or to
perceive, control, or communicate with the environment in which he or she
lives.
This component must include consultation with the recipient’s physician and
denials from all other payment sources.
Speech Therapy
Component
Speech therapy is provided when medical diagnosis indicates a need for
treatment of speech and language disorders that result in a communication
disability. This component is limited to the evaluation and treatment of
speech disorders, such as aphasia, which result from stroke and cerebral
trauma, dementia, or other degenerative neurologic diseases affecting oral
motor functions. Speech therapy services must be provided by licensed
speech-language pathologists or a certified speech-language pathology
assistant under the supervision of a licensed speech-language pathologist.
Therapeutic Social
and Recreational
Services
Component
The therapeutic social and recreational services component allows the ALF
to provide activities to improve the mobility, motor skills, or alertness of ALE
waiver recipients. These activities may also serve to divert the attention and
enhance the quality of life of waiver recipients with dementia.
July 2001 5-14