Funding Services

Funding Package Checklist

Tips for AAC Evaluations

Required Funding Documents 

Forms: (Certificate of Medical Necessity (CMN), Client Information & Assignment of Benefits Form) to be completed and returned to ACCI.  Augmentative Communication Consultants, Inc.

Supporting Documents  

ACCI Funding Terminology

Sample AAC Speech Language Evaluation

Speech Language AAC Evaluation (Completed by the Speech Language Pathologist before Script is written). 

Tools

Locating a Speech Language Pathologist, Selecting a Speech Language Pathologist

Sample Format for Out of Network Provider 

(Click on links to the right)

Sample Format for Out of Network Provider-Educational Purposes Only 

Sample Format for Sole Manufacturer - Dedicated ACCI Choice

Request to Use Non-Participating Provider

Sample Format for Out of Network Provider 10-19

Sample for Proloquo2Go Denial non-participation provider  

Resources 

Reaching Out to Families (Funding Resources)

Copy and paste our email address

to your contact list

  acci1@earthlink.net