For individuals seeking funding for a Speech-Generating Device (SGD), the funding process can feel overwhelming. Working through the submission regulations and ensuring you have the right documents filled out correctly can be time-consuming and frustrating. Return to Overview
The PRC Funding Department is experienced at navigating the rules, requirements and potential pitfalls involved in working with so many different providers.
We understand the process, and will work with you to ensure success.
We are guided by our dedication to our mission: Because everyone deserves a voice.
Download our Funding Quick Reference Guide.
Necessary team members:
Other possible team members:
Find out what type(s) of health insurance coverage the client has. This can be anything from state Medicaid to Medicare, private insurance to Tricare (military coverage) – or a combination of these.
When talking with the insurance provider, be sure to have:
Also be sure to find out:
More imporant, however, is to check on coverage for durable medical equipment (DME) or, more specifically, speech-generating devices (SGDs).
Ask if the policy covers the following codes:
A full and complete evaluation is the key to ensuring that a device will be funded.
Regional Medical Review Policy (RMRP) Guidelines* require that the following information be documented in the SGD evaluation report:
Please be sure the report is signed!
*Please note: Medicare and most funding sources follow these guidelines, as well.
Use the following as a checklist. Depending on where you live and your funding source, you may need more – or less – documentation; work with your PRC Consultant and our Funding Department to ensure you have everything you need.
A complete funding packet includes:
PRC is pleased to announce that submission packets can quickly, easily and securely be uploaded via our website. Simply drag-and-drop onto the page, and your documentation will be received and ready for processing.
Uploaded documents must be physically signed by necessary team members prior to being uploaded to PRC’s website.
Packets may also be submitted via fax or mail service:
PRC Funding Department
1022 Heyl Rd.
Wooster, OH 44691
Packets are accepted via email ONLY from encrypted servers!
If you have any questions on submitting your paperwork, please call us: 800.268.5224.
Once we receive your paperwork, the PRC Funding Department team gets to work.
You can help to expedite the process by:
For more information on denials/deferrals, download our Quick Reference Guide.
Once your PRC AAC device has arrived, notify your team of the good news.
After opening the box, review the contents. Double-check that everything you’ve ordered is enclosed.
Attach any accessories to the device, and then turn it on. If it needs to be charged, plug it in.
Set the device to the recommended vocabulary, choose a voice and then set and adjust the access method (if included) so the client can make selections on the device accurately and efficiently.
If at any point you need assistance, contact your PRC Consultant. He or she will provide training on device setup, operation and implementation.