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Evaluation Form Fax Form To: 616 942-0024 Augmentative Communication Device (ACD) ? Medicaid Only Member Name: Parent Name (if applicable): ID #: DOB: Address: Referring Physician: Specialty: Medical

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What is augmentative communication device pa?

Augmentative Communication Device PA refers to a program in Pennsylvania that provides assistance to individuals with disabilities in obtaining communication devices.

Who is required to file augmentative communication device pa?

Individuals with disabilities who need a communication device are required to file a request for Augmentative Communication Device PA.

How to fill out augmentative communication device pa?

To fill out the Augmentative Communication Device PA request, individuals can visit the official website of the program and complete the online application form.

What is the purpose of augmentative communication device pa?

The purpose of Augmentative Communication Device PA is to assist individuals with disabilities in obtaining communication devices that can improve their ability to communicate effectively.

What information must be reported on augmentative communication device pa?

The Augmentative Communication Device PA request requires individuals to provide information such as their personal details, disability information, and documentation supporting the need for a communication device.

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