Speech-Generating Device Funding and Patterns of Acquisition for Persons With Amyotrophic Lateral Sclerosis People with such severe and complex communication needs that they require speech-generating devices (SGDs) to meet daily communication needs come from all age groups and socioeconomic backgrounds (Beukelman & Mirenda, 2013). Among this group are people eligible for Medicare, which will provide payment for a percentage (typically 80 percent) of ... Article
Article  |   September 01, 2015
Speech-Generating Device Funding and Patterns of Acquisition for Persons With Amyotrophic Lateral Sclerosis
Author Affiliations & Notes
  • Laura J. Ball
    Children's National Health System, Washington, DC
  • Gary L. Pattee
    University of Nebraska Medical Center, Omaha, NE
  • Lewis Golinker
    Assistive Technology Law Center, Ithaca, NY
  • David R. Beukelman
    Madonna Rehabilitation Hospital, Lincoln, NE
  • Disclosure: Financial: Laura J. Ball, Gary L. Pattee, Lewis Golinker, and David R. Beukelman have no financial interests to disclose.
    Disclosure: Financial: Laura J. Ball, Gary L. Pattee, Lewis Golinker, and David R. Beukelman have no financial interests to disclose.×
  • Nonfinancial: This paper was presented in a poster session at the ASHA Convention in November 2014 in Orlando, Florida.
    Nonfinancial: This paper was presented in a poster session at the ASHA Convention in November 2014 in Orlando, Florida.×
Article Information
Augmentative & Alternative Communication / Special Populations / Articles
Article   |   September 01, 2015
Speech-Generating Device Funding and Patterns of Acquisition for Persons With Amyotrophic Lateral Sclerosis
SIG 12 Perspectives on Augmentative and Alternative Communication, September 2015, Vol. 24, 155-160. doi:10.1044/aac24.4.155
History: Received May 12, 2015 , Revised November 9, 2015 , Accepted November 9, 2015
SIG 12 Perspectives on Augmentative and Alternative Communication, September 2015, Vol. 24, 155-160. doi:10.1044/aac24.4.155
History: Received May 12, 2015; Revised November 9, 2015; Accepted November 9, 2015

People with such severe and complex communication needs that they require speech-generating devices (SGDs) to meet daily communication needs come from all age groups and socioeconomic backgrounds (Beukelman & Mirenda, 2013). Among this group are people eligible for Medicare, which will provide payment for a percentage (typically 80 percent) of covered health care costs, including SGDs. Medicare eligibility extends to people age 65 and older and younger people who became disabled from non-work related causes. In this article, the authors first review Medicare coverage for augmentative and alternative communication (AAC) devices beginning in the 1980s and subsequently document the SGD acquisition and access of 64 people with amyotrophic lateral sclerosis (ALS) whose speech became so severely limited that they required an SGD to support functional communication.

Become a SIG Affiliate
Pay Per View
Entire SIG 12 Perspectives on Augmentative and Alternative Communication content & archive
24-hour access
This Issue
24-hour access
This Article
24-hour access
We've Changed Our Publication Model...
The 19 individual SIG Perspectives publications have been relaunched as the new, all-in-one Perspectives of the ASHA Special Interest Groups.