Did you know that VR cannot place an absolute limit on the amount they will spend on a service?
Sometimes VR will refer to a Fee Schedule, which is a guideline of how much money VR will generally spend on a specific service. However, VR can never put an absolute limit of specific services or deny you services based on cost only. VR services are based on individual needs, which means VR must be flexible and make exceptions to its Fee Schedule when necessary to meet the rehabilitation or disability-related needs of clients.
For example, VR has a guideline that it will only pay for one pair of glasses each year. Mary asks for a second pair of glasses in the same year because she experienced vision loss related to diabetes. Her current prescription no longer allows her to see enough to read and study for her classes. This is a good reason for making an exception to the guideline.
If you have a dispute with VR about an absolute limit on services, you may call ACDL and do an intake.
Source of Today’s Tip: 34 CFR §361.50 (c)(3).
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