Repairing Speech Generating Devices - Medicare Do not return the device to the manufacturer until you have completed the following steps! Call the manufacturer. Make sure to: a. Identify the make, model, and serial number of the device b. Have the device with you c. Call the manufacturer's technical support or customer service number d. Work with the manufacturer to determine if the device needs to be returned. If the device needs to be sent away for repairs... Step 1. While on the phone with the manufacturer, be sure to get the following information: a. Return Authorization Number b. Instructions for returning the device. Step 2. Collect the following documentation to send to the manufacturer along with the device: a. Original physician's prescription for the repair b. Letter from a licensed Speech-Language Pathologist stating the need for the repair c. Assignment of Benefits Form signed by the beneficiary or legal guardian d. Copy of the Medicare card and any other insurance cards e. Copy of the Essential Information Form f. Copy of the AAC Request for Repair Form (keep a copy for your records). Step 4. Create a plan for payment. Items to consider include: a. If Medicare did not purchase the device, complete documentation to justify the device according to Medicare standards b. Determine how the 20 percent co-payment will be handled (e.g., Medicaid, end-user) c. Determine if the manufacturer will accept the Assignment of Benefits for the repair. Step 5. Send the device to the manufacturer for repair. Be sure to: a. Send the device as instructed by the manufacturer b. Include the Request for Repair Form, the 20 percent co-payment, and the documentation listed above (e.g., prescription, copy of Medicare card). Step 6. The vendor will: a. Get pre-authorization from Medicaid, if necessary (for example, when Medicaid is covering the co-payment) b. Repair the device c. Return the device to the consumer.