Appendix 1581: Examples of Appropriate and Inappropriate Items and Services to Purchase With Lump Sum Benefits
CPS December 2011
Potentially Appropriate Items
The list below displays examples of items or services relating to the child’s disability which are appropriate to purchase with the child’s lump sum award. Items or services included as part of the child’s Medicaid benefit may not be purchased with the lump sum award. Special purchases should be recommended by a physician, therapist, or other professional providing habilitative or educational services for the child.
| Item |
Examples of Item for Special Purchase |
Examples of Disabilities |
|---|---|---|
Orthodontic Procedures |
Braces |
For cosmetic purposes and self-esteem |
Summer Camp related to Disability |
|
HIV, intellectual or cognitive disability, blindness, diabetes, mental illness, and so on |
Clothing with Velcro fasteners or special design |
|
Cerebral palsy, multiple sclerosis, quadriplegia, muscular dystrophy, and so on |
Adaptive equipment or supplies that compensate for the disability |
1. Shake bed alarm clock, light for door buzzer, and TTD phone 2. Seeing-eye dog 3. Monkey trained to assist 4. Assistive communication devices 5. Modified strollers |
1. Hearing impairment 2. Sight impairment 3. Physical challenge 4. Cerebral Palsy 5. Multiple sclerosis, scoliosis, and so on |
Adaptive toys |
Handheld bells, light board, buzzing toy with a switch |
Intellectual or cognitive disability, autism, sight and hearing impairment |
Prescription sunglasses |
|
Sight impairment |
Special tutoring and tools |
|
Learning disabilities and developmental delays |
Massage therapy |
|
Muscular constrictions |
Objects used for sensory stimulation |
Mobile, light board, textured toys, personal radio, jam box, stereo, and CD player |
Sensory deficits |
Minor home modifications, wheel chair lift |
|
Need for wheelchair or adaptive equipment (appropriate for long-term foster care or adoptive home) |
Occupational and physical therapy |
|
Need for maintenance as well as habilitative therapy for severe physical disabilities |
Hippo Therapy |
|
Children with mental illness, intellectual disabilities |
Contact lenses |
|
For cosmetic purposes, self-esteem |
Inappropriate Items
Generally, the following items are not appropriate for lump sum expenditures. Some of the items below may be appropriate if they address specific needs of the child:
• Drivers education or other emancipation-related activities that could be covered by PAL
• Respite for foster caregiver