Nursing Facility Advocate Toolkit
July 2015

Welcome to the Nursing Facility Advocate Toolkit! This online toolkit was prepared by the Disability Rights Pennsylvania and Liberty Resources, Inc. There are links below to information that will help you to help nursing facility residents get assistive technology and transition to the community.

For questions or concerns about this toolkit, please contact Rob Oliver, Disability Rights Pennsylvania, at Pennsylvania Bulletin on Exceptional Durable Medical Equipment , 412-391-5225, ext. 133 (voice), 877-375-7139 (TDD).

We suggest that you first read the Nursing Facility Advocate Glossary and Nursing Facility Roles and Responsibilities. You may also wish to read a blog on this important topic, Assistive Technology Promotes Independence for People in Nursing Facilities.

NURSING FACILITIES IN PENNSYLVANIA
Find Local Nursing Facilities

NURSING FACILITY RESIDENT RIGHTS
The individual has rights under both federal and state laws.
Pennsylvania Department of Aging Brochure on Resident Rights
Federal Rights of Nursing Facility Residents
State Rights of Nursing Facility Residents
Nursing Facility Discharge Rights and Obligations
Planning for Your Discharge Checklist by CMS
Federal Guidance to Surveyors for Long Term Care Facilities

NURSING FACILITY RECORDS ACCESS
Sample Authorization to Release Information Form
Sample Nursing Facility Records Request Letter

OMBUDSMAN
State Ombudsman Program
Find Local Ombudsman by County Area Agency on Aging

ASSISTIVE TECHNOLOGY
Assistive Technology for Nursing Facility Residents: An Overview of the Law
Assistive and Information Technology (DisabilityInfo.gov)
Taxonomy of Assistive Technology by Pennsylvania’s Initiative on Assistive Technology
Assistive Technology and Title II and Title III of the Americans with Disabilities Act (ADA)
National Library Service for the Blind and Persons with Physical Disabilities
National Association of the Deaf
DME AT Assessment Guide with Communication

WHO PAYS FOR ASSISTIVE TECHNOLOGY IN A NURSING FACILITY?
How to Get Assistive Technology in a Nursing Facility
Nursing Home Transition Durable Medical Equipment (DME) Tip Sheet (by Office of Long Term Living)
Pennsylvania Bulletin on Exceptional Durable Medical Equipment
Federal Medicaid Letter on Facilitating Transition to Community with Medical Equipment

Power Wheelchairs
Checklist for Getting a Power Wheelchair in a Nursing Facility
Medical Assistance Bulletin for Coverage of Motorized Wheelchairs
Medical Assistance Bulletin Clarifying Coverage of Motorized Wheelchairs
Medical Assistance Bulletin Regarding Accredited Rehabilitation Facilities (for evaluations)
State Agreement Promoting Purchase of Wheelchair Before Discharge

Augmentative Communication Devices (Speech Generating Devices)
Augmentative Communication Devices for Nursing Facility Residents
Checklist for Getting an Augmentative Communication Device in a Nursing Facility

Home Modifications
Home Modifications in Pennsylvania (JEVS)
Olmstead Update Number 3

Exceptional Durable Medical Equipment (DME)
Medical Assistance Bulletin on Exceptional DME
Pennsylvania Bulletin on Exceptional Durable Medical Equipment
Medical Assistance Bulletin Regarding Private Insurance Copayment/Deductibles on Exceptional DME
Ventilator Dependent Respiratory Program for Nursing Facilities
State Regulations on Exceptional DME
Durable Medical Equipment/Assistive Technology Assessment Guide for Peer Counselors (by Office of Long Term Living)
How to Appeal a Medical Assistance Denial of Assistive Technology
Medical Assistance and Medicaid Waivers: Appeals, Complaints, and Grievances

Other Assistive Technology Resources in Pennsylvania
Pennsylvania’s Assistive Technology Lending Library
Pennsylvania’s Initiative on Assistive Technology (PIAT)
Assistive Technology Resource Centers (PIAT sub-contractors)
Pennsylvania Assistive Technology Foundation

TRANSPORTATION
SEPTA Customized Community Transportation (CCT) (including Paratransit) (by SEPTA)
CSPPPD Contractor Directive on Specialized Services (including transportation)
Medical Assistance Bulletin on Transportation for Nursing Facility Residents

OBRA SPECIALIZED SERVICES FOR PERSONS WITH OTHER RELATED CONDITIONS
CSPPPD Contractor Directive on Specialized Services
Specialized Services Request for Application, including Work Statement (begins on page 2)

GETTING IDENTIFICATION
Social Security Card Application Form (includes instructions)
How to Get a Pennsylvania Birth Certificate (by Pennsylvania Department of Health)
Pennsylvania Birth Certificate Application
How to Get a Pennsylvania Photo Identification Card (by Pennsylvania Department of Transportation)
Pennsylvania Photo Identification Request Form

HOUSING Contact the Housing Department of your local Center for Independent Living
Find Centers for Independent Living
Liberty Resources, Inc. Housing Department
Legal and Advocacy Resources
Liberty Resources, Inc. Nursing Home/Transitioning Services

IMPORTANT: This publication is for general informational purposes only. This publication is not intended, nor should be construed, to create an attorney-client relationship between the Disability Rights Pennsylvania (DRP) and any person. Nothing in this publication should be considered to be legal advice.
PLEASE NOTE: For information in alternative formats or in a language other than English, contact DRP at 800-692-7443, Ext. 400; TDD: 877-375-7139; or drnpa-hbg@disabilityrightspa.org.