Pathways To Funding For Children
Section 4: How To Organize Your Funding Request
[Step 1. AT Evaluation]
[Step 2. Available Funding]
[Step 3. Funding Approval] [Step 4. Funding Differences]
[Step 5. Appeals Process] [Fundraising]
[Step 3. Funding Approval] [Step 4. Funding Differences]
[Step 5. Appeals Process] [Fundraising]
Step 1: Get an evaluation and choose the right AT
Get an evaluation by a person with professional experience.
Health insurance, government or private, has to have a doctor make the decision on whether a person needs assistive technology. Other professionals, including speech/language pathologists, and physical or occupational therapists (PTs or OTs) may evaluate the person, but you must still get an assistive technology prescription from a doctor.
The Evaluation/Diagnosis will drive the entire funding process. You must have a good evaluation that is clear about the person's assistive technology needs.
You can start by collecting the information below. You may need to get more specific information once you speak with the funding source. To get a good start, you should gather the following:
- Child's background and history. You should include the child's level of ability and how assistive technology will improve his or her condition. Include age, disability or medical diagnosis, and goals for the future.
- Whether the child is covered by private insurance.
- Information about other money sources or programs the child may be using or have used.
- The name, maker or vendor of the assistive technology and its cost.
- What type of assistive technology will increase the child's level of independence?
- Who sells the assistive technology?
- How much does the assistive technology cost? Can it be loaned or rented to try out?
- Is there a professional person such as a case manager who can help you and your child write a funding request?
- Is there a professional person such as a speech pathologist or occupational therapist who can help with training and follow-up?
- Can the assistive technology vendor provide follow-up help?
A good funding justification should include the following:
- Details about what type of help the assistive technology will provide for the child.
- Evidence that the assistive technology is useful to the child.
- Why this assistive technology was chosen. Include other assistive technology choice that you tried, but that did not work. Explain why the assistive technology is the ONLY real answer to the person's problems and why other assistive technology did not work.
- Pictures or videotapes of the person with and without the assistive technology.
Step 2: Find out what funding is available
Several funding sources are available, so finding the best one may take time. You can start by answering the questions below.- Can you pay for the assistive technology? Do you have private insurance? If so, will it pay for the assistive technology? Does the private insurance have limits or caps on what it will pay?
- Does your child qualify for help from government agencies?
- Are there private funding sources or grants? What are the requirements of each? How can I apply? How long is the wait? Are funds easily available?
- Can I get a loan? Do local banks give assistive technology loans? Do I qualify for the Revolving Loan Program?
- Does the assistive technology vendor have a special way to finance the assistive technology?
- Will the assistive technology vendor order the assistive technology knowing funding has not been approved yet, and then submit billing to the funding source?
- Will the assistive technology vendor be able to help with any financing? For example, will the supplier accept a lesser payment and finance the remainder or write it off as payment in full?
- Have you reviewed what information the funding source needs and what assistive technology they will cover? (Medicare, Medicaid, Private Insurance, etc.)
- Is it possible to combine two funding sources that will equal 80% or more of the total cost? Private insurance funding sources may only pay up to 80% or less. For example, if your private insurance paid less than 80%, Medicaid could pay the difference up to 80%.
- Are there charitable groups in your area that can help raise the necessary funds? (Lions Club, Kiwanis, etc.)
Step 3: Funding approval
What happens when your request is approved?The amount of funding that was approved from your request will be stated in writing. Hopefully, your request was approved for the full amount that was needed. If this is the case, the vendor will order the assistive technology.
What do you do if the request was approved but for less money?
If the approval was for less than the amount you asked for, then you must think about some other things to do. Go to your records on all the possible funding sources that you have found and look over this information before moving on.
What do you do if the request was turned down?
If the funding source called to say the request was turned down, you have the right to ask for that information in writing. The funding source must also tell you in writing why the request was turned down. Go to step 5.
Step 4: Seek funds to make up the difference
If you are not happy with the amount of funding that was approved, there are other options that you can try before paying for the assistive technology on your own. You may choose either option or both.- Look for other funding sources
- File and appeal to try and increase the amount of funding
- Can you get a bank loan or possibly a home equity loan?
- Are there any other funding sources, for example, community agencies or local clubs that can help in covering the difference?
Step 5: Attacking the appeals process
If your request for funding was turned down or not fully funded, it is time to ask for an appeal. Look over your funding request package and ask the following questions.- Was my request clear?
- Did I include all the necessary information? Was it organized?
If you answer yes to either of the above questions you have the right to file an appeal.
This is your opportunity to ask for the decision to be reviewed. Many times, funding sources say no to funding for assistive technology due to lack of understanding by whomever is making the decision or lack of evidence that the assistive technology meets your child's needs.
All funding sources have an appeals process. You have the right to request an appeal to have your request looked at. This is why it is important to keep all your records on file. The appeal will be much easier if you have already collected evidence of how the AT will help your child.
Find out what is most important to the funding source. If possible, find out why the request was denied. Does the funding source need more information? Were they out of funds until a certain date in the future? It will be helpful if you have built a good relationship with the funding source staff people, since these same people can discuss why the request was denied and help you appeal the decision.
Try to find evidence of whether the funding source has funded this type of assistive technology request in the past. If so, it will be more difficult for the agency to turn your appeal down.
Key elements in successful funding are:
- Determination...Never Give Up
- Self-advocacy
- Educating funding sources about the advantages of the assistive technology chosen
- Looking for other funding sources, if necessary
Fundraising for Assistive Technology
On occasion it is necessary for an individual or family to consider fundraising as a means of purchasing needed technology.How do you start a fundraising effort?
If you are an individual or family member needing assistive technology, it may be helpful to approach a church, fraternal or civic organization within your community to sponsor the fundraising effort. They may be willing to sponsor a bake sale, bazaar, pancake breakfast or similar activity that can help raise funds for your cause. Usually organizations are already familiar with this type of fundraising.
If you have a willing sponsor that has no experience in fundraising but is willing to assist, here are some general guidelines that can help take some of the mystery out of fundraising.
- What is the funding need? Be specific.
- Work with your supporter on a plan to achieve the goal.
- Include a timeline on when things should be accomplished.
- Be available to answer questions and make appearances at events on your behalf.
- Think about why you are writing the letter.
- Who is the audience you are writing to?
- Write the letter so it reads well out loud.
- Include why the donation is needed and what it will be used for.
- Let them know what an impact their donation will have.
- Use short paragraphs and simple concise descriptions.
- If your sponsor is a non-profit entity that can accept charitable contributions, check if the donor can get a tax exemption for their gift.

