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Orientation and Mobility Services
for Impaired Vision

Orientation and Mobility Services for Impaired Vision shall mean services (1) to assess a waiver participant’s orientation and mobility to determine functional limitations resulting from severe visual impairment and (2) to provide orientation and mobility training to enable a waiver participant with functional limitations resulting from severe visual impairment to move with greater independence and safety in the home and community environment.

Orientation and Mobility Services for Impaired Vision shall be based on a formal assessment of the waiver participant and may include concept development (i.e. body image); motor development (i.e., motor skills needed for balance, posture and gait); sensory development (i.e. functioning of the various sensory systems); residual vision stimulation and training; techniques for travel (indoors and outdoors) including human guide technique, trailing, cane techniques, following directions, search techniques, utilizing landmarks, route planning, techniques for crossing streets, and use of public transportation; and instructional use of Low Vision devices.

Orientation and Mobility Services for Impaired Vision shall be provided face to face with the waiver participant except for training of caregivers responsible for assisting in the mobility of the waiver participant and except for that portion of the assessment involving development of the plan of care.  Therapeutic goals and objectives shall be required for waiver participants receiving Orientation and Mobility Services for Impaired Vision.  Continuing approval of Orientation and Mobility Services for Impaired Vision shall require documentation of reassessment of the waiver participant’s condition and continuing progress of the waiver participant toward meeting the goals and objectives.

Orientation and Mobility Services for Impaired Vision shall not be billed when provided during the same time period as Physical Therapy, Occupational Therapy, Nutrition Services, Behavior Services, or Speech, Language, and Hearing Services, unless there is documentation in the waiver participant’s record of medical justification for the two services to be provided concurrently. Orientation and Mobility Services for Impaired Vision shall not replace services available under a program funded by the Rehabilitation Act of 1973 or Individuals with Disabilities Education Act.

The unit of reimbursement for an Orientation and Mobility Services for Impaired Vision assessment with plan development shall be per day.  The unit of reimbursement for other Orientation and Mobility Services for Impaired Vision shall be per 15 minutes.  Reimbursement for an Orientation and Mobility Services for Impaired Vision assessment with development of the plan based on such an assessment shall be limited to a maximum of one assessment with plan development per month with a maximum of 3 assessments per year per waiver participant per provider.  Orientation and Mobility Services for Impaired Vision assessments shall not be billed on the same day with other Orientation and Mobility Services for Impaired Vision services. 

Orientation and Mobility Services for Impaired Vision services other than such assessments (e.g., waiver participant training; waiver participant-specific training of caregivers), which shall be reimbursed on a per diem basis, shall be limited to a maximum of 52 hours of services per waiver participant per year. 

Reimbursement shall not be made for telephone consultations.  A provider shall not receive reimbursement for Orientation and Mobility Services for Impaired Vision unless provided by a Certified Orientation and Mobility Specialist (COMS) who is nationally certified through the Academy for Certification of Vision Rehabilitation and Education Professionals (ACVREP).

Applicable limits, if any, on the amount, frequency, or duration of this service:

  • 1 assessment with plan development per month;
  • 3 assessments per year per person per provider; and
  • 52 hours of non-assessment services per year

 

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