Aids For Daily Living (ADL) (POC 1)

Issuing Authority: Director General, Policy
Effective Date: May 18, 2012
Document ID: 1008

Care has been taken to ensure these policies accurately reflect the acts and regulations. Should any inconsistencies be found, the acts and regulations will prevail.

Purpose

This policy provides direction on the nature of aids for daily living (“aids for DL”), as well as general guidelines around eligibility and approval of such aids.

Policy

Eligibility

  1. Clients eligible to receive treatment benefits in accordance with applicable policy, and who have a health-related need, may be eligible to receive aids for DL. Rehabilitation clients who satisfy the eligibility requirements of the Veterans Well-being Act may also have access to aids for DL.

General

  1. Aids for daily living are aids or devices designed to assist clients in performing the activities of daily living (ADL’s). These may include, but are not limited to:
    1. walking aids, such as canes and poles;
    2. self-help aids for dressing and/or feeding, such as dressing sticks and food guards;
    3. bedroom aids, such as lifting devices and contoured pillows; or,
    4. bathroom aids, such as transfer benches, and bathtub rails.
  2. Generally, need for an aid for DL is demonstrated if it is:
    1. prescribed by the attending physician; or
    2. identified in an approved rehabilitation plan; or
    3. identified in a VAC case plan for a non-rehabilitation client who is case managed.
  3. Normally, it should not be necessary to require a prescription for a basic aid such as a cane if it is evident, as a result of assessment of the client’s circumstances and needs, that the aid will increase independence, or restore or stabilize the client’s ability to perform ADL’s.

    Additionally, clients do not need to present a prescription in order to be approved for the service when a need for a service or benefit has been identified and supported in an approved VAC case plan, a health professional assessment or rehabilitation plan. In such cases, the need and legitimacy of the benefit would have been confirmed by the decision maker as being appropriate, based on the evidence available.

Approval of Items Not Appearing on Benefit Grids

  1. Aids for DL that may be approved are normally listed in the benefit grids. Items not listed in the benefit grids may be approved in circumstances where the Department, based on information and medical evidence that:
    1. The device/accessory would qualify as an aid for daily living; and
    2. The aid is clinically necessary in order to maintain the client's health; or
    3. The provision of the aid would increase independence, or restore or stabilize the client’s ability to perform ADL’s; or
    4. The client’s condition and/or general health would be negatively affected in the absence of this particular aid; or
    5. There is no other acceptable device/accessory available in this case; or
    6. Other significant factors exist.

      In all cases, it is desirable to have appropriate justification for concluding that the client is a good candidate for the device/accessory being proposed and that the client's health is not expected to be negatively impacted by what is being proposed.

References

Veterans Well-being Act

Veterans Health Care Regulation

Aids for Daily Living (POC 1) Benefit Grid

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