PUSH Ministry is a Community Housing Development Organization dedicated to affordable housing preservation.
Clinical referral & collaboration.
​​You write recommendations that families desperately need — but too often, those recommendations stay on paper because there is no clear pathway to implementation. We exist to change that.
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When you document a sensory or environmental need in your clinical assessment, we design and install the solution beautifully, compliantly, and fully funded through the participant’s existing waiver allocation.
Many of your NOW and COMP waiver clients have Environmental Accessibility Adaptation dollars sitting unused in their Individual Service Plan — We're here to shown them what is possible.
How We Work Together
What You Bring
Clinical assessment of sensory and functional needs & home visit
Letter of Medical Necessity
Documentation tied to ISP goals
Clinical oversight and sign-off on Scope of Work
What We Bring
Detailed Scope of Work in alignment with your clinical recommendations
Prior-Authorization Management
Professional Installation
Beautiful, safe, in-home sensory spaces
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The Letter of Medical Necessity is the clinical cornerstone of every prior authorization. Georgia Medicaid reviewers need to understand why these modifications are medically necessary — not just convenient.
Client diagnosis and functional limitations tied to the specific sensory or accessibility need
Description of how the current home environment contributes to dysregulation, unsafe behavior, or functional limitation
Specific modifications recommended, clinical rationale for each, and the connection to the client’s current ISP goals
LOMN
Statement that modifications are medically necessary to maintain the individual in the community setting
OT license number, signature, and date
Need A Head Start?
View our OT Resources: Our helpful OT Assessment Checklist, and a pre-formatted Letter of Medical Necessity are ready to print directly from your browser, save as PDF, or copy to your own letterhead. All service selections on these forms are clinical decisions made solely by the treating licensed OT. This tool is a provider reference only and does not constitute medical advice or clinical recommendations.
OT Home Assessment
Letter of Medical Necessity
Language for Justification
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The difference between an approved and denied prior authorization is almost always specificity. Reviewers need to understand the participant’s specific risk, the direct mitigation the adaptation provides, and the connection to a documented ISP goal.
Soft Wall Paneling
Instead of "Padding for the bedroom.", consider:
The participant exhibits severe self-injurious behavior (forceful head-banging against rigid surfaces) during episodes of sensory dysregulation. High-density soft wall paneling is medically necessary to attenuate impact force, preventing traumatic brain injury, concussion, and subsequent emergency medical intervention. This adaptation represents the least restrictive alternative to continuous physical restraint and supports ISP goal: maintain health and safety at home.
Door & Hardware Adaptations
Instead of "New strong door.", consider:
Due to the participant’s documented elopement history and pattern of property destruction during behavioral crises, a solid-core door with concealed continuous hinges and high-mounted security latch is medically necessary. Standard hollow-core doors have been repeatedly breached, presenting a severe splinter and laceration hazard and failing to secure the participant from wandering into dangerous community settings. This modification supports ISP goal: maintain health and safety at home and reduce frequency of challenging behaviors.
Acoustic Dampening & Sensory-Aware Lighting
Instead of "New lights & sound panels.", consider:
The participant demonstrates measurable distress in response to ambient household acoustics and overhead fluorescent lighting, manifesting as ear-covering, vocalization, and behavioral escalation that has disrupted sleep and limited family participation in shared rooms. Installation of fabric-wrapped acoustic wall panels and a dimmable, flicker-free, warm-spectrum LED lighting system is medically necessary to reduce environmental triggers, support sensory regulation, and maintain the participant in the home environment. This modification supports ISP goals: improve sleep and daily routine and increase community participation.
A note on roles: Adaptive Care Solutions is a contracting and design firm that provides Environmental Accessibility Adaptation services (S5165-UC). We perform the assessment, design, scope-of-work, prior-authorization coordination, and physical installation. The clinical determination of medical necessity is made and documented by the participant’s medical providers, therapists, and Support Coordinator.