Alberta.ca » AISH Policy Manual


AISH Program Policy

Published Date: March 01, 2014
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Benefits

Personal Benefits

Special Goods and Services

AUTHORITY

Assured Income for the Severely Handicapped Act, section 3
Assured Income for the Severely Handicapped General Regulation, section 2 and 8; Schedule 3 and section 8
Applications and Appeals (Ministerial) Regulation, section 6(a)

INTENT

AISH provides a special goods and services benefit to assist clients with the costs of specific medically required or disability related goods and services.

POLICY

In order to receive a personal benefit, the eligibility criteria and conditions as outlined in the Personal Benefits section must be met.

The special goods and services benefit is provided to clients and/or their dependent children when the request is essential to manage their unique medical and/or disability related condition. The items provided must be the least cost alternative.

Special good and services are benefits that are in addition to health benefits provided through the Health Benefits Card (HBC).

Special goods or services must not be available from another program or source, and cannot be used to supplement (or “top-up”) benefits provided by other programs or sources.

If the item or service is available through the public health care system, benefits will not be provided to AISH clients to enable them to receive the item or service faster through a private provider than the general public would receive through the public system.

Items that may be considered as a special goods and services benefit for AISH clients include:

Items that may be considered as a special goods and services benefit for AISH clients’ dependent children include:

  • Medical supplies or equipment, including maintenance of equipment; or
  • A special diet or supplement.

Specialized clothing, service animals and medical alert services are not available for AISH clients’ dependent children.

To obtain a special good or service benefit, substantiation requirements may include any or all of the following: a recommendation from a healthcare professional, a prescription, an assessment or test by a health professional and/or a quote or invoice for the good or service.

The substantiation requirement depends on the type of special good or service required by the AISH client or their dependent child.

Medical Supplies or Equipment

Medical supplies are one-time use or disposable products that may be provided to assist an AISH client or their dependent child to manage a specific medical condition.

Medical equipment is a durable item that that may be provided to assist an AISH client or their dependent child for a specific medical condition.

The rate depends on the specific medical supplies or equipment, and is the actual amount of the least cost alternative, up to a maximum of $2000.

Maintenance of Equipment

Maintenance and repairs to medical equipment may be provided to assist an AISH client and/or their dependent child with the costs associated with maintaining equipment that is essential to manage their medical condition.

The rate is the actual amount of the least cost alternative up to:

  • a maximum of $450 per 12-month period for manual wheelchair repairs, including labour.
  • a maximum of $600 per 12-month period for power wheelchair or scooter repairs including labour.
  • a maximum of $570 per set of two batteries per 12-month period for batteries for power wheelchairs or scooters, including labour.

Service Animal

A monthly financial benefit may be provided to assist an AISH client with the usual costs associated with caring for a service animal.  In order to qualify for this benefit, the service animal must be certified by an approved training organization.

The rate is $50 per month.

Special Diet

A monthly financial benefit may be provided to assist an AISH client or their dependent child with the cost of additions or adjustments to their diets required to address their specific medical condition(s).

The rate varies between $20 and $110 per month depending on the specific dietary needs of the AISH client or their dependent child.

Specialized Clothing

A specialized clothing benefit is provided to assist AISH clients who require additional or adapted clothing related to their disability.

The rate is the actual cost of the specialized clothing to a maximum of $300 per 12-month period.

Medical Alert Service

A medical alert service is a benefit provided to assist AISH clients to notify a health care provider in the event of a health emergency. The benefit includes initial set-up and ongoing monthly fees and is based on the least cost alternative.