Many Goally customers have been able to successfully obtain reimbursement from insurance, ESA programs, or purchase Goally through a state waiver program. We have outlined each of the programs we currently work with below.
Alabama
Using ESA Funds:
To order a Goally device with your ESA funds, follow the instructions here. We are an approved vendor the CHOOSE Act Alabama program.
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order for you. For more information about Alabama’s waiver programs, click here.
Alaska
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Alaska’s Medicaid Waiver programs, click here.
Arizona
Using ESA Funds:
To order a Goally device with your ESA funds, follow the instructions here. We are an approved vendor for the Empowerment Scholarship Account (ESA) program.
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Arizona’s Medicaid Waiver programs, click here.
Arkansas
Using ESA Funds:
To order a Goally device with your ESA funds, follow the instructions here. We are an approved vendor for the Arkansas Educational Freedom Account (EFA) Program.
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Arkansas’s Medicaid Waiver programs, click here.
California
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on California’s Medicaid Waiver programs, click here.
Taylion Homeschool Program:
Please work with your education supervisor to discuss purchasing a Goally device using your funds. They will place your order for you.
Colorado
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Colorado’s Medicaid Waiver programs, click here.
Connecticut
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Connecticut’s Medicaid Waiver programs, click here.
Delaware
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Delaware’s Medicaid Waiver programs, click here.
Florida
Using ESA Funds:
To order a Goally device with your Florida funds, follow the instruction here.
We are approved vendors for the following programs:
- Family Empowerment Scholarship for Educational Options
- Family Empowerment Scholarship for Students with Unique Abilities
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Florida’s Medicaid Waiver programs, click here.
Georgia
Using ESA Funds:
To order a Goally device with your Georgia funds, follow the instruction here. We are an approved vendor for the Georgia Promise Scholarship Program.
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Georgia’s Medicaid Waiver programs, click here.
Hawaii
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Hawaii’s Medicaid Waiver programs, click here.
Idaho
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Idaho’s Medicaid Waiver programs, click here.
Illinois
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Illinois Medicaid Waiver programs, click here.
Indiana
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Indiana Medicaid Waiver programs, click here.
Iowa
Using ESA Funds:
To order a Goally device with your ESA funds, follow the instructions here. We are an approved vendor for the Students First Education Savings Account Program.
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Iowa Medicaid Waiver programs, click here.
Kansas
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Kansas Medicaid Waiver programs, click here.
Kentucky
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Kentucky Medicaid Waiver programs, click here.
Louisiana
Using ESA Funds:
To order a Goally device using Louisiana ESA funds, follow the instructions here. We are an approved vendor for the Giving All True Opportunity to Rise” (GATOR) Scholarship Program.
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Louisiana Medicaid Waiver programs, click here.
Maine
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Maine Medicaid Waiver programs, click here.
Maryland
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Maryland Medicaid Waiver programs, click here.
Massachusetts
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Massachusetts Medicaid Waiver programs, click here.
Michigan
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Michigan Medicaid Waiver programs, click here.
Minnesota
Using a Medicaid Waiver:
Please reach out to our partner Mercarik who can work with any MN HCBS waiver. Get started by submitting a referral here. You can also contact Mercarik with any questions.
For more information about the different waiver programs offered in the state of Minnesota, click here.
Mississippi
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Mississippi Medicaid Waiver programs, click here.
Missouri
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Missouri Medicaid Waiver programs, click here.
Montana
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Montana Medicaid Waiver programs, click here.
Nebraska
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Nebraska Medicaid Waiver programs, click here.
Nevada
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Nevada Medicaid Waiver programs, click here.
New Hampshire
Using ESA Funds:
To order a Goally device with your EFA funds, follow the instructions here. We are an approved vendor for The Education Freedom Accounts program
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on New Hampshire Medicaid Waiver programs, click here.
New Jersey
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on New Jersey Medicaid Waiver programs, click here.
New Mexico
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on New Mexico Medicaid Waiver programs, click here.
New York
Using ESA Funds:
To order a Goally device with your CSF funds, follow the instructions here. We are an approved vendor for the CSF program.
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on New York Medicaid Waiver programs, click here.
North Carolina
Using ESA funds:
To order a Goally device with your ESA+ funds, follow the instructions here. We are an approved vendor the the ESA+ program.
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on New Carolina Medicaid Waiver programs, click here.
Alliance Health Plan:
We are an approved vendor with Alliance Health Plan. Your case manager can place an order on your behalf. Our vendor ID: V017510
North Dakota
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on New Dakota Medicaid Waiver programs, click here.
Ohio
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Ohio’s Medicaid Waiver programs, click here.
Oklahoma
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Oklahoma Medicaid Waiver programs, click here.
Oregon
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Oregon Medicaid Waiver programs, click here.
Pennsylvania
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Pennsylvania Medicaid Waiver programs, click here.
Rhode Island
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Rhode Island Medicaid Waiver programs, click here.
South Carolina
Using ESA Funds:
To order a Goally device with your ESTF program funds, follow the instructions here. We are an approved vendor for the Education Scholarship Trust Fund (ESTF) Program.
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on South Carolina Medicaid Waiver programs, click here.
South Dakota
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on South Dakota Medicaid Waiver programs, click here.
Tennessee
Using ESA Funds:
We are an approved vendor for the Individualized Education Account Program. To order a Goally device with your Tennessee ESA funds, follow the instructions here.
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Tennessee Medicaid Waiver programs, click here.
Texas
Using ESA Funds:
To order a Goally device with your PDSES program funds, follow the instructions here. We are an approved vendor for The Parent-Directed Special Education Services (PDSES)
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Texas Medicaid Waiver programs, click here.
Utah
Using ESA Funds:
To order a Goally device with your Utah Fits All funds, follow the instructions here. We are an approved vendor for the Utah Fits All Scholarship Program.
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Utah Medicaid Waiver programs, click here.
Vermont
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Vermont Medicaid Waiver programs, click here.
Virginia
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Virginia Medicaid Waiver programs, click here.
Washington
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Washington Medicaid Waiver programs, click here.
West Virginia
Using ESA Funds:
To order a Goally device with your Hope Scholarship funds, follow the instructions here. We are an approved vendor for the West Virginia’s Hope Scholarship program.
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on West Virginia Medicaid Waiver programs, click here.
Wisconsin
Using a TEPP Voucher:
To order a Goally device with your TEPP funds, follow the instructions here.
Using a Medicaid Waiver:
We are an approved vendor for the CLTS program. Please have your case manager email us at [email protected] to place an order. We will need the following information:
- PA Number
- Device Type: 8″ P3 or 10″ P3 (you can see more details here)
- Parent’s Name
- Address
- Parent’s Email Address
- Phone Number
Wyoming
Using ESA Funds:
To order a Goally device with your Wyoming ESA funds, follow the instructions here. We are an approved vendor for the Wyoming ESA program.
Using a Medicaid Waiver:
Please have your case manager email us at [email protected] to place an order. For more information on Wyoming Medicaid Waiver programs, click here.
Using Health Insurance
Australia NDIS
Please reach out to your NDIS case manager to receive reimbursement for your purchase. If you need an invoice, you can checkout here and select “mail a check” on the final checkout page. You will then be emailed an invoice that you can provide to your case worker.
For more information on NDIS, click here.
If you or your case manager have any questions, send us an email at: [email protected]
All other insurances
Call insurance to Verify Coverage
The policyholder (or authorized family member) will need to call member services. The phone number for member services can usually be found on the back of the insurance card. Ask your insurance company the following additional questions:
- Is a speech generating device under code E2500 covered?
- Are there any restrictions or exclusions on this plan for the client’s specific diagnosis?
- What documentation is necessary to get this expense reimbursed?
- Find and download these forms
- Who should you contact with documentation to get reimbursed?
SLP Assessment
Most insurance companies want an assessment from your Speech-Language Pathologist (SLP). They might provide their own form or you can ask them to use this template.
Doctor’s Letter
Schedule a time to visit your child’s doctor. The doctor may ask you for the SLP assessment prior to the visit. You could need three things from your doctor.
- Letter of medical necessity. Here is a template your doctor can sign.
- Documentation of a face-to-face visit. Here are the requirements for your doctor to know.
- If your insurance company has any other forms, make sure you get those to your doctor during the visit.
Submit Documents to Insurance
Send all documents to your insurance company. If you already purchased your Goally be sure to include the email we invoiced you.
If you need an invoice from us before purchase, send us an email to [email protected] and we’ll send you an invoice. Here’s the information we need from you:
- Your full name
- Your kid’s name
- Your address (where the tablet will get delivered)
- Your insurance address (for billing)
- Your phone number
Otherwise, follow your insurance company’s method for ordering Goally. You can order one on our website here.
Wait for Approval
- Receive your Goally in 30-60 days
- As soon as we receive payment for your tablet, we’ll ship it to you within 2-5 business days
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FUNDING PACKET DOCUMENTS |
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Using HSA/FSA Funds
Health Savings Accounts (HSAs) are tax-advantaged accounts that help individuals and families pay for qualified medical expenses. You can use an HSA to purchase Goally directly from our website. If insurance denied coverage or you prefer not to wait, this is a convenient alternative.
