(1) Adaptive equipment will conform to the following criteria:
(a) relate specifically to and be primarily for the child's disability;
(b) have utility primarily for the child who has a disability;
(c) not be an item or modification that a family would normally be expected to provide for a non-disabled family member;
(d) not be in the form of room and board or general maintenance; and
(e) meet the specifications, if applicable, for the modification set by the American National Standards Institute (ANSI).
(2) Adaptive equipment may be provided as needed to enable family members or other caregivers to provide the care needed by the child.
(3) Adaptive equipment is considered an ancillary service; the sum of all ancillary service costs may not exceed $4,000 annually.