Medicaid Guidelines For Electric Wheelchair

Also your power wheelchair supplier may send you a decision letter.

Medicaid guidelines for electric wheelchair. Medicare fee for service program also known as original medicare the hyperlink table at the end of this document provides the complete url for each hyperlink. Requirements for medicare to pay for an electric wheelchair. Medicare part b medical insurance covers power operated vehicles scooters and manual wheelchairs as durable medical equipment dme that your doctor prescribes for use in your home. You must have a face to face examination and a written prescription from a doctor or other treating provider before medicare helps pay for a power wheelchair.

Title 19 of the social security act is a program that provides medical assistance for certain individuals and families with low incomes and resources. Power wheelchairs and power operated vehicles also known povs or scooters are collectively classified as power mobility devices pmds and are covered under the medicare part b benefit. Power mobility devices icn 905063 october 2017 print friendly version. The degree of complexity in electric powered wheelchairs also ranges greatly from simply employing regular batteries along with a joy stick controller all the way up to utilizing.

Wheelchairs are considered durable medical equipment dme under medicare guidelines. Other examples of dme for mobility include walkers canes power scooters and power wheelchairs. You may contact your power wheelchair supplier about the decision or call 1 800 medicare 1 800 633 4227. Complying with documentation coverage requirements.

Why was my request denied. Wheelchair documentation requirements for medicare. Cms defines a pmd as a covered item of dme that includes a power wheelchair or a pov that a beneficiary uses in. Tty users can call 1 877 486 2048.

In order to qualify for part b medicare coverage of your wheelchair or other mobility device you must meet the following conditions. Updated november 14 2019. However to be approved for an electric wheelchair through medicare you must meet certain criteria. The medicaid program is funded through a cooperative venture between the federal and state.

Pmd documentation requirements nationwide. You must meet all of the following requirements for medicare to pay for an electric. Centers for medicare and medicaid services. 1 rx wheelchair standard or lightweight must include.

Medicare part b covers electric wheelchairs under its durable medical equipment dme coverage. Medicaid may cover a power wheelchair if the patient meets eligibility and coverage requirements. Wheelchair or light wt w c diagnosis length of need hgt and weight and signed dated by doctor no stamps allowed 2 documented in doctor.