Medicaid Guidelines For Electric Wheelchair

You must meet all of the following requirements for medicare to pay for an electric.

Medicaid guidelines for electric wheelchair. 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. Medicaid may cover a power wheelchair if the patient meets eligibility and coverage requirements. Other examples of dme for mobility include walkers canes power scooters and power wheelchairs. Complying with documentation coverage requirements.

Also your power wheelchair supplier may send you a decision letter. The medicaid program is funded through a cooperative venture between the federal and state. Wheelchair documentation requirements for medicare. Centers for medicare and medicaid.

However to be approved for an electric wheelchair through medicare you must meet certain criteria. Why was my request denied. Centers for medicare and medicaid services. 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.

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. Pmd documentation requirements nationwide. 1 rx wheelchair standard or lightweight must include. Tty users can call 1 877 486 2048.

You may contact your power wheelchair supplier about the decision or call 1 800 medicare 1 800 633 4227. 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. 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. 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. Cms defines a pmd as a covered item of dme that includes a power wheelchair or a pov that a beneficiary uses in. Wheelchairs are considered durable medical equipment dme under medicare guidelines. Electric wheelchairs are heavier compared to regular wheelchairs because if the added wright of batteries motors and sturdier frames.

Power mobility devices icn 905063 october 2017 print friendly version. In order to qualify for part b medicare coverage of your wheelchair or other mobility device you must meet the following conditions. Medicare will send a decision letter to your power wheelchair supplier.