Medicaid Guidelines For Electric Wheelchair

Medicare part b covers electric wheelchairs under its durable medical equipment dme coverage.

Medicaid guidelines for electric wheelchair.

Medicare will send a decision letter to your power wheelchair supplier. Requirements for medicare to pay for an electric 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. In order to qualify for part b medicare coverage of your wheelchair or other mobility device you must meet the following conditions.

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. Electric wheelchairs are heavier compared to regular wheelchairs because if the added wright of batteries motors and sturdier frames. The medicaid program is funded through a cooperative venture between the federal and state. Other examples of dme for mobility include walkers canes power scooters and power wheelchairs.

You must meet all of the following requirements for medicare to pay for an electric. Cms defines a pmd as a covered item of dme that includes a power wheelchair or a pov that a beneficiary uses in. 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. Updated november 14 2019.

Wheelchair documentation requirements for medicare. Complying with documentation coverage requirements. 1 rx wheelchair standard or lightweight must include. Why was my request denied.

Also your power wheelchair supplier may send you a decision letter. 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. You may contact your power wheelchair supplier about the decision or call 1 800 medicare 1 800 633 4227. 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. Tty users can call 1 877 486 2048. Centers for medicare and medicaid. 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.

Wheelchairs are considered durable medical equipment dme under medicare guidelines. Medicaid may cover a power wheelchair if the patient meets eligibility and coverage requirements. However to be approved for an electric wheelchair through medicare you must meet certain criteria.