Power mobility devices icn 905063 october 2017 print friendly version.
Medicaid guidelines for electric wheelchair.
Other examples of dme for mobility include walkers canes power scooters and power wheelchairs.
Wheelchair documentation requirements for medicare.
Tty users can call 1 877 486 2048.
Also your power wheelchair supplier may send you a decision letter.
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.
Pmd documentation requirements nationwide.
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.
Centers for medicare and medicaid.
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.
You must meet all of the following requirements for medicare to pay for an electric.
Medicaid may cover a power wheelchair if the patient meets eligibility and coverage requirements.
Why was my request denied.
Updated november 14 2019.
However to be approved for an electric wheelchair through medicare you must meet certain criteria.
Title 19 of the social security act is a program that provides medical assistance for certain individuals and families with low incomes and resources.
Medicare part b covers electric wheelchairs under its durable medical equipment dme coverage.
You may contact your power wheelchair supplier about the decision or call 1 800 medicare 1 800 633 4227.
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.
Requirements for medicare to pay for an 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.
Electric wheelchairs are heavier compared to regular wheelchairs because if the added wright of batteries motors and sturdier frames.
In order to qualify for part b medicare coverage of your wheelchair or other mobility device you must meet the following conditions.
1 rx wheelchair standard or lightweight must include.
Wheelchairs are considered durable medical equipment dme under medicare guidelines.
Complying with documentation coverage requirements.
Cms defines a pmd as a covered item of dme that includes a power wheelchair or a pov that a beneficiary uses in.
