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.
Medicaid guidelines for 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.
Centers for medicare and medicaid services.
In order to qualify for part b medicare coverage of your wheelchair or other mobility device you must meet the following conditions.
Why was my request denied.
Power mobility devices icn 905063 october 2017 print friendly version.
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.
Medicaid may cover a power wheelchair if the patient meets eligibility and coverage requirements.
Wheelchairs are considered durable medical equipment dme under medicare guidelines.
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.
Also your power wheelchair supplier may send you a decision letter.
1 rx wheelchair standard or lightweight must include.
You may contact your power wheelchair supplier about the decision or call 1 800 medicare 1 800 633 4227.
However to be approved for an electric wheelchair through medicare you must meet certain criteria.
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.
Wheelchair documentation requirements for medicare.
You must meet all of the following requirements for medicare to pay for an electric.
Electric wheelchairs are heavier compared to regular wheelchairs because if the added wright of batteries motors and sturdier frames.
Medicare part b covers electric wheelchairs under its durable medical equipment dme coverage.
Medicare will send a decision letter to your power wheelchair supplier.
Centers for medicare and medicaid.
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.
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.
Tty users can call 1 877 486 2048.
Complying with documentation coverage requirements.
The medicaid program is funded through a cooperative venture between the federal and state.
Requirements for medicare to pay for an electric wheelchair.
