Steps to Qualify for a Power Wheelchair through Medicaid
Medicaid will cover a Medicaid scooter or a Medicaid power wheelchair if the patient needs it to complete their activities of daily living. If a Medicaid scooter or Medicaid power wheelchair is only for the use of outside the home, it will be denied as non-covered.
For a scooter or power wheelchair to be covered through Medicaid, the physician must supply a written order within 45 days after completion of the physician's face-to-face examination and prior to delivery of the device.
For a scooter or a power wheelchair to be covered through Medicaid, there has to be a face-to-face examination with the physician prior to writing the order and receipt of the written report of the examination within 45 days after completion of the face-to-face examination and prior to delivery of the device.
The physician may refer the patient to a licensed/certified medical professional, such as a physical therapist or occupational therapist, who has experience and training in mobility evaluations to perform part of the face-to-face examination. This person may have no financial relationship with the supplier.
Medicaid Qualification Requirements
- You need the Medicaid scooter or Medicaid power wheelchair to help you move around inside your home to perform daily living activities.
- You are unable to operate a manual wheelchair.
- Your doctor determines and documents you have a medical need for a Medicaid scooter or Medicaid power wheelchair.
- You are unable to walk on your own or with the help of any other type of mobility equipment.
Steps to follow to receive your Scooter or Power Wheelchair
- Fill out the Request form to have an Orbit representative contact you.
- Meet with your physician for a face-to-face examination to determine your mobility needs.
- Ask your physician to supply a written order within 45 days after the examination and before delivery of the device.
- Make sure that the written order is signed and dated before sending it in.