17.3.19.9 Wheelchair Power Seat Elevation System

Use of a power seat elevation system will:

•	Facilitate independent transfers, particularly uphill transfers, to and from the wheelchair with less upper arm strain.

•	Augment the client’s reach to facilitate independent performance of MRADLs in the home, school, or community.

A power seat elevation system may be prior authorized to promote independence in a client who meets both of these criteria:

•	Does not have the ability to stand and pivot transfer independently.

•	Has limited reach or range of motion in the shoulder or hand that prohibits independent performance of MRADLs, (such as bathing, dressing, feeding, grooming, hygiene, meal preparation, and toileting).

The submitted documentation must include an assessment completed by a physician, physical, or occupational therapist that includes:

•	A description of the client’s current level of function without the device.

•	The duration of time the client is alone during the day without assistance.

•	Documentation identifying how the seat lift will improve the client’s function.

•	What MRADLs the client will be able to perform with the seat lift that he or she is unable to perform without the commode seat lift and how this will increase independence.

•	The client’s goals for use of the power seat elevation system.

A power seat elevation system option will not be authorized for the convenience of a caregiver, or if the device will not allow the client to become independent with MRADLs and transfers.