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May 2013 CSHCN Services Program Provider Manual

17 Durable Medical Equipment (DME) : Benefits, Limitations, and Authorization Requirements : Portable Wheelchair Ramps

17.3.20 Portable Wheelchair Ramps
Providers must submit documentation of medical necessity with the request for authorization form. The CSHCN Services Program may authorize and reimburse portable or threshold ramps only. A portable ramp is defined as a ramp that is not physically attached to the dwelling, that may be moved (disassembly may be required, such as in the case of a modular ramp), and that meets the standards as set by the Americans with Disabilities Act.
Portable wheelchair ramps that allow access to the client’s home may be authorized if the need is documented. The CSHCN Services Program may approve requests for ramps to allow access to two entrances to the client’s home. Once two accessible entrances are provided, the client or family is not expected to require another ramp or a replacement ramp. Requests for a replacement ramp require medical review and documentation of need, including an explanation of what happened to the previous ramp.
The ramp is expected to go with the client if he or she changes residential locations. The CSHCN Services Program does not replace portable ramps due to a client’s relocation. Ramps may need to be modified to fit a different dwelling if the client moves. The CSHCN Services Program considers the required modifications for reimbursement rather than the purchase of a replacement ramp.

Texas Medicaid & Healthcare Partnership
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