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2.5.11.2.1 Hospital Beds and Safety Enclosure
A fixed height bed may be considered for prior authorization if the client requires the head of the bed to be elevated more than 30 degrees most of the time due to conditions such as congestive heart failure, chronic pulmonary disease, or problems with aspiration. Pillows or wedges must have been used and found to be ineffective.
A variable height hospital bed may be considered for prior authorization if the client meets the criteria for a fixed height hospital bed and requires a bed height different than a fixed height hospital bed to permit transfers to a chair, wheelchair, or standing position.
A semi-electric hospital bed may be considered for prior authorization if the client meets the criteria for a variable height bed and either requires frequent changes in body position or has a need for rapid changes in body position.
A fully electric bed may be considered for prior authorization with documentation that the bed will promote the client's independence with self-care. A fully electric bed will not be authorized for the convenience of the caregiver.
The safety enclosure frame/canopy/bubble top may be considered for prior authorization with documentation that the protective canopy top/bubble will provide for the client's safety. Prior authorization will not be considered when it will be used as a restraint or for the convenience of family or caregivers.
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