TMPPM 2008 > Texas Medicaid Services > Texas Medicaid (Title XIX) Home Health Services > Benefits

   
 

24.5.26.7 Power Wheelchairs-Standard

Standard power wheelchairs may be considered for short-term rental up to 6 months or for purchase for a client who meets criteria for a wheelchair when the client has a condition that does not require specialized seating, and is unable to self-propel a manual wheelchair.

An attendant control is not a benefit of Home Health Services.

Prior authorization for a standard power wheelchair requires all documentation necessary for a custom manual wheelchair, as well as the following documentation:

The client's physical and mental ability to receive and follow instructions related to responsibilities of using equipment. The client must be able to operate a power wheelchair independently. The therapist must provide written documentation that the client is physically and cognitively capable of managing a power wheelchair.

How the power wheelchair will be operated such as joystick, head pointer, puff and go.

The capability of the caregiver/client to care for the power wheelchair and accessories.

The capability of the client to understand how the power wheelchair operates.

Rental of a manual wheelchair may be prior authorized when the client's power wheelchair is being repaired or replaced.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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