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24.5.26.8 Power Wheelchairs-Custom
Custom power wheelchairs may be considered for a client who meets criteria for a power wheelchair, has a condition that requires specialized seating, and cannot safely utilize a standard power wheelchair.
An attendant control is not a benefit of the Home Health Services.
For safety, all power chairs are to include a stop switch.
Seat lift chairs and seat elevators or mechanisms, including those used for power wheelchairs, are not a benefit of the Texas Medicaid Program
Prior authorization for a custom power wheelchair requires all documentation necessary for a custom manual wheelchair, as well as the following:
• 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, or 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.
An attendant control system is not a benefit of the Texas Medicaid Program. For safety, all power chairs are to include a stop switch.
Note: Seat lift chairs, seat elevators, or mechanisms, including those used for power wheelchairs, are not a benefit of the Texas Medicaid Program.
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