Group 3 - The most capable PWC Medicare will typically fund. A wheelchair that is suitable for use inside a patient's residence. An example would be the Permobil F3
Group 4 - A more capable PWC, especially one capable of being used outside the patient's home. An example would be the Permobil F5
Burgerman wrote:I thought we had a messed up system!Group 3 - The most capable PWC Medicare will typically fund. A wheelchair that is suitable for use inside a patient's residence. An example would be the Permobil F3
Group 4 - A more capable PWC, especially one capable of being used outside the patient's home. An example would be the Permobil F5
Whats the difference in those chairs? They look initially very similar. As far as rules? What decides?
expresso wrote:https://www.health.ny.gov/health_care/medicaid/program/update/2020/no18_2020-12.htm#dme
new rules - home and/or community. Please Note: New York State Medicaid funds and maintains one medically necessary manual mobility device to meet the member's medical needs whether primarily used in the home, community, or as a back-up to the primary Power Wheelchairs (PWC).
expresso wrote:i agree there Gnomatic - you were lucky also with the vendor who started your order to begin with - i would at least expect them to do it and let you have a chance to fight it but some wont even start the order
swalker wrote:expresso wrote:https://www.health.ny.gov/health_care/medicaid/program/update/2020/no18_2020-12.htm#dme
new rules - home and/or community. Please Note: New York State Medicaid funds and maintains one medically necessary manual mobility device to meet the member's medical needs whether primarily used in the home, community, or as a back-up to the primary Power Wheelchairs (PWC).
That seems to be limited to the state of New York. I have found some sources that indicate some aspects of that might be coming to Massachusetts as well. So far I have found nothing that would indicate it is coming to the whole US or to Colorado where I live. Too bad!
Steve
Return to Everything Powerchair