CurrentmediviewcurativePolicy MM-PNP-063

Wheelchairs and Power Operated Vehicles (Scooters) Coverage Criteria

Customize your policy alerts

Sign up for mediviewcurative Policy MM-PNP-063 alerts

Get alerted when Policy MM-PNP-063 changes without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Clinical policy governing medical necessity, authorization, and coverage criteria for manual wheelchairs, power wheelchairs, power operated vehicles (scooters), wheelchair seating systems, and related options/accessories for plan members.

Policy Summary

Payermediviewcurative

PolicyWheelchairs and Power Operated Vehicles (Scooters) Coverage Criteria

Policy CodePolicy MM-PNP-063

Change TypeNo material changes

Effective DateApr 1, 2024

Next Review Date

Key ActionObtain and document a specialty evaluation and RESNA-certified ATP involvement when requesting specialized power wheelchairs or power seating systems.

SourceLink

POLICY UPDATE CHANGES

No material clinical or coverage changes in this revision.

onemanual wheelchair per member (rental or purchase)

onepower mobility device per member (rental or purchase)

Group 2 POVsspecifically not medically necessary

Group 4 PWCsconsidered not medically necessary

OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.