Select condition of medically necessity for patient who:
- has never used a wheelchair but is recently having difficulty with mobility;
- has a manual or power wheelchair and is in need of a new* or different type; and/or
- is very involved medically (i.e. severe postural deformities, pressure sores, on a ventilator, progressive disorder, etc.).
*In some cases with Medicare, the physician is required to perform a "Face to Face Evaluation" and document in a clinic visit done for the purpose of determining need for a mobility device. This documentation should be done in usual form of documentation and not on a letter head provided by a Durable Medical Equipment (DME) provider.
**Some insurance will require an evaluation by a licensed Physical or Occupational Therapist. Search for a Seating and Mobility Specialist (SMS) at the nearest health system or hospital-based outpatient facility or clinic.
