Current through Register Vol. 24-18, September 15, 2024
The medicaid agency covers the rental or purchase of a
manual wheelchair for a home client who is nonambulatory or has limited
mobility and requires a wheelchair to participate in normal daily activities.
For clients who reside in a skilled nursing facility, see WAC
182-543-5700.
(1) The agency determines the type of manual
wheelchair for a home client as follows:
(a)
A standard wheelchair if the client's medical condition requires the client to
have a wheelchair to participate in normal daily activities;
(b) A standard lightweight wheelchair if the
client's medical condition is such that the client:
(i) Cannot self-propel a standard weight
wheelchair; or
(ii) Requires
custom modifications that cannot be provided on a standard weight
wheelchair.
(c) A
high-strength, lightweight wheelchair for a client:
(i) Whose medical condition is such that the
client cannot self-propel a lightweight or standard weight wheelchair;
or
(ii) Requires custom
modifications that cannot be provided on a standard weight or lightweight
wheelchair.
(d) A heavy
duty wheelchair for a client who requires a specifically manufactured
wheelchair designed to:
(i) Support a person
weighing three hundred pounds or over; or
(ii) Accommodate a seat width up to
twenty-two inches wide (not to be confused with custom heavy duty
wheelchairs).
(e) A
custom heavy duty wheelchair for a client who requires a specifically
manufactured wheelchair designed to:
(i)
Support a person weighing three hundred pounds or over; or
(ii) Accommodate a seat width over twenty-two
inches wide.
(f) A rigid
wheelchair for a client:
(i) With a medical
condition that involves severe upper extremity weakness;
(ii) Who has a high level of activity;
and
(iii) Who is unable to
self-propel any of the above categories of wheelchair.
(g) A custom manufactured wheelchair for a
client with a medical condition requiring wheelchair customization that cannot
be obtained on any of the categories of wheelchairs listed in this
section.
(h) Pediatric
wheelchairs/positioning strollers having a narrower seat and shorter depths
more suited to pediatric patients, usually adaptable to modifications for a
growing child.
(2) The
agency pays for both a manual wheelchair and a power-drive wheelchair only for
noninstitutionalized clients in limited circumstances. See WAC
182-543-4200(5).
11-14-075, recodified as §182-543-4100, filed 6/30/11,
effective 7/1/11. Statutory Authority:
RCW
74.08.090 and
74.04.050. 11-14-052, §
388-543-4100, filed 6/29/11, effective
8/1/11.
