Oklahoma § 56-1015.3 - Requirements for Medicaid claims on wheeled mobility

§ 56-1015.3. Requirements for Medicaid claims on wheeled mobility

purchases.

A. Contingent upon the availability of funding, for Medicaid

claims with dates of service on or after April 1, 2009, on all

purchased wheeled mobility, the patient shall either have:

1. A specialty evaluation that was performed by a licensed or

certified medical professional, such as a physical therapist,

occupational therapist, or physician who has specific training and

experience in rehabilitation wheelchair evaluations, and that

documents the medical necessity for the wheelchair and its special

features; or

2. The wheelchair provided by a supplier that employs a RESNAcertified assistive technology supplier or assistive technology

practitioner who specializes in wheelchairs and who has direct, inperson involvement in the wheelchair selection for the patient; and

3. Met the requirements for medical necessity as determined and

approved by the Oklahoma Health Care Authority.

B. The Oklahoma Health Care Authority shall promulgate rules to

implement the Consumer Protection Act for Wheeled Mobility in

accordance with the Consumer Protection Act for Wheeled Mobility.

Added by Laws 2008, c. 410, § 3, eff. July 1, 2008.