405 IAC 5-19-9
405 IAC 5-19-9 Wheelchairs and similar motorized vehicles
Cite as Ind. Admin. Code tit. 405, r. 5-19-9
Sec. 9. (a) Medicaid reimbursement is available for wheelchairs or similar motorized vehicles, subject to the restrictions listed in this
section, and requires prior authorization.
(b) Motorized vehicles are covered only when the member is enrolled in a school, sheltered workshop, or work setting, or if the member
is left alone for significant periods of time. It must be documented that the member can safely operate the vehicle and that the member does not have
the upper extremity function necessary to operate a manual wheelchair.
(c) Requests for wheelchairs or similar motorized vehicles require a completed medical clearance form submitted with the prior
authorization request before the requests shall be reviewed.