Commode Chairs and Other Toileting Aids

Commode Chairs and Other Toileting Aids A. The Division of Medicaid defines commode chairs as toileting aids used to assist beneficiaries who are not able to use regular toilet facilities due to their physical condition. B. The Division of Medicaid covers commode chairs and raised toilet seats for all beneficiaries when prior authorized by the Utilization Management and Quality Improvement Organization (UM/QIO), the Division of Medicaid or designated entity, for rental up to purchase amount, or purchase when indicated and all the following criteria met: 1. [Reserved] 2. When the beneficiary's physical condition is such that the beneficiary is unable to use regular toilet facilities. 3. A commode chair with detachable arms, if used to facilitate transferring the beneficiary or if the beneficiary has a body configuration that requires extra commode width. 4. A heavy duty or extra wide commode chair, with or without detachable arms, if the beneficiary’s body measurements are greater than the measurements specified by the manufacturer for the DME or the beneficiary’s weight is three hundred (300) pounds or greater. Documentation must be maintained for weight and measurements. 5. A raised toilet seat if the beneficiary has a medical condition such as being convalescent from hip surgery which prevents the beneficiary from using a regular commode without a raised seat. 6. A raised toilet seat if the beneficiary does not have a bedside commode capable of fitting over the toilet.