E1011 Insurance Policy Changes

Mobility Assistive Devices (Wheelchairs) - MEDICAID - KENTUCKY (Revised)

Humana Medicaid Kentucky revised its coverage policy for mobility assistive devices (wheelchairs) effective 07/22/2026. The policy requires prior authorization for all wheelchair requests and establishes specific medical necessity criteria for power wheelchairs, manual wheelchairs, scooters, and accessories. Billing teams must ensure all wheelchair claims include required prior authorization, home assessments for power wheelchairs, and specialty evaluations for complex rehabilitation devices.