MedicaidDocumentationMedium impact
Durable Medical Equipment (DME) Program Policy Clarification for Custom and Power Wheelchairs Provided in a Skilled Nursing Facility
Missouri Medicaid (MO HealthNet)·MO · PM&R (Physical Medicine & Rehab), Neurology, Orthopedics·Provider Notice
Effective date
Oct 26, 2021
We identified it
Jun 20, 2026
Summary
MO HealthNet has updated its DME Provider Manual to clarify physician face-to-face evaluation requirements when providing custom and power wheelchairs in skilled nursing facilities. The clarification is found in Section 13.18.C of the manual and affects billing procedures for these specific DME items in SNF settings.
Action Required
Immediately: Review Section 13.18.C of the updated MO HealthNet DME Provider Manual to understand clarified physician face-to-face evaluation requirements for custom and power wheelchairs provided in skilled nursing facilities. Update billing workflows and documentation requirements accordingly to ensure compliance with the clarified policy.