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Corrected and Updated Policy Regarding Wheeled Mobility Device Policy, Forms and Related Documents pdf
Connecticut Medicaid (HUSKY Health)·CT · Physical Therapy, Occupational Therapy, PM&R (Physical Medicine & Rehab)·Provider Bulletin
Effective date
May 1, 2017
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) has updated requirements for wheeled mobility device evaluations, requiring new Letter of Medical Necessity forms completed by independent therapists and mandatory in-home accessibility surveys by DME providers. The policy also clarifies documentation requirements for wheelchair modifications and repairs.
Action Required
For providers serving Connecticut HUSKY Health members: Update wheelchair evaluation procedures to use the new Letter of Medical Necessity form available at huskyhealthct.org. Ensure occupational/physical therapists complete clinical sections independently from DME providers, with only ATP-designated fields completed by DME affiliates. DME providers must conduct mandatory in-home accessibility surveys and obtain member signatures. For modifications, obtain updated prescriptions and ensure medical progress notes are within required timeframes (6 months for community members, 60 days for nursing facility residents).