MedicaidDocumentationMedium impact
Wheeled Mobility Device Policy, Forms and Related Documents
Connecticut Medicaid (HUSKY Health)·CT · Physical Therapy, Occupational Therapy·Provider Bulletin
Effective date
May 1, 2017
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid updated their Wheeled Mobility Device Policy effective May 1, 2017, requiring all wheelchair evaluations to use updated Letter of Medical Necessity forms that must be completed exclusively by licensed therapists (except asterisked fields by ATPs). The policy also mandates in-home accessibility surveys and establishes new documentation requirements for wheelchair repairs and modifications.
Action Required
By May 1, 2017: Physical and occupational therapists must use only the updated Wheeled Mobility Device Letter of Medical Necessity Form for all wheelchair evaluations. Ensure licensed evaluating therapists complete all clinical sections independently (only asterisked fields may be completed by ATPs). DME providers must conduct mandatory in-home accessibility surveys and obtain member signatures. Update documentation workflows for wheelchair repairs and modifications to include required technician reports and manufacturer quotations. Non-compliance will result in prior authorization denials for lack of information.