MedicaidCoverageMedium impact
MAB2021092101
Pennsylvania Medicaid (DHS)·PA · Family Medicine, Internal Medicine, General Practice +4 more·Provider Bulletin
Effective date
Apr 1, 2020
We identified it
Jun 20, 2026
Summary
Pennsylvania Medicaid now covers home accessibility durable medical equipment (wheelchair lifts, stair glides, ceiling lifts, metal ramps) and installation costs for beneficiaries with mobility impairments. Providers must submit Program Exception requests with specific documentation including manufacturer pricing, installation bids, and clinical justification.
Action Required
Immediately: Medical suppliers, physicians, and therapists serving PA Medicaid patients should review Program Exception request procedures for home accessibility DME. Update workflows to collect required documentation including MSRP pricing, adjusted acquisition costs, two installation bids with itemized labor costs, clinical justification of mobility limitations, and environmental assessments. Contact PA Medicaid at 1-800-537-8862 for authorization questions.