MedicaidDocumentationMedium impact
KMAP BULLETIN: Wheelchair Frame and Seating Growth Criteria Update
Kansas Medicaid (KanCare)·KS · PM&R (Physical Medicine & Rehab), Pediatrics, Occupational Therapy +1 more·Medical Policy
Effective date
Apr 1, 2026
We identified it
Jun 21, 2026
Summary
Kansas Medicaid (KMAP) is updating wheelchair frame and seating growth criteria effective April 1, 2026. The policy removes minimum growth requirements for adults 18+ but maintains specific inch requirements for children (3 inches for ages 12 and under, 2 inches for ages 13-17), and requires supporting documentation to verify growth allowances are met.
Action Required
Before April 1, 2026: Billing team must update wheelchair authorization procedures to remove minimum depth/inch growth requirements for members 18+. For pediatric members, ensure documentation shows 3-inch growth potential (ages 12 and under) or 2-inch growth potential (ages 13-17) in width and depth. Update prior authorization templates to require supporting documentation such as frame modifications, seating assessments, or growth kits. Review Section 8410 of the DME Fee-for-Service Provider Manual for detailed billing instructions.