MedicaidCoverageHigh impact
Mobility Assistive Devices (Wheelchairs) - MEDICAID - FLORIDA (Revised)
Humana·FL · Physical Therapy, Occupational Therapy, PM&R (Physical Medicine & Rehab) +2 more·Medicaid
Effective date
Jan 1, 2025
We identified it
Jun 24, 2026
Summary
This is a new Humana Medicaid policy for Florida covering mobility assistive devices (wheelchairs) with specific coverage criteria, documentation requirements, and billing codes. The policy establishes detailed eligibility requirements for manual wheelchairs, power wheelchairs, complex rehabilitation wheelchairs, and accessories.
Action Required
By January 1, 2025: Billing team must implement new Humana Medicaid Florida wheelchair policy requirements. Update billing system to require home assessments for power wheelchairs (E1239, K0010-K0011). Ensure specialty evaluations by licensed PT/OT are documented for complex rehabilitation wheelchairs (E2298, E2300). Verify all general mobility device criteria are met including physician orders and ADL limitations. Train staff on new documentation requirements to prevent claim denials.