MedicaidCoverageMedium impact
Mobility Assistive Devices (Wheelchairs) - MEDICAID - VIRGINIA (Revised)
Humana·VA · PM&R (Physical Medicine & Rehab), Physical Therapy, Occupational Therapy +2 more·Medicaid
Effective date
Dec 3, 2025
We identified it
Jun 24, 2026
Summary
Virginia Medicaid updated coverage criteria for wheelchairs and mobility devices, establishing specific requirements for power wheelchairs, complex rehabilitation chairs, and wheelchair accessories. The policy includes detailed medical necessity criteria and requires specialty evaluations for complex equipment.
Action Required
Before December 3, 2025: Update prior authorization requirements for wheelchair claims to include home assessments for power wheelchairs and specialty evaluations by licensed professionals for complex rehabilitation equipment. Ensure documentation includes specific medical necessity criteria for each wheelchair type and accessory. Review current wheelchair billing procedures to align with new coverage limitations.