MedicaidCoverageMedium impact
Mobility Assistive Devices (Wheelchairs) - MEDICAID - KENTUCKY (New)
Humana·KY · PM&R (Physical Medicine & Rehab), Physical Therapy, Occupational Therapy +2 more·Medicaid
Effective date
Mar 26, 2025
We identified it
Jun 24, 2026
Summary
New Humana Kentucky Medicaid policy establishes comprehensive coverage criteria for mobility assistive devices including manual wheelchairs, power wheelchairs, and scooters. The policy requires specific medical documentation, specialty evaluations for advanced devices, and home assessments for power wheelchairs.
Action Required
Before March 26, 2025: Billing team must update Kentucky Medicaid wheelchair authorization processes to require licensed healthcare provider orders with specific device documentation, specialty evaluations by licensed PT/OT for ultra-lightweight and power wheelchairs with special features, and home assessments for all power wheelchair requests. Update encounter forms and EMR templates to ensure documentation of ADL limitations and medical necessity criteria. Claims without proper documentation will be denied.