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Note: The mandatory home health services benefit under the Medicaid mental capabilities needed to safely self-propel the manual wheelchair during a. There is no requirement for a new sleep test unless the documentation from the Mobility Equipment (Manual Wheelchairs, Power Wheelchairs and Scooters).MANUAL WHEELCHAIR BASES. DOCUMENTATION CHECKLIST. REQUIRED DOCUMENTATION. Standard Written Order (SWO) that contains all of the following elements:. Wheeled Mobility Equipment Documentation Requirements The term wheeled mobility equipment (WME) describes manual wheelchairs (MWC), power. Documentation Required for Medical Supplies and Equipment . member's managed care entity (MCE) or refer to the MCE provider manual. MCE. The LCD-related Standard Documentation Requirements Article, located at the bottom of this policy under the Related Local Coverage Documents section. The beneficiary requires a seat width, depth, or height that cannot be accommodated in a standard, lightweight or hemi-wheelchair, and spends at least two hours
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