Walker & Accessories

Walkers & Accessories

 

 

 

    Ohio Medicaid

 

  • Standard walkers are generally covered if there is a medical condition that impairs ambulation and there is a potential for ambulation and there is a greater need for stability and security than provided by canes and crutches.  Standard walkers include:
    • Heavy Duty Walkers are generally covered for patients that are eligible for a standard walker and weight more than 300 lbs.
    • Extra Heavy Duty Walkers for clients that weigh more than 650lbs.
    • A heavy duty, multiple braking system, variable wheel resistance walker is covered for patients that are eligible for a standard walker and who are unable to use a standard walker due to a severe neurological disorder or other condition causing the restricted use of one hand.
    • Wheeled walkers

 

  • Documentation: A CMN is required. No Prior Authorization required. Replacement after 5 years.

 

 

    Medicare:

 

Walkers may be covered if:    

 

  • The beneficiary has a mobility limitation that significantly impairs his/her abilities to participate in one or more Mobility Related Activities of Daily Living (MRADL’s) in the home (toileting, feeing, dressing, grooming and bathing). A mobility limitation is one that prevents one from accomplishing MRADLs, or causes a heightened risk of illness/injury or death secondary to the attempts to participate in MRADLs, or prevents one from completing MRADLs within a reasonable time frame.  In addition, equipment may be covered if other conditions limit the ability to participate in MRADLs (e.g., impaired cognition or vision).

 

  • The beneficiary/caregiver is able to use a walker safely.

 

  • Documentation: Medical history notes documenting the coverage criteria.

 

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