Power Mobility Devices

Medicare covers power mobility devices (POVs, PWCs, and power assist systems) when the beneficiary has a documented mobility limitation that significantly impairs MRADLs in the home and cannot be safely resolved with a cane, walker, or an optimally-configured manual wheelchair. Coverage requires device- and group-specific criteria (safe operation, home accessibility, weight-capacity thresholds, specialty PT/OT evaluations when indicated, and supplier RESNA-ATP involvement), adherence to coding/PDAC requirements, and required documentation (SWO, specialty evaluation, proof of delivery); devices or situations not meeting these criteria (including certain group models, short-term reversible needs <3 months, conversion add-ons, backup chairs, or PDAC-noncompliant devices) will be denied.

"Beneficiary has a mobility limitation that significantly impairs participation in one or more mobility-related activities of daily living (MRADLs — toileting, feeding, dressing, grooming, bathing) ..."