Walkers, Canes, Platform Attachments
	For all insurances we are required to have a prescription on file that includes the following information: 1. Name of the patient. 2. What equipment is to be supplied. 3. Duration of need; specific number of months or lifetime. 4. Diagnosis. Note: Some insurance companies may require a Letter of Medical Necessity in addition to the above.
	Medicare	Medicaid	Private Insurance	Forms
	Medicare covers standard walkers when patients need more "stability and security" than offered by a cane or crutch - as long as the walker's prescribed by a doctor and both these things are true: ‎ 1. the patient has a medical     condition that interferes     with walking. ‎2. the patient is expected to    walk or to continue to walking. ‎If ordering a walker with a seat the order must specify this request and provide documentation to qualify the patient for the walker. ‎Heavy Duty Walkers are covered for pa­tients who meet the coverage criteria for a standard walker and weight more than 300 Ibs. ‎A heavy-duty wheeled walker, braking, variable wheel resistance model is covered for patients who meet the criteria for a standard walker but are unable to use it because: 1.‎they have restricted use of    one hand 2. have a severe neurological     disorder. Obesity alone does     not qualify a patient for this     type of walker. ‎If ordering a walker with a seat the order must specify this request and provide documentation to qualify the patient for the walker. ‎If 5" wheels are required, it must be writ­ten as such. If written as wheeled walker or walker with wheels, 3" wheels will be pro­vided.	We are providers for regular Med­icaid, CCP, CHIPS. We are not pro­viders for any HMO Programs. ‎Effective January 1, 2003 the Texas Medicaid Program began following Medicare guidelines to qualify for medical equipment. The Medicaid HMO Programs have their own set of rules. ‎A Title XIX will be required under any circumstance. At this time there is no evidence of what addi­tional Medicaid form(s) will be re­quired. > ‎The THSteps - CCP Program re­quires a different form and autho­rizes based on individual criteria. The request can be forwarded to the Home Health authorization area for direction. If this happens, a Title XIX and a Letter of Medical Necessity will be required. ‎Specialty chairs will require a lengthy assessment by a physical therapists prior to delivery. Call our office for additional information and forms.	Each insurance has its' own cri­teria for coverage and each has its' own forms and assessments to be completed. ‎The required written prescription must include the information be­low or the claim will automati­cally be denied. ‎Be very specific about which walker and accessory is being ordered. Any heavy duty model will require extended documen­tation for coverage to be consid­ered. ‎Prescription requirements: ‎1. Name of the patient. ‎2. What type of walker is being     ordered. 3. Duration of need; specific     number of months or lifetime. ‎4. Diagnosis. ‎5. Height ‎6. Weight ‎7. Any heavy duty model will re­quire extended documentation for coverage to be considered. ‎Use Physician Order/Prescrip­tion Form.	Physician Order/Prescription Form Standard form that has several pieces of equip­ment listed with check boxes for easy orders. Can be completed by discharge planners, nurses, social workers as an order. If signed by the physician, it be­comes the prescription. Send with discharge or­ders and data sheet. ‎Medicare use the Phy­sician Order/Prescription Form. Send with data in­formation and discharge or other documentation. ‎Medicaid ‎Title XIX. Send with dis­charge orders and data sheet.   THSteps-CCP Authorization Request form