Plain English Breakdown
Checked against official source text during the last sync.
Medi-Cal Rules for Repairing Power Wheelchairs
This law stops Medi-Cal from requiring prior approval or a new doctor's note to repair power wheelchairs costing $1,250 or less if the wheelchair was already approved.
What This Bill Does
- Stops the department from asking for prior authorization if a CRT-powered wheelchair repair costs $1,250 or less.
- Removes the need for an individual prescription or proof of medical necessity when repairing a power wheelchair that has already been approved for use by the patient.
- Requires suppliers to write down and keep records of what was fixed, why it broke, and labor details.
- Allows the department to check supplier records after payment is made.
Who It Names or Affects
- Medi-Cal patients who use complex rehabilitation technology (CRT) power wheelchairs
- Suppliers who repair these medical devices for Medi-Cal beneficiaries
Terms To Know
- Complex Rehabilitation Technology (CRT)
- A form of durable medical equipment, including complex rehabilitation manual and power wheelchairs.
- Prior Authorization
- Approval required from the department before a service can be provided.
Limits and Unknowns
- The law only applies to repairs costing $1,250 or less.
- These rules depend on receiving federal approvals and funding availability.