Prior authorization prohibited for wheelchair repairs.
(a)#
In this subsection, “recipient of medical assistance” means an individual who receives medical assistance under any of the following: 1. A program operated under this subchapter. 2. A demonstration program operated under 42 USC 1315. 3. A program operated under a waiver of federal law relating to medical assistance that is granted by the federal department of health and human services.
(a)(1)#
A program operated under this subchapter.
(a)(2)#
A demonstration program operated under 42 USC 1315.
(a)(3)#
A program operated under a waiver of federal law relating to medical assistance that is granted by the federal department of health and human services.
(b)#
The department may not require any person to obtain prior authorization from the department for a repair to a wheelchair used by a recipient of medical assistance that satisfies the following criteria: 1. If the repair is to a power wheelchair, the cost of the repair is less than $300. 2. If the repair is to a manual wheelchair, the cost of the repair is less than $150. 3. The cost of the repair is a covered benefit under the program of which the individual is a recipient.
(b)(1)#
If the repair is to a power wheelchair, the cost of the repair is less than $300.
(b)(2)#
If the repair is to a manual wheelchair, the cost of the repair is less than $150.
(b)(3)#
The cost of the repair is a covered benefit under the program of which the individual is a recipient.