MedicaidCoverageMedium impact
KMAP BULLETIN: Comprehensive Guidance for Specialized Wheelchair Seating Assessments
Kansas Medicaid (KanCare)·KS · PM&R (Physical Medicine & Rehab), Physical Therapy, Occupational Therapy +1 more·Provider Bulletin
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Effective January 1, 2025, specialized wheelchair seating assessments (WSAs) are expanded to be performed in home or natural environments by any qualified provider, not just designated specialized clinics. Members must be offered choice of DME providers, and specific medical necessity criteria are established for Complex Rehabilitation Technology.
Action Required
By January 1, 2025: Billing teams must update wheelchair seating assessment workflows to allow evaluations in home/natural environments by any qualified provider (not just specialized clinics). Ensure documentation captures the specific medical necessity criteria: inability to sit safely on conventional seating, significant head/trunk instability, muscle control issues, or inability to maintain unsupported sitting. Add requirement to offer members choice of DME providers and document this choice in patient records.