(1)Indications and coverage — A lift is covered if transfer between bed and a chair, wheelchair, or commode requires the assistance of more than one person and, without the use of a lift, the client would be bed confined.
(2)The areas within the client’s residence where the lift will be utilized must be able to accommodate and allow for the effective use of the lift. The Division of Medical Assistance Programs (Division) does not reimburse for adapting the living quarters.
(3)A sling or seat for a client lift may be covered as an accessory when ordered as a replacement for the original equipment item.
(4)E0621 is included in the allowance for E0630 when provided at the same time.
(5)E0635 may be covered only when a client weighs 450 pounds or more;
(a)E0621 — Sling or seat, client lift, canvas or nylon — Purchase — Prior authorization (PA) required;
(b)E0630 — Client lift, hydraulic with seat or sling (considered purchased after 13 months of rental) — Purchase, rent or repair — PA required;
(c)E0635 — Client lift, electric, with seat or sling — Rent only. This item is a capped rental and becomes the property of the client after 13 months of continuous rental or when the usual purchase price is reached, whichever is lesser. May be covered for a nursing facility client — PA required.
Rule 410-122-0590 — Patient Lifts,