Alabama Medicaid to cover power seat elevation ‘NCART remains in hot pursuit of coverage for power seat elevation in several other states’
By HME News Staff
Updated 8:21 AM CST, Wed November 20, 2024
MONTGOMERY, Ala. – The Alabama Medicaid program will cover E2298, power seat elevation system, for adults 21 and older starting Jan. 1, 2025, according to NCART.
“NCART remains in hot pursuit of coverage for power seat elevation in several other states and greatly appreciates the support of our provider and manufacturer members as we seek to get this enabling technology covered in all 50 states,” the group stated in an email bulletin.
NCART says it was assisted in the win by Cathy Carver, PT, DPT, ATP/SMS, at University of Alabama Birmingham/Spain Rehabilitation Center and the Alabama Durable Medical Equipment Association.
For coverage in Alabama, providers will need to submit a prior authorization. The state Medicaid program will continue to cover power seat elevation for children under 21, also with a PA.
Alabama is limiting coverage to one power seat elevation system per two calendar years for both adults and children.
Background:
- In 2023, CMS posted a final benefit category determination and national coverage decision for seat elevation systems as an accessory to power wheelchairs.
- In March of 2024, the agency established a new code, E2298, for seat elevation systems and set reimbursement to about $2,000 effective on April 1.
- In addition to increasing access to power seat elevation through Medicaid, stakeholders are also working to increase reimbursement for the systems.
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