NCART update: Two more states approve power seat elevation
By HME News Staff
Updated 10:24 AM CST, Tue March 4, 2025
LUBBOCK, Texas – The Medicaid programs in North Dakota and Idaho have given the green light to power seat elevation, according to NCART. In North Dakota, the Medicaid program has approved the organization’s request to consider power seat elevation (E2298) as a covered benefit and has implemented coverage retroactively back to Feb. 1, 2025. The coverage criteria will be the same as those outlined in the National Coverage Determination and reimbursement will be set at $2,062.20. In Idaho, the Medicaid program has approved NCART’s request to extend coverage for power seat elevation (E2298) to recipients over the age of 21, effective immediately, with certain criteria. Those criteria: must meet power wheelchair coverage; and unable to independently stand or pivot transfer; and limited reach and range of motion that prohibits ability to perform MRADLs independently; requires assistance only with transfers across unequal seat heights; and cannot safely transfer using a lift or standing transfer but can safely transfer independently with the seat elevation feature. Reimbursement will be set at 75% of MSRP. If the pricing documentation is the invoice, reimbursement will be at cost plus 10%, with the addition of shipping if that documentation is provided.
Related: Power seat elevation: NCART zeroes in on access issues in Medicaid.
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