FREE Funding Info & Forms

FORMS & FUNDING LINKS - contact us for assistance

FREE Information to Help You!

MEDICARE FUNDING ALERT	Rehab shower Chair	SPECIALIZING IN "REHAB" EQUIPMENT, SERVICE, REPAIRS, AND RENTALS Medical Equipment & Service For Over 33 Years Come In or Call - We Can Help - Power Wheelchairs, Manual Wheelchairs, Scooters for Children and Adults.
Medicare has reduced funding for rehab power wheelchairs, seating and other accessories. This will affect delivery of service. Please contact your legislator and express your concern. Rentals only for basic power wheelchairs effective 2011. Click here to see why you need to be concerned.	Visit EasyStand
Pediatric Stroller	Overhead Lift
Having a problem with any links on this page? Please use the feed back form listed below. Some of the sites change the address after we have added their link.

Coverage & Form Links

Technical Information for Professionals & Consumers

Please let us know if any links do not work for you!

MINNESOTA MEDICAL FORMS & LINKS

Message from a Therapist who uses this web page 7-2010

"I am a physical therapist in Duluth and just wanted to send you a quick note to tell you that as a therapist, all of the forms and funding/eval links on your website are VERY helpful. The state DHS website is not the easiest to navigate to find the latest MN MA forms. Your website makes it much easier to locate. The links are very appreciated and your website is great!"

Slow Loading PDF documents below - please wait

You can complete forms on line.

WHEELCHAIRS & SCOOTERS GUIDELINES!

MN MA FUNDING LINKS

MN MA Mobility form

On Feedback form below:

Request this form in WORD or WP format.

Include your name, affiliation & email.

MN MA FUNDING ALERT!

MN MA has eliminated coverage for "back up" wheelchairs including repairs or replacement parts .

To be covered by MA the non-primary wheelchair must be used for essential home, school or other community services to be covered by MNMA. Private or waiver funding will be needed if we are repairing back-up wheelchairs.

You may think that since MA approved the equipment they will repair it but this is not the true now that new rules went into affect.

Please help by providing this information when calling for repairs.

ADDITIONAL MN MA FUNDING LINKS

ENCLOSED OR CANOPE BEDS

Augmentative Communication Form
Augmentative Communication Rules!!

STANDERS & ACCESSORIES RULES!

STANDER & ACCESSORIES FORM

TRIAL LOG - REQUIRED FOR MN MA

Bath/Shower/Toileting Equipment Form

CONTINENCE SCREENING TOOL!

MN MA BENEFIT GUIDE

MN MA COVERAGE RULES!

----------Wisconsin Medicaid------------

WISCONSIN MEDICAID BENEFIT GUIDE

WI has made changes to their website and it is difficult to find rules.

Medicare

Speech Generation Equipment

WCP will bill Medicare starting in 2012

MEDICARE POLICY

Accept terms then
Go to DME Coverage Link
Click on Medical Policy Center (LCDs)
Scroll through list to find correct category
Once you find it click the policy for specific qualification for equipment.
Listing of an item does not guarantee coverage.

HEALTH PARTNERS FORMS & LINKS BELOW

Print, complete & fax to Wheelchairs Plus

WHEELCHAIR REVIEW!

If Medicaid Replacement Insurance use above form

or MA Wheelchair/Scooter form

All other applications follow Medicare Rules

SEAT LIFT REVIEW

HOSPITAL BEDS REVIEW

SPECIAL MATTRESS GROUP 1 & 2 REVIEW

BLUE CROSS BLUE SHIELD

OF MINNESOTA - INFORMATION BELOW

MEDICAL COVERAGE POLICY LINK

Our Forms & Directions - NEW

Both fast loading TIF documents

and slower PDF documents links are listed below.

- FOR PROFESSIONALS-

Medicare's Letter to Physicians on PMD
documentation requirements

Medicare Mobility Evaluation

Checklist for MD/PT/OT PDF

Power Mobility Quick Reference

for Physicians PDF

Medicare Face to Face RX Form for MD PDF

Medicare Wheelchair Seating

Required Diagnosis & ICD9 PDF

Mobility Evaluation Guidance for PT & OT PDF

Mobility Evaluation Detailed Form

for Therapists PDF

- FOR CUSTOMERS & CARE PROVIDERS -

I need a wheelchair, what should I do? PDF

What is best for me? A Power Chair or a Scooter? PDF

- LINKS FOR FUNDING INFORMATION-

CONSUMER ORIENTED INFORMATION

PRIDE/JAZZY

- Funding Resources -

EASY STAND
- The Process of Obtaining Funding -

EXCEPTIONAL PARENT MAGAZINE
- Defining Medical Necessity -

- PROFESSIONAL ORGANIZATIONS-

National Registry of Rehab Technology Suppliers

RESNA
-Professional Certification Organization-
Authorized by Medicare to Certify Assistive Technology Pracitioners (ATPs) to Provide Wheelchairs.

- FEEDBACK-

Include correct Email, Name, & Phone

if you want to be contacted.

* First name (required):

* Last name (required):
* E-mail address (required):

Phone number:
* Message (required):

Come In or Call

- We Can Help -

Your Access to Independence!

Since 1976 in Minnesota & Wisconsin