STANDARD & ROLLING WALKER

Coverage Guidelines

A standard walker and related accessories are covered if all of the following criteria (1-3) are met:

1.   The beneficiary has a mobility limitation that significantly impairs his/her ability to participate in one or more mobility-related activities of daily living (MRADL) in the home. 

A mobility limitation is one that:​

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• Places the beneficiary at reasonably determined heightened risk of morbidity or mortality secondary to the attempts to perform the MRADL, or

• Prevents the beneficiary from completing the MRADL within a reasonable time frame; and

• Prevents the beneficiary from accomplishing the MRADL entirely, or

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2.   The beneficiary is able to safely use the walker; and

3.   The functional mobility deficit can be sufficiently resolved with use of a walker.

** If all of the criteria are not met, the walker will be denied as not reasonable and necessary.

A HEAVY DUTY WALKER is covered for beneficiaries who meet coverage criteria for a standard walker and who weigh more than 300 pounds. If an heavy duty walker is provided and if the beneficiary weighs 300 pounds or less, it will be denied as not reasonable and necessary.

Leg extensions are covered only for beneficiaries 6 feet tall or more.