Bill > AB517

This bill modifies the Medi-Cal program's rules for complex rehabilitation technology (CRT), specifically focusing on powered wheelchairs. The bill prohibits the California Department of Health Care Services from requiring prior authorization for wheelchair repairs costing $1,250 or less. When a CRT-powered wheelchair has already been approved for a patient, subsequent repair or replacement requests will not need an individual prescription or additional medical necessity documentation. Suppliers of these wheelchair repairs must now maintain detailed records documenting the specific items repaired, reasons for repair, and labor details, which will be subject to potential postpayment audits by the department. The bill defines complex rehabilitation technology as specialized medical equipment individually configured to meet a patient's unique medical and functional needs, such as customized wheelchairs and related accessories. It applies to patients with significant physical impairments or functional limitations, including conditions like spinal cord injury, cerebral palsy, and multiple sclerosis. The goal is to streamline the repair process for CRT-powered wheelchairs while ensuring proper documentation and accountability for Medi-Cal beneficiaries who rely on these essential mobility devices.

Budget and Finance, Health and Social Services

https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=202520260AB517