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Ohio Laws and Rules
(A) Definition
A “Rental Wheelchair” is defined in accordance with paragraph (C) of rule 5101:3-10-16 of the Administrative Code.
(B) Billing
The procedure necessary for billing the Ohio Medicaid program for a wheelchair rental is defined in appendix A of rule 5101:3-10-03 of the Administrative Code.
(C) Reimbursement
(1) The reimbursement rate for wheelchair base codes utilizing the following “Healthcare Common Procedure Coding System” (HCPCS) codes in conjunction with the “RR” modifier are as follows:
(a) E1235 reimburses at sixty-five dollars per month.
(b) E1236 reimburses at sixty-five dollars per month.
(c) E1237 reimburses at sixty-five dollars per month.
(d) E1238 reimburses at sixty-five dollars per month.
(e) K0001 reimburses at forty-five dollars per month.
(f) K0002 reimburses at fifty-five dollars per month.
(g) K0003 reimburses at sixty-dollars per month.
(2) Ohio Medicaid will reimburse submitted claims at the providers usual and customary charge or at the maximums listed in this paragraph whichever is less.
Effective: 10/27/2005
R.C. 119.032 review dates: 10/01/2010
Promulgated Under: 119.03
Statutory Authority: 5111.02
Rule Amplifies: 5111.01, 5111.02