HB 4948 Summary

• Enacts the "Complex Needs Patient Act" to ensure Medicaid coverage of complex rehabilitation technology for individuals with significant physical impairments or functional limitations from conditions including spinal cord injury, traumatic brain injury, cerebral palsy, multiple sclerosis, and amputations.

• Defines "complex rehabilitation technology" as individually configured durable medical equipment such as power wheelchairs, adaptive seating, standing frames, and gait trainers that meet specific medical and functional needs.

• Requires the Department of Health and Human Services to establish focused policies and rules designating specific billing codes for complex rehabilitation technology and restricting provision to qualified suppliers only.

• Mandates that complex needs patients receiving manual wheelchairs, power wheelchairs, or seating components be evaluated by both a qualified healthcare professional and a qualified complex rehabilitation technology professional.

• Prohibits complex rehabilitation technology from being subject to bidding, selective contracting, or similar initiatives, and requires managed care Medicaid plans to adopt the regulations and contract with willing qualified suppliers.