1. Individuals with mobility limitations that cannot be sufficiently resolved with a straight cane, crutches, a walker a manual wheelchair.
2. Individuals whose mobility status is permanent and who require equipment for 12 months or more.
3. Individuals who are bed bound  or wheelchair bound.
4. Individuals with insufficient upper extremity functions who are unable to propel a wheelchair independently and are unable to perform Mobility Related Activities of Daily living.
5. Individuals whose range of mobility decreased due to disease, incident, fracture or surgery.
6. Individuals who are at high risk for developing pressure ulcers.
7. Individuals whose health condition has caused significant difficulty in moving around the home.
8. Individuals who are unable to do daily activities such as dressing, using the bathroom, bathing, transferring in and out of a bed or a chair.
9. Individuals under a doctor’s care who has established that their condition requires DME and will provide prescriptions for equipment needed.
10. Individuals whose current motorized wheelchair is not functioning correctly or replacement parts not available no longer.
11. Individuals who currently had a power wheelchair that will no longer support their functional needs and are not cost effective (wheelchair that no longer fits your body due to increase in body weight or body deformity, etc).
12. Individuals with power operated equipment that needs a special seating system to manage increased tone (spasticity) or decreased tone with poor posture.
13. An individual with DME that is past 5 years from the day the equipment was received.

All insurances will approve DME, but only if it’s medically necessary for use at home to improve mobility status for Activities of Daily Living. They will not approve equipment that is meant to use just for convenience, recreation/leisure, used for community mobility or used as an addition to a walker or a manual wheelchair.