Medi-Cal: complex rehabilitation technology: wheelchairs.

Assembly Member Krell's proposal to modify Medi-Cal's complex rehabilitation technology (CRT) wheelchair repair process would eliminate prior authorization requirements for repairs costing less than $1,250. The legislation also removes the need for new prescriptions or medical necessity documentation when repairing or replacing previously approved CRT-powered wheelchairs.

Under the proposed changes, suppliers must maintain detailed records of all repairs, including specific components, justification, and labor information. While prior authorization would no longer be required for qualifying repairs, these records would be subject to postpayment audits by the Department of Health Care Services. For CRT-powered wheelchairs not already documented in Medi-Cal records, suppliers would need to establish proof of continuous medical need before implementing the streamlined repair process.

The bill maintains existing quality and accreditation requirements for CRT providers, including employment of qualified rehabilitation technology professionals and maintenance of adequate repair facilities. Implementation remains contingent on federal approval to ensure continued Medicaid funding participation.