title: Funding, ethics, and assistive technology: should medical necessity be the criterion by which wheeled mobility equipment is justified?
abstract: The article will explore the use of the term medical necessity as it relates to wheeled mobility. Health insurance will cover a wheelchair if it is determined that it is medically necessary for a particular client. There are many different types of health insurance, and no universal definition of medical necessity. This presents a problem for clients and for individuals who are making wheelchair recommendations for clients. Case studies describe how equipment is currently recommended based on the limitations of the client's insurance coverage. As more equipment becomes available to improve the quality of life for people with disabilities, it will become harder for therapists recommending equipment to determine the limits of medical necessity.
authors.affiliation: Wheelchair and Seating Clinic, Rehabilitation Institute of Chicago, Chicago, Illinois, USA.
authors.forename: Brenda
authors.initials: B
authors.lastname: Canning
mesh_terms: D000203:Activities of Daily Living; D003657:Decision Making; D004608:Eligibility Determination; D006291:Health Policy; D006801:Humans; D019458:Insurance Coverage / Q000941:ethics*; D007348:Insurance, Health / Q000191:economics* / Q000941:ethics*; D020380:Needs Assessment; D011788:Quality of Life; D020521:Stroke / Q000191:economics*; D000071939:Stroke Rehabilitation; D014910:Wheelchairs / Q000191:economics*