Custom Manual Wheelchairs

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Custom Manual Wheelchairs

Travis Medical prides itself on the wide selection of products we offer, which allows us to offer the most appropriate product selection and a perfect fit for each client. We offer products from a variety of manufacturers each offering a wide variety of features, sizes, colors, and accessories.

A standard manual wheelchair may be considered for prior authorization when the following criteria are met:

  • The client has impaired mobility and is unable to ambulate more than 10 feet.
  • The client does not require specialty seating components.
  • The client is not expected to need powered mobility within the next 5-year period.

A standard hemi-wheelchair may be considered for prior authorization when the client meets the criteria for standard manual wheelchair (above), as well as:

  • The client requires low seat-to-floor height
  • The client must use their feet to propel the wheelchair

A standard tilt-in-space wheelchair may be considered for prior authorization when the client meets the criteria for a standard manual wheelchair (above) as well as the following:

  • The client develops fatigue with longer periods of sitting upright.
  • The client is at increased risk of pressure sores with prolonged upright position.
  • The client requires assistance with respiration in a reclining position.
  • The client needs to perform mobility related activities of daily living (MRADLs) in a reclining position
  • The client needs to improve venous return from lower extremity in a reclining position.
  • The client has severe spasticity.
  • The client has excess extensor tone of the trunk muscles.
  • The client has quadriplegia.
  • The client has a fixed hip angle.
  • The client must rest in a reclining position two or more times per day.
  • The client has the inability or has great difficulty transferring from wheelchair to bed.
  • The client has trunk or lower extremity casts or braces that require the reclining feature for positioning.

A lightweight manual wheelchair may be considered for prior authorization by Texas Medicaid when the client meets the following criteria:

  • The client is unable to propel a standard manual wheelchair at home.
  • The client is capable of independently propelling a lightweight wheelchair to meet their MRADLs at home.
A heavy-duty wheelchair may be considered for prior authorization by Texas Medicaid when the client when the client meets the following criteria:
  • The client meets criteria for a standard manual wheelchair.
  • The client weighs more than 300 pounds.

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Please feel free to visit our manufacturers websites for additional information.

Freedom Designs KiMobillity

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