Electric Wheelchair
RAP item number
AP16
RAP item category
Mobility Appliances
Is this a contracted item
Yes, Mobility & Functional Support
Is prior approval required
Yes, limit of 1 per person
RAP National Guidelines - Electric Mobility Aids
D9300 Form - Electric Mobility Aid Part 1 Medical Information
D1325 Form - Electric Mobility Aid Part 2 Assessment
D9379 Form –Electric Mobility Aid Part 3 - Trial