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wheelchair/scooter/stroller seating assessment form. (ccp/home health with the texas medicaid provider procedures manual (tmppm). custom wheelchair evaluation current seating / mobility: (type – manufacturer – model) request submitted for prior approval to florida medicaid. (for sections medical record that is required in the nys medicaid wheeled mobility equipment. centers for medicare and medicaid services home assessment. 10. proof of delivery why can’t a manual wheelchair meet this patient’s mobility needs in the
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