Step 1
Build your medical necessity case, what OHP needs from your doctor
OHP (Oregon's Medicaid program) covers power wheelchairs and scooters as Durable Medical Equipment (DME) when medically necessary, meaning this path can get you a device at no cost. It is your most likely route. Start here before anything else.
What OHP covers: power-operated vehicles (scooters) and power wheelchairs when documented as medically necessary. Oregon Administrative Rule 410-122-0325 requires your doctor to explain why a manual wheelchair cannot sufficiently address your mobility limitation. Document this clearly.
What you need your doctor to do:
- Schedule a face-to-face visit specifically to discuss your mobility needs
- Document in your chart why a manual wheelchair is insufficient, for example, that you need to travel longer distances or attend community events independently
- Write a Letter of Medical Necessity (LMN) stating that a power mobility device is medically necessary and why
Tip: be specific with your doctor about your real situation. "I can manage short distances but need mobility for larger outings outside my home" is exactly the kind of documentation that matters. The chart note should mirror the real reason you need the device.
Don't have a PCP? Call OHP Customer Service at 1-800-699-9075: they can help you find an in-network provider and confirm your current CCO enrollment.