>>1368326
>Dear Parents or Guardian of Luke:

>UnitedHealthcare Community Plan received a request from Olympic Pharmacy & Healthcare Services on 11/29/2022 for an advanced group three (3) power wheelchair with features. The request was reviewed on 12/2/2022 by a medical director, Carter Sigmon, MD.

>Based on review of the information provided, the request for an advanced group three (3) power wheelchair with features was denied on 12/2/2022.
>The reason for the denial is: Your child's doctor asked for an advanced group three (3) power wheelchair with features. These are requested to help your child's mobility. This is because your child has cerebral palsy.

>This is a condition that can cause muscle weakness. We reviewed your child's health plan rules. If a wheelchair is not approved, its features cannot be approved. To approve this power wheelchair, your child's records must clearly show all the following:

>A simpler wheelchair is not available to help with your child's mobility
>A simpler wheelchair cannot meet your child's needs

>We also reviewed your child's records that were sent to us. They show the following:

>A simpler wheelchair is available to help with your child's mobility
>A simpler wheelchair can meet your child's needs

>Unfortunately, this request is not approved. It is not medically necessary. A simpler group two (2) power wheelchair may be asked to be reviewed. Please speak with your child's doctor if you have any questions.

-https://x.com/theJoShPENNER/status/1864596461645889575/photo/1

Note that G3P wheelchairs are typically assigned for cerebral palsy:

>Common Diagnoses for Group 3 Power Wheelchair
...
>>Cerebral Palsy
...

-https://hub.permobil.com/blog/group-3-power-wheelchairs

>Group 3 power wheelchairs are reserved for the severely impaired patient afflicted with diseases such as: ... cerebral palsy...

-https://med.noridianmedicare.com/web/jddme/dmepos/pmds/group-3-power-wheelchair-requirements

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