Sample Letters of Medical Necessity for the Rifton Pacer Gait Trainer

January 05, 2016 by Lori Potts, PT

A caregiver assists a teenager using a medically necessary dynamic gait trainer outdoorsSince the new Pacer became available we have been receiving questions regarding funding for this device. Evolving from the previous model of Pacer, the new Pacer now offers many new additional features including a dynamic upper frame, multi-positioning saddle, arm platforms, utility base (with bigger wheels for rough, outdoor  surfaces), and a treadmill base option. To obtain funding, each unique feature and function of the Rifton Pacer will need to be justified as medically necessary. Providing justification for these new features may make the difference for those states where we were seeing too many denials for our old Pacer.

As guidelines and a starting point, here are two sample letters of medical necessity for the Rifton Pacer. One justifies funding in a school-based practice setting; the other, for an adult client in homecare. 

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Catherine | February 03, 2016
I love this chair. My son would enjoy it also, but I can't afford it. He will be 18 on February 6th and I juist applied for his SSI Disablility. Maybe, after I find out in 3-4 months and he qualifies for the Florida Medicaid program.