According to Medicare guidelines, Mobility Related Activities of Daily Living (MRADLs) are the core movements and tasks required for self-care and functional mobility within the home.

Medicare identifies five key MRADL tasks used to determine the medical necessity of a power mobility device:

• Bed mobility: The ability to move and reposition yourself while in bed.
• Transfers: Moving to and from a bed, chair, or toilet.
• Walking: The ability to move around the home on foot.
• Wheeling: The ability to move using a manual mobility device.
• Negotiating stairs: The ability to navigate steps within the home environment.

While standard Activities of Daily Living (ADLs) such as bathing, dressing, toileting, and feeding are used to assess overall independence, Medicare specifically evaluates the mobility-related tasks listed above to justify the need for a power wheelchair. To qualify for coverage, clinical documentation must prove that an individual cannot safely or effectively perform these tasks inside the home, even with the use of a cane or walker.