Who’s Eligible for an Adaptive Stroller?

Variety’s My Stroller® Program currently provides a Kid Kart Mighty Lite adaptive stroller for children who meet the following eligibility criteria:

Location

Must live in one of the 71 counties that Variety currently serves, including: 59 counties in Pennsylvania (i.e. Adams, Allegheny, Armstrong, Beaver, Bedford, Blair, Bradford, Butler, Cambria, Cameron, Carbon, Centre, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lawrence, Lehigh, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Somerset, Snyder, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, and York), and 12 counties in West Virginia (i.e. Barbour, Brooke, Doddridge, Hancock, Harrison, Marion, Marshall, Monongalia, Ohio, Preston, Taylor, and Wetzel).

Diagnosis

Have a diagnosed physical, mental, or sensory disability documented by your child’s current licensed Physical / Occupational Therapist, Personal Care Physician, Physician Assistant, or Certified Nurse Practitioner.

Age

Be 3 through 21 years of age. An application may be submitted up to 60 days prior to a child’s 3rd birthday, but equipment can not be presented until the child is 3 years old.

Application

Complete and submit the Program Application to the best of your knowledge.

Income

Applicant’s household income must not exceed Variety’s income guidelines. Income verification is required with the application (see pages 6-7).

2 $87,100
3 $109,800
4 $132,500
5 $155,200
6 $177,900
7 $200,600
8 $223,300
# Household Members Household Salary

-For each additional person, add $22,700.

Letter of Medical Justification (LMJ)

Request an LMJ from your child’s current licensed Physical / Occupational Therapist, Personal Care Physician, Physician Assistant, or Certified Nurse Practitioner indicating and detailing that a Kid Kart Mighty Lite adaptive stroller would be medically appropriate and therapeutic for the child (see page 12 in the application for more details).

This same licensed professional should also complete Variety’s My Stroller Order Form (link is below).

Presentation Requirement

Variety requires the applicant and his/her parent or legal guardian to attend a scheduled regional presentation to receive their customized medical equipment, to conduct a final fitting, and to review all safety and equipment specifics before it is taken home.

APPLY ONLINE NOW Barriers to Applying

Program Handout Program Application My Stroller Order Form