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Incontinence

Are Incontinence Supplies Covered by Medicaid?

Are Incontinence Supplies Covered by Medicaid?

Senior woman sitting on the beach during sunrise. Are incontinence supplies covered by Medicaid? Find out more details in this blog.

If you’ve been diagnosed with incontinence, you may be wondering, “Are incontinence supplies covered by Medicaid?” The cost of incontinence supplies can quickly add up, making it important for most patients to determine what supplies can be covered through their insurance.

Fortunately, Medicaid can often help offset the supply cost incurred by incontinence patients. Below, we’ll discuss details about Medicaid incontinence supply coverage and how you may be eligible for assistance through your states Medicaid program. 

What Are Incontinence Supplies?

When a patient is experiencing urinary, fecal or mixed incontinence (both urinary and fecal), incontinence supplies can be used by the patient or their caregiver to manage the condition. 

Just as there is a variety of incontinence conditions and medical diagnoses that cause incontinence, there is a variety of incontinence supplies to support individual patient needs. Some of the most common incontinence supplies used and prescribed can include:

  • Pads/Liners: Pads and liners come in all sorts of shapes and sizes and can be used inside a patient’s underwear for light to medium incontinence support. 
  • Pull Ups: Pull ups are a form of disposable underwear that can be used by both men and women for moderate to heavy incontinence. 
  • Diapers/Briefs: This a more traditional style of incontinence supply; briefs are used for moderate to heavy incontinence and have tape tabs on the side for secure fitting.
  • Booster Pads: Booster pads can be placed inside a diaper or pull up for additional absorbency. 
  • Underpads: Also referred to as chux, underpads can be used to protect beds and seating surfaces from any incontinence-related leaking. 
  • Wipes: Incontinence wipes can be used for cleansing in between changes to keep the patient’s skin clean.
  • Cream: Barrier cream can be applied to a patient’s skin while using incontinence supplies to help keep moisture from resting on the skin.
  • Wash: For some patients, cleansing can be easier during changes by using an incontinence wash. With this type of cleanser, you spray it onto the skin directly and then wipe clean. 
  • Gloves: Gloves can be used by the patient or their caregiver to increase sanitation while changing incontinence supplies. 

What Is Medicaid?

So, what is Medicaid exactly? According to Medicaid.gov, there are currently about 75.4 million people who are covered by Medicaid insurance services here in the U.S. Medicaid is health insurance coverage that can be used to cover eligible seniors, adults, and children who meet low-income or other requirements as established by both state and federal guidelines. 

Who Is Eligible for Medicaid?

There are a variety of factors that determine someone’s eligibility for Medicaid benefits; these factors can include, but are not limited to: 

  • Income
  • Age
  • Disability status
  • Family size
If you are unsure if you qualify for Medicaid benefits, you can do one of the following for either more information or to apply: 
  • Check with Your State: Medicaid coverage varies from state to state. Some states offer blanket Medicaid coverage for all persons under a certain income level, while other states have other stipulations and requirements in place. It’s recommended that you check with your state’s Medicaid website for more information on eligibility. You can start here on the Medicaid official website. 
  • Apply In the Marketplace: If you would like to go ahead and apply to Medicaid, you can do so through the Health Insurance Marketplace here. By applying, your situation can be reviewed and representatives can determine which health programs you may be eligible for. 

Do you qualify for incontinence supplies covered by Medicaid / Medi-Cal? Complete this form and we will call you to verify your eligibility.

Are Incontinence Supplies Covered by Medicaid?

While not every state offers coverage of incontinence supplies through Medicaid programs, the majority of them do. Currently, there are 45 states in the U.S. that allow eligible Medicaid participants to receive some incontinence supplies covered when prescribed and medically necessary. 

The types and quantities of incontinences supplies covered by Medicaid vary from state to state. Policies and requirements for incontinence supply coverage are dictated by each state’s program, which means that the supplies that you qualify for in one state you may not qualify for in another. Some of the incontinence supplies that can be covered by Medicaid include: 

  • Pads/Liners
  • Pull Ups
  • Diapers/Briefs
  • Underpads/Chux
  • Booster Pads
  • Liners/Inserts
  • Cream
  • Wash
  • Wipes
  • Gloves
  • Reusable Waterproof Sheeting

How to Get Your Diapers Covered by Medicaid

Coverage of incontinence supplies through Medicaid is not only determined by each state’s individual program, but also my medical necessity. Medical necessity is determined by each patient’s physician and their current medical needs. 

Essentially, for incontinence supplies to be considered medically necessary, they must be directly needed for the support and treatment of qualifying medical conditions. A physician must then prescribe the appropriate incontinence supplies for the patient, indicate how much supplies are needed and how often, and provide any required supporting documentation for medical necessity. 

Some of the medical documentation required by Medicaid programs for incontinence supply coverage can include, but are not limited to: 

  • Prescriptions
  • Certificates of Medical Necessity (CMN)
  • Letters of Medical Necessity (LMN)
  • Chart notes or medical records
  • Assignment of Benefits (AOB)
Man calling on phone. Are incontinence supplies covered by Medicaid? Find out more details in this blog.

How Active Life Medical Can Help

When you come to Active Life Medical for incontinence supplies covered by Medicaid, you’ve come to the right place. Our experts are standing by to answer your insurance coverage questions and help you understand your supply coverage options. We make the entire incontinence supply process easy and simple by coordinating with your physicians for any paperwork needed, walking you through any supply and brand options you may have, delivering discreetly to your door, and handling all billing through your Medicaid or other insurance. 

If you’ve been diagnosed with incontinence and are in need of a supplier that can help you get the medically necessary supplies you need fast and covered through Medicaid (when eligible), contact us today at 800-319-2336.