Incontinence Products Through Idaho Medicaid

Aug 31, 2023 | Incontinence Resource

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Can I Receive Incontinence Products Through Idaho Medicaid? Idaho Medicaid covers the cost of incontinence products/supplies. Eligible members can get products delivered at little to no cost like:
  • Adult Diapers,
  • Bladder Control Pads, And
  • Adult Pull-On Underwear.
Idaho Medicaid only covers medically necessary incontinence supplies. That means a doctor or qualified health professional must confirm the products are needed to treat incontinence. Idaho Medicaid may also require pre-authorization of the products before you can receive them. Medicaid provides health coverage for all adults with income under 138% of the Federal Poverty Level (FPL) regardless of health condition as long as they meet eligibility criteria.  Individuals who are elderly or live with a disability can be eligible for Medicaid coverage if they meet the following criteria: What Is Idaho Medicaid? Idaho Medicaid is run by the Idaho Department of Health & Welfare and provides healthcare services for low-income people and families, including children, pregnant women, the elderly, and people with disabilities. Can I Get Incontinence Products Through Active Life Medical Products? Active Life Medical Products can supply incontinence products through Idaho Medicaid. If you currently do not have Medicaid, visit Idaho’s program website to see how to apply. Incontinence Coverage Information For Idaho Medicaid
  • Additional supplies may be prior authorized if the request includes medical justification of why the maximum limit will not meet the participant’s needs.
  • Any combination of disposable diapers, liners, or pull-ups is limited to 240 units per rolling month.
  • Documentation must be kept on file with a statement of necessity from the ordering physician or non-physician practitioner that the participant meets the requirements for coverage.
  • Idaho Medicaid will only reimburse for pull-ups if the participant can perform toileting activities on their own sometimes and when briefs would prevent independence and cause a risk to the participant.
  • Incontinence supplies, including diapers, liners, pull-ups, and underpads, are covered for participants who have a medical need for the items based on their diagnosis.
  • Pull-ups are not covered for the convenience of the caregiver
  • The medical justification must include a medical condition that includes bowel or bladder control loss.
  • These items are not covered for participants under four years of age or in long-term care (e.g., intermediate care facilities for individuals with intellectual disabilities and nursing facilities) settings.
  • Toilet training plans are encouraged for participants transitioning out of diapers and briefs.
  • Underpads are limited to 150 units per rolling month.
Active Life Medical Products’ Product Specialists will assist an Idaho Medicaid patient in obtaining all paperwork and approvals from state agencies.  Start your order today by filling out our Contact Form.