Does Medicaid Cover Incontinence Supplies?

Does Medicaid Cover Incontinence Supplies?

Are incontinence supplies something you are in need of? Are you wondering “Does Medicaid cover incontinence supplies?” If you are, you’re not alone. Millions of Americans are in need of incontinence supplies on a regular basis in order to manage certain conditions; and when paying out of pocket, these supplies can add up fast.

In this blog, we’ll dive into Medicaid’s relationship to this common supply need and explore how you may be able to divert some or all of the cost through your Medicaid coverage.


Why Incontinence Supplies Are Used


In the U.S., there are currently about 13 million people that have incontinence of some kind. When these men and women are experiencing incontinence, it means that they have the inability to control or difficulty controlling bowel or urinary processes. When this happens, incontinence supplies can be used by the patient or their caregiver to manage the condition and continue to live a healthy and active lifestyle.

Getting Incontinence Supplies Through Insurance

Because incontinence is such a prevalent medical condition for millions of Americans, it’s often covered by insurance as a medically necessary supply. This is significant because when supplies are needed on a regular and daily basis, the cost can add up very quickly for patients and caregivers.


Does Medicaid Cover Incontinence Supplies?


A common question when it comes to insurance coverage is, “Does Medicaid cover incontinence supplies?” Fortunately, the answer to this question is often “yes.” However, this answer will vary from state to state and program to program. 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. It’s important to keep in mind, however, that 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. There also will most likely be quantity limitations that differ between programs.

What Kind of Supplies Can I Get?


Generally Speaking, no two incontinence supply needs are alike. Fortunately, there are plenty of different supply options available that can be covered by Medicaid when prescribed by a physician and medically necessary. 

Below are some of the most commonly used supplies that can help manage incontinence. The amount and type of supplies you can get covered will vary depending on the Medicaid program and your medical necessity as prescribed by your physician.

  • Pads/Liners: Pads and liners can be used inside a patient’s underwear for light to medium incontinence support. These type of supplies come in various sizes, shapes, and absorbencies.
  • Pull Ups: Pull ups are a form of disposable underwear that can be used by both men and women for moderate to heavy incontinence. Pull ups are convenient to put on and wear for patients and caregivers and include an elastic waistband.
  • Diapers/Briefs: This a more traditional style of incontinence supply that is often preferred by caregivers for easy use; 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 and to give incontinence users additional confidence that they can avoid leaks and have the protection they need.
  • Underpads: Underpads can be used to protect beds and seating surfaces from any incontinence-related leaking. 
  • Wipes: Incontinence wipes are used for cleansing in between changes to keep the patient’s skin clean and to reduce bacteria.
  • Cream: When barrier cream is applied to a patient’s skin while using incontinence supplies it can help keep moisture from resting on the skin and causing rashes, irritation, or skin break down.
  • Wash: For some patients or caregivers, cleansing can be easier during changes by using an incontinence spray 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 and prevent the further introduction of bacteria while changing incontinence supplies. 
Smiling man on phone. Active Life Medical can help with Medi-Cal adult diapers when prescribed and medically necessary.

What Is the Process of Getting My Supplies Covered by Medicaid


Your Medicaid coverage of incontinence supplies is not only determined by each state’s individual program, but also my medical necessity and what your physician determines will best help you manage your condition. 

For incontinence supplies to be considered medically necessary, they must be directly needed for the support and treatment of qualifying medical conditions and prescribed by your physician. When your prescribing physician provides a prescription and paperwork supporting your need for incontinence supplies, it will need to specify:

  • Why incontinence supplies are needed
  • What type of incontinence supplies are needed
  • How many supplies are needed on a daily and monthly basis

You and your physician can expect to need to provide the following documentation to get incontinence supplies covered through Medicaid: 

  • Prescriptions
  • Certificates of Medical Necessity (CMN)
  • Letters of Medical Necessity (LMN)
  • Chart notes or medical records
  • Assignment of Benefits (AOB)

Would you like to receive incontinence supplies each month. Contact us today to get started.

Am I Eligible for Getting Incontinence Supplies Covered Through Medicaid?


Each Medicaid plan will have its own plan requirements and stipulations. These requirements can include, but are not limited to: 

  • Income
  • Age
  • Disability status
  • Family size
For those who would like more information on qualifying for Medicaid health benefits, you can do the following: 
  • Check with your state’s Medicaid official website
  • Apply in the federal health insurance marketplace here

Image showing woman on phone

How Active Life Medical Can Help


Our Medicaid incontinence supply experts are standing by to answer your insurance coverage questions and help you understand your local supply coverage options. We strive to always 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 supply billing through your Medicaid or other insurance – so you don’t have to.

If you’ve been recently diagnosed with incontinence, or have had this diagnosis for years, Active Life Medical is the right choice to help you get the medically necessary supplies you need fast and covered through Medicaid (when eligible), contact us today at 800-319-2336 to get started right away!

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