Can I Get Pediatric Diapers Covered by Medicaid?
Free diapers with Medicaid are not only available for adults living with incontinence. Young children may also be eligible to get pediatric diapers through Medicaid.
Here’s how, with more info on:
- When Medicaid Covers Pediatric Diapers
- Limits for Pediatric Diapers with Medicaid in WA, OR & ID
- How to Get Pediatric Diapers with Medicaid
If you need help getting pediatric diapers through Medicaid ASAP, contact MyMedSupplies (or call 888-441-1312). We help folks in Washington, Idaho, or Oregon, and we’re on standby, ready to assist you now.
When Medicaid Covers Pediatric Diapers
Generally, Medicaid covers pediatric diapers when medical necessity has been established. In particular, this means that:
- Pediatric diapers can be available for those 3 and up: Often, prior authorizations are not required, as long as an individual’s needs don’t exceed the provisions set by the state.
- Specific medical conditions must be present: General incontinence associated with early years isn’t sufficient to establish a need for pediatric diapers through Medicaid. Instead, these younger patients will generally have to prove that they have bladder or bladder control issues due to incontinence specifically or another condition that causes incontinence, like cerebral palsy.
As with adult diapers and other incontinence supplies:
- There are monthly limits on many pediatric diapers: These limits vary by state, as do the requirements for establishing eligibility.
- Prior authorizations are usually not required: As long as the needs fit the state-set limits, prior authorization is typically unnecessary for pediatric diapers with Medicaid in WA, OR, or ID.
- Pediatric diaper limits can cover more than diapers only: Pull-ups, briefs, bed pads, pant liners, and other incontinence supplies can be covered in these limits. Typically, the prescription for the supplies should specify what items are needed.
Limits for Pediatric Diapers with Medicaid in WA, OR & ID
The following table highlights how many pediatric diapers Medicaid covers each month in Washington, Oregon, and Idaho.
| State Medicaid | Monthly Limits on Pediatric Diapers |
| Washington | 200 |
| Oregon | 200 |
| Idaho | 240 |
Please keep in mind that:
- These limits are subject to change.
- Needs that exceed these limits tend to require prior authorization.
- Medical professionals usually have to request prior authorization for additional pediatric diapers and continence supplies.
- “Pediatric diapers” in many states can cover incontinence supply needs for individuals up to the age of 20 (i.e., through teenage years).
How to Get Pediatric Diapers with Medicaid
Use the steps below to get pediatric diapers with Medicaid in Washington, Oregon, or Idaho. Please be aware that this is a general walk-through only and that specific stages or steps could work slightly differently and/or take a little longer in specific states.
1. Establish eligibility for pediatric diapers.
Medical need has to be established, meaning some underlying health condition has to be present. That diagnosis should be documented in medical records. Typically, this pertains to children who are 3 and over because those under the age of 3 are generally expected to have bladder and bowel control issues and, therefore, need diapers.
2. Gather the required medical documents.
Medical documentation can include physician notes and/or diagnostic test results related to a specific condition. These documents should also include the prescription that details how many pediatric diapers are needed each month.
3. Confirm quantities.
Every state has a maximum number of pediatric diapers covered by Medicaid each month. If the needs at hand exceed those limits, it’s usually necessary to:
- Seek prior authorization (PA).
- Have a healthcare professional initiate this request.
- Specify the higher needs in prescription documents, detailing not just amounts but also types of supplies needed each month.
4. Find an approved supplier.
Approved suppliers work directly with Medicaid on a regular basis, billing the state for pediatric diapers while providing these items directly to the covered individuals.
MyMedSupplies is a leading approved supplier in WA, OR, and ID, providing a broad range of pediatric diapers, billing Medicaid, and discreetly sending these items directly to our clients’ doors.
A Top Pediatric Diaper Supplier Near You Can Help Now
Pediatric diapers through Medicaid can support children’s incontinence needs in essential ways. Whether you’re new to Medicaid or it’s time to renew eligibility, MyMedSupplies can help.
Our team includes experts in WA, OR, and ID Medicaid who have vast experience with the Medicaid rules, requirements, and limitations associated with pediatric diapers and incontinence supplies. We also care about providing client-focused service and fast results, so you can get exactly what you need with minimal hassle and delays — and with the ultimate convenience and peace of mind.
Call 888-441-1312 to talk to a real person who can help you get free pediatric diapers with Medicaid in WA, OR, or ID. Or click below for a fast reply.