How to Get Incontinence Supplies Covered by Medicaid
Can I Get My Incontinence Supplies Covered by Medicaid? — that’s a question we hear a lot at MyMedSupplies, and YES is often the answer.
That’s because you CAN get Medicaid-covered incontinence supplies as long as:
- You are eligible for and covered by Medicaid.
- Medicaid in your state covers incontinence supplies (most do).
- You get your incontinence supplies from a medical products supplier that accepts Medicaid.
To walk you through this in more detail, here’s a closer look at:
- What States Have Medicaid That Covers Incontinence Supplies?
- What Types of Incontinence Supplies Can Medicaid Cover?
- 7 Steps to Get Incontinence Supplies Covered by Medicaid
- Am I Eligible for Medicaid-Covered Incontinence Supplies?
This 3-min. guide to Medicaid coverage of incontinence supplies can help you figure out exactly what it takes to get incontinence products covered by Medicaid.
If you need answers and help now from an expert in Washington, Oregon, or Idaho, simply contact MyMedSupplies (or call 888-441-1312) to speak with a real person who cares and who can help you now.
What States Have Medicaid That Covers Incontinence Supplies?
Medicaid in most U.S. states provides for some coverage of incontinence supplies; however, that coverage varies from state to state, with some covering only one of the following:
- Incontinence supplies for adults and children ages 3 to 5 (and up)
- Incontinence supplies for adults only
- Incontinence supplies for children ages 4+ only
As of March 2024, there were only 7 states that did not provide any coverage for incontinence supplies via Medicaid. Those non-coverage states include:
- Hawaii
- Louisiana
- Maine
- Massachusetts
- New Mexico
- New York
- Oklahoma
Here, it’s also crucial to know that:
- In states where Medicaid covers incontinence supplies, the types of products that are covered can vary from one state to the next.
- State laws, Medicaid programs, and coverage limits can change yearly; so, it’s best to verify the latest info with a trusted source.
What Types of Incontinence Supplies Can Medicaid Cover?
Most Medicaid programs recognize that addressing incontinence can require different products for different individuals and their unique conditions.
That’s why many programs cover a variety of incontinence products, with most providing at least some coverage for incontinence supplies like (and not necessarily limited to) the following.
1. Adult Diapers & Briefs
Designed for absorbance and discretion, these undergarments come in various sizes, with tab enclosures, secure fasteners, and contouring for the ultimate comfort, as well as easy application and removal.
2. Protective Underwear & Pull-Ups
Similar to adult diapers, these incontinence undergarments can come with tear-away seams, cloth-like backings, and stretchable sides, all while mimicking the appearance of real, plain white underwear.
3. Bladder Control Pads & Liners
Designed for dryness and odor-shielding, these absorbent pads are worn inside regular underwear, with an adhesive strip for secure placement and Odor-Shield, Advanced Derma Dry Technology for skin protection and more confidence.
4. Male Guards
Tailored for the male anatomy, these absorbent pads can actively lock up wetness while allowing the skin to breathe.
5. Underpads & Bed Pads
Providing overnight mattress protection, these large absorbent pads can also be used for chairs, couches, car seats, and other surfaces requiring a barrier from potential leakage.
6. Wipes & Washcloths
Though not directly used to address incontinence, wipes and washcloths can be a key part of personal care and hygiene routines.
7. Skin Care Products
Some Medicaid programs cover creams, powders, and other products that can protect the skin from the potentially damaging effects of incontinence.
Beyond the types of incontinence supplies covered by Medicaid in different states, the brands of the supplies covered — and the amount covered on a monthly basis — may vary too.
That’s why it can be helpful to work with an expert, who can walk you through the process and make sure you don’t miss anything or make mistakes along the way.
To get expert help getting incontinence supplies covered by Medicaid in WA, OR, or ID, contact MyMedSupplies now.
7 Steps to Get Incontinence Supplies Covered by Medicaid
As a joint federal and state program, Medicaid can have distinct rules and coverages from one state to the next. That may mean the process of obtaining Medicaid coverage for incontinence products in your state is not the same as it would be in any other state in the U.S.
Nevertheless, most programs tend to involve similar steps for securing coverage for incontinence supplies. Those steps usually include the following.
1. Verify Medicaid Coverage.
Check with your state’s Medicaid program to determine whether you are covered and, if so, the coverage options for incontinence supplies. This is a 2-part check, and both factors need to be in play (or coverage won’t be possible).
If you need to check eligibility and verification information for Medicaid in your state, here’s more on:
- Washington Medicaid Eligibility
- Oregon Medicaid Eligibility & Enrollment
- Idaho Medicaid Eligibility & Plans
Remember, your coverage may have a different name — like Community Health Plan of WA, Coordinated Care, Molina, Trillium, Pacificsource, Moda, or Blue Cross. So, don’t assume you’re not covered simply because “Medicaid” is not in your insurance provider’s name.
2. Get a Doctor’s Prescription.
Medicaid typically requires a prescription from a healthcare provider to cover incontinence supplies. This prescription should specify the type of supplies needed and the quantity required per month.
3. Compile the Required Documents.
Your healthcare provider may need to submit documentation to verify medical necessity for incontinence supplies. This could include (and may not be limited to):
- Medical records
- A letter of medical necessity outlining your condition and why these supplies are essential for your health and well-being.
- The prescription order for the incontinence product(s) needed.
4. Find an Approved Incontinence Product Supplier.
Not all incontinence product suppliers accept Medicaid, so you’ll need to find one that does.
At MyMed Supplies, we not only accept Medicaid in WA, OR, and ID, but we also work closely with our customers to help them with the paperwork and the process in general. We make it turnkey, billing the insurance company and sending your incontinence supplies directly (and discretely) to your front door.
5. Submit the Necessary Paperwork.
All required documentation will need to be submitted to Medicaid for approval. These submissions, if not done correctly, could hold up approval or result in a denial. This can be a complicated task that MyMedSupplies handles for you.
6. Understand Your Coverage Limits.
Get familiar with any limits to your Medicaid coverage for incontinence supplies, like limits on monthly product amounts or the types of products (or brands) that are covered. It’s smart to revisit the “covered list” in your state each year to make sure the incontinence products you need are still covered under your Medicaid plan.
7. Renew as Required.
Medicaid may require periodic reevaluation of your need for incontinence supplies. So, don’t let your coverage lapse if you want to keep your prescription active.
Again, Medicaid programs, policies, and coverages routinely change. So, it’s always best to double-check the information you find online with an expert in your area.
Am I Eligible for Medicaid-Covered Incontinence Supplies?
Maybe — this question can’t be answered without knowing the details of your situation. Medicaid programs in different states have their own eligibility requirements, and every program won’t cover all (or all of the same) incontinence products and supplies.
To get an answer to this question and get expert help getting incontinence supplies covered by Medicaid in WA, OR, or ID, contact a friendly specialist at MyMedSupplies.
About MyMedSupplies
MyMedSupplies is a premier medical supply store that accepts Medicaid in Washington, Oregon, and Idaho. With 40+ years of experience in the medical supply and insurance space, MyMedSupplies is the medical product supplier of choice for incontinence supplies, urological supplies, nutritional supplies, compression socks, and so much more.
Beyond our extensive inventory, MyMedSupplies has deep experience working directly with Medicaid providers in WA, OR, and ID, giving us the knowledge and skills to help our clients get the medical products they need, get those products covered by Medicaid in their state, and have their medical supplies shipped discreetly and directly to their front door while we bill the insurance company.
Formerly known as Geneva Woods Health Supplies, LLC, MyMedSupplies is proudly accredited by the Accreditation Commission for Health Care, Inc. (ACHC) to provide services for Durable Medical Equipment, Respiratory Services, and Medical Supplies.
Contact our professional coordinators for expert help getting incontinence supplies covered by Medicaid in WA, OR, or ID. Our team is standing by, ready to answer your questions and support you through the process.