Will Diaper & Incontinence Supply Coverage Change in WA, ID, or OR in 2025?
Medicaid coverage for incontinence supplies does not necessarily stay the same year after year. That’s why it’s essential to double-check your coverage every new year to see if anything has changed, so you don’t get blindsided by new limitations — or overlook new potential options to support your needs.
Whether you’re in Washington, Idaho, or Oregon, here’s what you need to know about Medicaid coverage for diapers and incontinence supplies in 2025, with more details on:
- Medicaid Coverage for Diapers & Incontinence Supplies in 2025: What to Expect
- Why Medicaid Coverage Can Change Each Year
- How to Get Free Incontinence Supplies in 2025: A Helpful Checklist
This guide shares the essentials in under ~3 minutes. Whenever you need expert help getting incontinence supplies with Medicaid in WA, OR, or ID, simply contact MyMedSupplies.
Known for our customer-centric service and the highest-quality incontinence supplies, MyMedSupplies has been a medical supply provider of choice throughout the Northwest U.S. for decades.
Medicaid Coverage for Diapers & Incontinence Supplies in 2025: What to Expect
Currently, no significant changes have been announced to Medicaid’s coverage for incontinence supplies in Washington, Idaho, or Oregon for 2025. Effectively, that means that Medicaid in all three states continues to cover:
- Incontinence supplies for eligible adults and children who can demonstrate medically necessary.
- Adult diapers, pull-ups, bed pads, and other related incontinence products.
While no major overhauls are expected in 2025, it’s important to point out that:
- Some minor adjustments in eligibility requirements, documentation, or product availability may occur.
- Medicaid usually sends notification letters about any changes to coverage. These notices are mailed out, and they typically explain what a recipient may need to do to maintain coverage.
Staying informed and promptly responding to any Medicaid notifications can help ensure uninterrupted coverage and access to these incontinence supplies.
Why Medicaid Coverage Can Change Each Year
Medicaid coverage is reviewed and updated annually to address evolving healthcare needs, budget constraints, and policy goals.
These updates may be influenced by various factors, including (and not necessarily limited to):
- State Budget Adjustments: Medicaid is jointly funded by the state and federal governments. State budget priorities can impact the scope of coverage.
- Policy Changes: Shifts in healthcare policy at the state or federal level can also prompt updates to Medicaid benefits. This can include the passage of new laws or the sunsetting of statutes.
- Healthcare Trends: Changes in medical research, new product availability, and emerging public health issues can affect coverage as well.
- Feedback and Utilization Data: Medicaid administrators often review data on how benefits are used to refine coverage and improve services.
By staying aware of these factors, you can anticipate potential changes and prepare accordingly.
How to Get Free Incontinence Supplies in 2025: A Helpful Checklist
Whether you are applying to Medicaid for the first time or you need to update your coverage, taking the right steps can facilitate the process, helping you get the incontinence supplies you need without delays. To help you with this process, the following is separated into two checklists, one for first-time applicants and another for renewals.
While Medicaid coverage can change from year to year, the process for obtaining this coverage usually does not. So, please feel free to bookmark and share this resource for future reference.
First-Time Medicaid Applicants
The first step in getting Medicaid coverage is to determine which program you will be applying to. Programs vary by state, and some states offer multiple options. If you’re in Washington, Oregon, or Idaho, here are the primary options:
Apple Health is the Medicaid program in Washington State, covering preventive care and various durable medical supplies, including incontinence products.
Molina Healthcare is a managed care plan, offering Apple Health (Medicaid) services and coverage in Washington. Find out when to renew Molina for free diapers in WA here.
Oregon Health Plan (OHP) is the Beaver State’s Medicaid program, offering health care coverage to children, adults, and seniors.
Healthy Connections is a prominent Medicaid program in Idaho, providing healthcare services and coverage to children, adults, the elderly, and the disabled.
Once you’ve identified the right program for you, here’s what you’ll need to do next:
- Determine Your Eligibility: Check if you meet your state’s Medicaid’s eligibility requirements for incontinence supplies. This means that you need to have a diagnosed and officially documented medical condition that causes incontinence.
- Obtain a Doctor’s Prescription: A prescription or letter of medical necessity from your healthcare provider is essential to qualify for coverage. Your prescription for incontinence supplies should detail exactly what type and quantity of products you’ll need each month. If your needs change, your prescription will need to be updated.
- Gather the Required Documentation: Compile your prescription, medical documentation, and the required forms for your submission.
- Research Approved Suppliers: Identify Medicaid-approved suppliers, like MyMedSupplies, that can send you the incontinence products you need and work directly with Medicaid to streamline the process.
- Submit Your Application: Work with your healthcare provider and supplier to complete and submit your application accurately. Incomplete submissions can result in delays or denials of coverage.
- Follow Up: Confirm your application’s approval and ensure your supplies are set up for delivery. If you work with a medical product supplier, you’ll get true peace of mind in knowing that we’re taking care of your needs and discreetly shipping your incontinence products every month.
- Plan for Renewals: Once your coverage is active, mark your calendar roughly 10 to 11 months out, so you have plenty of time to renew coverage next year.
For Current Recipients Updating Medicaid Coverage in 2025
If you’ve been covered by Medicaid and you’d like to renew that coverage for 2025, here is what you’ll need to do before your coverage expires.
If your coverage lapses, you’ll likely need to apply as though you’re a first-time recipient:
- Review Your Current Benefits: Check if any updates are on deck for the new year, so you can plan to pivot or adjust your prescription if necessary.
- Renew Your Prescription: Medicaid typically requires an updated prescription every year. So, schedule a visit with your healthcare provider to get a new prescription that reflects your current needs.
- Update Your Personal Information: Confirm that Medicaid has your current address, and contact details on file. If changes to your eligibility or coverage occur in the future, Medicaid will reach out via letter to inform you of what’s changing. You’ll want to get any updates like this without forwarding delays or other issues.
- Verify Coverage Changes: Contact your incontinence supplier to confirm if any policy updates may affect your coverage.
- Reconfirm Your Supplier: Ensure your current supplier, like MyMedSupplies, can meet your needs.
- Plan Ahead: Complete any renewals or updates before your coverage expires to avoid gaps.
Staying proactive and organized can ensure seamless access to incontinence supplies in 2025 and beyond.
An Easier Way to Get Incontinence Supplies with Medicaid in WA, OR & ID
Navigating Medicaid coverage to get free incontinence supplies can feel overwhelming, but it doesn’t have to be. MyMedSupplies is here to help. Our team of experts has 40+ years of experience in the medical supply and Medicaid space.
That makes us exceptionally knowledgeable when it comes to:
- Medicaid processes and specific requirements in Washington, Idaho, and Oregon
- Helping you gather the right documentation to ensure timely approvals and deliveries
- Making the entire process as simple, streamlined, and stress-free.
MyMedSupplies is accredited by the Accreditation Commission for Health Care, Inc. (ACHC) to provide Durable Medical Equipment, Respiratory Services, and Medical Supplies.
We are also recognized for our long-standing commitment to putting our customers’ needs first, so they can get the free incontinence supplies they need.
Those are just a few reasons why MyMedSupplies is one of the most trusted and well-reviewed medical supply stores in the Pacific Northwest.
To find out more — or get expert help getting free incontinence supplies through Medicaid — simply talk to a professional coordinator at MyMedSupplies. We are ready to help you now.