This post was reviewed by our Director of Clinical Excellence and Oversight.
If you’re a Medicaid recipient, you may already know that many state Medicaid plans cover incontinence supplies for adults. But what about children? Can you get diapers for your kids with Medicaid? The answer depends on a few different factors.
Medicaid Coverage of Children’s Diapers
Medicaid coverage of children’s diapers is available, but for Medicaid to provide coverage, the diapers must first be considered medically necessary. This means that a doctor or physician must confirm that the diapers are part of a treatment plan for a specific condition.
Many state Medicaid plans also have age restrictions for covering children’s diapers. Generally speaking, children must be older than 3 or 4 years old to be eligible to receive diapers. For more information about your specific state requirements, check out our Guide to Medicaid Coverage of Incontinence Supplies.
How to Get Children’s Diapers with Medicaid
To get children’s diapers with Medicaid benefits, you should first check to see if your state Medicaid will cover the supplies. After that, you need to visit a doctor and get a diagnosis. A diagnosis from a physician means diapers are a medical necessity for your child and are part of a treatment plan for their condition. Once your child has been diagnosed, Medicaid benefits may cover their cost (depending on specific state rules).
After they’ve seen their doctor, contact us about getting diapers for your child. We’ll collect the paperwork and submit it to the Medicaid office on your behalf. If your child is eligible, we’ll be able to send you diapers each month and bill Medicaid for the cost.