Good news! Most Medicaid plans cover incontinence supplies and bladder control products like pads, briefs and pull-ons. Find your state’s coverage in this guide, or sign up for incontinence supplies online now .
So here’s something most people don’t know about about Medicaid plans: most of them cover incontinence supplies.
If you’re one of the 13 million people living with incontinence in the United States, this is great news. Purchasing incontinence products can be a real burden on personal expenses.
This guide will help you understand how Medicaid benefits can help you get incontinence supplies. From Medicaid eligibility to your state’s specific requirements, you’ll learn what you need to know to start getting the most from your Medicaid.
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Medicaid Eligibility: The first step to using Medicaid for incontinence products is understanding Medicaid eligibility. In order for an individual or family to obtain Medicaid coverage, they must meet the requirements established by the state government.
Qualified Blind or Disabled Individuals
Qualified Working Disabled Individuals
Individuals Receiving SSI
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Medically Needy “Spend-Down” Programs Some states have special programs for individuals with especially challenging medical needs, but whose assets are too high to qualify for Medicaid. These programs allow a person to receive Medicaid benefits even if their assets are higher than the maximum eligibility limit set by the state. It’s called “spending-down.” Essentially, spending-down is a way to lower assets (income, savings, etc.) until they match the eligibility requirement for that state’s Medicaid.
Spending-down programs are different for each state. The best way to understand your state’s regulations is to contact your local Medicaid office.
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Medicaid Plan Types: There are two basic types of Medicaid plans that can cover incontinence supplies: Fee-For-Service plans and Managed Care plans.
Fee-For-Service: Fee-For-Service is when healthcare providers are paid for individual services they provide to Medicaid patients. Individuals can go to any healthcare facility that accepts Medicaid and use their benefits to receive treatment. There are generally no network requirements under these plans.
Managed Care Plan: A Managed Care plan (sometimes called Managed Medicaid) means that Medicaid benefits are managed by a private insurance company. The state contracts with insurance companies to approve medical care. Generally, a network of physicians and hospitals provide care, and you cannot go outside of that network.
Early and Periodic Screening, Diagnostic and Treatment (EPSDT): The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) is a comprehensive care program for individuals under the age of 21. The benefit provides regular screening and treatment to identify medical concerns before they cause serious issues later in life. Some states will cover incontinence supplies through this benefit. Contact your local Medical office for more details. (Back to Top)
Incontinence Supplies Covered by Medicaid:
There are currently 45 states and Washington, DC that offer some level of coverage for absorbent incontinence products. Here is a list of what incontinence products could potentially be covered:
Bladder Control Pads Male Guards Booster Pads
Protective Underwear(Pull-Ons) Adult Briefs Underpads
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How Incontinence Product Coverage Works: In order for an incontinence product to be covered by a Medicaid plan, it must be considered “medically necessary.” Products deemed medically necessary are those considered as essential to the treatment or management of a particular condition. This can be determined by visiting a doctor and getting a diagnosis. Each Medicaid program has different policies about which incontinence products are considered medically necessary.
If you need help understanding your product coverage for your Medicaid benefit, then contact us, and we can provide you with more information.
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Paperwork all Medicaid plans require some form of paperwork that shows a need for the incontinence product.
Assignment of Benefits (AOB): An Assignment of Benefits authorizes someone other than yourself to submit reimbursement claims on your behalf. It allows medical supply companies to send you incontinence supplies and bill your Medicaid plan for the cost.
Physician’s order (PO): A Physician’s Order is the most common document required by Medicaid plans for incontinence supply coverage. It’s basically a prescription that establishes what incontinence products are needed for treatment.
Certificate of Medical Necessity (CMN): A Certificate of Medical Necessity is a state document that establishes the medical necessity of an incontinence product or other supplies. They’re used by physicians to express that the supplies they order are medically necessary. Each state determines what information the physican must include in order for it to be accepted.
Letter of Medical Necessity (LOMN): A Letter of Medical Necessity is a document written by a physician that explains the need for an incontinence product. It details the reasons why a particular product and quantity are necessary for treatment or management of a condition. Some Medicaid programs will require this as a better explanation for why a certain product is needed.
Medical Records: Medical Records are documents that contain the recorded medical history of a patient. They are provided by a physician, and generally contain a history of all the conditions and healthcare services a person has received. Some Medicaid plans may need to review your medical records in order to approve incontinence supplies or other medical services.
Not all Medicaid programs require every type of document. Different coverage plans and situations will require different combinations of paperwork. The best way to learn what paperwork is needed is to call one of our care experts at (800)-867-4412 and speak with them about your particular situation.
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In order for an incontinence product to be covered by a Medicaid plan, it must be considered “medically necessary”
Prior Authorization Prior Authorization is basically a pre-approval from Medicaid for coverage of an incontinence product. In order for the product to be covered, Prior Authorization must be obtained BEFORE the products are provided.
Some, but not all, Medicaid plans require Prior Authorization for incontinence product coverage. The best way to find out about your specific plan policy is to contact your Medicaid office and speak with a representative.(Back to Top)
State-by-State Coverage Select your state below to learn more about the Medicaid coverage options available in your area.
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Select Your State:
All material is presented solely as educational information.
Select Your State:
All material is presented solely as educational information.
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
For more information, please visit the Alabama Medicaid website.
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Alabama
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restriction:
Supplies must be medically necessary and prescribed by your doctor.
For more information, please visit the Alabama Medicaid website.
(Back to index)
Alaska
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
For more information, please visit the Alaska Medicaid website.
(Back to index)
Alaska
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restriction:
Supplies must be medically necessary and prescribed by your doctor.
For more information, please visit the Alabama Medicaid website.
(Back to index)
Arizona
Get Supplies
HCD can provide supplies to Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Arizona
Get Supplies
HCD can provide supplies to Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restriction:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Arkansas
Get Supplies
HCD can provide supplies to Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
(Back to index)
Arkansas
Get Supplies
HCD can provide supplies to Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restriction:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
(Back to index)
California
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
(Back to index)
California
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restriction:
(Back to index)
Colorado
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
For more information, please visit the Colorado Medicaid website.
(Back to index)
Colorado
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restriction:
Supplies must be medically necessary and prescribed by your doctor.
For more information, please visit the Colorado Medicaid website.
(Back to index)
Connecticut
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
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Connecticut
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restriction:
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DC – District of Columbia
HCD participates in this Medicaid program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 4.
Medicaid or your insurance provider may need to pre-approve the supplies you need before you can receive them.
(Back to index)
DC – District of Columbia
Get Supplies
HCD can provide supplies to Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restriction:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 4.
Medicaid or your insurance provider may need to pre-approve the supplies you need before you can receive them.
(Back to index)
Delaware
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered by children under age 4.
Medicaid or your insurance provider may need to pre-approve the supplies you need before you can receive them.
(Back to index)
Delaware
Get Supplies
HCD can provide supplies to Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restriction:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered by children under age 4.
Medicaid or your insurance provider may need to pre-approve the supplies you need before you can receive them.
(Back to index)
Florida
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
For more information, please visit the Florida Medicaid website.
(Back to index)
Florida
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restriction:
Supplies must be medically necessary and prescribed by your doctor.
For more information, please visit the Florida Medicaid website.
(Back to index)
Georgia
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 4, or adults over age 21.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
For more information, please visit the Georgia Medicaid website.
(Back to index)
Georgia
Get Supplies
HCD can provide supplies to Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3.Requirements/Restriction:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 4, or adults over age 21.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
For more information, please visit the Georgia Medicaid website.
(Back to index)
Hawaii
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
For more information, please visit the Hawaii Medicaid website.
(Back to index)
Hawaii
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restriction:
Supplies must be medically necessary and prescribed by your doctor.
For more information, please visit the Hawaii Medicaid website.
(Back to index)
Idaho
Get Supplies
HCD can provide supplies to fee-for-service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
Supplies are not covered by age under 4.
Supplies must be medically necessary and prescribed by your doctor.
Medicaid may need to pre-approve the supplies you need before you can receive them.
(Back to index)
Idaho
Get Supplies
HCD can provide supplies to fee-for-service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
Supplies are not covered by age under 4.
Supplies must be medically necessary and prescribed by your doctor.
Medicaid may need to pre-approve the supplies you need before you can receive them.
(Back to index)
Illinois
Get Supplies
HCD can provide supplies to Managed Care customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
(Back to index)
Illinois
Get Supplies
HCD can provide supplies to Managed Care customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
(Back to index)
Indiana
Get Supplies
HCD can provide supplies to Managed Care customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve the supplies you need before you can receive them.
(Back to index)
Indiana
Get Supplies
HCD can provide supplies to Managed Care customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve the supplies you need before you can receive them.
(Back to index)
Iowa
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may have to pre-approve your supplies before you can receive them.
(Back to index)
Kansas
HCD does not currently participate in-network with this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
For more information, visit the Kansas Medicaid website.
(Back to index)
Iowa
Get Supplies
HCD participates in this Medicaid program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may have to pre-approve your supplies before you can receive them.
(Back to index)
Kansas
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
For more information, visit the Kansas Medicaid website.
(Back to index)
Kentucky
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Louisiana
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
For more information, visit the Louisiana Medicaid website.
(Back to index)
Maine
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
For more information, visit the Maine Medicaid website.
(Back to index)
Kentucky
Get Supplies
HCD participates in this Medicaid program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Louisiana
HCD participates in this Medicaid program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
For more information, visit the Louisiana Medicaid website.
(Back to index)
Maine
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
For more information, visit the Maine Medicaid website.
(Back to index)
Maryland
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Massachusetts
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Servic
Managed Care
3. Requirements/Restrictions:
(Back to index)
Michigan
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
(Back to index)
Minnesota
Get Supplies
HCD can provide supplies for Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 4.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Maryland
Get Supplies
HCD participates in this Medicaid Program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Massachusetts
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
(Back to index)
Michigan
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
(Back to index)
Minnesota
Get Supplies
HCD can provide supplies for Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 4.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Mississippi
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Missouri
Get Supplies
HCD can provide supplies to Managed Care Customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
(Back to index)
Mississippi
Get Supplies
HCD participates in this Medicaid Program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Missouri
Get Supplies
HCD can provide supplies to Managed Care Customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
(Back to index)
Montana
HCD participates in this Medicaid Program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Montana
Get Supplies
HCD participates in this Medicaid Program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Nebraska
HCD participates in this Medicaid Program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Nevada
HCD is currently not in-network with this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
For more information, visit the Nevada Medicaid website.
(Back to index)
Nebraska
Get Supplies
HCD participates in this Medicaid Program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Nevada
HCD is currently not in-network with this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
For more information, visit the Nevada Medicaid website.
(Back to index)
New Hampshire
Get Supplies
HCD can provide supplies to Managed Care customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
New Jersey
HCD is currently not in-network with this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
(Back to index)
New Hampshire
Get Supplies
HCD can provide supplies to Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
New Jersey
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
(Back to index)
New Mexico
Get Supplies
HCD can provide supplies to Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
New Mexico
Get Supplies
HCD can provide supplies to Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
New York
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
(Back to index)
New York
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
(Back to index)
North Carolina
HCD can provide supplies to Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
North Carolina
Get Supplies
HCD can provide supplies to Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
North Dakota
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
(Back to index)
North Dakota
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
(Back to index)
Ohio
HCD participates in this Medicaid Program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Oklahoma
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
(Back to index)
Oregon
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
For more information, visit the Oregon Medicaid website.
(Back to index)
Ohio
Get Supplies
HCD participates in this Medicaid Program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Oklahoma
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
(Back to index)
Oregon
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
For more information, visit the Oregon Medicaid website.
(Back to index)
Pennsylvania
HCD participates in this Medicaid Program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Rhode Island
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
(Back to index)
South Carolina
HCD cannot provide incontinence supplies, but we can provide you with other products. Contact us to learn more!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 4.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
South Dakota
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Incontinence products are not covered.
3. Requirements/Restrictions:
Incontinence products are not covered.
(Back to index)
Tennessee
HCD cannot provide incontinence supplies, but we can provide you with other products. Contact us to learn more!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
(Back to index)
Pennsylvania
Get Supplies
HCD participates in this Medicaid Program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Rhode Island
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
(Back to index)
South Carolina
HCD cannot provide incontinence supplies, but we can provide you with other products. Contact us to learn more!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 4.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
South Dakota
HCD does not currently participate in this Medicaid program, but we’re always expanding, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Incontinence products are not covered.
3. Requirements/Restrictions:
Incontinence products are not covered.
(Back to index)
Tennessee
HCD cannot provide incontinence supplies, but we can provide you with other products. Contact us to learn more!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
(Back to index)
Texas
HCD participates in this Medicaid Program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 4.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Texas
Get Supplies
HCD participates in this Medicaid Program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 4.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Utah
HCD can provide supplies to Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Vermont
HCD is currently not in-network with this Medicaid program, but we’re always adding more, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
For more information, visit the Vermont Medicaid website.
(Back to index)
Utah
Get Supplies
HCD can provide supplies to Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Vermont
HCD is currently not in-network with this Medicaid program, but we’re always adding more, so check back soon for updates!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
For more information, visit the Vermont Medicaid website.
(Back to index)
Virginia
Get Supplies
HCD participates in this Medicaid Program, and is the exclusive provider for Fee-for-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies may be covered for children under age 3 in certain circumstances.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Virginia
Get Supplies
HCD participates in this Medicaid Program, and is the exclusive provider for Fee-for-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies may be covered for children under age 3 in certain circumstances.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Washington State
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Washington State
Get Supplies
HCD participates in this Medicaid Program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
West Virginia
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
West Virginia
Get Supplies
HCD is in network with this Medicaid Program!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Wisconsin
Get Supplies
HCD can provide supplies to Managed Care customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Wisconsin
Get Supplies
HCD can provide supplies to Managed Care customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
Fee-For-Service
Managed Care
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Wyoming
Get Supplies
HCD can provide supplies to Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
Wyoming
Get Supplies
HCD can provide supplies to Fee-For-Service customers!
1. Are Incontinence Products Covered:
2. What Type of Benefit:
3. Requirements/Restrictions:
Supplies must be medically necessary and prescribed by your doctor.
Supplies are not covered for children under age 3.
Medicaid or your insurance provider may need to pre-approve your supplies before you can receive them.
(Back to index)
How to Get Your Supplies : For people who already have Medicaid, the first step to getting incontinence supplies is to obtain a diagnosis from a physician. An official diagnosis provides proof of medical necessity and allows a medical supply company to obtain paperwork for submission.
When speaking with your doctor, be honest about your experience.Discuss the specifics of your needs and really focus on solutions. It may be difficult and embarrassing, but speaking openly about your condition will help get you the right products for your need.
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Contact Us :
Once you’ve obtained a diagnosis, the next step is to contact us and enroll. We can supply you with the incontinence product you need and bill your insurance company for the cost.
Every month, your products will be shipped free and discreetly to your door, and you’ll save money in the process.
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All material is presented solely as educational information.
*This guide was created by the experts at HCD, with information provided by medicaid.gov.
Disclaimer:
Unless otherwise noted, the recommendations in this document were obtained from the sources indicated. Be advised that information contained herein is intended to serve as a useful reference for informational purposes only. HCD cannot be held responsible for the continued accuracy of or for any errors or omissions in the information. All trademarks and registered trademarks are the property of their respective owners.
This post was reviewed by our Director of Clinical Excellence and Oversight.
Regardless of the terms of coverage, all Medicaid plans require some form of paperwork that shows a need for the incontinence product. These documents must be submitted to the insurance provider in order for an incontinence product to be covered. Every Medicaid plan has different requirements for what documents are needed. Generally, they fall into these five categories:
