medicaid

The 2017 Guide to Medicaid and Incontinence Supplies

 

The average cost for supplies ranges from $900-$4,000 per year

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. In fact, the average cost for supplies can range from $900-$4,000 per year, and many people are paying for it out of pocket. But for those with Medicaid, it’s a cost that might be avoided.

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.

 

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. Each state has its own eligibility requirements, but there are some qualifications that apply to all Medicaid plans. Here’s a few of the most common ones:

Low Income Families

Qualified Pregnant Women

Qualified Blind or Disabled Individuals

Qualified Working Disabled Individuals

Individuals Receiving SSI

Medically Needy

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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.

  1. 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.

  2. 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.
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Incontinence Supplies Covered by Medicaid:

Medicaid Coverage of Incontinence Supplies

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. 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

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:

 

  1. 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.  

  2. 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.

  3. 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.

  4. 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.

  5. 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. This means you cannot purchase products and then file a claim for reimbursement, even if the items are covered by your plan.

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.

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State-by-State Coverage

Select your state below to learn more about the Medicaid coverage options available in your area.

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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:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service

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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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:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service

3. Requirements/Restrictions:

  • Supplies must be medically necessary and prescribed by your doctor.
  • For more information, please visit the Alaska Medicaid website.

 

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Arizona

HCD can provide supplies to Fee-For-Service customers!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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Arkansas

HCD can provide supplies to Fee-For-Service customers!

1. Are Incontinence Products Covered:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service

3. Requirements/Restrictions:

  • Supplies must be medically necessary and prescribed by your doctor.
  • Supplies are not covered for children under age 3.

 

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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:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service
  • Managed Care

3. Requirements/Restrictions:

 

 

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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:

  • Yes

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.

 

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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:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service

3. Requirements/Restrictions:

 

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DC – District of Columbia

HCD participates in this Medicaid Program!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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Delaware

HCD can provide supplies to Managed Care customers!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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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:

  • Yes

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.

 

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Georgia

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:

  • No

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 Georgia Medicaid website.

 

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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:

  • Yes

2. What Type of Benefit:

  • Managed Care

3. Requirements/Restrictions:

  • Supplies must be medically necessary and prescribed by your doctor.
  • For more information, please visit the Hawaii Medicaid website.

 

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Idaho

HCD can provide supplies to Fee-For-Service customers!

1. Are Incontinence Products Covered:

  • Yes

What Type of Benefit:

  • Fee-For-Service

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.

 

 

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Illinois

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:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service
  • Managed Care

3. Requirements/Restrictions:

 

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Indiana

HCD can provide supplies to Managed Care customers!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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Iowa

HCD participates in this Medicaid program!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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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:

  • Yes

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.

 

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Kentucky

HCD can provide supplies to Managed Care customers!

1. Are Incontinence Products Covered:

  • Yes

2. What Type of Benefit:

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.

 

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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:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service
  • Managed Care

3. Requirements/Restrictions:

 

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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:

  • Yes

2. What Type of Benefit:

    Fee-For-Service

3. Requirements/Restrictions:

  • Supplies must be medically necessary and prescribed by your doctor.
  • For more information, visit the Maine Medicaid website.

 

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Maryland

HCD participates in this Medicaid Program!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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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:

  • Yes

2. What Type of Benefit:

  • Fee-For-Servic
  • Managed Care

3. Requirements/Restrictions:

 

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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:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service
  • Managed Care

3. Requirements/Restrictions:

 

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Minnesota

HCD can provide supplies for Fee-For-Service customers!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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Mississippi

HCD participates in this Medicaid Program!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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Missouri

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:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service
  • Managed Care

3. Requirements/Restrictions:

 

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Montana

HCD participates in this Medicaid Program!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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Nebraska

HCD participates in this Medicaid Program!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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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:

  • Yes

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.

 

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New Hampshire

HCD can provide supplies to Fee-For-Service customers!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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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:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service
  • Managed Care

3. Requirements/Restrictions:

 

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New Mexico

HCD can provide supplies to Fee-For-Service customers!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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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:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service
  • Managed Care<.li>

3. Requirements/Restrictions:

 

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North Carolina

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:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service

3. Requirements/Restrictions:

 

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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:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service

3. Requirements/Restrictions:

 

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Ohio

HCD participates in this Medicaid Program!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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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:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service

3. Requirements/Restrictions:

 

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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:

  • Yes

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.

 

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Pennsylvania

HCD participates in this Medicaid Program!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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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:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service
  • Managed Care

3. Requirements/Restrictions:

 

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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:

  • Yes

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.

 

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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:

  • No

2. What Type of Benefit:

  • Incontinence products are not covered.

3. Requirements/Restrictions:

  • incontinence products are not covered.

 

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Tennessee

HCD cannot provide incontinence supplies, but we can provide you with other products. Contact us to learn more!

1. Are Incontinence Products Covered:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service
  • Managed Care

3. Requirements/Restrictions:

 

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Texas

HCD participates in this Medicaid Program!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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Utah

HCD can provide supplies to Fee-For-Service customers!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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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:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service

3. Requirements/Restrictions:

  • Supplies must be medically necessary and prescribed by your doctor.
  • For more information, visit the Vermont Medicaid website.

 

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Virginia

HCD participates in this Medicaid Program, and is the exclusive provider for Fee-for-Service customers!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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Washington State

HCD participates in this Medicaid Program!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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West Virginia

HCD can provide supplies to Managed Care customers!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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Wisconsin

HCD can provide supplies to Managed Care customers!

1. Are Incontinence Products Covered:

  • Yes

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.

 

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Wyoming

HCD can provide supplies to Fee-For-Service customers!

1. Are Incontinence Products Covered:

  • Yes

2. What Type of Benefit:

  • Fee-For-Service

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.

 

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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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Ready to Enroll? Contact us to get started today!

 

 

All material is presented solely as educational information.

*This guide was created by the experts at HCD, with information provided by medicaid.gov.

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