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Incontinence

Medicaid can cover incontinence supplies for children if they are deemed medically necessary? EPSDT ensures that children age 21 and under, who are enrolled in Medicaid programs, receive age-appropriate screening and preventative services to discover and treat conditions as early as possible. Part of EPSDT includes “home healthcare” which is broadly interpreted to include medical supplies and equipment needed for a Medicaid recipient to treat a diagnosed condition. This includes incontinence supplies such as diapers and pull-ons as well as some supplemental supplies such as gloves and Chux pads.

Criteria:

A signed medical necessity letter or prescription from the child’s doctor or healthcare provider within the last 12 months.
An accurate record of diagnostic information pertaining to the underlying condition as well as any other medical diagnoses.
An underlying medical condition or diagnosis that causes incontinence.
The number of times per day the child’s doctor or healthcare provider has ordered the incontinence supplies to be used.
The number of disposable incontinence supplies requested per month.
The maximum authorization to receive up to three months of products at a time with updated clinical notes

S2 Medical 678-824-6290

Edgepark 800-321-0591

Home Care Delivered 866-938-3906

Lifeline Medical 800-452-4566

Urostat 888-845-8698

HDIS 800-269-4663

Byram Healthcare 977-902-9726

Numotion 713-440-7149

Helping Mamas The mission of Helping mamas is to connect helping mamas to mamas needing help. Providing diapers to those who need it most.