Do I Need a Prescription to Receive Incontinence Products Through Medicaid?

If you are looking to receive incontinence products through your state’s Medicaid program, you may be wondering the following question.

Does my doctor need to provide a prescription for me to receive incontinence products?

Yes, you must get a prescription to receive incontinence supplies through Medicaid insurance. Your state’s Medicaid program will cover incontinence supplies when prescribed by a physician for use in chronic pathologic conditions that cause incontinence to the insured individual. These medically necessary items include adult diapers, disposable underpads, bladder control pads, and reusable underwear.

How to get a prescription for incontinence supplies?

To receive a prescription to have your insurance cover incontinence supplies, you must first make an appointment with your doctor or health care provider. Your doctor will go over your symptoms and give a qualifying incontinence diagnosis. Your doctor will decide if incontinence products are medically necessary for your condition and how much product is required to treat your condition.

What are the requirements to get incontinence supplies from Medicaid?

You must receive a signed prescription from a physician or licensed practitioner stating that incontinence supplies are medically necessary. Some states may require a Certificate of Medical Necessity. Prior authorization may be required for your state Medicaid plan to cover incontinence supplies. Age requirements for children vary. Quantity limits and covered items are determined by state. Click on your state below to review additional requirements for incontinence supply coverage:

• Alaska
• Alabama
• Arkansas
• Arizona
• California
• Colorado
• Connecticut
• Delaware
• Florida
• Georgia
• Hawaii
• Idaho
• Illinois 
• Indiana
• Iowa
• Kansas
• Kentucky
• Louisiana
• Maine
• Maryland
• Massachusetts
• Michigan
• Minnesota 
• Mississippi 
• Missouri
• Montana
• Nebraska
• Nevada
• New Hampshire
• New Jersey
• New Mexico
• New York
• North Carolina
• North Dakota
• Ohio
• Oklahoma
• Oregon
• Pennsylvania
• Rhode Island
• South Carolina
• South Dakota
• Tennessee
• Texas
• Utah
• Vermont
• Virginia
• Washington
• West Virginia
• Wisconsin
• Wyoming

Why do I need a diagnosis or prescription to get incontinence products? 

While incontinence products are available at your local pharmacy or grocery store, you will need to pay out of pocket to purchase them. You or someone you are caring for may require additional treatment or incontinence products. Getting incontinence supplies covered by a Medicaid insurance plan can greatly help offset additional medical costs.

San Pablo Commercial is a family-owned, small business with a mission to deliver affordable medical supplies to their customers. We offer a variety of incontinence products including SPC underpads, bed mats for children, tuckable bed protectors for potty training, and disposable bed pads for incontinence. SPC disposable quilted underpads are also available on Amazon. We care deeply about our customers and want to make ordering incontinence supplies easier so that they can spend less time cleaning up spills and messes.