How to Receive Incontinence Supplies through Alabama Medicaid

Alabama Medicaid is a joint state and federal insurance program that offers health coverage to low-income adults, children, pregnant women, seniors, and individuals living with disabilities. If you are enrolled in a qualifying Alabama Medicaid plan, you may be eligible to receive low-cost or free incontinence supplies.

Does Alabama Medicaid cover incontinence supplies?

Yes, Alabama Medicaid will pay for incontinence supplies when prescribed by a physician for use in chronic pathologic conditions that cause incontinence. These medically necessary items include diapers, protective underwear, disposable underpads, bladder control pads, and reusable underwear. 

What are the requirements to receive incontinence supplies from Alabama Medicaid?

Alabama Medicaid covers incontinence supplies that are medically necessary to treat a patient’s condition. In order to receive incontinence supplies from AL Medicaid, you must have the following:

• A medical diagnosis that requires incontinence supplies 
• A signed prescription by either a physician, certified registered nurse
• practitioner (CRNP), or physician assistant for specific incontinence supplies 
• Amount of incontinence supplies needed on a daily basis
• Medical records must be submitted to justify the medical necessity of all incontinence supplies

Children must be older than 3 years to be eligible for supplies. Children receiving incontinence supplies from the Early Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit must have dates of service and units required based on the EPSDT expiration date.

Patients receiving supplies must be non-ambulatory or minimally ambulatory*. They must also be medically at risk for skin breakdown, which is defined as meeting at least two of the following conditions:

• unable to control bowel or bladder functions,
• unable to utilize toilet facilities due to medical condition, 
• unable to physically turn self or reposition self,
• or unable to transfer self from bed to chair or wheelchair without assistance)

*Documentation of extraordinary need for incontinence supplies must be submitted if a recipient is fully ambulatory, but is unable to assist themselves to the toilet due to their mental status or developmental disability.

Prior authorization may be required. Physicians must download the Alabama Medicaid Prior Authorization form and submit via fax to 1-800-748-0116, or e-mail it to al_pa@kepro.com. If you need further assistance, please contact 1-800-748-0130.

How to receive SPC incontinence supplies through Alabama Medicaid?

San Pablo Commercial currently does not provide incontinence supplies through Alabama Medicaid. You can place an order on our website and get our products shipped directly to you. SPC Quilted Underpads 30x36 (100 count) are available on Amazon.

How to determine if you are eligible to receive Alabama Medicaid benefits?

Medicaid eligibility in Alabama is based on income. To determine if you are eligible to receive Medicaid benefits from the State of Alabama, visit the Alabama Medicaid website to see if you qualify.

How to apply for Alabama Medicaid?

If you are eligible, you can apply online and submit an application for Alabama Medicaid. For general questions, call 1-334-242-5000. For additional support, contact your local district office in Alabama.

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, adult diapers, disposable bed pads for incontinence, incontinence briefs, and more. SPC 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.