Does Medicaid Cover Diapers?

In this article...
  • Find out if Medicaid covers the cost of diapers for its beneficiaries, and learn about other incontinence supplies that may be covered for Medicaid recipients.

Many Americans require diapers and other incontinence supplies as a result of aging or health conditions. Below, we're discussing if Medicaid covers the cost of these supplies for its beneficiaries.

Does Medicaid Cover Diapers?

When it's deemed medically necessary, Medicaid does cover the cost of diapers for adults. For adults and seniors, these needs generally fall under Home and Community-Based Services (HCBS) waivers, which provide additional services and supplies for older adults and those living with disabilities. 

A doctor's prescription is typically required to receive coverage for diapers. This prescription will determine how many diapers the beneficiary is eligible for each month. 

When it comes to diapers for young children, Medicaid will typically provide a diaper allowance for children under age four, provided they're medically necessary. 

What Incontinence Supplies Are Covered by Medicaid?

HCBS waivers that cover diapers for adults typically cover a range of other supplies for those living with incontinence issues. That includes pads,  protective underwear, and external catheters when required as a result of a medical condition.

What Does Medicaid Cover for Adults? 

In addition to diapers and incontinence supplies, Medicaid provides coverage for a long list of health services and supplies for adults. Each state is responsible for administering its own Medicaid program, which means that coverage can vary depending on where you live. In all states, Medicaid must cover a variety of health services, including: 

  • Annual physicals and primary care services
  • Hospital stays
  • Emergency care
  • Immunizations
  • Prescription medications
  • Necessary health care supplies
  • Preventive care
  • Nursing care

Additionally, HCBS waivers and other state-administered Medicaid programs typically include extra coverage for long-term care, including home care, adult day care and assisted living for seniors and adults with disabilities. 

Medicaid also provides special coverage for women who are pregnant or have just given birth, as well as individuals with renal failure and other chronic health conditions.

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