Although Medicare doesn’t cover adult diapers, you may have other options. If you are eligible for Medicaid, you may be able to get financial assistance to help cover the cost of adult diapers. Medicaid coverage varies by state, and each state has the freedom to expand its program beyond the minimum federal guidelines. Incontinence supplies coverage and adult diapers are not available through Medicare. Get info on what is covered through your plan on Medicare.gov.
Health Benefits/NC Medicaid. Forms; Adult Medicaid. Policies/Manuals; Administrative Letters; Change Notices; Family and Children's Medicaid. Policies/Manuals; Administrative Letters; Change Notices; Eligibility Information System - EIS. EIS-1105 STATE DATA EXCHANGE (SDX) EIS-4000 CODES APPENDIX TABLE OF CONTENTS; EIS-4000 CODES APPENDIX B. In most states, Medicaid does cover children's diapers, but there are some requirements that need to be met. The diapers must be considered medically necessary to treat a condition. Also, some Medicaid plans have age restrictions for coverage. Learn more about children's diaper coverage.
Medicaid. Medicaid for individuals in nursing homes will supply adult diapers and other disposable, absorbent products. Most Medicaid Waivers, which provide assistance to individuals living at home or in the community, also provide assistance, typically under the category of home care supplies. Incontinence Supplies for Medicaid Members Page 5 of 6 T4531 Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each T4532 Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each T4533 Youth sized disposable incontinence product, brief/diaper, each.