Incontinence Supplies (IS) include:
- Diapers (regular and bariatric)
- Briefs (regular and bariatric)
- Incontinence pads
- Underpads (Chux)
- Wipes
Incontinence supplies can be delivered monthly, every other month or quarterly.
For adults, the maximum amount that can be received is one of each item monthly. For children the maximum amount varies up to what is considered medically necessary.
To qualify for incontinence supplies, the applicant must:
- Be at least four years of age.
- Have Medicaid.
- Have a doctor who has knowledge of the incontinence, and has been seen by that doctor within the last year.
- The doctor must be willing to sign a Physician Certification of Incontinence.
To apply, complete a referral form or call the intake line.
Incontinence Supplies Vendor BID Solicitation
- Incontinence Supplies FAQs
How do I make a referral for IS?
IS referrals can be made by calling CLTC Centralized Intake at 888-971-1637, by electronic referral, or by going under applications on participant’s dashboard in Phoenix and clicking on New Incontinence Supplies Application.
What is the process for receiving IS?
The status of an IS application can be found by clicking application on participant’s dashboard and then checking waiver supports. If provider choice list has been returned with choices, signed and dated, IS referral has been made. Once referral has been accepted by a provider, provider will then send Physician Certification of Incontinence to participant’s physician. Once physician has signed the Certification of Incontinence, the form is then sent back to the IS provider and acknowledged in Phoenix under Forms. At this point IS authorizations are created and a notification letter is mailed to participant/AR.
What it the status of my IS?
Status is initial or participating (has been enrolled). The most prevalent status is that the provider has accepted IS referral and is awaiting receipt of completed Physician Certification of Incontinence back from participant’s physician.
Once authorized, when will I receive IS?
Provider has 30 days to deliver IS from date of authorization.
Can participants receive additional IS?
Yes, a reassessment will be performed by a SCDHHS nurse for all requests for additional supplies.
How is the amount of additional supplies determined for an adult (age 21 and older) making that request?
If a participant is experiencing increased incontinence and requests additional supplies, a new IS assessment is required. Adjustments to the frequency of IS delivery are possible with a change in assessed bowel/bladder rating.
Who can receive both briefs or diapers and incontinence pads (Poise pads)?
Anyone who is frequently or total incontinent of bladder and/or bowel.
How is the amount of IS available determined for a child (age 4 to 20)?
From the IS policy: “Children ages 4 to 20 may exceed the state plan frequency limits for Incontinence Supplies per Early Periodic Screening Diagnosis and Treatment (EPSDT) policy if medically necessary.” A DHHS RN will perform a reassessment for all requests for additional supplies.