How to Get Incontinence Supplies Covered by West Virginia Medicaid

Under West Virginia Medicaid benefits, both children and adults can receive incontinence supplies as one of the medically necessary items under its Medicaid coverage. West Virginia Medicaid recipients may qualify to receive a combination of pull-ups / pull-ons, adult briefs (adult diapers), disposable underpads, and bladder control pads at no cost to you.

To be approved for these medical supplies with West Virginia Medicaid and Aeroflow Urology, you need to have the following items. We have a team of Continence Care Specialists who can help you gather this information.

• Depending on your insurance, a signed Certificate of Medical Necessity (documented proof from your doctor within the last 6 months that your items are medically necessary) and / or a prescription for incontinence (within the last 12 months) from your healthcare provider.
• Your medical reason for needing supplies (incontinence diagnosis with correlating disability or medical condition).
• An estimated number of incontinence products you need every day (i.e. 2 underpads, 3 kids' pull-ons, etc.).
• Have to have a qualifying disability or medical condition that causes incontinence and is diagnosed by a healthcare professional, such as spinal cord injury (SCI), cerebral palsy (CP), autism, etc.
• Must be 3 years of age or older.
• Must be a West Virginia Medicaid recipient.

Medicaid-covered incontinence products may be provided through Medicaid plans that are managed care plans. These plans vary by state. In West Virginia, these plans include:

• Medicaid
• Unicare
• The Health Plan.
• Aetna Better Health.

Call the number on your insurance card if you have questions about your insurance information. 

If you are eligible for West Virginia Medicaid, You can apply for Medicaid online or receive further eligibility screening on the WVpath website. 

You may also contact your local Bureau for Children and Families county office to learn more about Medicaid and how to apply. Find your local Bureau on the Provider Opportunities by Counties page. 

If you have questions or need help applying, you can call the hotline at 1-800-318-2596.

If you can’t get West Virginia Medicaid to cover incontinence supplies, you may be able to go to your local diaper bank to get free products that will protect you or your loved one against leakage.

Visit a diaper bank in West Virginia to see if they have the supplies you need. They may carry adult diapers, protective underwear, kid’s diapers, kid’s pull-ups, underpads, along with other incontinence supplies.

West Virginia diaper banks:

• Diaper Drop Charities.
• Lewis County.
• West Virginia Diaper Bank.
• Southern Snuggles Diaper Bank.

1. Does West Virginia Medicaid have to be my primary insurance provider? Incontinence products can be provided for any beneficiaries who have West Virginia Medicaid as their primary or secondary provider.
2. How many supplies will West Virginia Medicaid cover per month? The number of adult diapers, wipes, and other supplies you receive will depend on what is allowed by your West Virginia Medicaid plan as well as your prescription. Your Aeroflow Urology specialist will let you know exactly the quantity you are eligible to receive.
3. I have West Virginia Medicaid, so why don’t I qualify for supplies? You should have received an email outlining why you or your loved one were not approved for supplies. The reason could be due to the following: Aeroflow Urology is not in network with your West Virginia Medicaid plan, or our contract may not allow us to provide the supplies you are requesting, you may not meet your insurance provider’s age requirement, incontinence supplies are not a covered item under your Medicaid plan, or you or your loved one's disability may not be a qualifying condition under your plan.
4. I submitted my information to Aeroflow Urology. When will I know if I’m approved for free incontinence supplies? One of our dedicated Continence Care specialists will contact you via phone or email within 1-2 business days of submitting your information. If it has been longer than this time frame, please give us a call at 844-276-5588 and we would be happy to check into your account and provide an update. Our office is open Monday-Friday 8am-5pm ET.
5. What about getting a prescription? Can Aeroflow help? Your West Virginia Medicaid plan will require a prescription in order to cover continence care products. If you do not have a prescription for you or your loved one, your Continence Care Specialist will reach out to your doctor directly for the paperwork.
6. I have Medicare. Why don’t I qualify for free incontinence supplies? Unfortunately, Medicare does not currently deem incontinence products as “medically necessary” so they do not cover supplies. However, they may cover your catheters.

Information provided on the Aeroflow Urology blog is not intended as a substitute for medical advice or care from a healthcare professional. Aeroflow recommends consulting your healthcare provider if you are experiencing medical issues relating to incontinence.