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Incontinence Diapers and Pull-ups

Arkansas Medicaid Coverage Guidelines

Incontinence Supplies are Covered

For children ages 3 and up

Full Arkansas Medicaid covers $130 of Incontinence Supplies monthly

ARKids First (ARKids B) DOES NOT COVER

Extension of Benefits is available (not guaranteed) for more

MD or DO signature ONLY (APNs are NOT accepted) on RX

What Diagnoses are Accepted by Medicaid?For Incontinence Supplies, Medicaid accepts ICD-10 DX of, or similar to:

R19.7 Diarrhea, unspecified F98.0 Enuresis not due to a substance or known physical condition R15.9 Full incontinence of feces N39.44 Nocturnal enuresis K59.00 Constipation, unspecified K56.41 Fecal impaction Q43.1 Hirschsprung's disease

What Diagnoses are Accepted by Medicaid?For Incontinence Supplies, Medicaid accepts ICD-10 DX of, or similar to:

K59.3 Megacolon, not elsewhere classified K59.2 Neurogenic bowel, not elsewhere classified Q79.59 Other congenital malformations of abdominal wall K59.09 Other constipation Q43.8 Other specified congenital malformations of intestine Z93.52 Appendico-vesicostomy status N32.9 Bladder disorder, unspecified

What Diagnoses are Accepted by Medicaid?For Incontinence Supplies, Medicaid accepts ICD-10 DX of, or similar to:

Q42.9 Congen absence, atresia and stenosis of lg int, part unsp Q41.9 Congen absence, atresia and stenosis of sm int, part unsp Q64.9 Congenital malformation of urinary system, unspecified N76.2 Acute vulvitis N18.9 Chronic kidney disease, unspecified R30.0 Dysuria F98.1 Encopresis not due to a substance or known physiol condition

What Diagnoses are Accepted by Medicaid?For Incontinence Supplies, Medicaid accepts ICD-10 DX of, or similar to:

Q64.10 Exstrophy of urinary bladder, unspecified R39.14 Feeling of incomplete bladder emptying R35.0 Frequency of micturition R39.81 Functional urinary incontinence N39.46 Mixed incontinence N31.9 Neuromuscular dysfunction of bladder, unspecified R35.1 Nocturia

What Diagnoses are Accepted by Medicaid?For Incontinence Supplies, Medicaid accepts ICD-10 DX of, or similar to:

Z93.6 Other artificial openings of urinary tract status Q52.4 Other congenital malformations of vagina R35.8 Other polyuria R33.8 Other retention of urine N39.498 Other specified urinary incontinence N32.81 Overactive bladder N15.9 Renal tubulo-interstitial disease, unspecified

What Diagnoses are Accepted by Medicaid?For Incontinence Supplies, Medicaid accepts ICD-10 DX of, or similar to:

R33.9 Retention of urine, unspecified F84.2 Rett's syndrome R32 Unspecified urinary incontinence R39.15 Urgency of urination N39.0 Urinary tract infection, site not specified N13.722 Vesicoureter-reflux w reflux neuropath w/o hydrourt, bi

What is Required on the Rx?

Secondary or Tertiary diagnoses may be required, though not likely

Incontinence supplies can be prescribed for a non-incontinence specific issue as long as the product is used for bladder and bowel control issues

A prescription is required and must include:

Product type, Size, Age, Diagnosis (2 DXs are preferred), PCP Signature, Date

Finnegan Health Ships to your Patient FREEFinnegan will determine your patient’s specific product needs Incontinence supplies can be picked up or shipped monthly from Finnegan Shipping is 100% FREE to your patient but is NOT covered by Medicaid

Gloves are billed under the $250 limit of medical supplies, not incontinenceWIPES ARE NOT COVERED but Finnegan provides them FOR FREE**some criteria required

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