If you have a child who suffers from incontinence, you may be eligible to get pediatric diapers through Medicaid at little to no out-of-pocket cost. ActivStyle works with thousands of parents across the country who need disposable incontinence supplies to help keep their special needs children dry and comfortable.
What is urinary incontinence?
Urinary incontinence is defined as the loss of complete control of the act of urination or the involuntary emptying of the bladder. It can be caused by any number of factors, and in young infants and toddlers, it is usually completely normal.
Facts about urinary incontinence in children
- Urinary incontinence in children is very common.
- Nighttime wetting is more common than daytime wetting.
- Most urinary incontinence resolves without intervention.
- Persistent incontinence may require further medical evaluation.
- Daytime incontinence is usually not diagnosed until age 5 or 6. Nighttime incontinence is usually not diagnosed until age 7.
- Treatment for most cases of urinary incontinence involves behavioral modification.
- Medications should be reserved for select children.
- Less than 1% of all affected children have persistent incontinence into adulthood.
Get the incontinence supplies your child needs
All children in Medicaid programs are covered by a provision called EPSDT (Early and Periodic Screening, Diagnosis, and Treatment). This provision is basically the package of services each state Medicaid plan is required to offer all children from birth through age 20 (ages can vary from state to state). This program began in 1967, and was intended to ensure children received early and appropriate diagnosis and treatment of their condition to help prevent long term health consequences.
EPSDT states that payment will only be made for treatment of a diagnosed medical condition, so pediatric diapers can only be prescribed for children who remain incontinent beyond the typical age of potty training. Most states begin covering diapers at age three or four. A few states do not begin coverage until age five, and several will cover diapers before the age of three with a medical diagnosis.
If you have questions about your child’s eligibility, contact an ActivStyle Product Expert. They will be happy to assist you and answer your questions and help determine eligibility.
If your child is over the age of three or four and suffers from incontinence, ActivStyle can help you get the pediatric diapers and disposable incontinence supplies your child needs to stay dry and comfortable at little to no out-of-pocket cost*. We will work with Medicaid to get your child’s supply of pediatric diapers to save you the expense of purchasing diapers at a store. Plus, you will have the convenience of getting incontinence products shipped direct to your door with no-cost shipping.
Learn more about ActivStyle’s pediatric incontinence supplies on our Pediatric Supplies page.
Medicaid supplies diapers to children over the age of three or four (age varies depending on the state) when the following applies:
- The child has a medical condition resulting in incontinence
- Medicaid is the primary or secondary payer
How do you qualify?
- Contact us toll-free at 888-280-8632 (Monday-Friday, 8 AM- 7 PM Central Time) and ActivStyle will take care of the details!
- ActivStyle will contact your child’s doctor to obtain a prescription and confirm your coverage through insurance
- Once eligibility is determined, a monthly supply of incontinence supplies will be shipped discreetly to your door
* Patient financial responsibility is determined by health plan eligibility and patient meeting qualifying medical necessity criteria. Estimated out-of-pocket costs will be discussed prior to service. Age eligibility may vary from state to state.
