Connect with others who understand.

sign up log in
About MyAutismTeam
Real members of MyAutismTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

Free Diapers With Medicaid?

Free Diapers With Medicaid?

Ive heard several people saying they get free diapers with medicaid. I live in wisc and have never heard of this. Please tell me how I can gary free diapers. my son is getting medicaid trough wis and ssi. We do not qualify for food stamps our any other assistance that I've applied for but 60 a month less on diapers would be beneficial

A MyAutismTeam Member said:

I live in NYS, I have a 31 month old daughter who has autism. Medicaid provides diapers at age 3 with a prescription from her doctor. The script must state a valid diagnosis, CPT code (basically incontinence due to autism) however my daughter has a Medicaid funded HMO (Hudson Health Plan) which is who covers her diapers before age 3! I was in disbelief, the woman I spoke to at my insurance company said she verified that there was NO age restriction. I called her doctor and he readily wrote out the script. There is a maximum of 250 diapers per month. also be aware that not all pharmacies do this, you cant just go into any pharmacy and expect to get boxes of pampers. The provider has to be a authorized pharmacy or a medical supply company. A certain type of diapers are covered, they are plain looking, diapers.No print etc. a google search using the following codes will bring up some images so you can see what they look like. the codes for them are as follows T4529 sz small/med 12-23 lbs, T4530 lg 24-35 lbs. over 35 pounds you would need youth size, T4533 35-50 lbs. I recommend calling Medicaid and speaking to a representative in the DME (durable medical equipment) department, if you have Medicaid funded HMO then call that company. Tell them you need information how you can get "pediatric size disposable incontinence diapers/ briefs" they should tell you most of the info I just gave you. If not make sure you ask, ask a lot of questions, they will not give you the info if they don't have to. Also make them give you a list of medical supply companies and/ pharmacies that provide this service through you insurance.
For those without Medicaid, call your insurance company, this is considered medically necessary with a valid diagnosis and is often covered under your DME part of your insurance.
I hope this helps someone!

posted over 8 years ago
A MyAutismTeam Member said:

I have an 11 yr old son who is Autistic, non-verbal, still in diapers and uses a Vantage Light Augmentative device. We get his diapers through Indiana Medicaid and we had to have a prescription with a diagnosis of Incontinence that specified how many diapers he was to have monthly,and then I contacted our state Medicaid program to find out where to go and they directed me in the right direction. I know you posted about the diapers, 7 mos. ago, but was not sure if you got the information you needed. Good luck and if you haven't gotten the answer you needed, I hope the information I provided will help you.

posted over 8 years ago
A MyAutismTeam Member said:

In my state, you can use Medicaid to buy diapers IF your child is past the typical diaper-wearing age. You have to go to a medical supply store that sells various medical equipment and supplies. They will order your son's size and you pay with your medicaid coupon. You can not do this in a grocery store.

posted about 9 years ago
A MyAutismTeam Member said:

I know my CLTS person just last month told me his swimming lessons could be covered I was like thanks wheres my 300 that.I've already spent on them?

posted about 9 years ago
A MyAutismTeam Member said:

In South Dakota, we have a Family Support Program through Medicade which provided diapers, pull-ups, adaptive aquatic swimming lessons and more. We started out working through the main office in Pierre while we were on a waiting list. That was for about a year before we got our own local support person. Not sure if they have anything like that in WI but I would hope so. It's not overly advertised if you know what I mean. They have also paid for his Autism Camp the past three summers.

posted about 9 years ago
Already a Member? Log in
MyAutismTeam My autism Team

Thank you for signing up.

close