Incontinence Supply Management Program Begins Sept. 1st
The Department of Health (DOH) posted a provider communication in eMedNY on the "Incontinence Supply Management Program" beginning Sept. 1, 2016. The announcement includes the following:
- Directions to enroll in a webinar detailing the new changes;
- NYS Incontinence Supply Contracted Purchase Price by HCPCS Code; and
- The approved Twin Med LLC Product Formulary.
This is a result of Social Services Law Section § 365-a (2)(g)(v), which authorizes the Commissioner of Health to implement an Incontinence Supply Management Program. As outlined in the announcement, this initiative seeks to improve the quality of incontinence products provided to all Medicaid enrollees by establishing minimum quality standards for adult and youth sized diapers and reduce costs for incontinence products while maintaining the existing provider (Durable Medical Equipment and Pharmacy) network. Incontinence supplies are covered by Medicaid for individuals aged 3 years and older and include medically necessary disposable and reusable diapers, liners, and underpads.
Beginning Sept. 1st, these minimum standards apply to all adult and youth sized products dispensed to Medicaid enrollees residing in community settings by fee-for-service, managed care, and managed long term care Medicaid providers.