Does Medicaid Cover Bathroom Equipment

Medicaid is an insurance program for americans with low incomes and usually limited assets primarily the elderly or disabled but also some adults and children.

Does medicaid cover bathroom equipment. Medicare will only cover your dme if your doctors and dme suppliers are enrolled in medicare. For example medicare will cover supplies that help lower the risk of falls. Medicare typically doesn t cover certain types of durable equipment such as hearing aids and adaptation items like bathroom grab bars and safety ramps but this coverage varies by state. Before discussing medicaid s role in paying for durable medical equipment dme it is helpful to briefly explain how medicaid works.

Medicare part b also generally covers commode chairs. You may need to buy the equipment. Now medicare will cover commode chairs but don t expect coverage for comfort items. You may be able to choose whether to rent or buy the equipment.

Access generally follow medicare s criteria for durable medical equipment dme items that are used in the bathroom. Medicare coverage for bathroom safety equipment. Your medicare part b may also cover other bathroom equipment like toilet safety frames handheld shower heads portable commodes walk in bathtubs and emergency alert system. Keep in mind that medicaid may cover some forms of equipment that medicare will not cover.

This includes some types of dme used in hospitals or skilled nursing facilities snfs like paraffin bath units and oscillating beds. 1 950 maximum benefit year for incontinence products and products must be obtained from a contracted vendor. To get coverage for most bathroom safety devices you will generally need additional insurance. Medicare pays for different kinds of dme in different ways.

Equipment that is not suitable for use in the home. No prior authorization for specified medical equipment and medical supply items. Medicare may cover the costs of this equipment to some extent when they are recommended by the doctor. Supplies include commode chairs crutches and walkers.

You may need to rent the equipment. However medicare does not generally consider bathroom aids such as grab bars to be covered durable medical equipment. Medicaid related programs may provide coverage for certain types of bathroom equipment if a healthcare professional prescribes its use for a recipient with mobility issues but the recipient may be limited on which brand or what type of bathroom equipment they can order. Most dme items used in the bathroom are considered by medicare to be personal convenience items.

If medicare does cover the supply you need it ll fall under part b benefits. Disposable medical supplies are occasionally covered for items such as diabetic testing and administering supplies feeding tubes and colostomy supplies. Depending on the type of equipment.