Re: In Texas too: Diapers / Medicaid

[Guest guest]

Diapers can be paid for in Texas by Medicaid yes. I get Goodnight's

pullups for Landon from a Med-Care Medical supply company, paid for by

Medicaid. This is one of the services I stand to lose if Landon loses

Medicaid. I do NOT know about other forms of Insurance paying for

diapers though and I've never heard of that being done, sadly.

I sure hope you get some form of assistance though, waitlisted for 5+

years?? I'd be bankrupt by then.

> >

> > Diapers are covered by medicaide after the age that a typical

> child will be

> > out of diapers. In many states that is after the age of 3, with a

> doctor's

> > prescription. This prescription usually needs to state WHY (DX),

> age,

> > weight, and brand.

> >

> > But each state can set what they deem to be an appropriate age. I

> never

> > could qualify Elie in VA but I have been told that they usually

> qualify

> > people after age 6. In PA, I got diapers for kids after the

> fourth

> > birthday.

> >

> > Call your case worker/support coordinator.

> >

> >

> > Sara - Choose to make lemonade, not complain about the lemons.

> >

> >

> >

> >

> >

> > >From: stamtorch@

> > >Reply-To:

> > >To:

> > >Subject: Re: Re: Seth's Mom in Michigan

> > >Date: Tue, 17 Apr 2007 17:19:08 EDT

> > >

> > >

> > >In a message dated 4/16/2007 10:49:15 PM Eastern Daylight Time,

> > >Csvillars@ writes:

> > >

> > >Trisha got all her diapers and now

> > >gets 2 cases of depends a month with medicaid.

> > >

> > >

> > >

> > >Oh my goodness, I never knew this! At what age do they cover

> diapers?

> > >

> > >Blessings, W

> > >

> > >

> > >homeschooling Mom to AJ (12), (8), ^l^,

>

> > >(5,

> > >Trisomy 18 mosaic AKA 's syndrome) and Birgitta (age 4,

> adoption

> > >finalized 2/1/05 !!, Trisomy 21 AKA Down's Syndrome, Fetal

> Alcohol

> > >Syndrome,

> > >Autism, SID)

> > >

> > >

> > >

> > >

> > >************************************** See what's free at

> > >http://www.aol.com.

> > >

> > >

> > >

[Guest guest]

Why yes , all you need to do is contact your medical provider

and request for a script that this is a medical necessity

and see what type of Insurance policy provides.

Depending on your insurance, title 19 will pay for your diapers,

wipes, bedpads and gloves for your child with a script from your

doctor. Diapers will be covered under some insurance policies and

Medicaid only if they are called incontinence supplies, have a

doctor's prescription, and are for a child over 4 years old.

Medicaid does cover the cost of pampers, training pants,

and mattress pads.

Have your child's doctor fill out a Title 19 form and

then look in the phone book for Durable Medical

Equipment. That's where you would get the pampers, training pants,

and pads.

Check Medco, they deliver anywhere are located in Houston but once

again they deliver all over and probably refer a medical supply

center near you, they are already insurance providers.

http://www.e-medco.com/

Keep us posted to see what you found out, good luck.

have you contacted to see where your child is on the IFHS or

the MDCP interest list? I usually call them annually to see more or

less whereabouts what number and sometimes this gets them going. My

son was receiving the IFHS for the diapers, then use it for ABA

therapy. My son is no longer receiving the IFHS, he is now on the

CLASS Program.

Good luck,

Irma,18,DS/ASD

>

> Wow, do you think I can get our medical insurance to pay for

diapers? We are in Texas too, and do not qualify for SSI or

Medicaid. We are waitlisted for MDCP, IFS, and CLASS waiver programs,

and have been for 5+ years. Diapers sure are pricey, and we're just

about outgrowing the size 6 Pampers we're currently using. What do

you use after that?

>

> Thanks,

>

> Katy (DS/ASD) & Ally's Mom

[Guest guest]

wanted to add more resource to contact:

At the 2005 Autism State Conference was:

Diapers to Your Door

100 – 12th Street

P O Box 275

Seagraves, TX 79359

J-MAR INCONTINENCE SUPPLY

P.O. BOX 869

Wolfforth, Texas 79382

Office: (806)866-4010

Voicemail: (800)342-7371

Fax: (806)866-4061

http://www.jmardiapers.com/

I've no personal experience with either company. My son is toilet-

trained at the age of 13 y/o due to the late dx of autism. Learning

about sensory integration and ABA was a huge impact to help assist

during his toilet training days.

There are 3 people whom I recommend if you are near any of these places

or have the opportunity to attend a toilet training workshop, well

worth it, is with Batts or Gail Wayman out in Plano.

Kelle Wood out in Austin or when she is out in the DFW area with the

FEAT organization, 90% have learn this with this program.

There is also a wonderful book I highly recommend if unable to attend:

by Wheeler who is another person to meet at any workshop or

conference.

Co-author of the best-selling Treasure Chest of Behavioral Strategies

for Children with Autism, now brings us an excellent guide

through the special difficulties encountered when toilet training an

individual with autism. This book offers over 200 toilet training tips,

50 case examples from which you can learn, and 40 " cautions. "

Irma,18,DS/ASD

[Guest guest]

I just got off the phone with Blue Cross / Blue Sheild, and am told that they do

not provide coverage for diapers because they are disposable, and disposable

items are not covered. I asked about syringes and colostomy bags as other

disposable items, and she said those are pharmacy items covered there, but not

diapers or any form of incontinence supplies. I'm not surprised. It seems

whatever Katy needs it's never covered. We always have to fork over for things

it seems others can get for free. Thanks for the thought though! Apparently

we're made of money...

mum592001 wrote: Why yes , all you need

to do is contact your medical provider

and request for a script that this is a medical necessity

and see what type of Insurance policy provides.

Depending on your insurance, title 19 will pay for your diapers,

wipes, bedpads and gloves for your child with a script from your

doctor. Diapers will be covered under some insurance policies and

Medicaid only if they are called incontinence supplies, have a

doctor's prescription, and are for a child over 4 years old.

Medicaid does cover the cost of pampers, training pants,

and mattress pads.

Have your child's doctor fill out a Title 19 form and

then look in the phone book for Durable Medical

Equipment. That's where you would get the pampers, training pants,

and pads.

Check Medco, they deliver anywhere are located in Houston but once

again they deliver all over and probably refer a medical supply

center near you, they are already insurance providers.

http://www.e-medco.com/

Keep us posted to see what you found out, good luck.

have you contacted to see where your child is on the IFHS or

the MDCP interest list? I usually call them annually to see more or

less whereabouts what number and sometimes this gets them going. My

son was receiving the IFHS for the diapers, then use it for ABA

therapy. My son is no longer receiving the IFHS, he is now on the

CLASS Program.

Good luck,

Irma,18,DS/ASD

>

> Wow, do you think I can get our medical insurance to pay for

diapers? We are in Texas too, and do not qualify for SSI or

Medicaid. We are waitlisted for MDCP, IFS, and CLASS waiver programs,

and have been for 5+ years. Diapers sure are pricey, and we're just

about outgrowing the size 6 Pampers we're currently using. What do

you use after that?

>

> Thanks,

>

> Katy (DS/ASD) & Ally's Mom

[Guest guest]

That's great Irma, thank you. What part of Texas are you in? San (from

your email address)?

mum592001 wrote: wanted to add more

resource to contact:

At the 2005 Autism State Conference was:

Diapers to Your Door

100 – 12th Street

P O Box 275

Seagraves, TX 79359

J-MAR INCONTINENCE SUPPLY

P.O. BOX 869

Wolfforth, Texas 79382

Office: (806)866-4010

Voicemail: (800)342-7371

Fax: (806)866-4061

http://www.jmardiapers.com/

I've no personal experience with either company. My son is toilet-

trained at the age of 13 y/o due to the late dx of autism. Learning

about sensory integration and ABA was a huge impact to help assist

during his toilet training days.

There are 3 people whom I recommend if you are near any of these places

or have the opportunity to attend a toilet training workshop, well

worth it, is with Batts or Gail Wayman out in Plano.

Kelle Wood out in Austin or when she is out in the DFW area with the

FEAT organization, 90% have learn this with this program.

There is also a wonderful book I highly recommend if unable to attend:

by Wheeler who is another person to meet at any workshop or

conference.

Co-author of the best-selling Treasure Chest of Behavioral Strategies

for Children with Autism, now brings us an excellent guide

through the special difficulties encountered when toilet training an

individual with autism. This book offers over 200 toilet training tips,

50 case examples from which you can learn, and 40 " cautions. "

Irma,18,DS/ASD

[Guest guest]

,

Ok, here is another trial and that is contacting the medical supply

places I've given, ask if there are any generic

diagnostic code, if they have dealt with BCBS.

For example kids with CP or Muscular Dystrophy may lack the muscle

control to be potty trained. There are lots of different reasons why

a child would not be able to have the control to be potty trained.

Just thought I throw this in before you throw in the towel, then you

could retrieve back to of course " never fails " but a relief to know

you had tried.

I remember once upon a time how BCBS insurance use to be one of the

best and seems like I have been reading how much it has gone down.

Like I am surprised because......; )

Just remember you gave it a go and then contact the MHMR center to

see where is your child on the " Interest list " ?

Irma,18,DS/ASD

>

> I just got off the phone with Blue Cross / Blue Sheild, and am told

that they do not provide coverage for diapers because they are

disposable, and disposable items are not covered. I asked about

syringes and colostomy bags as other disposable items, and she said

those are pharmacy items covered there, but not diapers or any form

of incontinence supplies. I'm not surprised. It seems whatever Katy

needs it's never covered. We always have to fork over for things it

seems others can get for free. Thanks for the thought though!

Apparently we're made of money...

[Guest guest]

>

> That's great Irma, thank you. What part of Texas are you in? San

(from your email address)?

Yes, out here in San , how about you?

Irma

[Guest guest]

I have just gotten set up with a company called Tri Medical (I have

the number if anyone wants it) My 4 year old is getting rather snug

in her size 6 diapers and I wasn't completely sure where to go from

there.

I contacted the insurance company and they told me that I would have

to contact my pediatrician the pediatrician would have to get an

approval. To get an approval they would have to include a diagnosis

and express the need. It was a pretty easy process, no headaches.

The pediatrician called back by the end of the day and set me up with

Tri Medical. The woman that I spoke to sent me samples of diapers and

pull ups so that I could find the right fit. They ask me how many I

would need a day. I estimated 5. Sometimes my daughter uses the

potty sometimes not. So on and so forth. They will now send me 150

diapers once every month. They had the pediatrician write a

prescription stating the number of diapers and 11 refills. And the

UPS man will deliver them to my front door.

**Amber

>

> Wow, do you think I can get our medical insurance to pay for

diapers? We are in Texas too, and do not qualify for SSI or Medicaid.

We are waitlisted for MDCP, IFS, and CLASS waiver programs, and have

been for 5+ years. Diapers sure are pricey, and we're just about

outgrowing the size 6 Pampers we're currently using. What do you use

after that?

>

> Thanks,

>

> Katy (DS/ASD) & Ally's Mom

[Guest guest]

We found a company thru Exceptional PArent MAgazine and had the diapers drop

shipped. They were kind enough to send us samples to try when we outgrew

the largest kids available. I believe the name of the company was Woodbury.

I also bought seconds thru them!! I could use extra tape that they sent

as most seconds were missing tape tabs.

You might want to think out using your private medicaal insurance. IF you

have a lifetime limit on DME (Some companies consider diapers to be DME) you

DO NOT want to use your insurance. But if you have a prescription, it is a

recognized medical expense for IRS.

Sara - Choose to make lemonade, not complain about the lemons.

>

>Reply-To:

>To:

>Subject: In Texas too: Diapers / Medicaid

>Date: Wed, 18 Apr 2007 13:44:51 -0700 (PDT)

>

>Wow, do you think I can get our medical insurance to pay for diapers? We

>are in Texas too, and do not qualify for SSI or Medicaid. We are waitlisted

>for MDCP, IFS, and CLASS waiver programs, and have been for 5+ years.

>Diapers sure are pricey, and we're just about outgrowing the size 6 Pampers

>we're currently using. What do you use after that?

>

> Thanks,

>

> Katy (DS/ASD) & Ally's Mom

>

>megsoracco wrote:

> gets diapers. 2 cases a month. Started at age 3 I

>believe. I

>didn't know about it either for awhile til a parent told me. I hope

>it works out!

>

>

>

> >

> > Diapers are covered by medicaide after the age that a typical

>child will be

> > out of diapers. In many states that is after the age of 3, with a

>doctor's

> > prescription. This prescription usually needs to state WHY (DX),

>age,

> > weight, and brand.

> >

> > But each state can set what they deem to be an appropriate age. I

>never

> > could qualify Elie in VA but I have been told that they usually

>qualify

> > people after age 6. In PA, I got diapers for kids after the

>fourth

> > birthday.

> >

> > Call your case worker/support coordinator.

> >

> >

> > Sara - Choose to make lemonade, not complain about the lemons.

> >

> >

> >

> >

> >

> > >From: stamtorch@...

> > >Reply-To:

> > >To:

> > >Subject: Re: Re: Seth's Mom in Michigan

> > >Date: Tue, 17 Apr 2007 17:19:08 EDT

> > >

> > >

> > >In a message dated 4/16/2007 10:49:15 PM Eastern Daylight Time,

> > >Csvillars@... writes:

> > >

> > >Trisha got all her diapers and now

> > >gets 2 cases of depends a month with medicaid.

> > >

> > >

> > >

> > >Oh my goodness, I never knew this! At what age do they cover

>diapers?

> > >

> > >Blessings, W

> > >

> > >

> > >homeschooling Mom to AJ (12), (8), ^l^,

>

> > >(5,

> > >Trisomy 18 mosaic AKA 's syndrome) and Birgitta (age 4,

>adoption

> > >finalized 2/1/05 !!, Trisomy 21 AKA Down's Syndrome, Fetal

>Alcohol

> > >Syndrome,

> > >Autism, SID)

> > >

> > >

> > >

> > >

> > >************************************** See what's free at

> > >http://www.aol.com.

> > >

> > >

> > >

[Guest guest]

We're in Katy, outside of Houston. We visit San quite regularly though,

as my husband's family is there. It's nice to have a neighbor on the www!

mum592001 wrote:

>

> That's great Irma, thank you. What part of Texas are you in? San

(from your email address)?

Yes, out here in San , how about you?

Irma

[Guest guest]

We're in Katy, outside of Houston. We visit San quite regularly though,

as my husband's family is there. It's nice to have a neighbor on the www!

mum592001 wrote:

>

> That's great Irma, thank you. What part of Texas are you in? San

(from your email address)?

Yes, out here in San , how about you?

Irma