1. www.FinneganHealth.com | 1-888-789-6600
Incontinence Diapers and Pull-ups
Arkansas Medicaid Coverage Guidelines

2. Incontinence Supplies are Covered
For children ages 3 and up
Full Arkansas Medicaid covers $130 of Incontinence Supplies monthly
ARKids First (ARKids B) DOES NOT COVER
Extension of Benefits is available (not guaranteed) for more
MD or DO signature ONLY (APNs are NOT accepted) on RX

3. What Diagnoses are Accepted by Medicaid?
For Incontinence Supplies, Medicaid accepts ICD-10 DX of, or similar to:
R19.7 Diarrhea, unspecified
F98.0 Enuresis not due to a substance or known physical condition
R15.9 Full incontinence of feces
N39.44 Nocturnal enuresis
K59.00 Constipation, unspecified
K56.41 Fecal impaction
Q43.1 Hirschsprung's disease

4. What Diagnoses are Accepted by Medicaid?
For Incontinence Supplies, Medicaid accepts ICD-10 DX of, or similar to:
K59.3 Megacolon, not elsewhere classified
K59.2 Neurogenic bowel, not elsewhere classified
Q79.59 Other congenital malformations of abdominal wall
K59.09 Other constipation
Q43.8 Other specified congenital malformations of intestine
Z93.52 Appendico-vesicostomy status
N32.9 Bladder disorder, unspecified

5. What Diagnoses are Accepted by Medicaid?
For Incontinence Supplies, Medicaid accepts ICD-10 DX of, or similar to:
Q42.9 Congen absence, atresia and stenosis of lg int, part unsp
Q41.9 Congen absence, atresia and stenosis of sm int, part unsp
Q64.9 Congenital malformation of urinary system, unspecified
N76.2 Acute vulvitis
N18.9 Chronic kidney disease, unspecified
R30.0 Dysuria
F98.1 Encopresis not due to a substance or known physiol condition

6. What Diagnoses are Accepted by Medicaid?
For Incontinence Supplies, Medicaid accepts ICD-10 DX of, or similar to:
Q64.10 Exstrophy of urinary bladder, unspecified
R39.14 Feeling of incomplete bladder emptying
R35.0 Frequency of micturition
R39.81 Functional urinary incontinence
N39.46 Mixed incontinence
N31.9 Neuromuscular dysfunction of bladder, unspecified
R35.1 Nocturia

7. What Diagnoses are Accepted by Medicaid?
For Incontinence Supplies, Medicaid accepts ICD-10 DX of, or similar to:
Z93.6 Other artificial openings of urinary tract status
Q52.4 Other congenital malformations of vagina
R35.8 Other polyuria
R33.8 Other retention of urine
N39.498 Other specified urinary incontinence
N32.81 Overactive bladder
N15.9 Renal tubulo-interstitial disease, unspecified

8. What Diagnoses are Accepted by Medicaid?
For Incontinence Supplies, Medicaid accepts ICD-10 DX of, or similar to:
R33.9 Retention of urine, unspecified
F84.2 Rett's syndrome
R32 Unspecified urinary incontinence
R39.15 Urgency of urination
N39.0 Urinary tract infection, site not specified
N13.722 Vesicoureter-reflux w reflux neuropath w/o hydrourt, bi

9. What is Required on the Rx?
Secondary or Tertiary diagnoses may be required, though not likely
Incontinence supplies can be prescribed for a non-incontinence specific issue as
long as the product is used for bladder and bowel control issues
A prescription is required and must include:
Product type, Size, Age, Diagnosis (2 DXs are preferred), PCP Signature, Date

10. Finnegan Health Ships to your Patient FREE
Finnegan will determine your patient’s specific product needs
Incontinence supplies can be picked up or shipped monthly from Finnegan
Shipping is 100% FREE to your patient but is NOT covered by Medicaid
Gloves are billed under the $250 limit of medical supplies, not incontinence
WIPES ARE NOT COVERED but Finnegan provides them FOR FREE*
*some criteria required

13. www.FinneganHealth.com | 1-888-789-6600
Thank You.