Here are some things that medicaid will pay for. (Correct me if I'm wrong...sometimes it's hard to keep track because we have both private insurance and Medicaid so it's hard to know who is actually paying for things). Obviously don't take my word for it...check with medicaid. But these are things I have either gotten or continue to get.
Large DME
Safety Bed (ie: Sleep safe bed or Beds by George as examples) (Purchase)
Wheelchair or transportation chair (1 every 5 years) (Purchase)
Bath Chair (1 every 5 years) (Purchase)
Freestanding lift (not ceiling mounted) (Purchase)
Stander (1 every 5 years) (Purchase)
Carseat (1 every 5 years) (Purchase)
Vibrating vest (might take several appeals) (Purchase) (May need to be a particular brand...mine is the "In Courage" brand, but they didn't want to cover "The Vest" brand)
Light Therapy Light Box
Pulse Ox
Pulse Ox machine (sometimes a purchase, most of the time a rental)
Replacement sensors
Suction
Suction machine (usually a purchase after a few months of rental) (if it breaks they will pay for the repairs)
BBG's
suction caths
saline bullets
yanaukers
suction canisters
Suction extension tubing
Nebulizer
Nebulizer (Immediate purchase)
Neb cups
Neb meds
Neb masks
Bipap/cpap
Bi-pap/cpap machine (Usually purchase after a few months rental)
Hhumidifier chambers
Masks
Ttubing
Filters
Other
Oscillating mattress topper (Immediate purchase) (to prevent bedsores)
Diapers/Briefs/Incontinence
Diapers/Briefs (156 for medicaid and it doubles to 312 if you are on a waiver)
Doublers (inserts to absorb more in a diaper...these count against your diaper totals)
Chux (13 packages for 195 total count per month)
Lube (KY)
Gloves (boxes)
Cathing supplies
straight caths
Betadine swabs
Foley Caths (leave in caths)
sterile gloves
Sterile (small packets) KY (Lube)
Formula/G-tube supplies/GJ-tube supplies
Formula (if Dr. says it is "medically necessary") (I am not sure if they have to have a g-tube or not??? And I am not sure if they qualify if they eat by mouth??)
3 gtube extensions per month
1 peg cleaning brush per month (to clean the gtube extensions)
4 replacement gtube kits per year
Feeding pump (Rental...I have never heard of a purchase)
1 feeding pump backpack per year
Y-site extensions
60 mL syringes for feeding
A few slip tip 5 or 10 mL syringes for changing gtube...but no syringes for meds
30 feeding pump bags per month
Split qauze sofwiks (2 X 2's)
Oxygen
Oxygen tanks (You can have as many as you need and trade them out as often as you need to. You are not charged per tank)
Oxygen concentrator
Portable oxygen concentrator for traveling (You borrow it from homecare) (May need a new prescription)
Nasal canulas
O2 extension tubing
O2 swivel connectors
Water bags or canisters for humidifying O2
Small Miscellaneous
Coban
Tape
Sterile qtips
Toothettes (pink mouth swab on a stick)
Alcohol wipes
Adhesive remover
Wound care
Need RX for specific item you want/need
Glucose/Blood Sugar
Glucose monitor (Ask which kind of test strips will be covered, then get that kind of monitor. Your endocrinologist often has free monitors they can give you. Or you can call the glucose monitor companies and they will send you a free monitor)
Test strips
Lancets
Meds (I have listed ones you may not think to ask for)
1 pain med (either ibuprofen or acetaminophen...but not both) (can be liquid or pills)
Calcium (liquid or pills)
Miralax
Suppositories (but not enemas)
Multi-vitamin (only up to age 5)
AAC/Communication
AAC Communication devices (ie: switches, computer programs, dynavox, tobii, etc...)
Therapy
PT, OT, Speech
I think they may have recently started covering Autism therapy???
Nursing
In home nursing services depending on where you fall on their "acuity grid"
Dr. Visits/hospital stays
Dr. Visits (Well child and sick visits)
Hospital Stays (Inpatient)
Surgeries (Inpatient or Outpatient)
Ambulance rides
Immunizations
Glasses/Hearing Aids
I haven't done this one for a while so I'm not sure...if you know...please comment below
Hearing Aid Batteries
Dental
Dental Checkups
Cleanings
Xrays
Dental Work
Fluoride
Chiropractic
Chiropractor visits
Things I have been UNSUCCESSFUL at having Medicaid pay for...
Insulin syringes (but I haven't really tried that hard) (sometimes pharmacy will throw them in for free)
Wipes
More than 1 pain med (only ibuprofen or acetaminophen, but not both)
Vitamins after age 5
Bed bath wipes (spongy wipes)
Dry shampoo or liquid leave in shampoo
Hand sanitizer
Distilled water
syringes for meds (they will provide 60 mL)
cotton balls
med bottle adapters (sometimes pharmacy will throw them in for free) (these allow you to draw up liquid meds into a syringe more easily)
red tips that convert an oral tip syringe into a slip tip
lysol
lysol wipes
enemas
Probiotics
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