New State Requirements for Incontinence Supplies Effective October 1
Effective October 1, 2026, the New York State Department of Health (DOH) has revised Medicaid requirements for incontinence supplies. These state-mandated changes simplify quantity limits for products such as diapers, liners, and underpads and introduce new authorization, documentation, and claims payment requirements.
What Providers Need to Know
Beginning October 1, 2026:
- Updated quantity limits will apply to incontinence supplies.
- Prior authorization remains required.
- Diagnosis codes and supporting documentation are required.
- Claims must match authorized products and quantities.
For complete requirements, quantity limits, authorization instructions, and claims payment information, review the full guidance on the VNS Health Provider Education page.