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Incontinence Supplies

Effective August 15, 2023, all medically necessary incontinence products for Vermont Medicaid members will be supplied through a single vendor, ActivStyle, an AdaptHealth company. Licensed in Vermont and enrolled with Vermont Medicaid as Champlain Valley Brace and Limb LLC.

This change will provide one point of contact for members to reduce barriers to access, offer member support and product options, and distribute incontinence supplies at a lower cost. 

Disposable incontinence supplies include the following products:  

  • diapers 

  • pull-up or pull-on briefs  

  • under pads, like Chuxs  

  • underwear guard or shield liners  

Clinical Coverage and Prescriptions

For Incontinence Supplies Clinical Coverage Criteria information, visit the DVHA Durable Medical Equipment webpage. 

Providers should send prescriptions, standard written orders, and any other intake-related documentation via email to NewOrderCM@activstyle.com or via fax to 1-888-614-4635. 

Resources Providers can Share with Members  

Members can learn more and enroll today to receive shipments: 

  • Visit the ActivStyle website.  

  • Call ActivStyle at 1-800-506-1148 (Monday – Friday, 8AM – 7PM Central Time). 

  • For additional questions, contact the Green Mountain Care Customer Support Center at 1-800-250-8427

 

For further questions, providers can contact Gainwell Provider Services at 800-925-1706.