Effective August 15, 2023, all medically necessary incontinence products for Vermont Medicaid members will be supplied through a single vendor, ActivStyle, an AdaptHealth company.
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:
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.