Home Delivery of Incontinence Supplies for Medicaid Recipients

If you or someone you care for has Medicaid benefits and is in need of medical supplies, let HDIS help! Follow these three easy steps and HDIS will check your eligibility.

Check the listing of states below to see if services are offered in your state.
Fill out the form on this page.
We will contact you to let you know your options!

What HDIS does for you!

We will take care of every detail! HDIS will contact your doctors for all of the paperwork and take care of your billing.
No Hassle Renewals! HDIS will call and confirm an order is needed before you run out.
Discreet Shipping direct to your front door.
Personalized Product Consultation from our Trusted Advisors.
Product Samples are available to make sure you get the correct fit!

View Medicaid Websites & Fee Schedules

HDIS Medicaid Assignment of Benefits (AOB) View Assignment of Benefits (AOB) PDF

Check Your Eligibility

Please complete this form. HDIS will call you to get started! Questions? Give us a call at 1-855-258-1138. Or email us at custcare@hdismedicaid.com.

First Name *

Last Name *

Phone Number *

Email Address *

Street Address *

Street Address 2

City *

State *

ZIP Code *

Product User's Birthdate

If the products are for your child, please use their birthdate. Note: Medicaid does not cover baby diapers under age 3 or 4.

Product User's Medicaid Number

Thank you!

By submitting your information you consent to be contacted by HDIS. HDIS will use the information you provide to check your eligibility with your state's Medicaid program. Your personal information will never be sold or shared.

Arkansas
Colorado
Florida
Georgia
Idaho
Illinois
Iowa
Louisiana
Maryland
Massachusetts
Minnesota
Mississippi
Missouri
Montana
New Hampshire
New Jersey
New York
North Carolina
Ohio
Pennsylvania
South Carolina
South Dakota
Texas
Utah
Virginia
Washington
Wisconsin