Coverage of Incontinence Briefs for ALTCS Members

Arizona News
Spring 2015

Elderly CaretakerOn December 15, 2014, the United States Supreme Court refused to hear AHCCCS' appeal of the Court of Appeals decision in Alvarez v. Betlach which upheld coverage of incontinence briefs for preventive purposes in the lawsuit brought by several adult ALTCS members. As a result of the Supreme Court action, the court injunction went into effect. Beginning December 15, 2014, incontinence briefs for ALTCS members age 21 years and older are covered when medically necessary for preventive purposes. Coverage requirements for this population can be located in chapter 300 of the AHCCCS Medical Policy Manual at http://www.azahcccs.gov/shared/Downloads/MedicalPolicyManual/Chap300.pdf