If you’re thinking about switching Medicaid plans, it’s important to check whether ActivStyle is in network before making the change. A new plan can affect what medical supplies are covered, whether additional paperwork is needed, how smoothly future orders are processed, and, ultimately, if you will be able to receive supplies from ActivStyle.
Can switching Medicaid plans affect your medical supplies? It can. If ActivStyle is out of network with the new plan, they will not be able to provide your supplies and you will have to switch to another supplier that is in network with your new plan. Medicaid plans may have different supplier networks, covered products, authorization requirements, documentation rules, and quantity limits. Confirming that ActivStyle participates with the new plan can help assure continuity of service from ActivStyle.
The incontinence products and other medical supplies you receive from ActivStyle are necessary parts of daily care. The last thing you want is to discover a coverage concern when it’s time to place your next order.
Checking network participation and benefits ahead of time can help reduce surprises. Coverage differs by state, Medicaid plan, medical need, and individual eligibility, so it’s important to verify the details before making a change.
Quick Navigation
- Why Network Status Matters When Changing Medicaid Plans
- How to Check Whether ActivStyle Is In Network
- What Information You’ll Need Before Switching Plans
- How to Update Your Insurance Information with ActivStyle
- What Could Change with a New Medicaid Plan?
- How to Help Prevent Supply Order Delays
- Medicaid Plan Change Checklist
- How ActivStyle Can Help
- Frequently Asked Questions
Why Network Status Matters When Changing Medicaid Plans
When you enroll in a new Medicaid plan, your coverage may change in ways that aren’t immediately obvious.
Many people understandably focus on whether their doctors, hospitals, medications, and other services are covered. Medical supply coverage may not come to mind until the next order is due.
That’s why network participation matters.
If ActivStyle doesn’t participate with your new plan, you will not be able to get supplies from ActivStyle and could encounter:
- Missed orders
- The need to find a new supplier
- Additional documentation requirements
- Different authorization rules
- Changes to covered products or quantities
- The need to explore other available supply options
These outcomes aren’t guaranteed, but understanding your new plan’s network and coverage rules can help you prepare.
If you depend on Medicaid-covered incontinence supplies each month, even a short delay may add stress to your routine. Taking time to confirm network status before switching plans can help you make a more informed choice.
How to Check Whether ActivStyle Is In Network
If you’re considering switching Medicaid plans, don’t wait until your next supply order to investigate network participation.
Here are several steps you can take.
Review the Plan’s Provider Directory
Many Medicaid managed care plans maintain an online directory of participating providers and suppliers.
Search for ActivStyle by name, and look for the category under which medical supply providers are listed. Depending on the plan, the category may be called:
- Medical supplies
- Durable medical equipment
- DME
- Home medical equipment
- Incontinence supplies
Directories may not always reflect the most recent network information, so use the directory as a starting point rather than your only source.
Call the Plan’s Member Services Department
Call the member services number listed on the Medicaid plan’s website or insurance card. Ask the representative to confirm whether ActivStyle currently participates with the plan.
Questions may include:
- Is ActivStyle currently in network?
- Are medical supplies covered under my plan?
- Is prior authorization required?
- Are there any changes I should be aware of?
- Will I need a new prescription or updated documentation?
- Could my covered products or monthly quantities change?
- When would the new coverage take effect?
Write down the representative’s name, the date of the call, and any reference number provided.
Ask ActivStyle for Help
If you’re unsure where to begin, we can help you understand what information may be needed to review your options.
You can also call 855-284-6757.
Network participation, coverage, available products, quantities, costs, and documentation requirements vary by state, plan, and individual eligibility.
Confirm Before Enrolling When Possible
It’s generally easier to investigate possible coverage or network concerns before changing plans than after the new coverage takes effect.
Confirming the details early gives you more time to ask questions, compare your options, and understand how a new plan may affect future orders.
Related: Open Enrollment and Incontinence Care: What to Know About Insurance Coverage for Supplies
What Information You’ll Need Before Switching Plans
Having the right information available can make the transition much easier.
Before you complete a Medicaid plan change, gather:
- Your current Medicaid plan information
- Your current and new member ID numbers, if available
- Physician contact information
- Current prescriptions
- Information about the supplies you routinely receive
- Any recent plan notices or coverage documents
- Updated contact information, if it has changed
You may not need every item, but keeping these details together can make it easier to answer questions and complete any coverage review or approval process.
How to Update Your Insurance Information with ActivStyle
Once your new Medicaid plan becomes active, let us know as soon as possible.
Waiting until your next order is due could leave less time to review the new plan’s requirements.
To update your Medicaid insurance information, have the following ready when available:
- Your new insurance card
- Member ID number
- Plan name
- Coverage effective date
- Updated address, phone number, or email address
- Any notices explaining the plan change
After receiving the updated information, ActivStyle can review the plan details and let you know whether additional steps may be needed.
Updating your insurance information doesn’t guarantee coverage or prevent every possible delay. However, providing accurate information early may give everyone more time to address new plan requirements.
What Could Change with a New Medicaid Plan?
Changing plans doesn’t automatically mean losing coverage. However, your new plan may have different network, product, authorization, or documentation rules.
Covered Products May Differ
Medicaid plans may cover different products, product types, or quantities.
Possible differences may involve:
- Product selection
- Absorbency options
- Briefs or protective underwear
- Bladder control pads
- Booster pads
- Underpads
- Wipes, gloves, or related supplies
ActivStyle offers several categories of incontinence products, but availability and coverage depend on your state, plan, medical need, and eligibility.
Checking coverage early can give you time to understand your options if an adjustment is required.
Authorization Requirements May Change
Some Medicaid plans may require prior authorization or updated documentation before approving certain medical supplies.
Requirements may include:
- A current prescription
- Doctor enrolled with insurance
- Documentation of medical necessity
- Recent medical records
- Healthcare provider with MD or DO credentials, no NP or PA’s
- A healthcare provider’s order
- Renewal or authorization paperwork
The exact requirements depend on the plan. Don’t assume that documentation accepted by one plan will automatically satisfy another.
Quantity Limits May Be Different
Your new plan may have different monthly limits than your previous coverage.
This could affect:
- The number of products covered each month
- How often an order can be refilled
- Which product categories are included
- Whether supporting documentation is required
- How frequently authorization must be renewed
Ask the new plan to explain any limits that apply to your specific coverage. Don’t reduce necessary changes or extend product use solely to make supplies last longer without guidance from an appropriate healthcare professional.
How to Help Prevent Supply Order Delays
Nobody wants to discover a coverage issue when they’re running low on supplies.
These steps can help reduce the risk of service interruptions.
Verify Coverage Before Switching
Confirm that ActivStyle participates with the Medicaid plan you’re considering. Check with the plan and ActivStyle rather than relying on only one source.
Update Your Insurance Information Promptly
Share your new insurance details as soon as your coverage begins.
Review Prescription and Documentation Requirements
Ask whether the new plan needs an updated prescription, medical-necessity documentation, authorization, or other records.
Respond Quickly to Documentation Requests
If the plan, healthcare provider, or ActivStyle requests additional information, send it as soon as you reasonably can. Supplies cannot be shipped to you until all required documentation is on file with ActivStyle.
Monitor Your Supply Levels
Keep track of the supplies you have available while the transition is being reviewed. Avoid
waiting until you’re nearly out before raising a coverage or order concern.
Keep Track of Coverage Dates
Note when your current plan ends and when the new coverage begins. This can help identify which plan should process an order during the transition.
Save Important Information
Keep copies of insurance cards, plan notices, healthcare provider documentation, and reference numbers from calls. These details may be helpful if questions arise.
Medicaid Plan Change Checklist
Before finalizing a new Medicaid managed care plan, use this checklist:
- Confirm that ActivStyle is in network.
- Review which medical supplies the new plan covers.
- Ask about approved product types.
- Understand prior authorization requirements.
- Ask whether updated medical documentation is needed.
- Check applicable quantity and refill limits.
- Gather current and new insurance information.
- Review the plan’s effective date.
- Share new coverage information with ActivStyle.
- Monitor your available supplies during the transition.
- Ask questions before your next order is due.
We’re Here to Help Make the Transition Easier
A Medicaid plan change can bring a lot of questions.
ActivStyle helps eligible individuals and caregivers understand available product options and possible coverage. We may also assist with insurance verification, required healthcare provider documentation, insurance paperwork and billing, discreet home delivery, and reorder reminders.
You can learn more through our:
- Medicaid-covered incontinence supply information
- Insurance and eligibility information
- Frequently asked questions
- Incontinence supplies
- Patient and caregiver resources
Have Questions Before Changing Medicaid Plans?
Ask about ActivStyle’s participation with the Medicaid plan you’re considering and what information may be needed before your next supply order.
Or call 855-284-6757.
Coverage, network participation, available products, quantities, documentation requirements, and out-of-pocket costs vary by state, health plan, medical necessity, and individual eligibility.
Frequently Asked Questions
How do I verify that ActivStyle is in network?
Check the Medicaid plan’s provider directory, call the plan’s member services department, and ask if ActivStyle is in network.
Can switching Medicaid plans affect my medical supplies?
Yes, it may. Different plans can have different supplier networks, covered products, authorization requirements, documentation rules, and quantity limits. Confirm the details before switching whenever possible.
Do I need a new prescription after changing Medicaid plans?
Not always. However, some plans may require updated prescriptions or supporting documentation before approving supplies.
How soon should I update my insurance information with ActivStyle?
As soon as your new card comes in the mail or when coverage becomes active. Early updates help reduce the risk of order delays.
What happens if ActivStyle isn’t in network with my new plan?
You may have to change medical supply companies; however, coverage and available options depend on the plan, state, and individual circumstances. Contact the plan and ActivStyle before enrolling, if possible, so you can better understand your options and make an informed decision.
Can caregivers update insurance information?
In many situations, authorized caregivers can assist with providing updated insurance information and required documentation. Just be sure they’re authorized on your ActivStyle account, or you will need to be on the call with them to provide approval to the representative to release account details to the caregiver on your behalf.
Who should I contact if I have questions?
For questions about your Medicaid plan’s benefits and network, contact the plan’s member services department. For help providing updated information or asking about ActivStyle’s plan participation, request information from ActivStyle or call 855-284-6757.
