Developing foley care protocol

There is no financial support for incontinence cleaning supplies. Most care in home health is CLEAN technique --good old soap and water on washcloth worked for 25 years I've been in homecare. WOCN link below supports this perineal care. For those with financial means, disposable wipes are an alternate. Getting patients/caregivers to realize this needs to be performed daily and PRN post incontinent BM is a challenge.

Insurance companies usually provide payment for foley cath supplies only. With diagnosis of permanent Urinary Incontinence, Urinary Retention, Fecal Incontinence Medical assistance= Medicaid programs will often pay for chux, adult briefs, and incontinence barrier creme with physician RX. In PA Medicaid HMO's also cover items. This is to prevent skin breakdown + its resulting cost of treatment. I encourage washable bedpads as better alternative to prevent skin breakdown + bed/chair soilage,.

WOCN: Care and Management of Patients with Urinary Catheters: A Clinical Resource Guide

https://c.ymcdn.com/sites/www.wocn.org/resource/resmgr/publications/Care_&_Mgmt_Pts_w_Urinary_Ca.pdf

Procedures:

https://www.drugs.com/cg/foley-catheter-placement-and-care.html

Caring for Your Urinary (Foley) Catheter | Memorial Sloan ...

https://www.mskcc.org/cancer-care/patient-education/caring-your-urinary-foley-catheter

Home Healthcare Nurse: Best Practices in Urinary Catheter Care

https://journals.lww.com/homehealthcarenurseonline/Fulltext/2010/06000/Best_Practices_in_Urinary_Catheter_Care.5.aspx

I clarified Medical Assistance = Medicaid. Medicaid program/ Medicaid HMO's care provided part by state and federal government so chux, incontinent supplies/briefs may not be covered. Medicaid HMO's are usually capitated to specific DME companies--can change year to year depending on contract renewal.

You are correct that Medicare, many Medicare HMO's/Medicare Advantage, Commercial/Private and Medigap insurance providers do not cover these items at this time.