Apply Here

To apply for our products and services a recipient must match some basic guidelines. Home Products Healthcare currently serves qualified residents in the states of Illinois, Iowa, Ohio, Pennsylvania and Washington. To begin the application process, please use the form below.

If you are not a Medicaid recipient or live outside of Ohio, Illinois, and Washington, we can still help you find the right incontinence products: please visit for more information.

If you need assistance, please contact us at 1-800-425-1101.