Funding Guide For Special Needs Bed
Insurance & Funding Guidelines
Many families have succeeded in getting the entire bed paid for by insurance, Medicaid, Medicaid Waivers, or charities for Cubby special needs beds. Learn more below.
Have further questions? We love to help! Please reach out using the Contact Us page :)
Medicaid / Insurance
We're here to help you navigate the process :)
Although a Cubby Bed has many benefits for sleep, anxiety, and sensory regulation, insurance will typically only reimburse a pediatric safety bed for significant safety concerns such as seizures, fall risk, elopement, self injury, entrapment or other well documented behaviors that could cause injury.
If you're loved one may qualify, here are the steps:
1 - Prescription
Start by getting a Prescription for a "Cubby+ Safety Bed" from your doctor.
2 - Connect With A Supplier
Have your doctor send the prescription to a durable medical equipment (DME) supplier and then call them. The DME partner will collect/create your documentation and submit it to insurance.
We partner with the two largest DMEs - Numotion and National Seating & Mobility. Find your local branch by clicking the links below.
+Find Numotion location
+Find National Seating & Mobility location
You are also welcome to work with another DME supplier - have them contact us.
3 - Create Letters Of Medical Necessity (LMN)
With your DME partner + OT, doctor, neurologist, etc, draft LMNs. Then have the original prescription doctor sign it saying they agree.
More letters are better than one but quality and detail are more important than quantity. LMNs prove the medical need to insurance. Make sure that the safety risks are defined and less costly alternatives are ruled out. The most common denial reason is not detailed enough documentation
Click here for a LMN guide and template. Send to us and we'd be happy to review!
4 - Follow Up!
These companies are often overwhelmed so stay diligent. Many families are denied the first go-around but successful with an appeal. Know that you are a ROCKSTAR ADVOCATE for you and your child's needs!
5 - Get Approved & Enjoy Your Cubby!
The process can take 1-3 months and is not guaranteed. It depends on your insurance, location and situation.
Other funding options include charities and waiver programs
We also have discounted private pay with 36 month payment plans which will get you safe sleep much faster.
E1399 HCPCS Code
Cubbys are billed as FDA registered pediatric specialty beds according to Medicaid and Medicare guidelines.
ICD-10-CM codes (Diagnosis Codes)
- Autism F84.0
- Intellectual disabilities F70-F79
- Epilepsy & Seizures G40
- Down Syndrome Q90
- Cerebral Palsy G80
- Angelman Syndrome Q93.51
- Abnormal Head Movements R25.0
- Fall From Bed W06
- Self Harm Z91.5
- Pica F98.3
- Wandering Z91.83
Have questions? We love to help! Please reach out using the Contact Us page :)
The funding pathway is different for every waiver so talk to your case manager about the process. They can contact us with questions. If you’re not yet on a waiver, these are excellent programs to provide financial resources for your loved one. Typically, your child qualifies solely based on their income which means most children with disabilities will qualify. You can find out more information here- www.medicaidwaiver.org
Foundations & Grant Programs
Click here for a great list of resources