CHCS Report Outlines State Medicaid Strategies to Expand CGM Coverage
The Center for Health Care Strategies published a report examining how state Medicaid programs can expand access to continuous glucose monitors for beneficiaries with diabetes. The report addresses coverage policies, prior authorization requirements, and reimbursement strategies that states can implement to improve glucose management technology access. It highlights disparities in diabetes outcomes among Medicaid populations and presents policy options for removing barriers to CGM adoption. The recommendations are relevant for managed care organizations responsible for implementing durable medical equipment benefits and managing diabetes care quality metrics.
Managed care organizations may face new state directives to cover continuous glucose monitors or modify prior authorization protocols for diabetes management devices, affecting pharmacy and DME benefit administration and HEDIS diabetes quality measures.
Managed Care
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