Alerts

Durable Medical Equipment (DME) Program Updates Related to Continuous Glucose Monitor (CGM) Update

12/9/2020


TO:  DME Providers, Prosthetics & Orthotics (P&O) Providers, Pharmacies, Physicians, Physician Assistants, Nurse Practitioners

 

RE:   Durable Medical Equipment (DME) Program Updates Related to Continuous Glucose Monitor (CGM) Update

 

Effective January 1, 2021, the CGM prior authorization (PA) criteria for children through EPSDT will be updated to remove historical hypoglycemic documentation requirements. More information can be found on the CGM Monitoring Checklist at: https://medicaid.alabama.gov/content/4.0_Programs/4.3_Pharmacy-DME/4.3.12_DME.aspx. 

 

Policy questions concerning this provider notice should be directed to the DME Program at (334) 242-5050.