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.