REVISED - Continuous Glucose Monitor Policy Updates
Oct 24, 2025 - Effective October 1, 2025, Continuous Glucose Monitors (CGMs) will be covered through the Durable Medical Equipment (DME) Program with prior authorization (PA) for recipients (children and adults) with one of the following: type 1 diabetes mellitus and type 2 diabetes mellitus AND are insulin treated with multiple (three or more) daily injections of insulin.
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Partial Gainwell System Outage – Scheduled Maintenance
Oct 24, 2025 - Please be advised that the Medicaid Management Information System (MMIS), operated by Gainwell, will undergo scheduled maintenance that will result in certain features being unavailable.
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Laboratory Fee Schedule
Oct 22, 2025 - Effective for dates of service on and after October 1, 2025, the Alabama Medicaid Agency (Medicaid) updated the laboratory fee schedule rates.
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EPSDT Services for Justice Involved Youth
Oct 6, 2025 - The Alabama Medicaid Agency (Medicaid) posted a recorded webinar for Medicaid providers regarding Early, Periodic, Screening, Diagnostic and Treatment (EPSDT) services for justice involved youth (JIY) in Alabama. State Medicaid programs are required to implement coverage described in section 5121 of the Consolidated Appropriations Act, 2023 (CAA, 2023) which was signed into law on December 29, 2022.
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