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State wins: Michigan, Arizona

State wins: Michigan, Arizona

Michigan’s Department of Health & Human Services (DHHS) recently updated annual quantity limits for CPAP and BiPAP supplies to allow for more frequent replacements on masks, tubing, filters and other related products across nine HCPCS codes, according to a bulletin from AAHomecare. “We’re thrilled that Michigan Medicaid has updated its coverage limits for CPAP and BiPAP supplies to better align with Medicare standards,” said Laura Haynes, president & CEO of the Michigan HomeCare & Hospice Association. “This is a major win for patients and providers and was a long time coming.” For most products, limits increased from one to two or three per year… Gov. Katie Hobbs has signed SB1132 into law, advancing diabetes care and patient choice in Arizona. Under the new law: 

  • Contractors are required to provide continuous glucose monitors (CGMs) through both the DME and pharmacy benefits. 

  • Prescribing clinicians will have the authority to choose the most appropriate channel for each patient. 

  • Coverage criteria for CGMs will be aligned with current standards of care, and consistent across both benefit types. 

The law will help people living with diabetes and the DME community, reinforcing the role of providers in delivering critical technology and services to patients, says AAHomecare. The association's Payer Relations team worked with the Diabetes Council to advocate for this legislation.

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