Tag: Continuous Glucose Monitors

WASHINGTON – AAHomecare strongly supported CMS’s proposed local coverage determination for continuous glucose monitors in recent submitted comments. The proposed LCD would, among other things, remove the requirement for multiple administration of insulin and frequent self-adjustments, and allow for telehealth visits in place of in-person visits. The association, however, has concerns about the ability of DMEPOS providers to collect documentation from prescriber medical records that’s...

WASHINGTON – The new AAHomecare Diabetes Council has plenty to tackle with new technology requiring updated codes and coverage criteria.   CMS recently released a proposed local coverage determination for continuous glucose monitors (CGMs) that would increase access for Medicare beneficiaries by modifying coverage criteria to, among other things, eliminate the intensive insulin management requirement.   “(The diabetes space) is just so dynamic and it’s exciting...

WASHINGTON – CMS has published a proposed LCD that modifies the coverage criteria for continuous glucose monitors (CGMs) based on the best available evidence.  The agency seeks to modify criteria to allow coverage of a CGM for beneficiaries with diabetes mellitus who are insulin treated or have a history of problematic hypoglycemia. Problematic hypoglycemia is defined as:  recurrent level 2 hypoglycemic events (

FALLS CHURCH, Va. – The TRICARE pharmacy benefit now covers two brands of continuous glucose monitors (CGMs): the Abbott FreeStyle Libre 2 and the Dexcom G6. Previously, CGMs were only available as DME under the TRICARE medical benefit. They will also continue to be covered under the medical benefit. “This change in expanded coverage will improve access for patients to get the CGMs they need,” said Edward VonBerg, PharmD, chief of the Defense Health Agency’s Formulary Management...

DEERFIELD, Ill. - Walgreens is launching a new billing solution to allow Medicare beneficiaries who use the Dexcom G6 continuous glucose monitoring system to fill their prescription at any of its more than 9,200 retail locations. Currently, the devices are filled through DME suppliers, manufacturers or limited pharmacies. Walgreens is also working with other CGM manufacturers to incorporate their products into the new billing model. “Leveraging Walgreens nationwide footprint and our expertise...

WASHINGTON - CMS will allow Medicare beneficiaries to use smart phone technology with their continuous glucose monitors, it announced.The announcement reverses guidance issued in March 2017 in which the agency said beneficiaries could not use a non-DME device, such as a smart phone or tablet as the display device—in conflict with how many use their CGMs.“CMS heard from numerous stakeholders who shared their concerns that Medicare's CG coverage policy limited their use of CGMs in conjunction...

"This thing costs $1,000. Please don't drop it in the toilet. With those words of wisdom, I was ready to go. I had the opportunity in May to use a continuous glucose monitor (CGM) for a week. The CGM tracks blood glucose levels 24/7 to pinpoint potentially problematic patterns. Day 1 Being mindful of what I am doing, eating, drinking, dosing at all times. The numbers that the CGM tracks mean nothing if the diabetes educator has no idea what I was doing at the time. Right now, those numbers are...