Increase access, reduce disparities: recommendations for modifying medicaid CGM coverage eligibility criteria Journal Article uri icon
Overview
abstract
  • Numerous studies have demonstrated the clinical value of continuous glucose monitoring (CGM) in type 1 diabetes (T1D) and type 2 diabetes (T2D) populations. However, the eligibility criteria for CGM coverage required by the Centers for Medicare & Medicaid Services (CMS) ignore the conclusive evidence that supports CGM use in various diabetes populations that are currently deemed ineligible. In an earlier article, we discussed the limitations and inconsistencies of the agency's CGM eligibility criteria relative to current scientific evidence and proposed practice solutions to address this issue and improve the safety and care of Medicare beneficiaries with diabetes. Although Medicaid is administered through CMS, there is no consistent Medicaid policy for CGM coverage in the United States. This article presents a rationale for modifying and standardizing Medicaid CGM coverage eligibility across the United States.

  • Link to Article
    publication date
  • 2024
  • Research
    keywords
  • Blood
  • Diabetes
  • Healthcare Disparities
  • Medicaid
  • Monitoring, Physiologic
  • Additional Document Info
    volume
  • 18
  • issue
  • 4