HB1255

House Bill 1255 amends the Arkansas Medicaid Program's coverage policies for continuous glucose monitors (CGMs). The bill allows beneficiaries to obtain these devices through either a pharmacy prescription or a written order from a practitioner via a durable medical equipment (DME) provider. It explicitly exempts DME providers from being required to submit a National Drug Code (NDC) as part of their claim submission process. Additionally, the bill mandates that the Department of Human Services implement consistent approval requirements across both delivery methods. It also requires that the reimbursement rate for CGMs provided by a DME provider be at least equal to the Medicare reimbursement rate under the Healthcare Common Procedure Coding System.