The bill amends the Arkansas Medicaid Program's coverage for continuous glucose monitors by allowing beneficiaries to obtain these devices through either a pharmacy with a prescription or through a durable medical equipment provider with a written order from an ordering practitioner. Specifically, it introduces new provisions that clarify the eligibility for rebates as a pharmacy benefit and establishes that durable medical equipment providers will not need to submit a National Drug Code for claims.

Additionally, the bill mandates that the Department of Human Services implement consistent approval processes and paperwork requirements for both pharmacy and durable medical equipment providers. It also ensures that reimbursement for continuous glucose monitors provided by durable medical equipment providers will be no less than the Medicare reimbursement rate under the Healthcare Common Procedure Coding System. These changes aim to streamline access and improve the coverage of continuous glucose monitors for Medicaid beneficiaries in Arkansas.

Statutes affected:
HB 1255: 20-77-148(c), 20-77-148