This bill proposes to amend current statutes related to the Arizona Health Care Cost Containment System (AHCCCS) by adding a new section that mandates specific provisions regarding continuous glucose monitors (CGMs). Under the new law, contractors with AHCCCS would be required to provide CGMs to members through both pharmacy and durable medical equipment benefits, allowing prescribing providers to determine the most suitable option for their patients. Additionally, the bill stipulates that the coverage criteria for CGMs must be updated to reflect current standards of care and must remain consistent regardless of the benefit type through which the CGM is provided.

Furthermore, the bill mandates that the updated coverage criteria for CGMs be made available as a standalone document on the AHCCCS public website, ensuring easy access for members. This addition aims to enhance the clarity and accessibility of information regarding CGM coverage, ultimately improving the management of diabetes for AHCCCS members. The existing statutes remain unchanged, with the new provisions being inserted to enhance the current framework of healthcare services provided by AHCCCS.

Statutes affected:
Introduced Version: 36-2903.17
Senate Engrossed Version: 36-2903.17
Chaptered Version: 36-2903.17