OHCA Provider Letter 2019-23 Continuous Glucose Monitoring

The Oklahoma Health Care Authority is pleased to announce Continuous Glucose Monitoring systems will be available through pharmacies effective Jan. 1, 2020. The covered branded products are Dexcom and Freestyle Libre receivers, transmitters (if required) and sensors. Supplies for insulin pumps will remain available through DME claims. For a list of covered products, please visit our website www.okhca.org/bgsupplies.

The Continuous Glucose Monitoring systems will require prior authorization. The Continuous Glucose Monitoring specific prior authorization form, PHARM-139, can be found on the OHCA website at www.okhca.org/rxforms. Adults will be eligible for the Freestyle Libre system unless there is a clinically significant reason that the member needs the Dexcom system; such information must be documented on the prior authorization form.

Please view the Provider Letter in its entirety here: Provider Letter 2019-23.

Submit all comments by close of business, December 18, 2019, via the comment box below.

 




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