An act TO AMEND THE COVERAGE OF A CONTINUOUS GLUCOSE 10 MONITOR IN THE ARKANSAS MEDICAID PROGRAM, the official text

Stricken language would be deleted from and underlined language would be added to present law.

1 State of Arkansas                As Engrossed: S4/3/25
2 95th General Assembly
                                        A Bill

3 Regular Session, 2025                                            HOUSE BILL 1255

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5 By: Representative Wooldridge

6 By: Senator B. Davis

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8                                  For An Act To Be Entitled

9            AN ACT TO AMEND THE COVERAGE OF A CONTINUOUS GLUCOSE

10           MONITOR IN THE ARKANSAS MEDICAID PROGRAM; AND FOR

11           OTHER PURPOSES.

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14                                 Subtitle

15                       TO AMEND THE COVERAGE OF A CONTINUOUS

16                       GLUCOSE MONITOR IN THE ARKANSAS MEDICAID

17                       PROGRAM.

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19 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS:

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21  SECTION 1. Arkansas Code � 20-77-148(c), concerning the coverage of a

22 continuous glucose monitor within the Arkansas Medicaid Program, is amended

23 to read as follows:

24  (c) Coverage for a continuous glucose monitor under the Arkansas

25 Medicaid Program shall allow the beneficiary to obtain a continuous glucose

26 monitor through:

27           (1) A a prescription at a pharmacy and be eligible for rebates

28 as a pharmacy benefit; or

29           (2)(A) A written order from a ordering practitioner for durable

30 medical equipment provided by a durable medical equipment provider and be

31 eligible as a durable medical equipment benefit.

32                       (B) A durable medical provider shall not be required to

33 submit a National Drug Code as part of any claim submission under this

34 section.

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36  SECTION 2. Arkansas Code � 20-77-148, concerning coverage of

    *JMB182*                                                    04-03-2025 09:17:58 JMB182
    As Engrossed: S4/3/25                                                HB1255

1 continuous glucose monitors within the Arkansas Medicaid Program, is amended

2 to add an additional subsection to read as follows:

3   (d) Regardless of whether the coverage for a continuous glucose

4 monitor is provided through a pharmacy or a durable medical equipment

5 provider, the Department of Human Services shall:

6   (1) Implement consistent approval requirements; and

7   (2) Reimburse for a continuous glucose monitor provided by a

8 durable medical equipment provider at no less than the Medicare reimbursement

9 under the Healthcare Common Procedure Coding System.

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11                         /s/Wooldridge

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