Apparently Medicare loosened restrictions re criteria for coverage in 2021. DME providers are aggressively marketing assistance to provide. Anyone have any observations?
Here is ADA info on medicare and cgm recent announcement.
The diabetes community is celebrating a huge win! Beginning on July 18, 2021, Medicare will permanently eliminate the requirement of the four-time-daily fingerstick in order to qualify for coverage of a continuous glucose monitor (CGM).
I couldn’t find out about the other requirement, injecting insulin 3 or 4 times per day. It is pretty much a given that if someone is on MDI they would be testing (finger stick) at least 4 times. This means they were already meeting Medicare CGM requirements.
I think that type 2 DMs that are not using insulin would benefit from CGM data. It’s hard to ignore the effect that food has on your BG when it reports every 5 minutes.