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Response to Comments: Glucose Monitors DL33822
A58798
Noridian Healthcare Solutions, LLC (J19)
Effective: June 3, 2021
Updated: December 31, 2025
Policy Summary
The policy removes prior requirements that beneficiaries demonstrate use of a blood glucose meter and perform frequent (>=4/day) self-monitoring to qualify for a continuous glucose monitor. It also expands CGM eligibility to individuals using multiple daily administrations of any insulin, explicitly including inhaled insulin (Afrezza). DME MACs will apply current clinical evidence per CMS guidance when finalizing coverage decisions.
Coverage Criteria Preview
Key requirements from the full policy
"Continuous glucose monitors (CGMs) may be covered for individuals who use multiple daily administrations of any insulin, including inhaled insulin (Afrezza)."
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