Amends TCA Title 56 and Title 71.
Tennessee HB0428 mandates that the bureau of TennCare provide coverage for continuous glucose monitors (CGMs) for enrollees diagnosed with specific types of diabetes or related conditions, provided certain medical criteria are met. This bill affects individuals enrolled in TennCare who have Type 1 or Type 2 diabetes and requires that CGMs be prescribed by qualified healthcare practitioners. Key provisions include specific diagnostic criteria for coverage eligibility and the requirement for prescriptions to come from endocrinologists or experienced diabetes management practitioners.
Tennessee HB0428 mandates that the bureau of TennCare provide coverage for continuous glucose monitors (CGMs) for enrollees diagnosed with specific types of diabetes or related conditions, provided certain medical criteria are met. This bill affects individuals enrolled in TennCare who have Type 1 or Type 2 diabetes and requires that CGMs be prescribed by qualified healthcare practitioners. Key provisions include specific diagnostic criteria for coverage eligibility and the requirement for prescriptions to come from endocrinologists or experienced diabetes management practitioners.
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