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Continuous Glucose Monitoring and Insulin Delivery for ...

Continuous Glucose Monitoring and Insulin Delivery for managing diabetes Page 1 of 17 UnitedHealthcare Community Plan Medical Policy Effective 07/01/2022 Proprietary Information of UnitedHealthcare. Copyright 2022 United HealthCare Services, Inc. UnitedHealthcare Community Plan Medica l Policy Continuous Glucose Monitoring and Insulin Delivery for managing diabetes Policy Number: Effective Date: July 1, 2022 Instructions for Use Table of Contents Page Application .. 1 Coverage Rationale .. 1 Applicable Codes .. 2 Description of Services .. 6 Benefit Considerations .. 7 Clinical 7 Food and Drug 13 References .. 14 Policy History/Revision Information .. 16 Instructions for 16 Application This Medical Policy only applies to the states of Arizona, California, Florida, Hawaii, Kansas, Maryland, Massachusetts, Michigan, Ohio, Rhode Island, Texas, Virginia, Washington, and Wisconsin.

Nebraska . Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for Nebraska Only) ... Medicare Advantage Coverage Summary • Diabetes Management, Equipment and Supplies ... Other Policies and Guidelines may …

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