Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 225 - Telemedicine
Chapter 4 - Continuous Glucose Monitoring Services
Rule 23-225-4.6 - Documentation
Universal Citation: MS Code of Rules 23-225-4.6
Current through September 24, 2024
Continuous glucose monitoring (CGM) service documentation must include, but is not limited to:
A. The beneficiary and/or care giver is capable of operating the continuous glucose monitoring system,
B. The beneficiary:
1. Has an established diagnosis
of type I or type II diabetes mellitus that is poorly controlled as defined in
Miss. Admin. Code Part 225, Rule
4.3.A.1.a),
2. Requires three (3) insulin injections per
day, or use of an insulin pump, for maintenance of blood glucose
control,
3. Requires regular
self-monitoring of at least four (4) times a day,
4. Requires frequent adjustment to insulin
treatment regimen based on blood glucose testing results,
5. Had an in-person visit with the ordering
physician within six (6) months prior to ordering to evaluate their diabetes
control and determined that criteria (1-4) above are met,
6. Has an in-person visit every six (6)
months following the prescription of the CGM to assess adherence to the CGM
regimen and diabetes treatment plan.
C. The CGM is a Food and Drug Administration (FDA) approved medical device and is capable of accurately measuring and transmitting beneficiary blood data.
42 U.S.C. § 1395 x(n); Miss. Code Ann. §§ 43-13-117, 43-13-121, 83-9-353.
Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
