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PAYER POLICY CHANGES

E0607 Insurance Policy Changes

HCPCS E0607 is officially defined as "Home blood glucose monitor." HCPCS E0607 is referenced in 15 tracked payer policy changes from Mississippi Medicaid (DOM), Independence Blue Cross, and 8 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS E0607 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

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REFERENCE DATA

Payers with rules5
Payers requiring prior auth5
  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required

    CountyCare Prior Authorization Look-Up Tool (All Codes)

  • Florida Blue · Effective March 27, 2026

    Prior authorization required

    Prior Authorization List: HMO – Marketplace Qualified Health Plans

  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for E0607?

AmeriHealth Caritas lists E0607 on AmeriHealth Caritas Louisiana Act 233 prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does CalViva Health require prior authorization for E0607?

CalViva Health lists E0607 on CalViva Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Community Health Plan of Imperial Valley require prior authorization for E0607?

Community Health Plan of Imperial Valley lists E0607 on Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does CountyCare Health Plan require prior authorization for E0607?

CountyCare Health Plan lists E0607 on CountyCare Prior Authorization Look-Up Tool (All Codes) for medicaid managed plans (list dated April 23, 2026). Verify with the payer before scheduling.

Does Florida Blue require prior authorization for E0607?

Florida Blue lists E0607 on Prior Authorization List: HMO – Marketplace Qualified Health Plans for exchange plans (list dated March 27, 2026). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS E0607?

There are 15 tracked policy changes affecting HCPCS E0607, including updates from Mississippi Medicaid (DOM), Independence Blue Cross, Anthem BCBS. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS E0607?

Payers that have issued tracked updates for HCPCS E0607 include: Mississippi Medicaid (DOM), Independence Blue Cross, Anthem BCBS, BlueCross BlueShield of South Carolina, UnitedHealthcare, Indiana Medicaid (IHCP), Connecticut Medicaid (HUSKY Health), Aetna, Michigan Medicaid - MDHHS, New Jersey Medicaid.

How do I get notified when HCPCS E0607 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS E0607. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for HCPCS E0607?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

See every payer rule for E0607

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for E0607 in one place.

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